Ke hoʻonui nei ka noho kaʻawale ʻana ma ʻAmelika Hui Pū ʻIa i waena o ka poʻe ʻelemakule, ua hōʻike ʻia kahi noiʻi hou i kahi pilina kaulana ma waena o ka loneliness a me ka dementia pilikia, a ʻo ia ka mea e ʻoi loa i ka poʻe ʻAmelika e hōʻike ana i kahi hapa nui o ka heluna kanaka.
I loko o ke aʻo ʻana i paʻi ʻia i ka lā 7 Pepeluali ma Neurology, ka nūpepa olakino o ka American Academy of Neurology, ua ʻike nā mea noiʻi i ka piʻi ʻana o ʻekolu mau manawa o ka dementia ma waena o nā ʻAmelika mehameha ma mua o 80 mau makahiki i manaʻo ʻia e loaʻa kahi pilikia haʻahaʻa ma muli o ka makahiki a me nā kumu pilikia genetic. Ua ʻike pū ʻia ka haʻawina e pili ana ka loneliness me ka ʻoihana hoʻokele ʻilihune (ʻo ia hoʻi, kahi hui o nā kaʻina hana cognitive e pili ana i ka hoʻoholo ʻana, ka hoʻolālā ʻana, ka maʻalahi o ka noʻonoʻo, a me ka mālama ʻana i ka nānā) a me nā loli i ka lolo e hōʻike ana i ka nāwaliwali o ka maʻi a Alzheimer a me nā dementias pili. ADRD).
"Ke hoʻoikaika nei kēia haʻawina i ke koʻikoʻi o ka loneliness a me nā pilikia o ka pilina pili kanaka i ka hoʻoponopono ʻana i ko mākou pilikia o ka hoʻomohala ʻana i ka dementia i ko mākou mau makahiki," wahi a ka mea noiʻi alakaʻi ʻo Joel Salinas, MD, MBA, MSc, ka Lulu P. a me David J. Levidow Assistant Professor of Neurology ma NYU Grossman School of Medicine a me ka lālā o ka 'Oihana o Neurology's Center for Cognitive Neurology. "ʻO ka hoʻomaopopo ʻana i nā hōʻailona o ka mehameha iā ʻoe iho a me nā poʻe ʻē aʻe, ke kūkulu ʻana a me ka mālama ʻana i nā pilina kākoʻo, hāʻawi i ke kākoʻo i makemake nui ʻia i nā poʻe i loko o ko mākou ola e noho mehameha nei - he mea nui kēia no kēlā me kēia. Akā he mea koʻikoʻi lākou i ko mākou mau makahiki e hoʻonui i nā manawa e hoʻopaneʻe ai mākou a i ʻole e pale aku i ka emi ʻana o ka cognitive.
Hoʻopilikia ʻo Dementia ma mua o 6.2 miliona mau mākua ma ʻAmelika Hui Pū ʻIa, e like me kahi hōʻike kūikawā 2021 e ka Alzheimer's Association. Mai ka hoʻomaka ʻana o ka maʻi maʻi coronavirus, ua pili nā manaʻo mehameha ma kahi o 46 miliona mau ʻAmelika, a ʻoi aku ka nui o nā manaʻo mehameha i loaʻa i nā pākeke he 60 mau makahiki a keu.
"He mea hoʻomanaʻo kēia haʻawina, inā makemake mākou e hoʻokumu i ke olakino lolo, ʻaʻole hiki iā mākou ke haʻalele i ke kuleana o nā kumu psychosocial e like me ka loneliness a me nā kaiapuni a mākou e noho nei i kēlā me kēia lā," wahi a Dr. Salinas. "I kekahi manawa, ʻo ke ala maikaʻi loa e mālama ai iā mākou iho a me nā poʻe a mākou e aloha ai, ʻo ka hele pinepine ʻana a nānā i loko-e hoʻomaopopo a ʻike ʻia."
