摘要
目的:本研究的目的是分析在中国人群中低的骨密度(BMD)和从轻度认知障碍(MCI)到阿尔茨海默病(AD)症的转换之间的关系。方法:采用双能X射线吸收测量法 ( DXA ) 测量60到75岁的男性和女性(n=946)的腰椎和髋部的骨密度,并随访5年。采用中国版的简易精神状态检查表(MMSE)和工具性日常生活活动量表(ADL)对他们的认知和功能状态进行了评估。结果:骨质疏松症和基于MMSE和ADL评分的认知和功能的下降之间存在正相关关系(P <0.001)。与对照组比较,具有最低四分位数骨密度值的受试者的AD转换风险比对照组增加了2倍。这些结果表明,不管在男性还是女性中,严重的骨质流失与AD转换风险增加有关。结论:骨质疏松症与AD痴呆症发生的风险增加有关。此外,低的骨密度基线与男性和女性患AD的风险增加有关。
关键词: 阿尔茨海默病,骨矿物质密度,轻度认知障碍,骨质疏松症
Current Alzheimer Research
Title:Bone Loss and Osteoporosis are Associated with Conversion from Mild Cognitive Impairment to Alzheimer’s Disease
Volume: 11 Issue: 7
Author(s): Rui Zhou, Huadong Zhou, Li Rui and Jianzhong Xu
Affiliation:
关键词: 阿尔茨海默病,骨矿物质密度,轻度认知障碍,骨质疏松症
摘要: Objective: The aim of this study was to analyze the relationship between low bone mineral density (BMD) and conversion from mild cognitive impairment (MCI) to Alzheimer’s disease (AD) dementia in a Chinese cohort. Methods: Men and women (n=946) aged 60–75 underwent a dual X-ray absorptiometry (DXA) study of the lumbar spine and hip and were followed annually for 5 years. Their cognitive and functional status were assessed using the Chinese version of the Mini-Mental State Examination (MMSE) and an assessment of the instrumental activities of daily living (ADL). Results: There was a positive relationship between osteoporosis and a decline in cognition and function (P<0.001) based on MMSE and ADL scores. The subjects with BMD values in the lowest quartile had a 2-fold increased risk of AD conversion compared with the controls. These results suggest that severe BMD loss is associated with an increased risk of AD conversion in both women and men. Conclusions: Osteoporosis was associated with an increased risk of incident AD dementia. Additionally, low BMD at baseline was associated with an increased risk of AD in both women and men.
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Cite this article as:
Zhou Rui, Zhou Huadong, Rui Li and Xu Jianzhong, Bone Loss and Osteoporosis are Associated with Conversion from Mild Cognitive Impairment to Alzheimer’s Disease, Current Alzheimer Research 2014; 11 (7) . https://dx.doi.org/10.2174/1567205011666140812115818
DOI https://dx.doi.org/10.2174/1567205011666140812115818 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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