在控制载脂蛋白E4生物标志物和人口统计学变量的影响后,性别可明显预测颞叶内侧体积:跨种族比较

IF 2.6 4区 心理学 Q2 CLINICAL NEUROLOGY
Patricia Garcia, Lisandra Mendoza, Dilianna Padron, Andres Duarte, Ranjan Duara, David Loewenstein, Maria Greig-Custo, Warren Barker, Rosie Curiel, Monica Rosselli, Miriam Rodriguez
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引用次数: 0

摘要

目的探讨年龄、教育程度、性别和载脂蛋白E4 (+)状态与轻度认知障碍(amnestic mild cognitive impairment, aMCI)患者脑容量之间的关系:将 123 名参与者分为西班牙裔(75 人)和非西班牙裔白人(48 人)。以年龄、教育程度、性别和载脂蛋白E4状态为预测变量,以海马、海马旁和内侧皮层的左右联合核磁共振成像体积为因变量,进行多元线性回归分析。头颅大小的变化通过颅内总容积测量进行归一化校正:Bonferroni校正结果表明,在控制载脂蛋白E4状态、教育程度和年龄的情况下,性别是西班牙裔组(β = .000464, R2 = .196, p < .01)和WNH组(β = .000455, R2 = .195, p < .05)海马体积的重要预测因素。教育程度(β = .000028,R2 = .168,p < .01)和性别(β = .000261,R2 = .168,p < .01)是西语裔 MCI 组海马旁体积的显著预测因素,但须控制载脂蛋白 E4 状态和年龄的影响。比较组内男性和女性的海马体积和海马旁体积的单因素方差分析显示,女性的海马体积明显更大(p < .05)。西班牙裔女性的海马体积(p < .001)和海马旁体积(p < .05)明显大于男性。WNHs的海马旁体积没有性别差异:结论:生理性别而非载脂蛋白E4状态对西班牙裔和WNH女性海马体积的预测作用更大。这些发现补充了痴呆研究中有关性别差异的混杂文献,并突出了对种族人群的持续重视,以阐明神经退行性疾病的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sex significantly predicts medial temporal volume when controlling for the influence of ApoE4 biomarker and demographic variables: A cross-ethnic comparison.

Objective: To explore the relationship between age, education, sex, and ApoE4 (+) status to brain volume among a cohort with amnestic mild cognitive impairment (aMCI).

Method: One hundred and twenty-three participants were stratified into Hispanic (n = 75) and White non-Hispanic (WNH, N = 48). Multiple linear regression analyses were conducted with age, education, sex, and ApoE4 status as predictor variables and left and right combined MRI volumes of the hippocampus, parahippocampus, and entorhinal cortex as dependent variables. Variations in head sizes were corrected by normalization with a total intracranial volume measurement.

Results: Bonferroni-corrected results indicated that when controlling for ApoE4 status, education, and age, sex was a significant predictor of hippocampal volume among the Hispanic group (β = .000464, R2 = .196, p < .01) and the WNH group (β = .000455, R2 = .195, p < .05). Education (β = .000028, R2 = .168, p < .01) and sex (β = .000261, R2 = .168, p < .01) were significant predictors of parahippocampal volume among the Hispanic MCI group when controlling for the effects of ApoE4 status and age. One-way ANCOVAs comparing hippocampal and parahippocampal volume between males and females within groups revealed that females had significantly larger hippocampal volumes (p < .05). Hispanic females had significantly larger hippocampal (p < .001) and parahippocampal (p < .05) volume compared to males. No sex differences in parahippocampal volume were noted among WNHs.

Conclusions: Biological sex, rather than ApoE4 status, was a greater predictor of hippocampal volume among Hispanic and WNH females. These findings add to the mixed literature on sex differences in dementia research and highlight continued emphasis on ethnic populations to elucidate on neurodegenerative disparities.

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来源期刊
CiteScore
5.40
自引率
3.80%
发文量
185
审稿时长
4-8 weeks
期刊介绍: The Journal of the International Neuropsychological Society is the official journal of the International Neuropsychological Society, an organization of over 4,500 international members from a variety of disciplines. The Journal of the International Neuropsychological Society welcomes original, creative, high quality research papers covering all areas of neuropsychology. The focus of articles may be primarily experimental, applied, or clinical. Contributions will broadly reflect the interest of all areas of neuropsychology, including but not limited to: development of cognitive processes, brain-behavior relationships, adult and pediatric neuropsychology, neurobehavioral syndromes (such as aphasia or apraxia), and the interfaces of neuropsychology with related areas such as behavioral neurology, neuropsychiatry, genetics, and cognitive neuroscience. Papers that utilize behavioral, neuroimaging, and electrophysiological measures are appropriate. To assure maximum flexibility and to promote diverse mechanisms of scholarly communication, the following formats are available in addition to a Regular Research Article: Brief Communication is a shorter research article; Rapid Communication is intended for "fast breaking" new work that does not yet justify a full length article and is placed on a fast review track; Case Report is a theoretically important and unique case study; Critical Review and Short Review are thoughtful considerations of topics of importance to neuropsychology and include meta-analyses; Dialogue provides a forum for publishing two distinct positions on controversial issues in a point-counterpoint format; Special Issue and Special Section consist of several articles linked thematically; Letter to the Editor responds to recent articles published in the Journal of the International Neuropsychological Society; and Book Review, which is considered but is no longer solicited.
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