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研究:10种健康状况可能在确诊前数年就与阿尔茨海默病相关10 health conditions may be linked to Alzheimer's years before diagnosis

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一项新的芬兰研究表明,某些医疗状况可能在诊断前数年就预示早发性阿尔茨海默病的发生。(iStock)Certain medical conditions may signal early-onset Alzheimer’s disease several years before diagnosis, a new Finnish study suggests. (iStock)

一项新的芬兰研究表明,某些医疗状况可能在诊断前数年就预示早发性阿尔茨海默病的发生。

Certain medical conditions may signal early-onset Alzheimer’s disease several years before diagnosis, a new Finnish study suggests.

研究人员发现,在诊断前的五年内,抑郁、眩晕、头痛等状况更为常见,这可能为早期检测提供线索。

Researchers found that depression, vertigo, headaches and other conditions were more common during the five years preceding diagnosis, potentially offering clues for earlier detection.

研究人员分析了407名早发性阿尔茨海默病患者以及4035名年龄和性别相近但未被诊断的对照者的病历,重点关注诊断前的15年。

The researchers analyzed medical records from 407 people with early-onset Alzheimer’s disease and 4,035 people of similar age and sex without the diagnosis, focusing on the 15 years prior to diagnosis.

语言表达的细微变化可能是痴呆风险的早期迹象,新研究表明。诊断时的平均年龄为60岁。早发性疾病是指在65岁以下人群中被诊断出的病例。研究结果发表在《阿尔茨海默病与痴呆》期刊上。

SUBTLE CHANGE IN HOW YOU SPEAK COULD BE EARLY SIGN OF DEMENTIA RISK, NEW RESEARCH SUGGESTS The average age at diagnosis was 60. Early-onset disease is diagnosed in people under 65. The findings were published in the journal Alzheimer’s & Dementia.

以下状况在最终被诊断为早发性阿尔茨海默病的人群中被发现显著更为普遍。

The following conditions were found to be significantly more prevalent among those who were ultimately diagnosed with early-onset Alzheimer’s.

患有常见疾病的成年人痴呆风险增加四倍以上。研究表明,在早发性阿尔茨海默病诊断前的五年内,医疗状况的差异最为明显。

DEMENTIA RISK MORE THAN QUADRUPLES AMONG ADULTS WITH COMMON DISORDER Differences in medical conditions were most pronounced in the five years before an early-onset Alzheimer's diagnosis, the study showed.

中年时期避免做这三件事可能意味着多拥有13年无痴呆生活,研究发现。研究人员还发现,早发性阿尔茨海默病患者在诊断前后及诊断期间的医疗就诊次数显著增加,这可能表明症状正在出现。

3 THINGS TO AVOID IN MIDDLE AGE COULD MEAN 13 MORE YEARS WITHOUT DEMENTIA, STUDY FINDS The researchers also found that healthcare visits increased substantially among early-onset Alzheimer’s patients immediately before and during the time of diagnosis, which may indicate emerging symptoms.

研究人员发现,在诊断前的五年内,抑郁、眩晕、头痛等状况更为常见。(iStock)Researchers found that depression, vertigo, headaches and other conditions were more common during the five years preceding diagnosis. (iStock)

点击此处查看更多健康新闻。“众所周知,与阿尔茨海默病相关的神经病理学变化在临床认知症状出现之前至少就已开始15至20年,”奥卢大学临床讲师、研究共同作者苏维-约翰娜·克鲁格博士(M.D., Ph.D.)在新闻稿中表示。

CLICK HERE FOR MORE HEALTH STORIES "It is well-known that the neuropathological changes associated with Alzheimer’s disease begin at least 15 to 20 years before clinical cognitive symptoms appear," said Suvi-Johanna Krüger, M.D., Ph.D., study co-author and clinical lecturer at University of Oulu, in a press release.

“先前的大多数研究都集中在晚发性阿尔茨海默病上,而对早发性阿尔茨海默病的了解相对较少。”由于该研究是观察性研究,它只能建立关联,而无法证明这些状况能够可靠地预测阿尔茨海默病。

"Most previous studies have focused on late-onset Alzheimer’s disease, and considerably less is known about early-onset Alzheimer’s disease." As the study was observational, it only establishes associations and cannot demonstrate that these conditions can reliably predict Alzheimer's disease.

“我们的研究无法确定这些状况是导致早发性阿尔茨海默病的原因,还是潜在疾病过程的后果,”克鲁格指出。

"Our study cannot determine whether these conditions cause early-onset Alzheimer’s disease or whether they are consequences of the underlying disease process," Krüger noted.

研究人员分析了407名早发性阿尔茨海默病患者及4035名年龄和性别相近但未被诊断者的病历,重点关注诊断前的15年。(美联社/Evan Vucci,文件照)The researchers analyzed medical records from 407 people with early-onset Alzheimer’s disease and 4,035 people of similar age and sex without the diagnosis, focusing on the 15 years prior to diagnosis. (AP Photo/Evan Vucci, File)

点击此处“一些状况可能代表风险因素,而其他状况可能反映早期症状或疾病前驱阶段发生的变化。”遗传、生活方式和社会经济因素也可能在患者的结局中发挥作用。

CLICK HERE TO "Some conditions may represent risk factors, while others may reflect early symptoms or changes occurring during the prodromal phase of the disease." It is also possible that genetics, lifestyle and socioeconomic factors played a role in the patients’ outcomes.

此外,研究人员无法独立核实所有医学诊断或评估患者病情的严重程度。此外,这些发现可能不适用于芬兰以外的人群。

Also, the researchers could not independently verify all medical diagnoses or assess the severity of the patients’ disease severity. Additionally, the findings may not apply to populations outside Finland.

更大规模的研究,聚焦于疾病生物标志物、遗传学和临床评估,可能有助于确定医学状况与阿尔茨海默病发病率之间是否存在因果关系,以及这些医学模式是否可用于改善早期检测。

Larger studies looking at disease biomarkers, genetics and clinical assessments could help determine whether there is a casual relationship between the medical conditions and Alzheimer’s incidence, and whether these medical patterns could be used to improve early detection.

对于出现任何持续性医学症状的人,包括记忆或认知问题,专家表示,及时就医很重要。

For people experiencing any persistent medical symptoms, including issues with memory or cognition, experts say it’s important to see a healthcare provider.

“早期诊断很重要,因为在疾病早期阶段,更多的治疗和支持选择是可用的,”克鲁格建议。

"Early diagnosis is important because more treatment and support options are available in the early stages of the disease," Krüger advised.

“早期诊断也为个人及其家人提供了更多时间来规划未来并获得适当的支持服务。”

"Early diagnosis also gives individuals and their families more time to plan for the future and access appropriate support services."