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1.
Front Cell Neurosci ; 18: 1393536, 2024.
Article de Anglais | MEDLINE | ID: mdl-39022311

RÉSUMÉ

Fragile X syndrome (FXS) is the most common form of inherited intellectual disability and a monogenic cause of autism spectrum disorders. Deficiencies in the fragile X messenger ribonucleoprotein, encoded by the FMR1 gene, lead to various anatomical and pathophysiological abnormalities and behavioral deficits, such as spine dysmorphogenesis and learning and memory impairments. Synaptic cell adhesion molecules (CAMs) play crucial roles in synapse formation and neural signal transmission by promoting the formation of new synaptic contacts, accurately organizing presynaptic and postsynaptic protein complexes, and ensuring the accuracy of signal transmission. Recent studies have implicated synaptic CAMs such as the immunoglobulin superfamily, N-cadherin, leucine-rich repeat proteins, and neuroligin-1 in the pathogenesis of FXS and found that they contribute to defects in dendritic spines and synaptic plasticity in FXS animal models. This review systematically summarizes the biological associations between nine representative synaptic CAMs and FMRP, as well as the functional consequences of the interaction, to provide new insights into the mechanisms of abnormal synaptic development in FXS.

2.
Med Image Anal ; 97: 103255, 2024 Jul 02.
Article de Anglais | MEDLINE | ID: mdl-39013206

RÉSUMÉ

Computer-aided diagnosis (CAD) for thyroid nodules has been studied for years, yet there are still reliability and interpretability challenges due to the lack of clinically-relevant evidence. To address this issue, inspired by Thyroid Imaging Reporting and Data System (TI-RADS), we propose a novel interpretable two-branch bi-coordinate network based on multi-grained domain knowledge. First, we transform the two types of domain knowledge provided by TI-RADS, namely region-based and boundary-based knowledge, into labels at multi-grained levels: coarse-grained classification labels, and fine-grained region segmentation masks and boundary localization vectors. We combine these two labels to form the Multi-grained Domain Knowledge Representation (MG-DKR) of TI-RADS. Then we design a Two-branch Bi-coordinate network (TB2C-net) which utilizes two branches to predict MG-DKR from both Cartesian and polar images, and uses an attention-based integration module to integrate the features of the two branches for benign-malignant classification. We validated our method on a large cohort containing 3245 patients (with 3558 nodules and 6466 ultrasound images). Results show that our method achieves competitive performance with AUC of 0.93 and ACC of 0.87 compared with other state-of-the-art methods. Ablation experiment results demonstrate the effectiveness of the TB2C-net and MG-DKR, and the knowledge attention map from the integration module provides the interpretability for benign-malignant classification.

3.
Eco Environ Health ; 3(2): 247-255, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38708006

RÉSUMÉ

Introducing a magnetic-field gradient into an electrically driven chemical reaction is expected to give rise to intriguing research possibilities. In this work, we elaborate on the modes and mechanisms of electrocatalytic activity (from the perspective of alignment of magnetic moments) and selectivity (at the molecular level) for the CO2 reduction reaction in response to external magnetic fields. We establish a positive correlation between magnetic field strengths and apparent current densities. This correlation can be rationalized by the formation of longer-range ordering of magnetic moments and the resulting decrease in the scattering of conduction electrons and charge-transfer resistances as the field strength increases. Furthermore, aided by the magnetic-field-equipped operando infrared spectroscopy, we find that applied magnetic fields are capable of weakening the C-O bond strength of the key intermediate ∗COOH and elongating the C-O bond length, thereby increasing the faradaic efficiency for the electroreduction of CO2 to CO.

