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新冠疫情期间大脑加速老化。

Accelerated brain ageing during the COVID-19 pandemic.

作者信息

Mohammadi-Nejad Ali-Reza, Craig Martin, Cox Eleanor F, Chen Xin, Jenkins R Gisli, Francis Susan, Sotiropoulos Stamatios N, Auer Dorothee P

机构信息

National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Queen's Medical Centre, Nottingham, United Kingdom.

Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

出版信息

Nat Commun. 2025 Jul 22;16(1):6411. doi: 10.1038/s41467-025-61033-4.

Abstract

The impact of SARS-CoV-2 and the COVID-19 pandemic on brain health is recognised, yet specific effects remain understudied. We investigate the pandemic's impact on brain ageing using longitudinal neuroimaging data from the UK Biobank. Brain age prediction models are trained from hundreds of multi-modal imaging features using a cohort of 15,334 healthy participants. These models are then applied to an independent cohort of 996 healthy participants with two magnetic resonance imaging scans: either both collected before the pandemic (Control groups), or one before and one after the pandemic onset (Pandemic group). Our findings reveal that, even with initially matched brain age gaps (predicted brain age vs. chronological age) and matched for a range of health markers, the pandemic significantly accelerates brain ageing. The Pandemic group shows on average 5.5-month higher deviation of brain age gap at the second time point compared with controls. Accelerated brain ageing is more pronounced in males and those from deprived socio-demographic backgrounds and these deviations exist regardless of SARS-CoV-2 infection. However, accelerated brain ageing correlates with reduced cognitive performance only in COVID-infected participants. Our study highlights the pandemic's significant impact on brain health, beyond direct infection effects, emphasising the need to consider broader social and health inequalities.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)和新冠疫情对大脑健康的影响已得到认可,但具体影响仍未得到充分研究。我们利用英国生物银行的纵向神经影像数据,调查了疫情对大脑衰老的影响。大脑年龄预测模型是使用15334名健康参与者的队列,从数百个多模态影像特征训练而来的。然后将这些模型应用于996名健康参与者的独立队列,这些参与者有两次磁共振成像扫描:要么两次扫描均在疫情之前进行(对照组),要么一次在疫情开始前,一次在疫情开始后(疫情组)。我们的研究结果表明,即使最初的大脑年龄差距(预测大脑年龄与实际年龄)相匹配,且在一系列健康指标上也相匹配,疫情仍会显著加速大脑衰老。与对照组相比,疫情组在第二个时间点的大脑年龄差距平均高出5.5个月。大脑衰老加速在男性以及社会人口背景较差的人群中更为明显,且无论是否感染SARS-CoV-2,这些差异都存在。然而,只有在感染新冠病毒的参与者中,大脑衰老加速才与认知能力下降相关。我们的研究强调了疫情对大脑健康的重大影响,这超出了直接感染的影响,强调了需要考虑更广泛的社会和健康不平等问题。

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