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Association Between Cognitive Function and Risk of Chronic Kidney Disease: A Longitudinal Cohort and Mendelian Randomization Study 认知功能与慢性肾病风险之间的关系：纵向队列和孟德尔随机化研究
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.04.017
Sisi Yang MD, Chun Zhou MD, Ziliang Ye MD, Mengyi Liu MD, Yanjun Zhang MD, Xiaoqin Gan MD, Yu Huang MD, Hao Xiang MD, Panpan He MD, Yuanyuan Zhang MD, Xianhui Qin MD

Objective

To investigate the causal dose-response association between cognitive function and the risk of chronic kidney disease (CKD) by a longitudinal cohort and mendelian randomization study.

Methods

The longitudinal cohort study included 396,600 participants without prior dementia and CKD from the UK Biobank. Cognitive function (including prospective memory, numeric memory, visuospatial memory, reaction time, and reasoning ability) was assessed by computerized touchscreen tests. Global cognitive function was defined as a composite score of those specific cognitive domains. A 2-stage mendelian randomization analysis was conducted with 12,979 cases of CKD and 379,424 controls. Genetically predicted global cognitive function was instrumented with 91 confirmed genome-wide significant variants. The study outcome was new-onset CKD. The study was conducted from March 13, 2006, to September 30, 2021.

Results

During a median follow-up of 12.5 years, new-onset CKD developed in 13,090 participants. Per 1 SD score increments in reaction time (adjusted hazard ratio [HR], 0.97; 95% CI, 0.95 to 0.99), reasoning ability (adjusted HR, 0.91; 95% CI, 0.88 to 0.94), and global cognitive function (adjusted HR, 0.96; 95% CI, 0.95 to 0.98) were associated with a significantly lower risk of new-onset CKD. Compared with an incorrect answer in the prospective memory test, a correct answer was associated with a lower risk of new-onset CKD (adjusted HR, 0.82; 95% CI, 0.76 to 0.88). Mendelian randomization analyses found that per 1 SD score increments in genetically predicted global cognitive function resulted in a significantly (7%; 95% CI, 2% to 12%) lower risk of new-onset CKD.

Conclusion

A better cognitive function is causally associated with a lower risk of CKD in participants without prior dementia.

研究目的通过一项纵向队列和亡羊补牢随机研究，探讨认知功能与慢性肾脏病（CKD）风险之间的因果剂量反应关系：纵向队列研究包括英国生物库中 396,600 名无痴呆症和慢性肾脏病史的参与者。认知功能（包括前瞻记忆、数字记忆、视觉空间记忆、反应时间和推理能力）通过电脑触摸屏测试进行评估。总体认知功能被定义为这些特定认知领域的综合得分。对 12,979 例慢性肾脏病患者和 379,424 例对照者进行了两阶段孟德尔随机分析。通过 91 个已证实的全基因组重大变异对基因预测的全球认知功能进行了分析。研究结果为新发 CKD。研究时间为 2006 年 3 月 13 日至 2021 年 9 月 30 日：在中位随访 12.5 年期间，13,090 名参与者出现了新发 CKD。反应时间（调整后危险比 [HR]，0.97；95% CI，0.95 至 0.99）、推理能力（调整后危险比，0.91；95% CI，0.88 至 0.94）和整体认知功能（调整后危险比，0.96；95% CI，0.95 至 0.98）每增加 1 SD 分，新发 CKD 的风险就会显著降低。与前瞻性记忆测试中的错误答案相比，正确答案与较低的新发 CKD 风险相关（调整后 HR 为 0.82；95% CI 为 0.76 至 0.88）。孟德尔随机分析发现，基因预测的总体认知功能每增加 1 SD 分，新发 CKD 的风险就会显著降低（7%；95% CI，2% 至 12%）：结论：在没有痴呆症病史的参与者中，较好的认知功能与较低的慢性肾脏病风险有因果关系。
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引用次数: 0
Colchicine, a Novel Treatment of Peripheral Artery Disease 秋水仙碱--治疗外周动脉疾病的新疗法
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.07.021
Robert D. McBane II MD
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引用次数: 0
Pragmatic Clinical Trials 务实的临床试验：在真实世界开展研究的伦理。
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.05.001
Laszlo T. Vaszar MD , Richard R. Sharp PhD , Rickey E. Carter PhD , R. Scott Wright MD
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引用次数: 0
Plasma Biomarkers of First All-Civilian Space Flight to the International Space Station 首次前往国际空间站的全民用太空飞行的血浆生物标志物
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.05.024
Armin Garmany BS , Satsuki Yamada MD, PhD , Sungjo Park PhD , Andre Terzic MD, PhD
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引用次数: 0
70-Year-Old Woman With Altered Mental Status 70 岁女性精神状态改变。
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2023.10.021
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引用次数: 0
Hyperhomocysteinemia Is Associated With a Myriad of Age-Related Illnesses: A Potential Role for Metal Toxicity 高同型半胱氨酸血症与多种与年龄相关的疾病有关：金属毒性的潜在作用
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.04.016
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引用次数: 0
General Information 一般信息
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/S0025-6196(24)00382-3
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引用次数: 0
73-Year-Old Man With Worsening Hematuria 73 岁男子血尿加重。
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2023.10.024
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引用次数: 0
Arsenical Keratosis in Chronic Arsenic Intoxication 慢性砷中毒的砷化角化症。
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.04.020
Pei-Chun Weng MD , Chun-Yu Cheng MD
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引用次数: 0
Cannabis for Fibromyalgia: Hope or Hype? 大麻治疗纤维肌痛：希望还是炒作？
IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2024-09-01 DOI: 10.1016/j.mayocp.2024.05.014
Siddhant Yadav MD, Basant E. Katamesh MBBCh, Ann Vincent MD
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引用次数: 0
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