4.
PLoS One ; 19(4): e0299982, 2024.
Article de Anglais | MEDLINE | ID: mdl-38564602

RÉSUMÉ

The wing is one of the most important parts of a bird's locomotor system and is the inspiration origination for bionic wing design. During wing motions, the wing shape is closely related to the rotation angles of wing bones. Therefore, the research on the law of bone movement in the process of wing movement can be good guidance for the design of the bionic morphing wing. In this paper, the skeletal posture of the peregrine falcon wing during the extension/flexion is studied to obtain critical data on skeletal posture. Since an elbow joint and a wrist joint rotate correlatively to drive a wing to flex/extend, the wing skeleton is simplified as a four-bar mechanism in this paper. The degree of reproduction of wing skeleton postures was quantitatively analyzed using the four-bar mechanism model, and the bionic wing skeleton was designed. It is found that the wing motions have been reproduced with high precision.


Sujet(s)
Falconiformes , Rapaces , Animaux , Bionique , Ailes d'animaux , Os et tissu osseux
5.
Biochem Pharmacol ; : 116236, 2024 Apr 24.
Article de Anglais | MEDLINE | ID: mdl-38670437

RÉSUMÉ

Trace amine-associated receptor 1 (TAAR1) negatively modulates monoaminergic transmission in the mammalian brain and participates in many psychiatric disorders. Preclinical evidence indicate that selective TAAR1 agonists have anxiolytic effects and anti-stress properties. Post-traumatic stress disorder (PTSD) is an anxiety disorder triggered by experiencing or witnessing traumatic stressors. However, it remains unknown whether TAAR1 is involved in PTSD. Here, we investigated the role of TAAR1 in two PTSD animal models, including single prolonged stress (SPS)-induced impairment of fear extinction and stress-enhanced fear learning (SEFL). SPS decreased TAAR1 mRNA levels in the prefrontal cortex and ventral tegmental area. Acute treatment of the TAAR1 partial agonist RO5263397 attenuated SPS-induced anxiety-like behavior evaluated by the elevated-plus maze test. Compared to non-stressed animals, rats that experienced SPS showed higher freezing levels in the extinction retention test, indicating an impairment of fear extinction retention after SPS exposure. Acute and chronic treatment of RO5263397 ameliorated SPS-induced impairment of fear extinction retention. In the SEFL model, compared to the No-shock group, rats that experienced severe foot shock before fear conditioning showed higher freezing levels during the tests, indicating enhanced fear learning after stress exposure. Chronic treatment of RO5263397 partially attenuated the SEFL. Moreover, chronic treatment with the selective TAAR1 full agonist RO5166017 completely prevented the SEFL. Taken together, these data showed that pharmacological activation of TAAR1 could ameliorate PTSD-like symptoms. The present study thus provides the first evidence that TAAR1 might participate in the development of PTSD, and TAAR1 agonists could be potential pharmacological treatments for this disorder.

6.
J Alzheimers Dis ; 98(3): 941-955, 2024.
Article de Anglais | MEDLINE | ID: mdl-38489185

RÉSUMÉ

Background: As a prodromal stage of dementia, significant emphasis has been placed on the identification of modifiable risks of mild cognitive impairment (MCI). Research has indicated a correlation between exposure to air pollution and cognitive function in older adults. However, few studies have examined such an association among the MCI population inChina. Objective: We aimed to explore the association between air pollution exposure and MCI risk from the Hubei Memory and Aging Cohort Study. Methods: We measured four pollutants from 2015 to 2018, 3 years before the cognitive assessment of the participants. Logistic regression models were employed to calculate odds ratios (ORs) to assess the relationship between air pollutants and MCI risk. Results: Among 4,205 older participants, the adjusted ORs of MCI risk for the highest quartile of PM2.5, PM10, O3, and SO2 were 1.90 (1.39, 2.62), 1.77 (1.28, 2.47), 0.56 (0.42, 0.75), and 1.18 (0.87, 1.61) respectively, compared with the lowest quartile. Stratified analyses indicated that such associations were found in both males and females, but were more significant in older participants. Conclusions: Our findings are consistent with the growing evidence suggesting that air pollution increases the risk of mild cognitive decline, which has considerable guiding significance for early intervention of dementia in the older population. Further studies in other populations and broader geographical areas are warranted to validate these findings.


