• 文章类型: Journal Article
    运动经验对锻炼习惯的养成起着举足轻重的作用,具有增强认知表现的相互促进的关系。公认的由运动驱动的认知可塑性需要进行全面的检查。因此,这项研究深入研究了前额叶皮层的动态复杂性,探索定向运动经验对认知表现的影响。我们的发现提供了有关特定大脑区域的功能激活的经验证据,从而弥合了经验因素与认知能力之间的联系。在这项横断面研究中,纳入了一个由49名运动员组成的队列,在不同的非专业场景中,仔细研究了不同经验水平的定向越野运动员的行为差异和前额叶皮质动力学.这些研究涉及利用功能近红外光谱(fNIRS)来检测氧合血红蛋白(HbO2)的变化。经验丰富的专家组表现出神经效率,表现出背外侧前额叶的大脑激活显着减少,左腹外侧前额叶,与低经验组相比,右眶额叶区域。在低经验的新手群体中,与心理旋转任务相比,空间记忆任务表现优异,与高经验组相比,在所有条件下的反应时间始终较低。值得注意的是,与低经验新手组相比,高经验专家组的脑血氧合激活显着降低,与任务类型无关。背外侧前额叶在任务开始时表现出激活,不管经验水平如何。空间记忆任务中的正确率始终高于心理旋转任务中的正确率,而在心理旋转任务中,大脑区域的激活明显大于空间记忆任务。“这项研究阐明了经验丰富的专家和新手之间前额叶皮层动力学的差异,在经验丰富的人群中展示认知优势,在缺乏经验的人群中展示空间记忆优势。我们的发现有助于理解作为观察到的认知优势基础的神经机制,并提供对空间认知任务中定向运动经验动员的前脑资源的见解。\"
    Sporting experience plays a pivotal role in shaping exercise habits, with a mutually reinforcing relationship that enhances cognitive performance. The acknowledged plasticity of cognition driven by sports necessitates a comprehensive examination. Hence, this study delves into the dynamic intricacies of the prefrontal cortex, exploring the impact of orienteering experience on cognitive performance. Our findings contribute empirical evidence regarding the functional activation of specific brain regions bridging the nexus between experiential factors and cognitive capabilities. In this cross-sectional study, a cohort of forty-nine athletes was enrolled to meticulously examine behavioral variances and prefrontal cortex dynamics among orienteering athletes of varying experience levels across diverse non-specialized scenarios. These investigations involved the utilization of functional near-infrared spectroscopy (fNIRS) to detect alterations in oxygenated hemoglobin (HbO2). The high-experience expert group exhibited neurological efficiency, demonstrating significantly diminished brain activation in the dorsolateral prefrontal, left ventral lateral prefrontal, and right orbitofrontal regions compared to the low-experience group. Within the low-experience novice group, superior performance in the spatial memory task was observed compared to the mental rotation task, with consistently lower reaction times across all conditions compared to the high-experience group. Notably, cerebral blood oxygenation activation exhibited a significant reduction in the high-experience expert group compared to the low-experience novice group, irrespective of task type. The dorsolateral prefrontal lobe exhibited activation upon task onset, irrespective of experience level. Correct rates in the spatial memory task were consistently higher than those in the mental rotation task, while brain region activation was significantly greater during the mental rotation task than the spatial memory task.\" This study elucidates disparities in prefrontal cortex dynamics between highly seasoned experts and neophyte novices, showcasing a cognitive edge within the highly experienced cohort and a spatial memory advantage in the inexperienced group. Our findings contribute to the comprehension of the neural mechanisms that underlie the observed cognitive advantage and provide insights into the forebrain resources mobilized by orienteering experience during spatial cognitive tasks.\"
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  • 文章类型: Journal Article
    多发性硬化症(MS)的认知障碍很常见,可能对生活质量产生负面影响。临床表现可能更微妙和阴险。因此,认知障碍通常被MS患者(PwMS)和临床医生都认识不足,导致低估MS造成的残疾最近的证据支持,复发以与其他身体复发症状相似的方式影响认知,并且可能是复发的唯一症状。使用经过验证的PwMS测试进行定期筛查将改善PwMS的护理和生活质量。
    Cognitive impairment in multiple sclerosis (MS) is common and can have negative effects on quality of life. The clinical presentation can be more subtle and insidious. Thus, cognitive impairment is often underrecognized by both persons with MS (PwMS) and clinicians, leading to underestimation disability due to MS. Recent evidence supports that relapses affect cognition in a similar pattern to other physical relapse symptoms and may be the only symptom of a relapse. Regular screening using validated tests for PwMS will improve the care provided and quality of life of PwMS.
