A Primary Care Agenda for Brain Health: A Scientific Statement From the American Heart Association.
A Primary Care Agenda for Brain Health: A Scientific Statement From the American Heart Association.
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大脑健康的初级保健议程：美国心脏协会的科学声明。
DOI：
10.1161/str.0000000000000367
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发表时间：
2021-06
期刊：
影响因子：
8.3
通讯作者：
American Heart Association Stroke Council
中科院分区：
文献类型：
--
作者：
Lazar RM;Howard VJ;Kernan WN;Aparicio HJ;Levine DA;Viera AJ;Jordan LC;Nyenhuis DL;Possin KL;Sorond FA;White CL;American Heart Association Stroke Council
一个健康的大脑是至关重要的生活更长和更充分的生活。然而，预计的人口老龄化对维持生活质量提出了新的挑战。随着年龄的增长，影响认知等功能的神经元活动越来越多，也使大脑容易受到疾病的影响。一旦病理诱导的衰退开始，几乎没有治疗选择。因此，预防至关重要，初级保健可以发挥关键作用。本美国心脏协会科学声明的目的是为初级保健提供者提供最新的总结，以评估和修改个人层面的风险因素，以维持大脑健康并预防认知障碍。基于2017年美国心脏协会/美国中风协会关于定义大脑健康的总统咨询，其中包括“生活简单7”，我们在这里描述了认知能力下降的可改变风险因素，包括抑郁症，高血压，缺乏运动，糖尿病，肥胖，高脂血症，饮食不良，吸烟，社交孤立，过度饮酒，睡眠障碍和听力损失。这些风险因素包括成年前可能出现的行为，状况和生活方式，并且可以由初级保健临床医生进行常规识别和管理。
A healthy brain is critical for living a longer and fuller life. The projected aging of the population, however, raises new challenges in maintaining quality of life. As we age, there is increasing compromise of neuronal activity that affects functions such as cognition, also making the brain vulnerable to disease. Once pathology-induced decline begins, few therapeutic options are available. Prevention is therefore paramount, and primary care can play a critical role. The purpose of this American Heart Association scientific statement is to provide an up-to-date summary for primary care providers in the assessment and modification of risk factors at the individual level that maintain brain health and prevent cognitive impairment. Building on the 2017 American Heart Association/American Stroke Association presidential advisory on defining brain health that included “Life’s Simple 7,” we describe here modifiable risk factors for cognitive decline, including depression, hypertension, physical inactivity, diabetes, obesity, hyperlipidemia, poor diet, smoking, social isolation, excessive alcohol use, sleep disorders, and hearing loss. These risk factors include behaviors, conditions, and lifestyles that can emerge before adulthood and can be routinely identified and managed by primary care clinicians.