Chronic Obstructive Pulmonary Disease Is Associated with Altered Neuropsychological Performance in Young Adults

被引:12
作者
De Carolis, Antonella [1 ]
Giubilei, Franco [1 ]
Caselli, Giulio [1 ]
Casolla, Barbara [1 ]
Cavallari, Michele [1 ]
Vanacore, Nicola [2 ]
Leonori, Rita [3 ]
Scrocchia, Ilaria [3 ]
Fersini, Anna [3 ]
Quercia, Augusto [3 ]
Orzi, Francesco [1 ]
机构
[1] Univ Roma La Sapienza, Dept Neurosci Mental Hlth & Sensory Organs, Rome, Italy
[2] Natl Inst Hlth, Natl Ctr Epidemiol Surveillance & Hlth Promot, Rome, Italy
[3] Azienda Unita Sanit Locale, PISLL, Viterbo, Italy
关键词
Alzheimer's disease; Chronic hypoxia; Chronic obstructive pulmonary disease; Hypoperfusion; Neuropsychological tests;
D O I
10.1159/000333079
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Subjects with ischemic lesions have an increased risk of dementia. In addition, Alzheimer's disease (AD) and vascular cognitive impairment share many risk factors. These observations suggest that different diseases that cause altered blood perfusion of the brain or hypoxia promote AD neurodegeneration. In this case-control, cross-sectional study, we sought to test the hypothesis that hypoxia facilitates cognitive decline. Methods: We looked for altered neuropsychological performance in subjects with chronic obstructive pulmonary disease (COPD) without apparent cardio- or cerebrovascular diseases or risk factors for atherosclerosis. A selected, homogeneous group of workers from two ceramic factories in a small town of central Italy was enrolled in this study. Results: The COPD patients had a slightly, but significantly worse performance than controls in a number of neuropsychological tests. Conclusion: The findings are consistent with the working hypothesis that chronic hypoxia facilitates cognitive decline. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:402 / 408
页数:7
相关论文
共 30 条
[1]  
[Anonymous], 1987, Ital J Neurol Sci, VSuppl 8, P1
[2]   Anaemia increases the risk of dementia in cognitively intact elderly [J].
Atti, AR ;
Palmer, K ;
Volpato, S ;
Zuliani, G ;
Winblad, B ;
Fratiglioni, L .
NEUROBIOLOGY OF AGING, 2006, 27 (02) :278-284
[3]  
Basso A, 1987, Funct Neurol, V2, P189
[4]   Hypoxia signaling to genes - Significance in Alzheimer's disease [J].
Bazan, NG ;
Palacios-Pelaez, R ;
Lukiw, WJ .
MOLECULAR NEUROBIOLOGY, 2002, 26 (2-3) :283-298
[5]   Cleavage of amyloid precursor protein elicited by chronic cerebral hypoperfusion [J].
Bennett, SAL ;
Pappas, BA ;
Stevens, WD ;
Davidson, CM ;
Fortin, T ;
Chen, J .
NEUROBIOLOGY OF AGING, 2000, 21 (02) :207-214
[6]   Mild cognitive impairment -: Can FDG-PET predict who is to rapidly convert to Alzheimer's disease? [J].
Chételat, G ;
Desgranges, B ;
de la Sayette, V ;
Viader, F ;
Eustache, F ;
Baron, JC .
NEUROLOGY, 2003, 60 (08) :1374-1377
[7]   Cyclin-dependent kinase 5 supports neuronal survival through phosphorylation of Bcl-2 [J].
Cheung, Zelda H. ;
Gong, Ke ;
Ip, Nancy Y. .
JOURNAL OF NEUROSCIENCE, 2008, 28 (19) :4872-4877
[8]   Is Alzheimer's disease preceded by neurodegeneration or cerebral hypoperfusion? [J].
de la Torre, JC .
ANNALS OF NEUROLOGY, 2005, 57 (06) :783-784
[9]   Alzheimer disease as a vascular disorder - Nosological evidence [J].
de la Torre, JC .
STROKE, 2002, 33 (04) :1152-1162
[10]   Critically attained threshold of cerebral hypoperfusion: Can it cause Alzheimer's disease? [J].
De la Torre, JC .
VASCULAR FACTORS IN ALZHEIMER'S DISEASE, 2000, 903 :424-436