Development of a nomogram model for predicting dementia risk in the older adult population of Weifang, Shandong Province, China: based on the biopsychosocial model DOI Creative Commons

Pengxin Geng,

Wenjia Feng,

Weiqin Cai

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Feb. 21, 2025

Dementia has emerged as a predominant health challenge. However, there is notable research gap in the collective screening of dementia risks. Hence, pressing need to formulate prediction tool tailored older adult demographic, enabling identification high-risk individuals for dementia. From May October 2023, multi-stage sampling method was utilized survey aged 60 and above Weifang. This study employed Brief Community Screening Instrument (BCSI-D) with We integrated biopsychosocial model construct comprehensive pool factors influencing Employing least absolute shrinkage selection operator multivariate logistic regression analyses, independent were identified nomogram model. Six hundred sixty valid questionnaires included final analysis, validity rate 95.23%. 178 cases using BCSI-D. Napping, lack concentration, self-assessed status, education level, residence, social interaction medical insurance The efficiency analysis model, constructed these factors, demonstrated area under receiver operating characteristic 0.751 training set 0.794 test set. decision curve threshold probabilities sets 5-60% 1-60%, respectively. calibration curves both datasets exhibited high degree fitting predicted curve. developed risk noteworthy predictive performance. proposed offers theoretical data support screening.

Language: Английский

The structural and social determinants of Alzheimer's disease related dementias DOI Creative Commons
Paris B. Adkins‐Jackson, Kristen M. George, Lilah M. Besser

et al.

Alzheimer s & Dementia, Journal Year: 2023, Volume and Issue: 19(7), P. 3171 - 3185

Published: April 19, 2023

Abstract Introduction The projected growth of Alzheimer's disease (AD) and AD‐related dementia (ADRD) cases by midcentury has expanded the research field impelled new lines inquiry into structural social determinants health (S/SDOH) as fundamental drivers disparities in AD/ADRD. Methods In this review, we employ Bronfenbrenner's ecological systems theory a framework to posit how S/SDOH impact AD/ADRD risk outcomes. Results Bronfenbrenner defined “macrosystem” realm power (structural) that drive are root cause disparities. These causes have been discussed little date relation AD/ADRD, thus, macrosystem influences, such racism, classism, sexism, homophobia, emphasis paper. Discussion Under framework, highlight key quantitative qualitative studies linking with identify scientific gaps literature, propose guidance for future research. Highlights Ecological links structural/social Structural/social accrue interact over life course Macrosystem is made up societal norms, beliefs, values, practices (e.g., laws). Most macro‐level understudied literature.

Language: Английский

Citations

106

Comparison of Particulate Air Pollution From Different Emission Sources and Incident Dementia in the US DOI
Boya Zhang, Jennifer Weuve, Kenneth M. Langa

et al.

JAMA Internal Medicine, Journal Year: 2023, Volume and Issue: 183(10), P. 1080 - 1080

Published: Aug. 14, 2023

Emerging evidence indicates that exposure to fine particulate matter (PM2.5) air pollution may increase dementia risk in older adults. Although this suggests opportunities for intervention, little is known about the relative importance of PM2.5 from different emission sources.

Language: Английский

Citations

76

Rationale for a Multi-Factorial Approach for the Reversal of Cognitive Decline in Alzheimer’s Disease and MCI: A Review DOI Open Access
Rammohan V. Rao,

Kaavya G. Subramaniam,

Julie Gregory

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(2), P. 1659 - 1659

Published: Jan. 14, 2023

Alzheimer's disease (AD) is a multifactorial, progressive, neurodegenerative typically characterized by memory loss, personality changes, and decline in overall cognitive function. Usually manifesting individuals over the age of 60, this most prevalent type dementia remains fifth leading cause death among Americans aged 65 older. While development effective treatment prevention for AD major healthcare goal, unfortunately, therapeutic approaches to date have yet find plan that produces long-term improvement. Drugs may be able slow down progression rate are being introduced market; however, there has been no previous solution preventing or reversing disease-associated decline. Recent studies identified several factors contribute severity disease: diet, lifestyle, stress, sleep, nutrient deficiencies, mental health, socialization, toxins. Thus, increasing evidence supports dietary other lifestyle changes as potentially ways prevent, slow, reverse progression. Studies also demonstrated personalized, multi-therapeutic approach needed improve metabolic abnormalities AD-associated These suggest effects abnormalities, such insulin resistance, chronic inflammation, hypovitaminosis D, hormonal hyperhomocysteinemia, process. Therefore program based on an individual's genetics biochemistry preferable single-drug/mono-therapeutic approach. This article reviews these strategies identify attenuate all risk specific each affected individual. systematically incorporated multiple target numerous simultaneously treat We included high-quality clinical trials observational focused programs comprising physical, activity, well nutritional aspects. Articles from PubMed Central, Scopus, Google Scholar databases were collected, abstracts reviewed relevance subject matter. Epidemiological, pathological, toxicological, genetic, biochemical concluded represents complex network insufficiency. The research explored manuscript confirm need multifactorial various AD. A single-drug delay loss but, date, not prevented reversed it. Diet, physical environment disease, and, therefore, multi-factorial optimization support function offers rational strategy. targets underlying more than mono-therapeutic

Language: Английский

Citations

57

Impact of air pollution and climate change on mental health outcomes: an umbrella review of global evidence DOI Open Access
Joaquim Raduà, Michele De Prisco, Vincenzo Oliva

et al.

