使用常规收集的健康数据来估计哥伦比亚阿尔茨海默病的患病率和潜在可改变的风险因素。

IF 3.6 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Salomón Salazar-Londoño, Cristina Silva-Buriticá, Laura Herrera-Velez, Diego Rosselli
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引用次数: 0

摘要

目的:随着患病率的增加,阿尔茨海默病(AD)是痴呆症的最常见原因。然而,已经报告了一定比例的潜在可修改病例。这篇文章描述了四种潜在的可改变的危险因素:听力损失、糖尿病(DM)、肥胖和高血压。方法:使用哥伦比亚卫生系统数据库SISPRO,对2018 - 2022年的数据进行描述性横断面研究。本研究的人群包括所有年龄在50-100岁之间,根据ICD-10代码主要诊断为AD的人群。受试者按几十年划分,然后使用Mantel-Haenszel公式计算和调整阿尔茨海默病结局的患病率(PR)及其每个潜在可改变的危险因素。结果:共发现AD 167,556例,其中女性占66.4%。高峰期为80多岁,50岁以上人群5年患病率为12.6例/1000人。pr与所有风险因素呈正相关,除了肥胖。在年龄校正后,肥胖的PR值在男性和总体人群中变为正,但在女性中仍然为负。总体人群中,矫正后PR最高的是高血压(1.44),其次是糖尿病(1.34)、听力损失(1.31)和肥胖(1.12)。值得注意的是,pr在年轻和男性年龄组中具有更大的幅度。结论:本研究的结果与以下事实一致:在以AD为主要诊断的人群中,潜在可改变的危险因素的患病率较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using Routinely Collected Health Data to Estimate the Prevalence of Alzheimer's Disease and Potentially Modifiable Risk Factors in Colombia

Objective

With an increasing prevalence, Alzheimer's Disease (AD) is the most common cause of dementia. However, a percentage of potentially modifiable cases have been reported. This article describes the prevalence of four of these potentially modifiable risk factors: hearing loss, diabetes mellitus (DM), obesity, and hypertension.

Methods

Descriptive cross-sectional study with data from 2018 to 2022, using the Colombian health system database SISPRO. The population of this study consisted of all people within the age range 50–100 with a main diagnosis of AD according to the ICD-10 codes. Subjects were divided by decades, and the prevalence ratio (PR) for the outcome of AD and each of its potentially modifiable risk factors was then calculated and adjusted by age using the Mantel-Haenszel formula.

Results

167,556 cases of AD were identified, with 66.4% being females. Peak age was in octogenarians, and the five-years period prevalence for people older than 50 was 12.6 cases/1000 people. The PRs showed a positive association for all risk factors, except obesity. Following age correction, obesity's PR value shifted to positive in males and overall population but remained negative for females. The highest post-correction PR in the overall population was hypertension (1.44), followed by DM (1.34), hearing loss (1.31) and obesity (1.12). Notably, PRs had a greater magnitude in younger and male age groups.

Conclusion

The results of this study are consistent with the fact that the prevalence of potentially modifiable risk factors is higher within the group of people with AD as their main diagnosis.

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来源期刊
CiteScore
6.10
自引率
2.50%
发文量
168
审稿时长
4-8 weeks
期刊介绍: The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.
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