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慢性肌肉骨骼疼痛、APOE ε4基因型及镇痛药与痴呆风险的关联:一项基于人群的前瞻性队列研究

Association of chronic musculoskeletal pain, APOE Ɛ4 genotype, and analgesics with the risk of dementia: a population-based prospective cohort study.

作者信息

Zhang Yuan, Feng Jiangtao, Yang Hongxi, Li Shu

机构信息

Department of Pathology, Raymond G. Perelman Center for Cellular and Molecular Therapeutics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Department of orthopedic, Tianjin NanKai Hospital, Tianjin, China.

出版信息

Int J Surg. 2025 May 1;111(5):3672-3676. doi: 10.1097/JS9.0000000000002348.

DOI:10.1097/JS9.0000000000002348
PMID:40101131
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12165555/
Abstract

Chronic musculoskeletal pain (CMP) is associated with the risk of dementia, yet little is known about whether this association is modified by APOE genotype and whether analgesics may mitigate the risk effect of CMP on dementia. This prospective cohort study, included 415 072 participants from UK Biobank, found that CMP was associated with a higher risk of dementia, and this association may be modified by the APOE genotype. Analgesics may not mitigate the risk effect of CMP on dementia.

摘要

慢性肌肉骨骼疼痛(CMP)与痴呆风险相关,但对于这种关联是否会因载脂蛋白E(APOE)基因型而改变,以及镇痛药是否可以减轻CMP对痴呆的风险影响,人们知之甚少。这项前瞻性队列研究纳入了英国生物银行的415072名参与者,发现CMP与较高的痴呆风险相关,并且这种关联可能会因APOE基因型而改变。镇痛药可能无法减轻CMP对痴呆的风险影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ce/12165555/2842719cd6cb/js9-111-3672-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ce/12165555/408be31b234b/js9-111-3672-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ce/12165555/2842719cd6cb/js9-111-3672-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ce/12165555/408be31b234b/js9-111-3672-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ce/12165555/2842719cd6cb/js9-111-3672-g002.jpg

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Association of a wide range of chronic diseases and apolipoprotein E4 genotype with subsequent risk of dementia in community-dwelling adults: A retrospective cohort study.社区居住成年人中多种慢性疾病和载脂蛋白E4基因型与随后发生痴呆症风险的关联:一项回顾性队列研究。
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