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  • 文章类型: Journal Article
    创伤性脑损伤(TBI)导致海马神经回路的变化,从而导致慢性学习和记忆缺陷。然而,改善TBI后这些慢性学习和记忆障碍的有效治疗策略是有限的。增强认知的两个药理学靶点是烟碱乙酰胆碱受体(nAChRs)和GABAA受体(GABAAR),两者都调节海马网络活动以形成陈述性记忆。一个有前途的化合物,522-054,两者都变构增强α7nAChRs并抑制含α5亚基的GABAAR。522-054的施用增强了非损伤动物的长期增强(LTP)和认知功能。在这项研究中,我们评估了522-054对TBI后慢性恢复期海马突触可塑性和学习记忆缺陷的影响.成年雄性SpragueDawley大鼠接受了中度矢状旁液撞击脑损伤或假手术。在12周。受伤后,我们评估了海马Schaffer侧支CA1突触的基础突触传递和LTP.将522-054浴应用于海马切片可减少基础突触传递的缺陷,并恢复TBI诱导的LTP损伤。此外,12周用522-054治疗动物。TBI后可改善提示和上下文恐惧记忆以及水迷宫的获取和保留,而对皮质或海马萎缩没有可测量的影响。这些结果表明,α7nAChR和α5GABAAR信号的双重变构调节可能是治疗TBI慢性恢复期间认知缺陷的潜在疗法。
    Traumatic brain injury (TBI) leads to changes in the neural circuitry of the hippocampus that result in chronic learning and memory deficits. However, effective therapeutic strategies to ameliorate these chronic learning and memory impairments after TBI are limited. Two pharmacological targets for enhancing cognition are nicotinic acetylcholine receptors (nAChRs) and GABAA receptors (GABAARs), both of which regulate hippocampal network activity to form declarative memories. A promising compound, 522-054, both allosterically enhances α7 nAChRs and inhibits α5 subunit-containing GABAARs. Administration of 522-054 enhances long-term potentiation (LTP) and cognitive functioning in non-injured animals. In this study, we assessed the effects of 522-054 on hippocampal synaptic plasticity and learning and memory deficits in the chronic post-TBI recovery period. Adult male Sprague Dawley rats received moderate parasagittal fluid-percussion brain injury or sham surgery. At 12 wk. after injury, we assessed basal synaptic transmission and LTP at the Schaffer collateral-CA1 synapse of the hippocampus. Bath application of 522-054 to hippocampal slices reduced deficits in basal synaptic transmission and recovered TBI-induced impairments in LTP. Moreover, treatment of animals with 522-054 at 12 wk. post-TBI improved cue and contextual fear memory and water maze acquisition and retention without a measurable effect on cortical or hippocampal atrophy. These results suggest that dual allosteric modulation of α7 nAChR and α5 GABAAR signaling may be a potential therapy for treating cognitive deficits during chronic recovery from TBI.
