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微量营养素与轻度认知障碍和阿尔茨海默病老年人群认知能力的关系:一项横断面研究。

The relationship between micronutrients and cognitive ability in an elderly population with mild cognitive impairment and Alzheimer's disease: a cross-sectional study.

机构信息

Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Department of Geriatric Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Neurol. 2024 Oct 25;24(1):416. doi: 10.1186/s12883-024-03800-2.

DOI:10.1186/s12883-024-03800-2
PMID:39455919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11515377/
Abstract

BACKGROUND

Mild cognitive impairment (MCI) and Alzheimer's disease (AD) are significant neurodegenerative disorders with increasing prevalence worldwide. Lifestyle and dietary factors, including micronutrients, have been suggested as modifiable risk factors for disease development. This study aims to investigate the association between micronutrients and cognitive ability in these diseases.

METHODS

A cross-sectional study involving 105 participants with MCI and AD was conducted. Dietary assessments were performed using a validated food frequency questionnaire (FFQ), and micronutrient intake was calculated based on nutrient content. Disease severity was evaluated using the Functional Assessment Staging Tool (FAST). Statistical analyses, including correlation coefficients and multiple regression models, were employed to examine the association between micronutrients and disease progression.

RESULTS

The results revealed significant correlations between disease severity and several micronutrients, including omega-3 fatty acids (B = -0.2, P = 0.01), carotenoids (B = -0.19, P = 0.02), dietary antioxidant compounds, including vitamins A, C, D, E (B = -0.19, P = 0.02), selenium (B = -0.17, P = 0.03), alpha-carotene (B = -0.16, P = 0.04), beta-carotene (B = -0.17, P = 0.03), and lycopene (B = -0.16, P = 0.04). Multivariate regression analysis showed that higher intake of omega-3 fatty acids was associated with slower disease progression. Furthermore, the levels of these micronutrients declined in advanced stages of the disease.

CONCLUSION

Omega-3 fatty acids and carotenoids may affect the cognitive ability and disease progression. Further longitudinal studies are warranted to establish causality and explore the therapeutic implications of these findings for the prevention and management of MCI and AD.

摘要

背景

轻度认知障碍(MCI)和阿尔茨海默病(AD)是两种具有全球发病率不断上升趋势的重要神经退行性疾病。生活方式和饮食因素,包括微量营养素,被认为是疾病发展的可改变危险因素。本研究旨在探讨这些疾病中微量营养素与认知能力之间的关系。

方法

对 105 例 MCI 和 AD 患者进行了横断面研究。采用经过验证的食物频率问卷(FFQ)进行膳食评估,并根据营养素含量计算微量营养素摄入量。采用功能评估分期工具(FAST)评估疾病严重程度。采用相关系数和多元回归模型进行统计分析,以检验微量营养素与疾病进展之间的关系。

结果

研究结果显示,疾病严重程度与多种微量营养素呈显著相关,包括ω-3 脂肪酸(B = -0.2,P = 0.01)、类胡萝卜素(B = -0.19,P = 0.02)、膳食抗氧化化合物,包括维生素 A、C、D、E(B = -0.19,P = 0.02)、硒(B = -0.17,P = 0.03)、α-胡萝卜素(B = -0.16,P = 0.04)、β-胡萝卜素(B = -0.17,P = 0.03)和番茄红素(B = -0.16,P = 0.04)。多元回归分析显示,ω-3 脂肪酸摄入量较高与疾病进展较慢有关。此外,这些微量营养素的水平在疾病的晚期阶段下降。

结论

ω-3 脂肪酸和类胡萝卜素可能影响认知能力和疾病进展。需要进一步的纵向研究来确定因果关系,并探讨这些发现对预防和管理 MCI 和 AD 的治疗意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/ba473431f7f4/12883_2024_3800_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/72e28d0cfc15/12883_2024_3800_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/17e3dbbb37e1/12883_2024_3800_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/ba473431f7f4/12883_2024_3800_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/72e28d0cfc15/12883_2024_3800_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/17e3dbbb37e1/12883_2024_3800_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1b0/11515377/ba473431f7f4/12883_2024_3800_Fig3_HTML.jpg

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