教育在预测从主观认知功能减退(SCD)到客观认知功能障碍转化中的影响:系统回顾和荟萃分析。

IF 12.5 1区 医学 Q1 CELL BIOLOGY Ageing Research Reviews Pub Date : 2024-09-05 DOI:10.1016/j.arr.2024.102487
Sonali Arora , Scott B. Patten , Sabela C. Mallo , Cristina Lojo-Seoane , Alba Felpete , David Facal-Mayo , Arturo X. Pereiro
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引用次数: 0

摘要

背景:主观认知能力下降 (SCD) 被认为是痴呆症的症状前阶段,以认知抱怨为特征。众所周知,教育能够降低痴呆症的风险。我们的目的是研究教育对从 SCD 发展为 MCI 或痴呆症风险的影响:方法:我们选择了对患有 SCD 的成年人(≥50 岁)进行的前瞻性纵向研究,这些研究评估了认知功能衰退、MCI 或痴呆症的进展情况。计算汇总估计值(随机效应模型)和 95% 置信区间,探讨异质性。对转换者与非转换者之间的标准化教育差异、Odds Ratio或Hazard Ratio进行了估算:系统综述显示,高学历以及其他认知储备代用指标可延缓认知功能衰退。第一项荟萃分析显示,在高学历和低学历阶层中,SCD 与转归均有显著关联。将教育作为连续变量进行的第二项荟萃分析发现,SCD转换者比非转换者少受两年教育:我们的研究结果表明,教育对认知功能衰退有延缓作用。教育程度较高的 SCD 患者的元认知能力较强,因此他们在准确检测认知能力下降方面可能有所改善,但这似乎并不能抵消教育程度较低所带来的客观认知能力下降的增量风险。
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The influence of education in predicting conversion from Subjective cognitive decline (SCD) to objective cognitive impairment: A systematic review and meta-analysis

Background

Subjective cognitive decline (SCD) is considered a pre-symptomatic stage of dementia characterized by cognitive complaints. The ability of education to reduce the risk of dementia is well known. Our objective is to investigate the influence of education on the risk of progression from SCD to MCI or dementia.

Methods

Prospective longitudinal studies of adults (≥50 years) with SCD evaluating progression to objective cognitive decline, MCI, or dementia were selected. Pooled estimates (random effects model) and 95 % confidence intervals were calculated, exploring heterogeneity. Standardized education differences, Odds Ratio, or Hazard Ratio between converters and non-converters were estimated.

Results

The systematic review carried out showed that high education, as well as other cognitive reserve proxies, delays cognitive decline. The first meta-analysis showed a significant association of SCD with conversion in both high and low education strata. A second meta-analysis considering education as a continuous variable found that SCD converters showed two years less education than non-converters.

Conclusions

Our results suggest that education has a delaying effect against cognitive decline progression. The presumed improvement in accurately detecting cognitive decline associated with better metacognitive skills in higher-educated SCD participants does not seem to neutralize the incremental risk of objective cognitive decline associated with lower educational attainment.

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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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