Sujet(s)
Polluants atmosphériques , Pollution de l'air , Dysfonctionnement cognitif , Démence , Mâle , Femelle , Humains , Sujet âgé , Études de cohortes , Études cas-témoins , Exposition environnementale/effets indésirables , Exposition environnementale/analyse , Pollution de l'air/effets indésirables , Pollution de l'air/analyse , Polluants atmosphériques/effets indésirables , Polluants atmosphériques/analyse , Dysfonctionnement cognitif/épidémiologie , Chine/épidémiologie , Matière particulaire/effets indésirables , Matière particulaire/analyse
7.
Water Environ Res ; 96(2): e10982, 2024 Feb.
Article de Anglais | MEDLINE | ID: mdl-38316397

RÉSUMÉ

Polyvinylidene fluoride (PVDF) porous membrane was prepared by a two-step method of surface gelation-immersion precipitation phase inversion. Chitosan/acetic acid solution and glutaraldehyde aqueous solution were sequentially sprayed onto the surface of the PVDF solution film, with chitosan crosslinking and gelation occurring simultaneously on the film surface. The solution film was then immersed in a coagulation bath to obtain a modified PVDF porous membrane. The effect of the crosslinking time of chitosan and glutaraldehyde on the structure and properties of the PVDF porous membrane was discussed. The results showed that with the prolongation of crosslinking time, the surface structure of the membrane changed from a dense skin layer to a porous structure; the porosity and the mean pore size of the modified PVDF membranes increased first and then decreased, and the contact angle gradually decreased. When the crosslinking time extended to 15 min, the water flux of modified membrane (M153) reached a maximum value. BSA dynamic cyclic filtration experiment showed that the retention rate (R) of the modified membrane was significantly improved, compared to 68.3% retention rate of the blank membrane (M000), but the crosslinking time had little effect on the retention rates of the four modified membranes. The antifouling data showed that the flux recovery rate of the blank membrane was 73.0%, while the flux recovery rate of the modified membrane can reach as high as 84.40%, and the irreversible pollution rate of the blank membrane was 27.7%, while the irreversible pollution rate of the modified membrane reduced to 15.6%. These results indicated that, after surface chitosan crosslinking, the hydrophilicity and antifouling properties of PVDF membranes were improved. PRACTITIONER POINTS: Modified PVDF membranes with crosslinking CS coating were prepared by a two-step method of surface gelation-immersion precipitation phase inversion. -OH groups and -NH2 groups of CS coating improve the hydrophilicity and the antifouling property of modified PVDF membranes. Modified PVDF membranes had larger mean pore size and higher porosity than unmodified membrane. Flux recovery rates of the modified membranes were higher than that of unmodified membrane. Pollution degree, reversible pollution rate, and irreversible pollution rate of modified membranes were lower than those of unmodified membrane.


Sujet(s)
Encrassement biologique , Chitosane , Polymères de fluorocarbone , Polyvinyles , Chitosane/composition chimique , Glutaraldéhyde , Immersion , Membrane artificielle , Eau
8.
ACS Cent Sci ; 10(1): 65-76, 2024 Jan 24.
Article de Anglais | MEDLINE | ID: mdl-38292618

RÉSUMÉ

Quantifying adsorption behaviors is crucial for various applications such as catalysis, separation, and sensing, yet it is generally challenging to access in solution. Here, we report a combined experimental and computational study of the adsorption behaviors of alkyl-trimethylammonium bromides (xTAB), a class of ligands important for colloidal nanoparticle stabilization and shape control, with various alkyl chain lengths x on Au nanoparticles. We use density functional theory (DFT) to calculate xTAB binding energies on Au{111} and Au{110} surfaces with standing-up and lying-down configurations, which provides insights into the adsorption affinity and cooperativity differences of xTAB on these two facets. We demonstrate the key role of van der Waals interactions in determining the xTAB adsorption behavior. These computational results predict and explain the experimental discovery of xTAB's adsorption behavior switch from stronger affinity, negative cooperativity to weaker affinity, positive cooperativity when the concentration of xTAB increases in solution. We also show that in the standing-up configuration, bilayer adsorption may occur on both facets, which can lead to different differential binding energies and consequently adsorption crossover between the two facets when the ligand concentration increases. Our combined experimental and computational approaches demonstrate a paradigm for gaining molecular-scale insights into adsorbate-surface interactions.

