Late-Life Body Mass Index and Waist Circumference in Amnestic Mild Cognitive Impairment and Alzheimer's Disease

被引:33
作者
Chua, Leung-Wing [1 ,2 ,3 ]
Tam, Sidney [2 ,4 ]
Lee, Peter W. H. [5 ,6 ]
Yik, Ping-Yiu [1 ]
Song, Youqiang [3 ,7 ]
Cheung, Bernard M. Y. [2 ,8 ,9 ]
Lam, Karen S. L. [2 ,3 ,10 ]
机构
[1] Univ Hong Kong, Queen Mary Hosp, Dept Med, Div Geriatr Med,Li Ka Shing Fac Med, Hong Kong, Hong Kong, Peoples R China
[2] Univ Hong Kong, Res Ctr Heart Brain Hormone & Healthy Aging, Hong Kong, Hong Kong, Peoples R China
[3] Univ Hong Kong, Alzheimers Dis Res Network, Hong Kong, Hong Kong, Peoples R China
[4] Univ Hong Kong, Queen Mary Hosp, Li Ka Shing Fac Med, Div Clin Biochem, Hong Kong, Hong Kong, Peoples R China
[5] Univ Hong Kong, Queen Mary Hosp, Li Ka Shing Fac Med, Dept Clin Psychol, Hong Kong, Hong Kong, Peoples R China
[6] Univ Hong Kong, Queen Mary Hosp, Li Ka Shing Fac Med, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
[7] Univ Hong Kong, Dept Biochem, Hong Kong, Hong Kong, Peoples R China
[8] Univ Hong Kong, Queen Mary Hosp, Dept Med, Div Clin Pharmacol,Li Ka Shing Fac Med, Hong Kong, Hong Kong, Peoples R China
[9] Univ Birmingham, Dept Clin Pharmacol, Div Med Sci, Birmingham, W Midlands, England
[10] Univ Hong Kong, Queen Mary Hosp, Dept Med, Div Endocrinol & Metab,Li Ka Shing Fac Med, Hong Kong, Hong Kong, Peoples R China
关键词
Aging; Alzheimer's disease; body mass index; Chinese; mild cognitive impairment; WEIGHT-LOSS; BIOAVAILABLE TESTOSTERONE; PHYSICAL-ACTIVITY; CENTRAL OBESITY; OLDER-PEOPLE; FOLLOW-UP; RISK; DEMENTIA; MORTALITY; POLYMORPHISM;
D O I
10.3233/JAD-2009-1043
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
We investigated the progressive associations of late-life body mass index (BMI) and waist circumference (WC) with amnestic mild cognitive impairment (aMCI) and Alzheimer's disease (AD) in Chinese older adults in a case-control study. Late-life BMI and WC were measured. AD was diagnosed by the NINCDS-ADRDA criteria for probable AD and aMCI by the Petersen's criteria. 426 Chinese older adults [125 AD, 125 aMCI and 176 controls with normal cognition (NC)], aged 55 to 93 years old, were recruited. Both BMI and WC decreased significantly across the normal, aMCI, and AD groups (dementia diagnostic group: p for trend < 0.001 and 0.016 respectively, 1-way ANOVA). After adjustment for significant confounders, multivariate general linear model analyses showed that the dementia diagnostic group (AD/aMCI/NC) was a significant independent predictor of both the late-life BMI and late-life WC(p = 0.002 and 0.018 respectively). In conclusion, late-life BMI and WC progressively decrease in older adults with normal cognition, aMCI, and AD. Low late-life BMI and WC represent potentially useful pre-clinical markers of aMCI and AD.
引用
收藏
页码:223 / 232
页数:10
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