首页|老年人血浆IL-6、TNF-α水平与轻度认知功能障碍的关联

老年人血浆IL-6、TNF-α水平与轻度认知功能障碍的关联

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目的 分析广东老年人(≥65岁)血浆白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平与轻度认知功能障碍(mild cognitive impairment,MCI)的关联.方法 选取广东某社区卫生服务中心就诊的48例老年MCI患者作为病例组,96例无MCI的老年人作为对照组.采用logistic回归分析血浆IL-6、TNF-α水平与MCI的关联.绘制受试者工作特征(receiver operating characteristic,ROC)曲线评估血浆IL-6、TNF-α水平对MCI的诊断价值.结果 共纳入144名老年人,其中48名MCI患者,63名男性(43.8%).多因素logistic回归分析结果显示,血浆IL-6、TNF-α水平升高可使MCI患病风险增加,血浆IL-6、TNF-α水平每增高1个s,MCI 患病风险分别增加 53%和 51%(OR=1.53,95%CI:1.02~2.29,P=0.040;OR=1.51,95%CI:1.04~2.20,P=0.029).血浆 IL-6、TNF-α 的 ROC 曲线下面积分别为0.60、0.64.结论 血浆IL-6和TNF-α水平升高可能与≥65岁老年人MCI患病风险的增加有关.
Association between plasma levels of IL-6 and TNF-α and mild cognitive impairment in the elderly
Objective To analyze the association between plasma levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)and mild cognitive impairment(MCI)in elderly individuals aged 65 years and older in Guangdong.Methods A total of 48 MCI elderly patients who visited a community health service center in Guangdong were selected as the case group,while 96 non-MCI individuals served as controls.Logistic regression models were used to analyze the association between plasma levels of IL-6 and TNF-α and MCI.Receiver operating characteristic(ROC)curves were plotted to evaluate the diag-nostic value of plasma levels of IL-6 and TNF-α for MCI.Results A total of 144 elderly individuals were enrolled,including 48 MCI patients and 63 males(43.8%).The results of the multivariate logistic re-gression models showed that increased plasma levels of IL-6 and TNF-α could lead to a higher risk of MCI.Specifically,the risk of MCI increased by 53%and 51%for each standard deviation increase in plasma levels of IL-6 and TNF-α,respectively(OR=1.53,95%CI:1.02-2.29,P=0.040;OR=1.51,95%CI:1.04-2.20,P=0.029).The areas under the ROC curves for IL-6 and TNF-α were 0.60 and 0.64,respectively.Conclusions The increased risk of MCI in individuals aged 65 years and older may be associated with elevated plasma levels of IL-6 and TNF-α.

ElderlyMild cognitive impairmentInterleukin-6Tumor necrosis factor-αCase-control study

吴茵如、钟逸诗、高健、陈沛良、由芳菲、宋玮琦、毛琛

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南方医科大学公共卫生学院流行病学系,广州 510515

老年人 轻度认知功能障碍 白细胞介素-6 肿瘤坏死因子-α 病例对照研究

国家自然科学基金

81973109

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(3)
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