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논문 기본 정보

자료유형
학술저널
저자정보
김지희 (원광대학교 의과대학 재활의학교실) 박현영 (원광대학교 의과대학 신경과학교실) 김대원 (원광대학교 의과대학 신경외과학교실) 변승재 (원광대학교 의과대학 외과학교실) 문효정 (원광대학교 의과대학 재활의학교실) 이인 (부산대학교 한의학전문대학원 한의학과) 양충용 (원광대학교 의과대학 재활의학교실)
저널정보
대한동의생리학회 동의생리병리학회지 동의생리병리학회지 제26권 제3호
발행연도
2012.1
수록면
399 - 407 (9page)

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To evaluate age and gender differences in the relation of cardiovascular risk factors, cognitive impairment, and subclinical carotid atherosclerosis from aged people using by a cross sectional method. Sixty-nine healthy elders living in the community who had not previously undergone carotid ultrasonography were included. We conducted life style surveys, and cognitive function tests including Korean-mini-mental state examination (K-MMSE) and clinical dementia rating-Korean. Various biomarkers from blood were assessed; fasting insulin-like growth factor-1, lipid-profile, high sensitivity C-reactive protein, total homocysteine, glucose, insulin, Homeostasis model assessment (HOMA) for insulin resistance index, vitamin B12, and folate level. Carotid intima-media thickness (C-IMT), and plaques were measured using carotid ultrasonography and aortic ultrasonography, a valid index of atherosclerosis. For the elderly subjects (aged 65-82 years), cognition impairment was more prevalent in females while subclinical atherosclerosis was more prevalentin males. Increased C-IMT has been kept in males, and C-IMT shows increasing trend and the peak at about 80 year-old in females with increasing age. The significant correlations between C-IMT and many vascular risk factors including age, triglyceride, abnormal homocysteinein male, and K-MMSE, insulin, HOMA index and abnormal aortic ultrasonography in female were different in each gender, with the exception of homocysteine (p<0.05). This data suggests that there were differences of age and gender characteristics in terms of subclinical atherosclerosis, cognitive impairment and vascular risk factors in community-living elders. Further larger and longitudinal studies across entire age are required to better understand the effects of risk factors on subclinical atherosclerosis.

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