9.
Article de Anglais | MEDLINE | ID: mdl-38243974

RÉSUMÉ

OBJECTIVE: To investigate the effect of high blood glucose on the decline in the estimated glomerular filtration rate (eGFR) in the elderly. METHODS: We compared the decline in eGFR of diabetic and non-diabetic groups in the noninterventional state and analyzed the effect of hyperglycemia on the decline in eGFR among the elderly in a retrospective analysis of 1,223 cases of elderly people aged 65 years or older with a 4-year follow-up period. RESULTS: The prevalence of diabetes in the elderly increased significantly from 12.67% in 2017 to 16.68% in 2021. The rate of decline in eGFR in patients with diabetes was higher than in the population without diabetes, at 9.29% and 5.32%, respectively (both p <0.05). CONCLUSION: The results of this study revealed that the prevalence of diabetes in the elderly increased significantly, and there is a more rapid decrease in the eGFR levels in those with diabetes than those without diabetes.

10.
Mar Pollut Bull ; 200: 116039, 2024 Mar.
Article de Anglais | MEDLINE | ID: mdl-38244359

RÉSUMÉ

The setting of Sulfur limitations in Emission Control Areas (ECAs) is a crucial action of marine environmental governance at the international regulatory levels. In this study, the overall and structural impacts of the two rounds of ECA policies on SOx concentrations were quantified using synthetic control method (SCM) based on time-series data from Chinese coastal ports from 2005 to 2020. From the outcomes, the 1st round of ECA policy announced in 2015 intensified the competition between ECA and non-ECA ports and provided strong support for ECA expansion and enhanced regulation in 2019. In addition, the restrictions on the Sulfur content of marine fuels under the 1st round of ECA policy has only effectively reduced the SOx concentration in the Bohai Rim and the Yangtze River Delta region, whereas the impact on the Pearl River Delta region isn't significant. However, the 2nd round of ECA policy has only effectively impacted the Bohai Rim. In general, the effect of the 1st round of ECA policy is better than that of the 2nd round, which is mainly because the favorable effect of the further expansion of ECA policy is offset by a significant increase in vessel activity in Chinese coastal ports.


Sujet(s)
Polluants atmosphériques , Polluants atmosphériques/analyse , Oxydes de soufre , Emissions des véhicules/analyse , Conservation des ressources naturelles , Navires , Surveillance de l'environnement/méthodes , Politique de l'environnement , Chine , Soufre
11.
Nat Commun ; 14(1): 8166, 2023 Dec 09.
Article de Anglais | MEDLINE | ID: mdl-38071355

RÉSUMÉ

Molecular folding regulation with environmental stimuli is critical in living and artificial molecular machine systems. Herein, we described a macrocycle, cyclo[4] (1,3-(4,6-dimethyl)benzene)[4](1,3-(4,6-dimethyl)benzene)(4-pyridine). Under 298 K, it has three stable stiff atropisomers with names as 1 (Cs symmetry), 2 (Cs symmetry), and 3 (C4v symmetry). At 393 K, 1 can reversibly transform into 2, but at 473 K, it can irrevocably transform into 3. At 338 K, 3 and (PhCN)2PdCl2 complex to produce the metal-organic cage 4. Only at 338 K does the combination of 1 or 2 and (PhCN)2PdCl2 create a gel-like structure. Heating both gels to 473 K transforms them into 4. In addition to offering a thermally accelerated method for modifying self-assembled systems using macrocyclic building blocks, this study also has the potential to develop the nanoscale transformation material with a thermal response.

