无痴呆症的不同种族人群中白质高密度的风险因素和认知相关性:COSMIC联盟。

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-03-13 eCollection Date: 2024-01-01 DOI:10.1002/dad2.12567
Keshuo Lin, Wei Wen, Darren M Lipnicki, Louise Mewton, Rory Chen, Jing Du, Dadong Wang, Ingmar Skoog, Therese Rydberg Sterner, Jenna Najar, Ki Woong Kim, Ji Won Han, Jun Sung Kim, Tze Pin Ng, Roger Ho, Denise Qian Ling Chua, Kaarin J Anstey, Nicolas Cherbuin, Moyra E Mortby, Henry Brodaty, Nicole Kochan, Perminder S Sachdev, Jiyang Jiang
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引用次数: 0

摘要

简介:白质增厚(WMHs)是脑小血管疾病的重要影像学标志,但在不同种族和/或不同地理区域的人群中,其风险因素和认知能力的相关性尚未得到很好的记录:我们利用来自澳大利亚、新加坡、韩国和瑞典(N = 1946)的五个非痴呆老年人人群队列的数据,研究了白人和亚洲人的 WMH 与血管风险因素和认知能力之间的关系。WMH体积(全脑、脑室周围和深部)用UBO探测器进行量化,并用ComBat模型进行协调。我们还协调了各种血管风险因素以及整体认知和单个认知领域的得分:结果:与全脑WMH体积增大相关的因素包括糖尿病、高血压、中风、当前吸烟、体重指数、酒精摄入量较高以及体育锻炼不足。与亚洲人相比,白人中高血压和中风与WMH体积的关系更为密切。经多重测试校正后,未发现WMH体积与认知能力之间存在关联:本研究强调了血管风险因素对 WMHs 影响的种族差异。
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Risk factors and cognitive correlates of white matter hyperintensities in ethnically diverse populations without dementia: The COSMIC consortium.

Introduction: White matter hyperintensities (WMHs) are an important imaging marker for cerebral small vessel diseases, but their risk factors and cognitive associations have not been well documented in populations of different ethnicities and/or from different geographical regions.

Methods: We investigated how WMHs were associated with vascular risk factors and cognition in both Whites and Asians, using data from five population-based cohorts of non-demented older individuals from Australia, Singapore, South Korea, and Sweden (N = 1946). WMH volumes (whole brain, periventricular, and deep) were quantified with UBO Detector and harmonized using the ComBat model. We also harmonized various vascular risk factors and scores for global cognition and individual cognitive domains.

Results: Factors associated with larger whole brain WMH volumes included diabetes, hypertension, stroke, current smoking, body mass index, higher alcohol intake, and insufficient physical activity. Hypertension and stroke had stronger associations with WMH volumes in Whites than in Asians. No associations between WMH volumes and cognitive performance were found after correction for multiple testing.

Conclusion: The current study highlights ethnic differences in the contributions of vascular risk factors to WMHs.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
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