关键词: Alzheimer's disease CSF biomarkers caffeine memory mild cognitive impairment

来  源:   DOI:10.1002/alz.14169

Abstract:
BACKGROUND: We investigated the link between habitual caffeine intake with memory impairments and cerebrospinal fluid (CSF) biomarkers in mild cognitive impairment (MCI) and Alzheimer\'s disease (AD) patients.
METHODS: MCI (N = 147) and AD (N = 116) patients of the Biomarker of AmyLoid pepTide and AlZheimer\'s diseAse Risk (BALTAZAR) cohort reported their caffeine intake at inclusion using a dedicated survey. Associations of caffeine consumption with memory impairments and CSF biomarkers (tau, p-tau181, amyloid beta 1-42 [Aβ1-42], Aβ1-40) were analyzed using logistic and analysis of covariance models.
RESULTS: Adjusted on Apolipoprotein E (APOE ε4), age, sex, education level, and tobacco, lower caffeine consumption was associated with higher risk to be amnestic (OR: 2.49 [95% CI: 1.13 to 5.46]; p = 0.023) and lower CSF Aβ1-42 (p = 0.047), Aβ1-42/Aβ1-40 (p = 0.040), and Aβ1-42/p-tau181 (p = 0.020) in the whole cohort.
CONCLUSIONS: Data support the beneficial effect of caffeine consumption to memory impairments and CSF amyloid markers in MCI and AD patients.
CONCLUSIONS: We studied the impact of caffeine consumption in the BALTAZAR cohort. Low caffeine intake is associated with higher risk of being amnestic in MCI/AD patients. Caffeine intake is associated with CSF biomarkers in AD patients.
摘要:
背景:我们研究了轻度认知障碍(MCI)和阿尔茨海默病(AD)患者习惯性摄入咖啡因与记忆障碍和脑脊液(CSF)生物标志物之间的联系。
方法:AmyloidpepTide生物标志物和AlZheimer病酶风险(BALTAZAR)队列的MCI(N=147)和AD(N=116)患者报告了他们在纳入时的咖啡因摄入量。咖啡因消费与记忆障碍和CSF生物标志物的关系(tau,p-tau181,淀粉样蛋白β1-42[Aβ1-42],Aβ1-40)采用logistic和协方差模型分析。
结果:对载脂蛋白E(APOEε4)进行调整,年龄,性别,教育水平,烟草,较低的咖啡因摄入量与较高的遗忘风险相关(OR:2.49[95%CI:1.13至5.46];p=0.023)和较低的CSFAβ1-42(p=0.047),Aβ1-42/Aβ1-40(p=0.040),和Aβ1-42/p-tau181(p=0.020)在整个队列中。
结论:数据支持咖啡因摄入对MCI和AD患者记忆障碍和CSF淀粉样蛋白标志物的有益作用。
结论:我们在BALTAZAR队列中研究了咖啡因消费的影响。在MCI/AD患者中,低咖啡因摄入与更高的遗忘风险相关。咖啡因摄入与AD患者的CSF生物标志物相关。
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