13.
Am J Trop Med Hyg ; 109(6): 1319-1328, 2023 12 06.
Article de Anglais | MEDLINE | ID: mdl-37931293

RÉSUMÉ

Severe fever with thrombocytopenia syndrome virus (SFTSV), Heartland virus (HRTV) and Guertu virus (GTV) belong to the severe fever with thrombocytopenia syndrome/Heartland group of genus Bandavirus in the family Phenuiviridae of order Bunyavirales. Severe fever with thrombocytopenia syndrome virus and HRTV, identified from ticks from Asia and America, respectively, are important pathogens causing severe febrile diseases in humans. Guertu virus, closely related to these two viruses, is a potential pathogen, but no confirmed infection has been identified. So far, human-derived neutralizing monoclonal antibodies (mAbs) against SFTSV have been identified as having a great potential to be developed as antivirals; however, there is still a lack of neutralizing mAbs to GTV and HRTV. In this study, five neutralizing the mAbs against GTV and HRTV were obtained by hybridoma screening technology, four of which (14B4, 14D8, and 20D4 derived from GTV, and 27C8 derived from HRTV) showed cross reactivity and neutralization to all three viruses, and one derived from HRTV (10D6) neutralized HRTV specifically. The possible mechanisms of mAbs cross neutralization among the three viruses are discussed by analyzing their glycoprotein (GP) sequences and structures. Generating these neutralizing mAbs provides important antiviral candidates against GTV, HRTV, and SFTSV despite their differential activities, and their protective effect could be further evaluated in virus-infected mice. Their differential neutralizing efficiency and specificity further suggested that the three viruses share common mechanisms on the basis of GP functioning, and that HRTV poses a unique mechanism that differs from the other viruses. These findings shed light on developing broad-spectrum antiviral strategies against bandaviruses and promoting an understanding of the bandavirus infection process.


Sujet(s)
Phlebovirus , Virus à ARN , Syndrome de fièvre sévère avec thrombocytopénie , Animaux , Humains , Souris , Anticorps neutralisants , Anticorps monoclonaux , Glycoprotéines , Antiviraux/pharmacologie , Antiviraux/usage thérapeutique
14.
JACS Au ; 3(8): 2216-2225, 2023 Aug 28.
Article de Anglais | MEDLINE | ID: mdl-37654598

RÉSUMÉ

Recent experimental and theoretical studies have demonstrated the reaction-driven metal-metal bond breaking in metal catalytic surfaces even under relatively mild conditions. Here, we construct a density functional theory (DFT) database for the adsorbate-induced adatom formation energy on the close-packed facets of three hexagonal close-packed metals (Co, Ru, and Re) and two body-centered cubic metals (Li and Fe), where the source of the ejected metal atom is either a step edge or a close-packed surface. For Co and Ru, we also considered their metastable face-centered cubic structures. We studied 18 different adsorbates relevant to catalytic processes and predicted noticeably easier adatom formation on Li and Fe compared to the other three metals. The NH3- and CO-induced adatom formation on Fe(110) is possible at room temperature, a result relevant to NH3 synthesis and Fischer-Tropsch synthesis, respectively. There also exist other systems with favorable adsorbate effects for adatom formation relevant to catalytic processes at elevated temperatures (500-700 K). Our results offer insight into the reaction-driven formation of metal clusters, which could play the role of active sites in reactions catalyzed by Li, Fe, Co, Ru, and Re catalysts.