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  • 文章类型: Journal Article
    背景:脑和皮质萎缩在支持阿尔茨海默病(AD)的临床诊断中起着至关重要的作用。这项研究假设大脑或皮质体积与皮质下灰质结构体积的比率是AD痴呆和遗忘型轻度认知障碍(aMCI)认知改变的潜在成像标记。
    方法:77名被诊断为AD痴呆或aMCI的受试者接受了基线神经心理学测试,2年随访认知评估,和高分辨率T1加权MRI扫描。脑/皮质总体积和皮质下灰质结构体积被自动分割和测量。进行了单变量和多元线性回归分析,以确定体积比与认知评分的间隔变化之间的关联。
    结果:皮质体积与尾状体积之比显示出与MoCA变化最显着的关联(B=0.132,SE=0.042,p=0.002),MMSE(B=0.140,SE=0.040,p=0.001),和CDR-SOB(B=-0.013,SE=0.005,p=0.007)在2年的随访期间得分。在调整各种协变量后,这些关联仍然很重要。皮质体积与壳核和苍白球体积之比观察到类似的关联。
    结论:皮质与尾状体积比与AD痴呆和aMCI的认知能力下降显著相关。该比率可用作监测疾病进展和预测认知结果的有用生物标志物。我们的发现强调了在理解AD病理时考虑皮质和皮质下结构相对萎缩的重要性。
    BACKGROUND: Brain and cortical atrophy play crucial roles in supporting the clinical diagnosis of Alzheimer\'s disease (AD). This study hypothesized that the ratios of brain or cortical volume to subcortical gray matter structure volumes are potential imaging markers for cognitive alterations in AD dementia and amnestic mild cognitive impairment (aMCI).
    METHODS: Seventy-seven subjects diagnosed with AD dementia or aMCI underwent baseline neuropsychological testing, 2-year follow-up cognitive assessments, and high-resolution T1-weighted MRI scans. Total brain/cortical volume and subcortical gray matter structure volumes were automatically segmented and measured. Univariate and multiple linear regression analyses were conducted to determine the associations between volumetric ratios and interval changes in cognitive scores.
    RESULTS: The ratio of cortical volume to caudate volume showed the most significant association with changes in MoCA (B = 0.132, SE = 0.042, p = 0.002), MMSE (B = 0.140, SE = 0.040, p = 0.001), and CDR-SOB (B = -0.013, SE = 0.005, p = 0.007) scores over the 2-year follow-up period. These associations remained significant after adjusting for various covariates. Similar associations were observed for the ratios of cortical volume to putamen and globus pallidum volumes.
    CONCLUSIONS: The cortex-to-caudate volume ratio is significantly associated with cognitive decline in AD dementia and aMCI. This ratio may serve as a useful biomarker for monitoring disease progression and predicting cognitive outcomes. Our findings highlight the importance of considering the relative atrophy of cortical and subcortical structures in understanding AD pathology.
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  • 文章类型: Journal Article
    背景:台湾是一个老龄化社会,痴呆症患者的数量正在迅速增加。由于认知和身体功能的下降,患有痴呆症的老年人不仅逐渐失去了自己完成日常生活任务的能力,但也有更高的跌倒和伤害性跌倒的风险。重要的是要制定干预措施,将认知和运动训练相结合,以促进或维持老年人的认知和身体功能,并降低跌倒的风险。本研究旨在探讨基于认知的棋盘游戏和多成分运动干预对认知功能的可行性和效果。身体健康,老年痴呆症患者的跌倒风险。
    方法:这是一项准实验研究,具有单组前测和后测设计。研究参与者是41名社区居住的轻度至中度痴呆的老年人。他们接受基于认知的棋盘游戏和多成分运动干预,每周一次,持续12周。干预措施包括1小时的运动训练和1小时的认知训练。台湾版蒙特利尔认知评估(MoCA-T)的分数,身体健康,和圣托马斯老年住院患者跌倒风险评估工具(STRATIFY)作为基线和12周后的结果指标进行测量。
    结果:总体MoCA-T评分显着增加(效应大小=0.402),轻度痴呆的参与者(效应大小=0.522)比中度痴呆的参与者(效应大小=0.310)表现出更大的增加。参与者的体能表现有所改善。女性参与者在30秒的椅子站立测试(效果大小=0.483)和8英尺的起跑测试(效果大小=0.437)中表现出显着的改善。跌倒风险评分下降0.05分,变化不明显。
    结论:本研究中使用的基于认知的棋盘游戏和多成分运动干预措施有利于改善老年痴呆症患者的认知功能和身体素质。这些干预措施是可行的,适合在患有轻度认知障碍或痴呆症的社区居住和机构居住的老年人中推广,以延缓认知和身体功能的下降。
    BACKGROUND: Taiwan is an aging society, and the number of people with dementia is rapidly increasing. Due to a decline in cognitive and physical function, older adults with dementia not only gradually lose the ability to complete daily living tasks on their own, but are also at a higher risk of falls and injurious falls. It is important to develop interventions that combine cognitive and exercise training for older adults with dementia to promote or maintain their cognitive and physical functions and reduce their risk of falls. This study aimed to investigate the feasibility and effect of cognitive-based board games and multi-component exercise interventions on cognitive function, physical fitness, and fall risk in older adults with dementia.
