Clinical backgrounds and morbidity of cognitive impairment in elderly diabetic patients

Yasunori, Yamazaki; Miwa, Takashi; Sakurai, Hirofumi; Hanyu, Haruo; Iwamoto, Toshihiko; Odawara, Masato

doi:10.1507/endocrj.k10e-388

Cited by 23 publications

(17 citation statements)

References 23 publications

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“…In our study, the prevalence of MCI in patients with type 2 diabetes was 32.7%, which was similar to the 21.9% to 37% reported in other studies [7,12,19]. The prevalence of MCI among studies could vary due to differences in the cognitive impairment test methods used (i.e., MMSE vs. MoCA) or in the clinical characteristics of the study population.…”

Section: Discussionsupporting

confidence: 85%

Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus

et al. 2014

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BackgroundThe aim of this study was to identify factors associated with mild cognitive impairment (MCI) in older Korean adults with type 2 diabetes mellitus.MethodsA total of 226 older (age ≥65 years) adults without a history of cerebrovascular disease or dementia participated in this study. Cognitive function was assessed with the Montreal Cognitive Assessment-Korean version (MoCA-K). A MoCA-K score <23 was defined as MCI.ResultsThe prevalence of MCI was 32.7%. In a logistic regression analysis, age (≥74 years old vs. 65-68 years old; odds ratio [OR], 3.69; 95% confidence interval [CI], 1.55 to 8.82; P=0.003), educational background (college graduation vs. no school or elementary school graduation; OR, 0.16; 95% CI, 0.05 to 0.46; P=0.001), and systolic blood pressure (≥135 mm Hg vs. ≤120 mm Hg; OR, 3.25; 95% CI, 1.29 to 8.17; P=0.012) were associated with MCI.ConclusionMore concentrated efforts focused on early detection and appropriate management of MCI may be required in older Korean adults with type 2 diabetes mellitus.

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Section: Discussionsupporting

confidence: 85%

Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus

et al. 2014

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“…In a small case control study of type 2 DM, prevalence of CIND (Cognitive Impairment No Dementia) was 38% compared to 20% in the controls [16]. A Japanese study showed 29% of the study subjects whose MMSE score ranges between 24 and 27 had a diagnosis of MCI [17]. A population-based study reported that the incidence of MCI in diabetic subjects was around 28% [6].…”

Section: Discussionmentioning

confidence: 99%

Montreal Cognitive Assessment Is Superior to Standardized Mini-Mental Status Exam in Detecting Mild Cognitive Impairment in the Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus

Alagiakrishnan

Zhao

Mereu

et al. 2013

BioMed Research International

115

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Aim. This study compares the usefulness of Montreal Cognitive Assessment (MoCA) to Standardized Mini-Mental Status Exam (SMMSE) for diagnosing mild cognitive impairment (MCI) in Type 2 diabetes mellitus (DM) population. Methods. This prospective pilot study enrolled 30 community dwelling adults with Type 2 DM aged 50 years and above. Subjects were assessed using both the SMMSE and MoCA for MCI. In all subjects, depression and dementia were ruled out using the DSM IV criteria, and a functional assessment was done. MCI was diagnosed using the standard test, the European consortium criteria. Sensitivity and specificity analysis, positive and negative predictive values, likelihood ratios and Kappa statistic were calculated. Results. In comparison to consortium criteria, the sensitivity and specificity of MoCA were 67% and 93% in identifying individuals with MCI, and SMMSE were 13% and 93%, respectively. The positive and negative predictive values for MoCA were 84% and 56%, and for SMMSE were 66% and 51%, respectively. Kappa statistics showed moderate agreement between MoCA and consortium criteria (kappa = 0.4) and a low agreement between SMMSE and consortium criteria (kappa = 0.07). Conclusion. In this pilot study, MoCA appears to be a better screening tool than SMMSE for MCI in the diabetic population.

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“…The condition along with chronic hyperglycemia commonly found in the sufferers may result in cognitive impairment mainly in executive functions, memory, attention and psychomotor activity and disability in long term [1,2]. This can negatively affect the patient’s adherence to diabetes treatment [3]. …”

Section: Introductionmentioning

confidence: 99%

Cognitive status and foot self care practice in overweight diabetics, engaged in different levels of physical activity

Madarshahian

Hassanabadi

Nikoo

2014

J Diabetes Metab Disord

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BackgroundType 2 diabetes along with chronic hyperglycemia may result in cognitive impairment. This can negatively affect the patient’s adherence to diabetes treatment. The purpose of this study was to compare the cognitive status and foot self care practice in overweight type 2 diabetic patients who exercised regularly and those who did not.MethodsThe comparative study was conducted on 160 consecutive patients from an outpatient diabetes clinic. They were divided into two groups: The active group comprised of 80 patients engaged in regular exercise for at least 15–30 minutes, three times per week during the past 6 months. The control group included 80 patients who had not exercised regularly for the past 12 months, matched for sex, age, education, diabetes duration, hemoglobin A1C and body mass index (BMI: 25–29.9Kg/m2). Data on the patients’ demographic information, foot care practice and physical activity habits were gathered using a questionnaire. The Mini Mental Status examination (MMSE) was applied to assess cognitive status.ResultsMMSE score was significantly higher in the active group. A significant negative correlation was noted between MMSE scores and BMI in the control group (r = −0.2, P = 0.03). A significant difference was noted in the four domains of foot self care practice between the active (4.77 ± 0.77) and control (4.45 ± 0.83) groups (P < 0.01).ConclusionsRegular physical activity can help promote cognitive status and foot self care practice in overweight patients with type 2 diabetes.

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Clinical backgrounds and morbidity of cognitive impairment in elderly diabetic patients

Cited by 23 publications

References 23 publications

Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus

Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus

Montreal Cognitive Assessment Is Superior to Standardized Mini-Mental Status Exam in Detecting Mild Cognitive Impairment in the Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus

Cognitive status and foot self care practice in overweight diabetics, engaged in different levels of physical activity

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