Impact of airborne particulate matter exposure on hospital admission for Alzheimer's disease and the attributable economic burden: evidence from a time-series study in Sichuan, China DOI Creative Commons
Xi Yang,

Wanyanhan Jiang,

Gao Xi

et al.

Environmental Sciences Europe, Journal Year: 2024, Volume and Issue: 36(1)

Published: Jan. 10, 2024

Abstract Background Alzheimer's disease (AD) and other forms of dementia are the seventh leading cause death. Studies discern inclusion air pollution among modifiable risk factors for dementia, while limited studies China. This study aims to examine short-term association between airborne particulate matter (PM) hospitalizations AD, including economic costs in Methods A total 4975 cases AD patients hospitalized from 2017 2019, were collected nine city 411 medical institutions Sichuan Province, Data on pollutants such as PM 2.5 , 10 NO 2 obtained 183 quality monitoring stations Province. time series-generalized additive model was used estimate exposure (lag1–lag7 moving average lag01–lag07) hospital admissions (HAs), stratified by gender, age, season. Results Positive found HAs AD. The greatest effect number inpatients single-day lag1 (PM :1.034 (95% confidence interval (CI) 1.011, 1.058)). also significant two-pollutant model. In period, 16.48% attributed PM. attributable US$ 2.56 million, 2.25 million direct 0.31 indirect costs. Conclusions suggests that may increase Province result associated

Language: Английский

Childhood Threats and Cognitive Difficulties in Mid and Later Life: A Gendered Perspective on the Mediating Role of Family Functioning DOI Creative Commons
Xue Bai,

Jiajia Zhou,

Bo Hu

et al.

Journal of Gerontological Social Work, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 21

Published: March 5, 2025

This study examined the associations between childhood threats (parental abuse and bullying victimization) cognitive difficulties in mid later life. Data were extracted from 2022 Panel Study on Active Ageing Society Hong Kong (N = 5,007). Mediation analyses performed using PROCESS macro, both for entire sample gender-stratified models. Findings revealed that frequent parental victimization during associated with increased Contemporary family functioning mediated these relationships. Gender differences observed mediating role of functioning, its significance limited to older women.

Language: Английский

Citations

0

Global trends in prevalence, disability adjusted life years, and risk factors for early onset dementia from 1990 to 2021 DOI Creative Commons

Chen-Ying Lin,

Ya-Jie Zhai,

Hao-Hua An

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 18, 2025

This study aims to analyze temporal trends in the prevalence and disability-adjusted life year (DALY) burden of early-onset dementia (EOD) globally from 1990 2021 assess attributable burdens modifiable risk factors. Data Global Burden Disease Study (GBD) were used. EOD was defined as individuals aged 40-64. The analysis included case numbers, age-standardized rates (ASPRs), DALY (ASDRs) with 95% confidence intervals (CIs), stratified by global, regional, national levels, sociodemographic index (SDI), sex. Joinpoint regression evaluated average annual percent change (AAPC). Population fractions (PAFs) estimated proportion DALYs global number cases nearly doubled 2021, reaching 7.758 million (95% CI 5.827-10.081) 3.774 1.696-8.881) 2021. ASPR ASDR increased slightly 355.9 267.2-462.8) 173.3 77.9-407.7) per 100,000 In highest high-middle SDI countries at 387.6 291.1-506.8), while middle 182.9 82.2-431). fastest increase low low-middle 2010 AAPCs 0.42% 0.34-0.50) 0.36% 0.33-0.39), respectively. A significant negative correlation found between ASDR. During COVID-19 pandemic (2019-2021), high-SDI declined, other regions saw an accelerated increase. high fasting plasma glucose (FPG) most factor for EOD-related globally, PAFs body mass FPG increasing all since 1990, PAF smoking decreased. countries, particularly rising during pandemic. growing influence metabolic factors underscores need targeted public health policies resource allocation mitigate burden.

