Yang Ying, Lu Shou-Rong, Xu Qiao, Yu Jie, Wang Zhuo, Zhang Bing-Shan, Hong Kan
Department of Geriatrics, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi 214023, Jiangsu Province, China.
Wuxi Medical Center, Nanjing Medical University, Wuxi People's Hospital, Wuxi 214023, Jiangsu Province, China.
World J Psychiatry. 2024 Dec 19;14(12):1925-1935. doi: 10.5498/wjp.v14.i12.1925.
Mild cognitive impairment (MCI) in elderly individuals is a transitional stage between normal cognition and dementia. Understanding the risk factors for MCI and identifying those at high risk are extremely important for the elderly population.
To analyze the risk factors for MCI in the elderly population and construct a clinical prediction model.
Total 295 elderly individuals presenting with memory loss diagnosed at Wuxi People's Hospital between March 2021 and March 2024 were included. Comprehensive demographic, clinical, and serological data were collected for analysis. Participants were categorized into either an MCI group or a normal group based on their performance on the Montreal Cognitive Assessment Scale. An elaborate clinical predictive model was developed to predict the likelihood of MCI in stroke patients; its accuracy was evaluated using area under curve values and calibration curves.
The results of the study showed that old age, hypertension, diabetes, hyperlipidemia, smoking, high-salt diet, high-cholesterol diet, decreased red blood count, increased neutrophil lymphocyte ratio and increased low-density lipoprotein cholesterol were risk factors for the onset of MCI, with A high vitamin diet and elevated high-density lipoprotein cholesterol being protective factors. In addition, the prediction model constructed in this study exhibits good degrees of differentiation and calibration.
The risk factors for MCI are diverse. Early identification of individuals at high risk of MCI can better intervene and improve their quality of life of MCI patients.
老年人轻度认知障碍(MCI)是正常认知与痴呆之间的过渡阶段。了解MCI的危险因素并识别高危人群对老年人群极为重要。
分析老年人群中MCI的危险因素并构建临床预测模型。
纳入2021年3月至2024年3月在无锡市人民医院诊断为记忆力减退的295名老年人。收集综合人口统计学、临床和血清学数据进行分析。根据蒙特利尔认知评估量表的表现将参与者分为MCI组或正常组。开发了一个精细的临床预测模型来预测中风患者发生MCI的可能性;使用曲线下面积值和校准曲线评估其准确性。
研究结果表明,老年、高血压、糖尿病、高脂血症、吸烟、高盐饮食、高胆固醇饮食、红细胞计数减少、中性粒细胞淋巴细胞比值增加和低密度脂蛋白胆固醇升高是MCI发病的危险因素,高维生素饮食和高密度脂蛋白胆固醇升高是保护因素。此外,本研究构建的预测模型具有良好的区分度和校准度。
MCI的危险因素多种多样。早期识别MCI高危个体可以更好地进行干预,提高MCI患者的生活质量。