    METHODS: This was a quasi-experimental study with a single-group pretest and post-test design. The study participants were 41 community-dwelling older adults with mild to moderate dementia. They received cognitive-based board games and multi-component exercise interventions once a week for 12 weeks. The interventions included 1 hour of exercise training and 1 hour of cognitive training. Scores for the Taiwan version of the Montreal Cognitive Assessment (MoCA-T), physical fitness, and the St. Thomas Risk Assessment Tool for Falling Elderly Inpatients (STRATIFY) were measured as outcome indicators at baseline and after the 12-week period.
    RESULTS: The overall MoCA-T score increased significantly (effect size = 0.402), with participants with mild dementia showing a greater increase (effect size = 0.522) than those with moderate dementia (effect size = 0.310). Participants\' physical fitness performance improved. Female participants exhibited significant improvements in the 30-second chair stand test (effect size = 0.483) and 8-foot up-and-go test (effect size = 0.437). The fall risk score decreased by 0.05 points, the change was not significant.
    CONCLUSIONS: The cognitive-based board game and multi-component exercise interventions used in this study are beneficial for improving cognitive function and physical fitness in older adults with dementia. These interventions are feasible and suitable for promotion among community-dwelling and institution-dwelling older adults with mild cognitive impairment or dementia to delay the decline in cognitive and physical function.
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  • 文章类型: Journal Article
    老年与痴呆症的高风险有关。心理社会特征经常影响认知功能;然而,心理社会因素对认知功能影响的确切机制尚不清楚。因此,本研究旨在探讨心理社会特征对认知功能的影响。参与者包括4809名中老年人(50岁以上)。该分析使用了2014年至2018年韩国老龄化纵向研究的数据。邻域相互作用的影响,抑郁症,生活满意度,并对经济活动对认知功能的影响进行了研究,并进行了线性混合模型分析,以评估认知功能的年变化.在邻域相互作用和时间之间发现了统计学上的显着关联。此外,在抑郁症的存在下,认知功能随着时间的推移而下降。在男人中,抑郁症与时间之间以及经济活动与时间之间存在显著的相互作用。在女性中,生活满意度和时间之间存在显著的相互作用。研究结果表明,由于主动邻域交互正向影响认知功能,有必要为中老年人制定各种社区范围的社会活动计划。由于抑郁症是认知障碍的危险因素,通过持续管理抑郁症来防止认知能力下降是至关重要的。鉴于经济活动对男性认知功能的积极影响,通过制定教育计划和为中老年男性创造就业机会,扩大基础设施以维持经济活动至关重要。
    Old age is associated with a higher risk of dementia. Psychosocial characteristics frequently affect cognitive function; however, the exact mechanism underlying the effect of psychosocial factors on cognitive function is unclear. Therefore, this study aimed to investigate the effects of psychosocial characteristics on cognitive function. The participants comprised 4809 middle-aged and older (years 50+) adults. The analysis used data from the Korean Longitudinal Study of Aging from 2014 to 2018. The effects of neighborhood interaction, depression, life satisfaction, and economic activity on cognitive function were examined, and a linear mixed model analysis was performed to assess the change in cognitive function by year. A statistically significant association was found between neighborhood interaction and time. Additionally, cognitive function decreased in the presence of depression and with time. In men, significant interactions were found between depression and time and between economic activity and time. In women, significant interactions were found between life satisfaction and time. The findings indicate that since active neighborhood interaction positively affects cognitive function, it is necessary to develop various community-wide social activity programs for middle-aged and older adults. As depression is a risk factor for cognitive impairment, it is crucial to prevent cognitive decline through continuous management of depression. Given the positive effects of economic activity on cognitive function in men, it is essential to expand infrastructure to sustain economic activity by developing educational programs and creating job opportunities for middle-aged and older men.
