Background and purposePrevious studies have demonstrated that the components of ideal cardiovascular health (CVH) metrics are related to dementia. This study aimed to investigate the overall effects of ideal CVH metrics on cognitive functioning. MethodsInformation was collected on the seven ideal CVH metrics (smoking, body mass index, dietary intake, physical activity, blood pressure, total cholesterol and fasting blood glucose) from the Asymptomatic Polyvascular Abnormalities Community study, and cognitive functioning was assessed by the score of the Mini-Mental State Examination (MMSE). Multivariate logistic regression and linear regression models were used to assess the relationships between ideal CVH metrics and cognitive functioning. ResultsA total of 3260 (56.7% men) patients were included in this study. After adjusting for potential confounding factors, the associations between the number or score of ideal CVH metrics and cognitive impairment remained significant [odds ratio (OR) (95% confidence interval) 0.773 (0.664-0.928) and 0.904 (0.831-0.983), respectively]. In addition, there were significant linear relationships between the number or score of CVH metrics and the score of the MMSE ( = 0.211 and 0.134 respectively, P < 0.001). ConclusionsA clear inverse association was observed between the number or score of ideal CVH metrics and cognitive impairment in a Chinese population, supporting the importance of ideal CVH metrics in prevention of dementia.
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neuropsychol & Clin Psychol, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;[3]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;[4]Beijing Inst Brain Disorders, Ctr Stroke, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neuropsychol & Clin Psychol, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China;[3]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;[4]Beijing Inst Brain Disorders, Ctr Stroke, Beijing, Peoples R China;[6]Beijing Key Lab Translat Med Cerebrovasc Dis, Beijing, Peoples R China;[10]North China Univ Sci & Technol, Kailuan Hosp, Dept Cardiol, Tangshan, Peoples R China;[11]57 Xinhua Rd, Tangshan 063000, Peoples R China;[12]6 Tiantanxili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Zhang N.,Yang Y.,Wang A.,et al.Association of ideal cardiovascular health metrics and cognitive functioning: the APAC study[J].EUROPEAN JOURNAL OF NEUROLOGY.2016,23(9):1447-1454.doi:10.1111/ene.13056.
APA:
Zhang, N.,Yang, Y.,Wang, A.,Cao, Y.,Li, J....&Zhao, X..(2016).Association of ideal cardiovascular health metrics and cognitive functioning: the APAC study.EUROPEAN JOURNAL OF NEUROLOGY,23,(9)
MLA:
Zhang, N.,et al."Association of ideal cardiovascular health metrics and cognitive functioning: the APAC study".EUROPEAN JOURNAL OF NEUROLOGY 23..9(2016):1447-1454