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雄性激素对老年男性认知功能影响(综述)

Effects of androgen on cognitive function in elderly men

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在观察性研究中,男性雄性激素水平与整体认知、记忆、执行功能和空间表现之间存在正相关,雄性激素水平和多种认知功能与年龄增长呈负相关.关于雄性激素对认知功能影响的机理也有被报道.雄性激素补充治疗是否能改善老年男性认知功能的结论也不相同,有些研究认为睾酮补充治疗能够改善雄性激素缺乏男性的认知功能,有些结论与之相反,这需要今后更大规模的随机对照试验来进一步证实睾酮治疗在预防认知能力下降和痴呆等方面的作用.
In observational studies,positive correlations were found between male androgen levels and overall cognition,memory,executive function and spatial performance,and negative correlations were found between androgen levels and a variety of cognitive functions with aging.Mechanisms of androgen's effect on cognitive function have also been reported.The conclusions as to whether androgen supplementation improves cognitive function in older men also vary,with some studies concluding that testosterone supplementation improves cognitive function in androgen-deficient men,and some concluding the opposite,which will require larger randomised controlled trials in the future to further substantiate the role of testosterone treatment in preventing,for example,cognitive decline and dementia.

androgenelderly malecognitive functionmechanismandrogen therapy

邓大同、许敏、高晓蔓、何健乐、王林、惠灿灿

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安徽医科大学第一附属医院 安徽合肥 230022

雄性激素 老年男性 认知功能 机制 雄性激素治疗

安徽省高校科学研究重点项目

2022AH051141

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(3)