高血压对中年早期男性和女性认知能力的影响存在差异

IF 2 4区 心理学 Q2 PSYCHOLOGY Journal of Neuropsychology Pub Date : 2022-09-29 DOI:10.1111/jnp.12291
Hannah L. Shields, Kyoko Konishi, Sarah Aroner, Harlyn Aizley, Anne Remington, Hang Lee, Stephen Buka, Jill M. Goldstein
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引用次数: 1

摘要

目前的研究旨在了解高血压发病时间的性别差异如何导致中年早期认知能力下降的风险,这种风险可能因性别而异,以及血压正常人群的性别依赖优势是否受到高血压存在的影响。来自新英格兰家庭研究的195名年龄在45-55岁之间的成年人接受了神经心理学测试,以评估注意力、执行功能和记忆力。通过问卷自报医生诊断的高血压状况。中年高血压与注意力和记忆力较差有关,但受影响的认知领域因性别而异。高血压只与男性的注意力有关,而女性则与注意力、联想记忆和工作记忆有关。在血压正常的成年人中发现的中年认知表现的性别差异在高血压患者中减弱。我们的研究结果强调了在评估高血压对中年认知的影响时考虑性别因素的重要性,因为高血压是一个独立的风险因素,它可能表明后来的认知能力下降以及认知障碍和痴呆的风险。
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Hypertension differentially impacts cognition in men and women in early midlife

The current study aimed to understand how sex differences in the timing of hypertension onset contribute to early midlife risk for cognitive decline that may differ by sex and whether sex-dependent advantages in normotensive populations are influenced by the presence of hypertension. One hundred and ninety-five adults aged 45–55 from the New England Family Study underwent neuropsychological testing to assess attention, executive function, and memory. Physician-diagnosed hypertension status was self-reported via questionnaire. Mid-adulthood hypertension was associated with worse performance on measures of attention and memory, but the cognitive domains impacted varied by sex. Hypertension was associated with only attention in men, whereas in women it was associated with attention and associative and working memory. Sex differences in midlife cognitive performance found in normotensive adults were attenuated in those with hypertension. Our results underscore the importance of accounting for sex when assessing the impact of hypertension on midlife cognition that could be indicative of later decline and risk for cognitive impairment and dementia, given hypertension is an independent risk factor.

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来源期刊
Journal of Neuropsychology
Journal of Neuropsychology 医学-心理学
CiteScore
4.50
自引率
4.50%
发文量
34
审稿时长
>12 weeks
期刊介绍: The Journal of Neuropsychology publishes original contributions to scientific knowledge in neuropsychology including: • clinical and research studies with neurological, psychiatric and psychological patient populations in all age groups • behavioural or pharmacological treatment regimes • cognitive experimentation and neuroimaging • multidisciplinary approach embracing areas such as developmental psychology, neurology, psychiatry, physiology, endocrinology, pharmacology and imaging science The following types of paper are invited: • papers reporting original empirical investigations • theoretical papers; provided that these are sufficiently related to empirical data • review articles, which need not be exhaustive, but which should give an interpretation of the state of research in a given field and, where appropriate, identify its clinical implications • brief reports and comments • case reports • fast-track papers (included in the issue following acceptation) reaction and rebuttals (short reactions to publications in JNP followed by an invited rebuttal of the original authors) • special issues.
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