机构:[1]Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China[2]Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institute-Stockholm University, Stockholm, Sweden[3]Department of Physical Activity and Health, The Swedish School of Sport and Health Science, GIH, Stockholm, Sweden[4]Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China[5]Innovation Center for Neurological Disorders and Department of Neurology, Xuanwu Hospital, Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, China神经科系统神经内科首都医科大学宣武医院[6]Institute of Brain Science and Brain-Inspired Research, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
Background Current evidence has linked peripheral biomarkers of vascular endothelial dysfunction (ED) with cognitive impairment in older adults. Objective To investigate the associations of vascular ED with cognitive function while considering the potential influence of lifelong cognitive reserve (CR). Methods This population-based cross-sectional study included 1540 dementia-free participants who were aged >= 60 years and living in a rural area of China. Cognitive function was assessed using a neuropsychological test battery. A composite CR score was calculated by integrating education, occupational complexity, mental activity, and social support using a structural equation model. A composite ED score was calculated by averaging the z-scores of serum intercellular adhesion molecule-1 (ICAM-1) and vascular cellular adhesion molecule-1 (VCAM-1). Data were analyzed using multiple general linear regression models. Results After controlling for multiple potential confounders, higher serum ICAM-1 levels and the composite ED score were significantly associated with lower z-scores in global cognition, verbal fluency, attention, and executive function (p < 0.05), but not with episodic memory z-score (p > 0.05). Higher serum VCAM-1 levels were significantly related with lower z-scores in global cognition, attention, and executive function (p < 0.05), but not with episodic memory or verbal fluency z-score (p > 0.05). There were no statistically significant interactions between ED biomarkers and lifelong CR on cognitive outcomes. Conclusions Vascular ED is associated with worse cognitive performance in dementia-free older adults, independent of lifelong CR.
基金:
The
MIND-China study was supported in part by grants from the
STI2030-Major Projects (2021ZD0201808, 2021ZD0201801,
and 2022ZD0211600), the National Natural Science Foundation
of China (82011530139, 81861138008, and 81772448), the
National Key R&D Program of China Ministry of Sciences and
Technology (2017YFC1310100), the Academic Promotion
Program of Shandong First Medical University (2019QL020),
the Integrated Traditional Chinese and Western Medicine
Program in Shandong Province (YXH2019ZXY008), the Natural Science Foundation project of Shandong Province
(ZR2023MH310). C Qiu received grants from the Swedish
Research Council (2017-05819 and 2020-01574) and the Swedish
Foundation for International Cooperation in Research and Higher
Education (STINT) (CH2019-8320) for the Joint China-Sweden
Mobility program, Stockholm, Sweden. The funding bodies had
no role in the study design, data collection and analysis, writing of
the manuscript, or in the decision to submit the work for publication
第一作者机构:[1]Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China
通讯作者:
通讯机构:[1]Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China[4]Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China[6]Institute of Brain Science and Brain-Inspired Research, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China[*1]Department of Neurology, Shandong Provincial Hospital affiliated to Shandong First Medical University, No. 324 Jingwuweiqi Road, Jinan, Shandong 250021, P.R. China.[*2]Department of Neurology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China
推荐引用方式(GB/T 7714):
Yiming Song,Yuanjing Li,Qiwei Dong,et al.Associations between endothelial dysfunction, cognitive reserve, and cognitive function in dementia-free older adults: A population-based study[J].JOURNAL OF ALZHEIMERS DISEASE.2025,doi:10.1177/13872877251385261.
APA:
Yiming Song,Yuanjing Li,Qiwei Dong,Yu Zhang,Jiafeng Wang...&Chengxuan Qiu.(2025).Associations between endothelial dysfunction, cognitive reserve, and cognitive function in dementia-free older adults: A population-based study.JOURNAL OF ALZHEIMERS DISEASE,,
MLA:
Yiming Song,et al."Associations between endothelial dysfunction, cognitive reserve, and cognitive function in dementia-free older adults: A population-based study".JOURNAL OF ALZHEIMERS DISEASE .(2025)