Language: Английский

Citations

0

In Vitro Modeling of the Blood–Brain Barrier for the Study of Physiological Conditions and Alzheimer’s Disease DOI Creative Commons
Thomas Gabriel Schreiner, Ioana Creangă-Murariu, Bogdan Ionel Tamba

et al.

Biomolecules, Journal Year: 2022, Volume and Issue: 12(8), P. 1136 - 1136

Published: Aug. 18, 2022

The blood–brain barrier (BBB) is an essential structure for the maintenance of brain homeostasis. Alterations to BBB are linked with a myriad pathological conditions and play significant role in onset evolution neurodegenerative diseases, including Alzheimer’s disease. Thus, deeper understanding BBB’s function mandatory better knowledge disorders development effective therapies. Because studying vivo imposes overwhelming difficulties, vitro approach remains main possible way research. With many models having been developed over last years, aim this review systematically present most relevant designs used neurological In first part article, physiological structural–functional parameters human detailed. Subsequently, available presented comparative approach, highlighting their advantages limitations. Finally, new perspectives related study disease help novel devices that mimic milieu gives paper originality.

Language: Английский

Citations

17

Current Diagnostic Pathways for Alzheimer’s Disease: A Cross-Sectional Real-World Study Across Six Countries DOI Creative Commons

Sophie Roth,

Nerida Burnie,

Ivonne Suridjan

et al.

Journal of Alzheimer s Disease Reports, Journal Year: 2023, Volume and Issue: 7(1), P. 659 - 674

Published: May 16, 2023

Background: Diagnostic pathways for patients presenting with cognitive complaints may vary across geographies. Objective: To describe diagnostic of 6 countries. Methods: This real-world, cross-sectional study analyzed chart-extracted data from healthcare providers (HCPs) 6,744 China, France, Germany, Spain, UK, and the US. Results: Most common symptoms at presentation were (memory/amnestic; 89.86%), followed by physical/behavioral (87.13%). Clinical/cognitive tests used in > 95%, Mini-Mental State Examination being most test (79.0%). Blood APOE ɛ4/other mutations, or to rule out treatable causes, half patients. Clinical higher frequency earlier visits, amyloid PET/CSF biomarker testing later visits. The latter ordered low rates even specialists (across countries, 5.7% 28.7% PET 5.0% 27.3% CSF testing). Approximately received a diagnosis (52.1% which Alzheimer’s disease [AD]). Factors that influenced risk not receiving HCP type (higher primary care physicians versus specialists) region (highest China Germany). Conclusion: These highlight variability AD countries provider types. About 45% are referred/told ‘watch wait’. Improvements can be made use testing. Efforts should focus on further defining biomarkers those AD, dismantling barriers such capacity reimbursement challenges.

Language: Английский

Citations

9

Impact of airborne particulate matter exposure on hospital admission for Alzheimer's disease and the attributable economic burden: evidence from a time-series study in Sichuan, China DOI Creative Commons
Xi Yang,

Wanyanhan Jiang,

Gao Xi

et al.

Environmental Sciences Europe, Journal Year: 2024, Volume and Issue: 36(1)

Published: Jan. 10, 2024

Abstract Background Alzheimer's disease (AD) and other forms of dementia are the seventh leading cause death. Studies discern inclusion air pollution among modifiable risk factors for dementia, while limited studies China. This study aims to examine short-term association between airborne particulate matter (PM) hospitalizations AD, including economic costs in Methods A total 4975 cases AD patients hospitalized from 2017 2019, were collected nine city 411 medical institutions Sichuan Province, Data on pollutants such as PM 2.5 , 10 NO 2 obtained 183 quality monitoring stations Province. time series-generalized additive model was used estimate exposure (lag1–lag7 moving average lag01–lag07) hospital admissions (HAs), stratified by gender, age, season. Results Positive found HAs AD. The greatest effect number inpatients single-day lag1 (PM :1.034 (95% confidence interval (CI) 1.011, 1.058)). also significant two-pollutant model. In period, 16.48% attributed PM. attributable US$ 2.56 million, 2.25 million direct 0.31 indirect costs. Conclusions suggests that may increase Province result associated

Language: Английский

Citations

3