文献詳細
文献概要
今月の主題 アルツハイマー病の最近の進歩 各論─診断・治療・予防
アルツハイマー病の予防
著者: 玉岡晃1
所属機関: 1筑波大学大学院人間総合科学研究科病態制御医学専攻神経病態医学分野(臨床医学系神経内科)
ページ範囲:P.307 - P.313
文献購入ページに移動 高齢化社会を迎えてアルツハイマー病(AD)の有病率はますます増えつつあり,ADの予防は極めて重要な研究課題となっている.高血圧をコントロールし,健康的な食生活や規則的な運動を行い,知的活動を持続させることがADの予防に有用であるとされている.ADのアミロイド仮説に基づけば,脳内にアミロイドβ蛋白(Aβ)が病的な蓄積を始める時点を分子イメージングで捉えて抗Aβ療法を行うことが,根本的なAD予防法として期待できる.
参考文献
1) Scalco MZ, van Reekum R:Prevention of Alzheimer disease. Canadian Family Physician 52:200-207, 2006
2) Wu C, Zhou D, Wen C:Relationship between blood pressure and Alzheimer's disease in Linxian County. China. Life Sci 72:1125-1133, 2003
3) Qiu C, von Strauss E, Fastbom J, et al:Low blood pressure and risk of dementia in the Kungsholman Project. A6-year follow-up study. Arch Neurol 60:223-228, 2003
4) Murray MD, Lane KA, Gao S, et al:Preservation of cognitive function with antihypertensive medications. A longitudinal analysis of a community-based sample of African Americans. Arch Intern Med 162:2090-2096, 2002
5) Petrella JR, Coleman RE, Doraiswamy PM:Neuroimaging and early diagnosis of Alzheimer disease:a look to the future. Radiology 226:315-336, 2003
6) Michikawa M:Cholesterol paradox:is high total or low HDL cholesterol level a risk for Alzheimer's disease? J Neurosci Res 72:141-146, 2003
7) Burns M, Duff K:Use of in vivo models to study the role of cholesterol in the etiology of Alzheimer's disease. Neurochem Res 28:979-986, 2003
8) Simons M, Schwarzier F, Lutjohann D, et al:Treatment with simvastatin in normocholesterolemic patients with Alzheimer's disease:a 26-week randomized, placebo-controlled, double-blind trial. Ann Neurol 52:346-350, 2002
9) Luchsinger JA, Tang MX, Shea S, et al:Caloric intake and the risk of Alzheimer's disease. Arch Neurol 59:1258-1263, 2002
10) Barberger-Gateau P, Letenneur L, Deschamps V, et al:Fish, meat, and risk of dementia:cohort study. BMJ 325:932-933, 2002
11) Morris MC, Evans DA, Bienias JL, et al:Consumption of fish and 3-n fatty acids and risk of incident Alzheimer disease. Arch Neurol 60:940-946, 2003
12) Hu FB, Willet WC:Optimal diets for prevention of coronary heart disease. JAMA 288:2569-2578, 2002
13) Hooper L, Thompson R, Harrison R, et al:Omega 3 fatty acids for prevention and treatment of cardiovascular disease. Cochrane Database Syst Rev:CD003177, 2004
14) Pope SK, Shue VM, Beck C:Will a healthy lifestyle help prevent Alzheimer's disease? Ann Rev Public Health 24:111-132, 2003
15) Engelhart MJ, Geerlings MI, Ruitenberg A, et al:Dietary intake of antioxidants and risk of Alzheimer disease. JAMA 287:3223-3229, 2002
16) Morris MC, Evans DA, Bienias JL, et al:Dietary intake of antioxidant nutrients and the risk of incident Alzheimer disease in a biracial community study. JAMA 287:3230-3237, 2002
17) Luchsinger JA, Tang M, Shea S, et al:Antioxidant vitamin intake and risk of Alzheimer disease. Arch Neurol 60:203-208, 2003
18) Letenneur L:Risk of dementia and alcohol and wine consumption:a review of recent results. Biol Res 37:189-193, 2004
19) Wilson RS, Bennett DA, Bienias JL, et al:Cognitive activity and incident AD in a population-based sample of older persons. Neurology 59:1910-1914, 2002