World Psychiatry, Journal Year: 2024, Volume and Issue: 23(2), P. 244 - 256

Published: May 10, 2024

The impact of air pollution and climate change on mental health has recently raised strong concerns. However, a comprehensive overview analyzing the existing evidence while addressing relevant biases is lacking. This umbrella review systematically searched PubMed/Medline, Scopus PsycINFO databases (up to June 26, 2023) for any systematic with meta-analysis investigating association or outcomes. We used R metaumbrella package calculate stratify credibility according criteria (i.e., convincing, highly suggestive, weak) that address several biases, complemented by sensitivity analyses. included 32 reviews examined 284 individual studies 237 associations exposures hazards Most (n=195, 82.3%) involved pollution, rest (n=42, 17.7%) regarded (mostly focusing temperature: n=35, 14.8%). Mental outcomes in most (n=185, 78.1%) disorders, followed suicidal behavior (n=29, 12.4%), access care services (n=9, 3.7%), disorders-related symptomatology (n=8, 3.3%), multiple categories together (n=6, 2.5%). Twelve (5.0%) achieved convincing (class I) suggestive II) evidence. Regarding there was between long-term exposure solvents higher incidence dementia cognitive impairment (odds ratio, OR=1.139), some pollutants risk disorders (higher high vs. low levels carbon monoxide, CO: OR=1.587; vascular per 1 μg/m

Language: Английский

Citations

38

Overlooked cases of mild cognitive impairment: Implications to early Alzheimer’s disease DOI

Maamoon Mian,

Jihane Tahiri,

Ryan Eldin

et al.

Ageing Research Reviews, Journal Year: 2024, Volume and Issue: 98, P. 102335 - 102335

Published: May 12, 2024

Language: Английский

Citations

16

Th17 cells and inflammation in neurological disorders: Possible mechanisms of action DOI Creative Commons
Yajun Shi, Bin Wei, Lingjun Li

et al.

Frontiers in Immunology, Journal Year: 2022, Volume and Issue: 13

Published: July 22, 2022

Neurological disorders (NDs) are one of the leading causes global death. A sustained neuroinflammatory response has been reported to be associated with pathogenesis multiple NDs, including Parkinson’s disease (PD), sclerosis (MS), Alzheimer’s (AD), amyotrophic lateral (ALS), and major depressive disorder (MDD). Accumulating evidence shows that recruitment abundant lymphocytes in central nervous system may contribute promoting development progress inflammation neurological disorders. As subset T lymphocytes, CD4 + cells have a critical impact on helper (Th) 17 is most studied Th subpopulations produces cytokines (e.g., IL-17A, IL-23, IL-21, IL-6, IFN-γ), abnormal excessive activation microglia other immune cell types. All these factors involved several However, possible mechanisms Th17 their immunopathology abovementioned not clarified completely. This review will summarize by which encephalitogenic inflammatory related strongly chronic neuroinflammation, thus perpetuating neurodegenerative processes NDs. Finally, potential therapeutic prospects NDs also discussed.

Language: Английский

Citations

66

Polystyrene nanoplastic exposure induces excessive mitophagy by activating AMPK/ULK1 pathway in differentiated SH-SY5Y cells and dopaminergic neurons in vivo DOI Creative Commons

Yuji Huang,

Boxuan Liang,

Zhiming Li

et al.

Particle and Fibre Toxicology, Journal Year: 2023, Volume and Issue: 20(1)

Published: Nov. 22, 2023

Microplastics and nanoplastics (MNPs) are emerging environmental contaminants detected in human samples, have raised concerns regarding their potential risks to health, particularly neurotoxicity. This study aimed investigate the deleterious effects of polystyrene (PS-NPs, 50 nm) understand mechanisms inducing Parkinson's disease (PD)-like neurodegeneration, along with exploring preventive strategies.

Language: Английский

Citations

41

The effects of heatwave on cognitive impairment among older adults: Exploring the combined effects of air pollution and green space DOI
Wensu Zhou, Qiong Wang, Rui Li

et al.

The Science of The Total Environment, Journal Year: 2023, Volume and Issue: 904, P. 166534 - 166534

Published: Aug. 29, 2023

Language: Английский

Citations

23

Particulate Matter-Induced Emerging Health Effects Associated with Oxidative Stress and Inflammation DOI Creative Commons
Eun Yeong Lim,

Gun-Dong Kim

Antioxidants, Journal Year: 2024, Volume and Issue: 13(10), P. 1256 - 1256

Published: Oct. 17, 2024

Environmental pollution continues to increase with industrial development and has become a threat human health. Atmospheric particulate matter (PM) was designated as Group 1 carcinogen by the International Agency for Research on Cancer in 2013 is an emerging global environmental risk factor that major cause of death related cardiovascular respiratory diseases. PM complex composed highly reactive organic matter, chemicals, metal components, which mainly excessive production oxygen species (ROS) can lead DNA cell damage, endoplasmic reticulum stress, inflammatory responses, atherosclerosis, airway remodeling, contributing increased susceptibility exacerbation various diseases infections. effects health depending particle size, physical chemical characteristics, source, exposure period. smaller than 5 μm penetrate accumulate alveoli circulatory system, causing harmful skin, brain. In this review, we describe relationship mechanism ROS-mediated oxidative responses caused organs, well comprehensively discuss harmfulness PM.

Language: Английский

Citations

10

Novel perspective on particulate matter and Alzheimer's disease: insights from adverse outcome pathway framework DOI

Shuang-Jian Qin,

Qing-Guo Zeng,

Hui-Xian Zeng

et al.

Environmental Pollution, Journal Year: 2025, Volume and Issue: unknown, P. 125601 - 125601

Published: Jan. 1, 2025

Language: Английский

Citations

1