15.
ACS Appl Mater Interfaces ; 15(33): 39807-39817, 2023 Aug 23.
Article de Anglais | MEDLINE | ID: mdl-37555249

RÉSUMÉ

The development of new structural materials for passive daytime radiative cooling (PDRC) of buildings will significantly reduce global building energy consumption. Cellulose aerogels are potential PDRC materials for building cooling, but the cooling performance and mechanical strength of cellulose aerogels are considered as challenges for their practical applications. Herein, a bio-inspired hierarchically structured cellulose aerogel (HSCA) was fabricated through an assembly strategy assisted by a high-voltage electrostatic field. The HSCA possesses outstanding PDRC performance and moderate mechanical strength owing to aligned hierarchical porous network microstructures reinforced with in situ-assembled crystalline cellulose nanofibers. Promisingly, the HSCA achieves a max cooling temperature of 7.2 °C and exhibits 1.9 MPa axial compressive strength. There was no significant cooling performance degradation after the hydrophobically modified HSCA was placed outdoors for 3 months. A simulation of potential cooling energy savings shows that by using HSCA as the building envelopes (side wall and roof), it can save 52.7% of cooling energy compared to the building baseline consumption. This new strategy opens up the possibility of developing advanced functionally regenerated cellulose aerogel, which is expected to provide a revolutionary improvement in aerogel materials for building cooling.

16.
Front Aging Neurosci ; 15: 1200671, 2023.
Article de Anglais | MEDLINE | ID: mdl-37600519

RÉSUMÉ

Background: Unhealthy lifestyles and chronic diseases are commonly seen and treatable factors in older adults and are both associated with dementia. However, the synergistic effect of the interaction of lifestyles and chronic diseases on dementia is unknown. Methods: We determined independent associations of multidomain lifestyles and chronic diseases (cerebrovascular disease, diabetes, and hypertension) with dementia and examined their synergistic impact on dementia among older adults. The data were drawn from the Hubei Memory and Aging Cohort Study. We created a summary score of six factors for multidomain lifestyles. Dementia was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders IV. Logistic regression and multiple correspondence analyses were used to explore the relationships among multidomain lifestyles, chronic diseases, and dementia. A sensitivity analysis was performed to minimize the interference of reverse causality and potential confounders. Results: Independent associations with dementia were found in unhealthy (OR = 1.90, 95% CI: 1.38-2.61) and intermediate healthy lifestyles (OR, 3.29, 2.32-4.68), hypertension (OR, 1.21, 1.01-1.46), diabetes (OR, 1.30, 1.04-1.63), and cerebrovascular disease (OR, 1.39, 1.12-1.72). Interactions of diabetes (p = 0.004), hypertension (p = 0.004), and lifestyles were significant, suggesting a combined impact on dementia. Sensitivity analysis supported the strong association among multidomain lifestyles, chronic diseases, and dementia prevalence. Conclusion: An unhealthy lifestyle was associated with a higher prevalence of dementia, regardless of whether the participants had chronic diseases; however, this association was stronger in individuals with chronic diseases. Multidomain lifestyles and chronic diseases may have an enhanced impact on dementia.

17.
Molecules ; 28(16)2023 Aug 13.
Article de Anglais | MEDLINE | ID: mdl-37630294

RÉSUMÉ

In the past half-century, macrocycles with different structures and functions, have played a critical role in supramolecular chemistry. Two macrocyclic moieties can be linked to form bismacrocycle molecules. Compared with monomacrocycle, the unique structures of bismacrocycles led to their specific recognition and assembly properties, also a wide range of applications, including molecular recognition, supramolecular self-assembly, advanced optical material construction, etc. In this review, we focus on the structure of bismacrocycle and their applications. Our goal is to summarize and outline the possible future development directions of bismacrocycle research.

18.
Clin Pharmacol Drug Dev ; 12(12): 1229-1233, 2023 12.
Article de Anglais | MEDLINE | ID: mdl-37477442

RÉSUMÉ

This study aimed to assess the bioequivalence of 2 cefprozil dispersible tablet formulations (250 mg) in healthy Chinese volunteers under fasting and fed conditions and to determine the pharmacokinetics of cefprozil. A randomized, single-dose, open-label, 2-formulation, 2-period study was conducted. The elimination period for this study was 7 days. Forty-eight healthy volunteers received 250-mg cefprozil dispersible tablets in each study period under both test and reference conditions. The test and the reference cefprozil were bioequivalent in healthy Chinese volunteers, and there was no significant food effect in individuals receiving either formulation. No serious adverse event was recorded, and no volunteers withdrew from the study.


