当前位置: 首页 > 详情页

Associations between endothelial dysfunction, cognitive reserve, and cognitive function in dementia-free older adults: A population-based study

文献详情

资源类型:
WOS体系:

收录情况: ◇ SCIE

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 [6]Institute of Brain Science and Brain-Inspired Research, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
出处:
ISSN:

关键词: Alzheimer's disease cognitive function cognitive reserve endothelial dysfunction intercellular adhesion molecule-1 vascular cellular adhesion molecule-1

摘要:
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:
语种:
WOS:
中科院(CAS)分区:
出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
JCR分区:
出版当年[2023]版:
Q2 NEUROSCIENCES
最新[2024]版:
Q2 NEUROSCIENCES

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

第一作者:
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):
APA:
MLA:

资源点击量:18261 今日访问量:1 总访问量:1003 更新日期:2025-11-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院