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患有不宁腿综合征或 Willis-Ekbom 病的老年人的纵向认知轨迹

Longitudinal Cognitive Trajectories in Older Adults with Restless Legs Syndrome or Willis-Ekbom Disease.

作者信息

Liampas Ioannis, Siokas Vasileios, Kyrozis Andreas, Sakoutis George, Yannakoulia Mary, Kosmidis Mary H, Sakka Paraskevi, Scarmeas Nikolaos, Hadjigeorgiou Georgios M, Dardiotis Efthimios

机构信息

Department of Neurology, University Hospital of Larissa, School of Medicine, University of Thessaly, 41100 Larissa, Greece.

1st Department of Neurology, Aiginition Hospital, National and Kapodistrian University of Athens Medical School, 11528 Athens, Greece.

出版信息

Life (Basel). 2024 Mar 24;14(4):430. doi: 10.3390/life14040430.

Abstract

: Restless legs syndrome/Willis-Ekbom disease (RLS/WED) has occasionally but not consistently been associated with cognitive and most notably language and executive impairment. The present study was conducted to investigate the cognitive trajectories of older individuals with RLS/WED. : Participants were drawn from the randomly selected, older (>64 years), population-based HELIAD cohort. Individuals without dementia and with available neuropsychological evaluations at baseline and follow-up were considered for potential eligibility. A comprehensive assessment examining five principal components of cognition (memory, visuo-spatial ability, attention, executive function, and language) was administered to the participants. Generalized estimating equation analyses were used to examine the unadjusted and adjusted (for critical factors and covariates) effects of RLS/WED on cognition over time. : A total of 1003 predominantly female (59.5%), older (72.9 ± 4.9 years) participants with follow-up evaluations after a mean of 3.09 ± 0.85 years and without dementia at baseline and follow-up were included in the present study. Among them, 81 were diagnosed with RLS/WED at baseline. Global cognition, memory, attention, and executive and visuo-perceptual skills did not differ between those with and without RLS/WED. However, the RLS/WED group performed worse on language at baseline by a standard deviation of 0.249, while demonstrating a mitigated language decline over time, by a standard deviation of 0.063. The unadjusted models yielded similar results. : Our findings were indicative of a baseline language disadvantage among older individuals with RLS/WED, but the initial discrepancy tends to dissolve over time.

摘要

不宁腿综合征/Willis-Ekbom病(RLS/WED)偶尔但并非始终与认知功能,尤其是语言和执行功能障碍相关。本研究旨在调查患有RLS/WED的老年人的认知轨迹。

参与者来自随机选择的、年龄较大(>64岁)、基于人群的HELIAD队列。考虑将无痴呆且在基线和随访时有可用神经心理学评估的个体纳入潜在合格者。对参与者进行了一项综合评估,检查认知的五个主要组成部分(记忆、视觉空间能力、注意力、执行功能和语言)。使用广义估计方程分析来检查RLS/WED随时间对认知的未调整和调整(针对关键因素和协变量)影响。

本研究共纳入1003名主要为女性(59.5%)、年龄较大(72.9±4.9岁)的参与者,他们在平均3.09±0.85年后进行了随访评估,且在基线和随访时均无痴呆。其中,81人在基线时被诊断为RLS/WED。有和没有RLS/WED的参与者在整体认知、记忆、注意力以及执行和视觉感知技能方面没有差异。然而,RLS/WED组在基线时的语言表现较差,标准差为0.249,而随着时间推移语言衰退减轻,标准差为0.063。未调整模型得出了类似结果。

我们的研究结果表明,患有RLS/WED的老年人在基线时存在语言劣势,但最初的差异随着时间推移往往会消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e3/11051192/4e825a5a7853/life-14-00430-g001.jpg

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