Sujet(s)
Peuples d'Asie de l'Est , Humains , Volontaires sains , Comprimés , Équivalence thérapeutique ,
19.
J Am Chem Soc ; 145(25): 14010-14018, 2023 Jun 28.
Article de Anglais | MEDLINE | ID: mdl-37327391

RÉSUMÉ

Controllable solid-state transformations can provide a basis for novel functional materials. Herein, we report a series of solid-state systems that can be readily transformed between amorphous, co-crystalline, and mixed crystalline states via grinding or exposure to solvent vapors. The present solid materials were constructed using an all-hydrocarbon macrocycle, cyclo[8](1,3-(4,6-dimethyl)benzene) (D4d-CDMB-8) (host), and neutral aggregation-caused quenching dyes (guests), including 9,10-dibromoanthracene (1), 1,8-naphtholactam (2), diisobutyl perylene-3,9-dicarboxylate (3), 4,4-difluoro-1,3,5,7-tetramethyl-4-bora-3a,4a-diaza-s-indacene (4), 4,7-di(2-thienyl)-benzo[2,1,3]thiadiazole (5), and 4-imino-3-(pyridin-2-yl)-4H-quinolizine-1-carbonitrile (6). Seven co-crystals and six amorphous materials were obtained via host-guest complexation. Most of these materials displayed turn-on fluorescence emission (up to 20-fold enhancement relative to the corresponding solid-state guests). The interconversion between amorphous, co-crystalline states, and crystalline mixtures could be induced by exposure to solvent vapors or by subjecting to grinding. The transformations could be monitored readily by means of single-crystal and powder X-ray diffraction analyses, as well as solid-state fluorescent emission spectroscopy. The externally induced structural interconversions resulted in time-dependent fluorescence changes. This allowed sets of privileged number array codes to be generated.

20.
Alzheimers Dement ; 19(11): 5074-5085, 2023 Nov.
Article de Anglais | MEDLINE | ID: mdl-37186161

RÉSUMÉ

INTRODUCTION: The prevalence and risk factors for subjective cognitive decline (SCD) and its correlation with objective cognition decline (OCD) among community-dwelling older adults is inconsistent. METHODS: Older adults underwent neuropsychological and clinical evaluations to reach a consensus on diagnoses. RESULTS: This study included 7486 adults without mild cognitive impairment and dementia (mean age: 71.35 years [standard deviation = 5.40]). The sex-, age-, and residence-adjusted SCD prevalence was 58.33% overall (95% confidence interval: 58.29% to 58.37%), with higher rates of 61.25% and 59.87% in rural and female subgroups, respectively. SCD global and OCD language, SCD memory and OCD global, SCD and OCD memory, and SCD and OCD language were negatively correlated in fully adjusted models. Seven health and lifestyle factors were associated with an increased risk for SCD. DISCUSSION: SCD affected 58.33% of older adults and may indicate concurrent OCD, which should prompt the initiation of preventative intervention for dementia. HIGHLIGHTS: SCD affects 58.33% of older adults in China. SCD may indicate concurrent objective cognitive decline. Difficulty finding words and memory impairments may indicate a risk for AD. The presence of SCD may prompt preventative treatment initiation of MCI or dementia. Social network factors may be initial targets for the early prevention of SCD.


Sujet(s)
Dysfonctionnement cognitif , Démence , Humains , Femelle , Sujet âgé , Études de cohortes , Prévalence , Vie autonome , Dysfonctionnement cognitif/psychologie , Cognition , Vieillissement , Facteurs de risque , Démence/étiologie , Tests neuropsychologiques
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