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  • 文章类型: Journal Article
    代谢型谷氨酸受体(mGluRs)是G蛋白偶联受体(GPCRs)家族的一部分。它们与Gαq(组I)或Gi/o(组II和III)蛋白偶联,导致二酰甘油(DAG)和肌醇1,4,5-三磷酸(IP3)的产生或腺苷酸环化酶的抑制,分别。mGluRs与焦虑有关,抑郁症,学习,和突触可塑性。同样,CB1大麻素受体(CB1R),还有GPCRs,通过Gαi/o介导的腺苷酸环化酶的抑制在认知功能和情绪调节中发挥作用。mGluR和CB1R都表现出表面标记并经历内吞作用。鉴于相似的细胞分布和作用机制,这篇综述符合抑郁症背景下mGluRs和CB1R的潜在相互作用和相互调节的基本数据,焦虑,和认知,为它们的相互作用提供开创性的见解。
    Metabotropic glutamate receptors (mGluRs) are part of the G protein-coupled receptors (GPCRs) family. They are coupled to Gαq (group I) or Gi/o (groups II and III) proteins, which result in the generation of diacylglycerol (DAG) and inositol 1,4,5-triphosphate (IP3) or the inhibition of adenylyl cyclase, respectively. mGluRs have been implicated in anxiety, depression, learning, and synaptic plasticity. Similarly, CB1 cannabinoid receptors (CB1Rs), also GPCRs, play roles in cognitive function and mood regulation through Gαi/o-mediated inhibition of adenylyl cyclase. Both mGluRs and CB1Rs exhibit surface labeling and undergo endocytosis. Given the similar cellular distribution and mechanisms of action, this review complies with fundamental data on the potential interactions and mutual regulation of mGluRs and CB1Rs in the context of depression, anxiety, and cognition, providing pioneering insights into their interplay.
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  • 文章类型: Journal Article
    以情绪为导向的方法已证明在老年人护理中的有效性。然而,相关研究报告的结果相互矛盾。我们旨在通过对随机对照试验(RCT)的荟萃分析,探讨情绪导向方法对老年人心理结局和认知功能的综合影响。
    我们搜索了八个数据库-CINAHL,科克伦,Embase,OvidMEDLINE,PsycINFO,PubMed,Scopus,和WebofScience-从成立到2024年1月11日的RCT。60岁或以上接受情感导向方法作为干预的参与者,并纳入了研究中感兴趣的报告结局.主要结果是心理结果(抑郁,自尊,生活满意度和孤独),次要结局是整体认知功能。合并效应大小在综合荟萃分析3.0软件中使用Hedges\'g(g)和随机效应模型计算。此外,异质性通过Cochrane的Q和I2检验进行评估。使用Cochrane偏差风险工具评估纳入研究的质量。为了探索异质性的潜在来源,进行了主持人分析。
    我们纳入了37项随机对照试验,发现以情绪为导向的方法可以改善抑郁(g=-0.82,95%CI=-1.08,-0.56),自尊(g=0.98,95%CI=0.31,1.64),生活满意度(g=0.63,95%CI=0.37,0.88),老年人的孤独感(g=-2.22,95%CI=-3.80,-0.64)和整体认知功能(g=0.34,95%CI=0.19,0.49)。我们还观察到对抑郁症(g=-1.40,95%CI=-2.45,-0.34)和孤独感(g=-3.48,95%CI=6.02,-0.94)的显着随访效果。
    面向情绪的方法是改善老年人心理结果和整体认知功能的有前途的干预措施。卫生保健工作者应接受培训,以促进并将面向情感的方法纳入老年人的常规护理,强调卫生保健专业人员和护理人员之间的协作努力以确保整体护理的重要性。
    UNASSIGNED: Emotion-oriented approaches have demonstrated effectiveness in the care of the elderly. However, related studies have reported conflicting results. We aimed to explore the pooled effect of emotion-oriented approaches on the psychological outcomes and cognitive function of older adults through a meta-analysis of randomised controlled trials (RCTs).
