セキ　ミサ   Seki Misa   関　美沙    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Association of Age-Related Spontaneous Internal Jugular Vein Reflux with Cognitive Impairment and Incident Dementia.
掲載誌名	正式名：Journal of Alzheimer's disease : JAD 略　 称：J Alzheimers Dis ISSNコード：18758908/13872877
掲載区分	国外
巻・号・頁	96(3),pp.1221-1230
著者・共著者	Adachi Utako, Toi Sono, Hosoya Megumi, Hoshino Takao, Seki Misa, Yoshizawa Hiroshi, Tsutsumi Yukiko, Maruyama Kenji, Kitagawa Kazuo
発行年月	2023
概要	BACKGROUND:It remains unclear whether changes in the venous circulation contribute to cognitive decline.OBJECTIVE:This study aimed to clarify whether the spontaneous jugular vein reflux (JVR) is associated with cognitive impairment and incident dementia.METHODS:Patients with any evidence of cerebral vessel disease on magnetic resonance imaging (MRI) were consecutively enrolled between October 2015 to July 2019. We employed carotid duplex sonography to measure the internal jugular vein (IJV). The subjects were classified into two groups based on the degree of JVR on either side: none, mild (JVR(-) group) and moderate, severe (JVR (+) group) JVR. They underwent both the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment-Japanese (MoCA-J) global tests. Their cognitive status was prospectively assessed until March 2023.RESULTS:302 patients with an MMSE score ≥24 underwent duplex sonography of the IJV. Among them, 91 had spontaneous JVR on either side. Both MMSE and MoCA-J were significantly lower in patients with JVR (+) group than in the JVR (-) group. After the adjustment for risk factors and MRI findings, intergroup differences in MoCA-J remained significant. Among the cognitive subdomains, median executive function and memory scores were significantly lower in the JVR (+) group than in the JVR (-) group. During the median 5.2-year follow-up, 11 patients with incident dementia were diagnosed. Patients with severe JVR were significantly more likely to be diagnosed with dementia (log-rank test, p = 0.031).CONCLUSIONS:Spontaneous IJV reflux especially severe JVR, was associated with global cognitive function, and potentially with incident dementia.
DOI	10.3233/JAD-230771
PMID	37927264