Ua ʻōlelo hou ʻo Kauka Salinas, “Hiki iā mākou ke kaʻana like me kekahi i ka wā mehameha mākou, mahalo pū kekahi i ke ʻano maʻamau o ka mehameha, a e ʻae i ka paʻakikī o ka hāʻawi ʻana a me ke noi ʻana i ke kākoʻo. ʻO ka pōmaikaʻi, hiki ke hoʻōla ʻia ka mehameha. A ʻoiai pono paha mākou e nāwaliwali a noʻonoʻo i ka noʻonoʻo ʻana i nā ala hou e hoʻopili ai, ʻoi aku ka maikaʻi o ke ʻano liʻiliʻi loa. "
Pehea i alakaʻi ʻia ai ke aʻo ʻana
I ka hoʻohana ʻana i ka ʻikepili retrospective o ka Framingham Study (FS), ua nānā nā mea noiʻi i nā poʻe 2,308 i loaʻa i ka dementia-free ma ka baseline, me ka makahiki awelika o 73. Ua loaʻa nā ʻano neuropsychological a me nā scan lolo MRI ma ka hoʻokolokolo ʻana a nīnau ʻia nā poʻe i ka manawa pinepine mehameha me nā hōʻailona kaumaha ʻē aʻe, e like me ka hiamoe hoʻomaha a i ʻole ka ʻai ʻole. Ua loiloi pū ʻia ka poʻe i komo no ka loaʻa ʻana o kahi mea pilikia genetic no ka maʻi o Alzheimer i kapa ʻia ʻo APOE ε4 allele. Ma ka holoʻokoʻa, ua hōʻike ka 144 o ka 2,308 i ka mehameha i nā lā ʻekolu a ʻoi aku paha i ka pule i hala.
Ua helu ʻia ka heluna kanaka noiʻi ma mua o hoʻokahi ʻumi makahiki no ka dementia me ka hoʻohana ʻana i nā ʻano lapaʻau koʻikoʻi, a ʻo 329 o ka 2,308 poʻe i komo ma hope i ʻike ʻia me ka maʻi. Ma waena o 144 mehameha i komo, 31 i hoʻomohala i ka dementia. ʻOiai ʻaʻohe pilina koʻikoʻi ma waena o ka loneliness a me ka dementia i nā poʻe i komo i ka makahiki 80 a ʻoi paha, ʻo nā poʻe ʻōpio ʻoi aku ka makahiki 60 a hiki i ka 79 ka poʻe mehameha ua ʻoi aku ma mua o ʻelua mau manawa e hoʻomohala i ka dementia. Ua pili ka loneliness me ka pi'i nui o ka pilikia ma waena o nā po'e 'ōpio i lawe 'ole i ka APOE ε4 allele.
Ua hoʻoholo ka poʻe noiʻi e pili ana ka pākolu o ka pōʻino i nā pilina ma waena o ka loneli a me ka ʻike mua a me nā hōʻailona neuroanatomical o ADRD vulnerability, e hoʻonui ana i nā hopena olakino o ka lehulehu no nā ʻano i ʻike ʻia i ka loneliness. Ua hōʻike ʻia nā ʻike hou aʻe e pili ana ka loneliness me ka ʻoi aku ka maikaʻi o ka hana hoʻokō, ka haʻahaʻa o ka nui o ka cerebral volume, a me ka ʻeha nui keʻokeʻo, ʻo ia nā hōʻailona o ka nāwaliwali no ka emi ʻana o ka cognitive.
Ma waho aʻe o Dr. Salinas, ua komo pū nā mea noiʻi mai ke Kula Nui o Boston University School of Public Health, Boston University School of Medicine, University of California Davis, a me ka Biggs Institute for Alzheimer's and Neurodegenerative Diseases ma ke Kulanui o Texas Health Science Center San Antonio. ma ke ao ana.
He aha e lawe ʻia mai kēia ʻatikala:
- In the study published February 7 in Neurology, the medical journal of the American Academy of Neurology, researchers found a three-fold increase in risk of subsequent dementia among lonely Americans younger than 80 years old who would otherwise be expected to have a relatively low risk based on age and genetic risk factors.
- Ke hoʻonui nei ka noho kaʻawale ʻana ma ʻAmelika Hui Pū ʻIa i waena o ka poʻe ʻelemakule, ua hōʻike ʻia kahi noiʻi hou i kahi pilina kaulana ma waena o ka loneliness a me ka dementia pilikia, a ʻo ia ka mea e ʻoi loa i ka poʻe ʻAmelika e hōʻike ana i kahi hapa nui o ka heluna kanaka.
- “This study is a reminder that, if we want to prioritize brain health, we can’t ignore the role of psychosocial factors like loneliness and the social environments we live in day-to-day,”.