20) Wilson RS, Mendes de Leon CF, Barnes LL, et al:Participation in cognitively stimulating activities and risk of incident Alzheimer disease. JAMA 287:742-748, 2002
21) Lytle ME, Bilt JV, Pandav RS, et al:Exercise level and cognitive decline. Alzheimer Dis Assoc Disord 18:57-64, 2004
22) Heyn P, Abreu BC, Ottenbacker KJ:The effects of exercise training on elderly persons with cognitive impairment and dementia:a meta-analysis. Arch Phys Med Rehabil 85:1694-1704, 2004
23) Laurin D, Verreault R, Lindsay J, et al:Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol 58:498-504, 2001
24) Weuve J, Kang JH, Manson JE, et al:Physical activity, including walking, and cognitive function in older woman. JAMA 292:1454-1461, 2004
25) Yoshitake T, Kiyohara Y, Kato I, et al:Incidence and risk factors of vascular dementia and Alzheimer's disease in a defined elderly Japanese population:the Hisayama study. Neurology 45:1161-1168, 1995
26) Schuit AJ, Feskens EJM, Launer LJ, et al:Physical activity and cognitive decline, the role of the apolipoprotein e4 allele. Med Sci Sports Exerc 133:772-777, 2001
27) Hogervorst E, Williams J, Budge M, et al:The nature of the effect of female gonadal hormone replacement therapy on cognitive functions in post-menopausal woman:a meta-analysis. Neuroscience 101:485-512, 2000
28) Shumaker SA, Legault C, Kuller L, et al:Conjugates equine estrogen and the incidence of probable dementia and mild cognitive impairment in postmenopausal woman. JAMA 291:2947-2958, 2004
29) Zandi PP, Carlson MC, Plassman BL, et al:Hormone replacement therapy and incidence of Alzheimer disease in older woman. JAMA 288:2123-2129, 2002
30) Fillit HM:The role of hormone replacement therapy in the prevention of Alzheimer disease. Arch Intern Med 162:1934-1942, 2002
31) Etminan M, Gill S, Samil A:Effect of non-steroidal anti-inflammatory drugs on risk of Alzheimer's disease:systematic review and meta-analysis of observational studies. BMJ 327:128-131, 2003
32) Launer L:Nonsteroidal anti-inflammatory drug use and the risk for Alzheimer's disease:dissecting the epidemiological evidence. Drugs 63:731-739, 2003
33) Sano M, Ernesto C, Thomas RG, et al:A controlled trial of selegiline, alpha-tocopherol, or both as treatment for Alzheimer's disease. The Alzheimer's Disease Cooperative Study. N Engl J Med 336:1216-1222, 1997
34) Tabet N, Birks J, Evans JG, et al:Vitamin E for Alzheimer's disease. Cochrane Database Syst Rev 4:CD002854, 2000
35) Birks J, Grimley EV, Van Dorgen M:Ginkgo biloba for cognitive impairment and dementia. Cochrane Database Syst Rev 4:CD003120, 2002
36) Delagarza V:Pharmacologic treatment of Alzheimer's disease:an update. Am Fam Physician 68:1365-1372, 2003
37) Lesne S, Koh MT, Kotilinek L, et al:A specific amyloid-beta protein assembly in the brain impairs memory. Nature 440:352-357, 2006
38) Funato H, Yoshimura M, Kusui K, et al:Quantitation of amyloid beta-protein(A beta)in the cortex during aging and in Alzheimer's disease. Am J Pathol 152:1633-1640, 1998
39) 玉岡晃:アミロイドカスケード仮説に基づく治療戦略.Modern Physician 25:1096-1100, 2005
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