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气候变化与神经系统紊乱。

Climate change and disorders of the nervous system.

机构信息

Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, University College London, London, UK; Chalfont Centre for Epilepsy, Chalfont-St-Peter, UK.

Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, University College London, London, UK; Chalfont Centre for Epilepsy, Chalfont-St-Peter, UK.

出版信息

Lancet Neurol. 2024 Jun;23(6):636-648. doi: 10.1016/S1474-4422(24)00087-5.

DOI:10.1016/S1474-4422(24)00087-5
PMID:38760101
Abstract

Anthropogenic climate change is affecting people's health, including those with neurological and psychiatric diseases. Currently, making inferences about the effect of climate change on neurological and psychiatric diseases is challenging because of an overall sparsity of data, differing study methods, paucity of detail regarding disease subtypes, little consideration of the effect of individual and population genetics, and widely differing geographical locations with the potential for regional influences. However, evidence suggests that the incidence, prevalence, and severity of many nervous system conditions (eg, stroke, neurological infections, and some mental health disorders) can be affected by climate change. The data show broad and complex adverse effects, especially of temperature extremes to which people are unaccustomed and wide diurnal temperature fluctuations. Protective measures might be possible through local forecasting. Few studies project the future effects of climate change on brain health, hindering policy developments. Robust studies on the threats from changing climate for people who have, or are at risk of developing, disorders of the nervous system are urgently needed.

摘要

人为气候变化正在影响人们的健康,包括患有神经和精神疾病的人群。目前,由于数据总体匮乏、研究方法不同、疾病亚型的细节信息不足、对个体和人群遗传学影响考虑较少以及地理位置差异大且可能存在区域影响,要推断气候变化对神经和精神疾病的影响具有挑战性。然而,有证据表明,许多神经系统疾病(如中风、神经感染和一些精神健康障碍)的发病率、患病率和严重程度可能会受到气候变化的影响。数据显示了广泛而复杂的不利影响,尤其是人们不习惯的极端温度和较大的日温差。通过当地预测,可能采取保护措施。很少有研究预测气候变化对大脑健康的未来影响,这阻碍了政策的制定。迫切需要对患有或有患神经系统疾病风险的人群来说,来自气候变化的威胁进行强有力的研究。

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