心血管健康状况与青少年的大脑健康和神经认知发展密切相关

IF 2.3 3区 医学 Q2 PSYCHIATRY Mental Health and Physical Activity Pub Date : 2024-06-03 DOI:10.1016/j.mhpa.2024.100611
Augusto César F. De Moraes , Marcus V. Nascimento-Ferreira , Ethan H. Hunt , Gregory Knell , John Virostko , Susan S. Tapert , Harold W. Kohl (In Memoriam)
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引用次数: 0

摘要

背景和目的心血管健康状况不佳与成年人认知能力下降的风险较高有关,但这种关系在青少年中尚未得到很好的证实。本分析的目的是检验心血管健康行为(饮食、体育锻炼、尼古丁使用和睡眠健康)和健康指标(体重指数、血脂、血糖和血压)与青少年大脑发育及执行和认知功能的关系。分析仅限于心血管健康行为和健康指标数据完整的人,这些数据用于计算心血管健康综合评分。研究结果包括通过美国国立卫生研究院工具箱神经认知测试对一般认知能力、执行功能和学习/记忆能力的评估,以及核磁共振成像衍生脑形态测量。结果平均(标清)年龄为 11.9 (0.2) 岁,44.9% 为女孩,53.4% 为白人种族/人种。心血管健康行为较好的人执行认知功能得分较高(β = 0.170;CI 95%,0.076 至 0.265;P = 00.001)。总体心血管健康与较高的执行认知功能(β = 0.209;CI 95%,0.067 至 0.351;p = 00.002)和全脑皮质体积(β = 480.1;CI 95%,4.7 至 955.6;p = 00.003)相关。虽然我们的研究是横断面的,但从一组有代表性的青少年身上得出的结果,为现有证据表明心血管与大脑健康之间的关系增添了新的证据。
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Cardiovascular health profile is favorably associated with brain health and neurocognitive development in adolescents

Background and aims

Poor cardiovascular health has been linked to a higher risk of cognitive decline in adults, however this relation is not well established among adolescents. The purpose of this analysis was to test the associations of cardiovascular health behaviors (diet, physical activity, nicotine use, and sleep health) and health indicators (body mass index, blood lipids, blood glucose, blood pressure) with adolescents' brain development and executive and cognitive function.

Methods

We included 978 individuals from the Adolescent Brain and Cognitive Development (ABCD) Study who completed the year 2 follow-up assessment. Analysis was limited to those with complete data on cardiovascular health behaviors and health indicators which were used to compute composite cardiovascular health scores. Outcomes included estimates of general cognitive ability, executive function, and learning/memory through the NIH Toolbox neurocognitive battery, and MRI-derived brain morphometry. Associations were estimated by multilevel linear regression models using random effects.

Results

The mean (SD) age was 11.9 (0.2) years, 44.9% were girls, and 53.4% were white race/ethnicity. Individuals with more favorable cardiovascular health behaviors showed higher executive cognitive function scores (β = 0.170; CI 95%, 0.076 to 0.265; p = 00.001). Overall cardiovascular health was associated with a higher measure of executive cognitive function (β = 0.209; CI 95%, 0.067 to 0.351; p = 00.002) and total whole brain cortical volume (β = 480.1; CI 95%, 4.7 to 955.6; p = 00.003). r

Conclusion

Our findings reveal positive associations between adolescents' cardiovascular health behaviors and overall cardiovascular health with cognitive and executive function and brain cortical volume. Although our study is cross-sectional, the findings from a representative group of early adolescents add to the existing evidence suggesting a relationship between cardiovascular and brain health.

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来源期刊
CiteScore
6.70
自引率
6.40%
发文量
43
审稿时长
32 days
期刊介绍: The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;
期刊最新文献
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