    UNASSIGNED: We searched eight databases - CINAHL, Cochrane, Embase, Ovid MEDLINE, PsycINFO, PubMed, Scopus, and Web of Science - for RCTs from inception to 11 January 2024. Participants aged 60 years or older who received emotion-oriented approaches as the intervention, and reported outcomes of interest in the studies were included. The primary outcome was psychological outcomes (depression, self-esteem, life satisfaction and loneliness), and the secondary outcome was global cognitive function. The pooled effect size was computed in comprehensive meta-analysis 3.0 software using Hedges\' g (g) with random-effects model. Furthermore, heterogeneity was assessed through Cochrane\'s Q and I2 tests. The quality of the included studies was evaluated using the Cochrane Risk of Bias tool. To explore potential sources of heterogeneity, moderator analyses were conducted.
    UNASSIGNED: We included 37 RCTs and found that emotion-oriented approaches improve depression (g = -0.82, 95% CI = -1.08, -0.56), self-esteem (g = 0.98, 95% CI = 0.31, 1.64), life satisfaction (g = 0.63, 95% CI = 0.37, 0.88), loneliness (g = -2.22, 95% CI = -3.80, -0.64) and global cognitive function (g = 0.34, 95% CI = 0.19, 0.49) in older adults. We also observed significant follow-up effects on depression (g = -1.40, 95% CI = -2.45, -0.34) and loneliness (g = -3.48, 95% CI = 6.02, -0.94).
    UNASSIGNED: Emotion-oriented approaches are promising interventions in improving psychological outcomes and global cognitive function in older adults. Health care workers should receive training to promote and integrate emotion-oriented approaches into routine care of older adults emphasising the importance of collaborative efforts among health care professionals and caregivers to ensure holistic care delivery.
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  • 文章类型: Journal Article
    目标:关于生物领域经历持续时间的研究很少。这项初步研究使用了ChoaKokSui大师的手敏化的体验式学习实践,以确定在手之间体验生物场感觉的持续时间,并找到学习风格偏好与生物场感觉之间的关系。方法:本随机对照,单盲试验包括88名男女职前教师,年龄22.8±1.2岁。学习风格问卷,标尺跌落试验,对参与者进行了六字母消除测试,并随机分为两组。实验组(由ChoaKokSui大师介绍的彼此面对的手)和假(面对相反的手)练习手敏化。提供了半结构化问卷,以收集有关生物场感觉的信息以及双手之间体验这些感觉所需的时间。结果:实验组(N=44)中的所有(100%)参与者和假手术组(N=13)中的29.55%参与者报告经历了生物场感觉。发现了显著的差异,磁性,温度变化,实验组和假手术组之间的疼痛感觉(X2=59.20,p<.001)。在实验组中,第一次体验磁性感觉所需的平均时间,其他生物场感觉和温度变化分别为34.84±12.97、40.28±20.96和42.50±19.79。首次体验生物场感觉所需的最短时间为5秒,并持续到120秒的研究持续时间。在我们的观察中,我们发现体验的总体持续时间和第一次体验所花费的时间之间存在显著的负相关,虽然反应时间之间没有发现相关性,注意,以及体验生物场感觉所需的时间。结论:本研究描述了体验新颖生物场感觉的持续时间。
    Aims: There is minimal research on the duration of biofield experiences. This preliminary study used the experiential learning practice of Master Choa Kok Sui\'s hands sensitisation to determine the duration to experience biofield sensations in between hands and to find the relationship between learning style preferences and biofield sensations. Methods: This randomised controlled, single blinded trial included 88 male and female pre-service teachers, aged 22.8 ±1.2 years. Learning Style questionnaire, Ruler drop test, and Six Letter Cancellation tests were administered to participants and randomised into two groups. The experimental (hands facing each other as introduced by Master Choa Kok Sui) and sham (hands facing opposite) groups practiced hands sensitisation. A semi-structured questionnaire was provided to gather information about biofield sensations and the time it took to experience these sensations between the hands. Results: All (100%) of the participants in the experimental group (N=44) and 29.55% in the sham group (N=13) reported experiencing biofield sensations. A significant difference was found in, magnetic, temperature variation, and pain sensations between experimental and sham groups (X 2= 59.20, p<.001). In the experimental group, the average time taken to first experience magnetic sensation, other biofield sensations and temperature variation was 34.84±12.97, 40.28± 20.96 and 42.50±19.79, respectively. Minimum time taken to first experience biofield sensation was 5 seconds and lasted up to study duration of 120 seconds. In our observations, we found a significant negative correlation between the overall duration of experiences and the time it took for the first experience, while there was no correlation found between reaction time, attention, and the time needed to experience biofield sensations. Conclusions: The duration to experience the novel biofield sensation was described in this study.
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  • 文章类型: Journal Article
    证据表明,生物和社会因素的组合对女性和男性患痴呆症的风险有不同的影响。在健康的老年女性中,有几个因素可能导致认知改变。
    描述认知健康的老年巴拿马妇女样本中与认知变化相关的特征。
    该研究包括对参加巴拿马老龄化研究倡议-健康差异(PARI-HD)研究的60岁及以上女性的基线(n=357)和17个月(SD=2.0)随访(n=200)认知领域的横断面分析。工具包括临床问卷,生理措施,以及评估全球认知和七个认知领域的神经心理学测试电池。多元回归分析了基线时人口统计学和临床特征与认知之间的关联。重复测量分析用于调查从基线到随访的认知变化。
    平均而言,参与者年龄为68.6岁(SD=5.9),受教育年限为16.1岁(SD=4.7).年龄,收入,和教育显示与基线认知有密切的关联。主观认知障碍与整体认知能力降低有关,口头学习,和内存域。只有注意力领域的表现在随访中下降,主观健康状况和抑郁症状显著预测了注意力的变化。
    我们的研究结果有助于研究西班牙裔老年女性的认知健康,并有助于理解与认知功能减退以及认知功能损害和痴呆进展相关的社会人口统计学和健康相关因素。
    UNASSIGNED: Evidence suggests that a combination of biological and social factors influence risk of dementia differently for women and men. In healthy older women, several factors may contribute to changes in cognition.
    UNASSIGNED: Describe the characteristics associated with variation in cognition in a sample of cognitively healthy older Panamanian women.
    UNASSIGNED: The study includes cross-sectional analyses of cognitive domains at baseline (n = 357) and 17-month (SD = 2.0) follow-up (n = 200) for women aged 60 years and older enrolled in the Panama Aging Research Initiative-Health Disparities (PARI-HD) study. Instruments included clinical questionnaires, physiological measures, and a neuropsychological test battery assessing global cognition and seven cognitive domains. Multiple regression analyses examined the associations between demographic and clinical characteristics and cognition at baseline. Repeated measures analyses were used to investigate changes in cognition from baseline to follow-up.
    UNASSIGNED: On average, participants were 68.6 years of age (SD = 5.9) with 16.1 years of education (SD = 4.7). Age, income, and education showed robust associations with baseline cognition. Subjective cognitive impairment was associated with lower performance in global cognition, verbal learning, and memory domains. Only performance in the attention domain decreased at follow-up, and subjective health state and depressive symptoms significantly predicted the change in attention.
    UNASSIGNED: Our study findings contribute to the investigation of cognitive health in older Hispanic women and to the understanding of sociodemographic and health-related factors associated with cognitive decline and the progression to cognitive impairment and dementia.
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