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Age aging:运动少、高血压和低学历是我国痴呆三大原因!中国25万人分析

2020-04-26 xujing 中国循环杂志

近期,一项研究提示,运动少、高血压和低学历是我国老年痴呆的三大原因。

中国是世界上痴呆人数最多的国家,痴呆人数从1990年的368万人增加到2010年的919万人。

根据中国疾病负担报告,作为痴呆的最重要分型,阿尔兹海默症死亡增幅62.4%。

近期,一项研究提示,运动少、高血压和低学历是我国老年痴呆的三大原因。

研究还显示,55%的痴呆可归因于中年肥胖、缺乏运动、吸烟、低学历、糖尿病、高血压和抑郁症七个危险因素。

在2010年,这些危险因素导致超过500万人痴呆。

研究发现,痴呆患者中,有82.2%身体活动不足、79.3%学历低,33.8%为高血压。

然而,抑郁致导致痴呆的危险性最高(RR=2.08),其次是高血压(RR=1.84)、糖尿病(RR=1.62)和身体活动不足(RR=1.39)。

研究发现,24.3%的痴呆可归因于身体活动不足,22.1%可归因于高血压,11.9%归因于低学历。

糖尿病(6.3%)、抑郁(4.2%)、吸烟(2.4%)和肥胖(1.1%)也对痴呆有一定影响。

60-69岁老年人群中,48.0%有高血压;61.1%的>70岁老年人有高血压。在这两个年龄段人群,28.7%的痴呆和33.9%的痴呆归因于高血压。

研究者认为,加强体育锻炼,控制高血压,提高全民教育水平,有助于降低我国老年痴呆症的发病率。

这是首次在中国人群中评估痴呆七个危险因素的影响。利用最新的全国调查计算七个风险因素的人口归因分数。

本研究共纳入3项全国性调查,获得7个危险因素的患病率数据:中国慢性病和危险因素监测调查(2013年),覆盖31个省约17万名年龄≥18岁的成年人;(2) 中国慢性肾脏病国家调查(2010年),覆盖13个省约5万名年龄≥18岁的成年人;(3)中国家庭小组研究调查(2012年),覆盖25个省约3万名年龄≥18岁的成年人。

原始出处:Liu Y, Zhang S, Tomata Y, et al. The impact of risk factors for dementia in China. Age Ageing. published online ahead of print, 2020 Apr 21.

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    2020-12-06 1361ee8c91m

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=905362, encodeId=ad959053624d, content=在, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=945e2063969, createdName=1361ee8c91m, createdTime=Sun Dec 06 10:17:49 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=884058, encodeId=8abb88405820, content=学习了,非常好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76d12257050, createdName=12177770m58暂无昵称, createdTime=Wed Sep 09 23:47:19 CST 2020, time=2020-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382569, encodeId=eb2f3825698d, content=确实如此,可控因素那么多,大有可为, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200709/2d78bcb4ecf5494d8c95db0af4b75e43/1cffda29fec94e999d6ed96a58833296.jpg, createdBy=26451993132, createdName=scottzjt, createdTime=Thu May 07 00:21:06 CST 2020, time=2020-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382225, encodeId=fd5338222550, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sun Apr 26 23:25:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048617, encodeId=e6e3104861ef5, content=老年人痴呆何药可用??, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Sun Apr 26 05:34:19 CST 2020, time=2020-04-26, status=1, ipAttribution=)]
    2020-09-09 12177770m58暂无昵称

    学习了,非常好!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=905362, encodeId=ad959053624d, content=在, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=945e2063969, createdName=1361ee8c91m, createdTime=Sun Dec 06 10:17:49 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=884058, encodeId=8abb88405820, content=学习了,非常好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76d12257050, createdName=12177770m58暂无昵称, createdTime=Wed Sep 09 23:47:19 CST 2020, time=2020-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382569, encodeId=eb2f3825698d, content=确实如此,可控因素那么多,大有可为, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200709/2d78bcb4ecf5494d8c95db0af4b75e43/1cffda29fec94e999d6ed96a58833296.jpg, createdBy=26451993132, createdName=scottzjt, createdTime=Thu May 07 00:21:06 CST 2020, time=2020-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382225, encodeId=fd5338222550, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sun Apr 26 23:25:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048617, encodeId=e6e3104861ef5, content=老年人痴呆何药可用??, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Sun Apr 26 05:34:19 CST 2020, time=2020-04-26, status=1, ipAttribution=)]
    2020-05-07 scottzjt

    确实如此,可控因素那么多,大有可为

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=905362, encodeId=ad959053624d, content=在, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=945e2063969, createdName=1361ee8c91m, createdTime=Sun Dec 06 10:17:49 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=884058, encodeId=8abb88405820, content=学习了,非常好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76d12257050, createdName=12177770m58暂无昵称, createdTime=Wed Sep 09 23:47:19 CST 2020, time=2020-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382569, encodeId=eb2f3825698d, content=确实如此,可控因素那么多,大有可为, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200709/2d78bcb4ecf5494d8c95db0af4b75e43/1cffda29fec94e999d6ed96a58833296.jpg, createdBy=26451993132, createdName=scottzjt, createdTime=Thu May 07 00:21:06 CST 2020, time=2020-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382225, encodeId=fd5338222550, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sun Apr 26 23:25:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048617, encodeId=e6e3104861ef5, content=老年人痴呆何药可用??, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Sun Apr 26 05:34:19 CST 2020, time=2020-04-26, status=1, ipAttribution=)]
    2020-04-26 qingfengqishi5

    学习了,学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=905362, encodeId=ad959053624d, content=在, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=945e2063969, createdName=1361ee8c91m, createdTime=Sun Dec 06 10:17:49 CST 2020, time=2020-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=884058, encodeId=8abb88405820, content=学习了,非常好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=76d12257050, createdName=12177770m58暂无昵称, createdTime=Wed Sep 09 23:47:19 CST 2020, time=2020-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382569, encodeId=eb2f3825698d, content=确实如此,可控因素那么多,大有可为, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200709/2d78bcb4ecf5494d8c95db0af4b75e43/1cffda29fec94e999d6ed96a58833296.jpg, createdBy=26451993132, createdName=scottzjt, createdTime=Thu May 07 00:21:06 CST 2020, time=2020-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382225, encodeId=fd5338222550, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sun Apr 26 23:25:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048617, encodeId=e6e3104861ef5, content=老年人痴呆何药可用??, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Sun Apr 26 05:34:19 CST 2020, time=2020-04-26, status=1, ipAttribution=)]
    2020-04-26 junJUN

    老年人痴呆何药可用??

    0

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