神经认知特征与心血管危险因素的关系

María de la Paz Scribano Parada
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摘要

导读:心血管危险因素(CVRF)与神经认知障碍(ND)之间的关系很重要,因为前者是可以改变的。研究了心血管危险因素对神经认知的影响。患者和方法:横向分析前瞻性研究。包括有认知症状的患者。记录CVRF。根据蒙特利尔认知评估(MoCA)(26分截止点)分为无认知障碍(NoCD)和认知障碍(CD)两组。评估认知域(CD)。建立风险组(无CVRF、1 CVRF、2 CVRF、3 CVRF及以上)。建立了个体cd危险组、cd和非cd危险组之间的关系。x平方分布表示属性。组间差异采用ANOVA和Kruskal-Wallis分析,显著性水平p<0.05。结果:66例(女性57/86%)。年龄63.7±16岁。最常见的CVRF:缺乏运动、高血压、吸烟。MoCA平均值为20.91±5.78。CD组(n=48) MoCA评分较低,每张CD表现最差。2组和3CVRF组表现最差,视觉空间/执行功能受影响最大。结论:65岁以上人群心血管风险增加,认知能力较差。影响最大的因素是女性、年龄、受教育年限和心血管危险因素的总和。受影响最大的是视觉空间和注意力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship Between Neurocognitive Profile and Cardiovascular Risk Factors
Introduction: Relationship between Cardiovascular Risk Factors (CVRF) and Neurocognitive Disorders (ND) is important, since the first are modifiable. It was studied the influence of cardiovascular risk factors in the neurocognitive profile. Patients and Methods: Transversal analytic prospective study. Patients attended by cognitive symptoms were included. CVRF were recorded. According to Montreal Cognitive Assesment (MoCA) (cutoff of 26 points) two groups were made: Without cognitive disorder (NoCD) and cognitive disorder (CD). Cognitive Domains (CD) were evaluated. Risk groups were established (No CVRF, 1 CVRF, 2 CVRF, 3 or more CVRF). The relation between risk groups with invidual cd and with CD and noCD groups, was established. Chi Square for attributes. ANOVA and Kruskal-Wallis for differences between groups, significance level p<0.05. Results: 66 patients (female 57/86%). Age 63.7±16 years. Most prevalent CVRF: physical inactivity, hypertension, smoking. MoCA average of 20.91±5.78. The CD group (n=48) received lower score in MoCA and worst performers in every cd. Groups 2 and 3CVRF able worst performance, and visuospatial/executive function were the most affected. Conclusion: People over 65 years with increased cardiovascular risk, have poorer cognitive performance. The factors with the greatest implication would be female, age, years of schooling and summation of cardiovascular risk factors. The cd most affected are visuospatial and attention.
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