Geriatric Syndromes and Not Cardiovascular Risk Factors are Associated with Cognitive Impairment among Mexican Community-Dwelling Elderly with Type 2 Diabetes
2017
Background: The association of cognitive impairment and type 2 diabetes has been consistently shown in several studies, yet
its association with geriatric syndromes has not been fully explored. Objective: To study the correlates of cognitive impairment
among community-dwelling elderly with type 2 diabetes. Methods: Cross-sectional study of 135 diabetic persons aged 70 years
or older participating in the Coyoacan Cohort Study in Mexico City. Baseline data included chronic illnesses, geriatric syndromes,
and diabetes-related variables. The lowest quartile in both the Mini-Mental State Examination and the Isaacs Set Test, according
to age and schooling, was used to identify participants with cognitive impairment. Multivariate logistic regression analyses were
used to identify the correlates of cognitive impairment. Results: Mean age of participants was 77.7 ± 5.8 years. The prevalence
of cognitive impairment was 14.1%. Univariate logistic regression analyses showed that diabetic nephropathy, depression symptoms,
falls, and frailty were associated with cognitive impairment. Multivariate logistic regression analyses showed that urinary incontinence
and frailty were independently associated with cognitive impairment. Cardiovascular risk factors and diabetes-related
variables did not show significant association to cognitive impairment. Conclusions: Geriatric syndromes, but not cardiovascular
risk factors, were independently associated with cognitive impairment among diabetic elderlies. Intentional evaluation of these
conditions may be important to improve management of the elderly patient with type 2 diabetes and cognitive impairment.
(REV INVES CLIN. 2017;69:166-72)
Keywords:
- Correction
- Cite
- Save
- Machine Reading By IdeaReader
0
References
0
Citations
NaN
KQI