60岁以上成年人饮酒与认知障碍的关系：系统回顾

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2024-07-01 DOI:10.1016/j.rcp.2022.08.004

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引用次数: 0

摘要

导言酒精是西方文化中消费量最大的物质，酒精的使用是 200 多种疾病和失调的致病因素。我们的目的是确定≥60 岁人群饮酒与认知障碍之间的关系，并确定哪些认知功能受长期饮酒的影响最大。搜索仅限于 2010 年至 2020 年发表的文章。共获得 8716 篇文章。其中五篇为纵向研究，涉及酒精与认知障碍之间的关系；两篇为横断面研究，有助于确定哪些认知功能受到的影响更大。本系统综述是根据 PRISMA 声明的标准进行的。结果所发现的大多数研究都得出结论，与适量饮酒相比，不饮酒或过量饮酒与认知障碍的高风险相关。此外，过量和长期饮酒可演变为继发性酒精性痴呆，如 Marchiafava-Bignami 病、Wernicke-Korsakoff 综合征或糙皮病。在酒精使用障碍患者中，受影响最大的认知功能是执行功能、视觉空间技能、注意力和记忆力。

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Relación entre el consumo de alcohol y el deterioro cognitivo en población adulta mayor de 60 años: una revisión sistemática

Introduction

Alcohol is the most consumed substance in Western culture and its use is a causal factor in more than 200 diseases and disorders. Our objective was to determine the relationship between alcohol consumption and cognitive impairment in people aged ≥60, and identify which cognitive functions are most affected by prolonged alcohol consumption.

Methods

Search in MEDLINE, PsycInfo, Psicodoc, Cochrane and Web of Science databases. The search was limited to articles published from 2010 to 2020. A total of 8,716 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of seven articles: five longitudinal studies, covering the relationship between alcohol and cognitive impairment; and two cross-sectional studies, which helped identify which cognitive functions are more affected. This systematic review was carried out in accordance with the criteria of the PRISMA statement.

Results

Most of the studies found conclude that no or excessive alcohol consumption is associated with a higher risk of cognitive impairment, compared to moderate consumption. In addition, excessive and prolonged alcohol consumption can evolve into secondary alcoholic dementia such as Marchiafava-Bignami disease, Wernicke-Korsakoff syndrome or pellagra. In people with alcohol use disorder, the cognitive functions that are most affected are executive functions, visuospatial skills, attention and memory.

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.