Hypertension, diabetes and obesity are associated with lower cognitive performance in community-dwelling elderly: Data from the FIBRA study

Oliveira, Monalisa Fernanda Bocchi de; Yassuda, Mônica Sanches; Aprahamian, Ivan; Néri, Anita Liberalesso; Guariento, Maria Elena

doi:10.1590/1980-57642016dn11-040009

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…A hyperglycemic crisis indicates poor control of diabetes, which may increase the risk of subsequent mortality and other complications including endstage renal disease and stroke via microvascular and macrovascular injuries [10,[14][15][16]. Previous studies showed that diabetes, even higher glucose levels without meeting the diagnostic criteria for diabetes, increased the risk of dementia [17,18]. However, the association between hyperglycemic crisis episode (HCE) and dementia remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Risk of Dementia in Diabetic Patients with Hyperglycemic Crisis: A Nationwide Taiwanese Population-Based Cohort Study

et al. 2020

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Background: A hyperglycemic crisis episode (HCE) signifies poor control of diabetes and may increase the risk of dementia via microvascular and macrovascular injuries. Objectives: We conducted this study to clarify this issue, which remains unclear. Methods: Using the Taiwan National Health Insurance Database, we identified 9,466 diabetic patients with HCE and the identical number of diabetic patients without HCE who were matched by age and sex for this nationwide population-based cohort study. The risk of dementia was compared between the 2 cohorts by following up until 2014. Investigation of independent predictors of dementia was also done. Results: In the overall analysis, the risk of dementia between the 2 cohorts was not different. However, stratified analyses showed that patients with HCE had a higher risk of subsequent dementia in the age subgroup of 45−54 and 55–64 years (adjusted odds ratio [AOR]: 2.4, 95% confidence interval [CI]: 1.6–3.6, and AOR: 1.2, 95% CI: 1.0–1.5, respectively). In the overall analysis, older age, female sex, ≥3 HCEs, hypertension, hyperlipidemia, depression, cerebrovascular disease, Parkinson’s disease, and head injury were independent predictors. Conclusions: HCE increased the risk of dementia in diabetic patients aged 45–64 years. Dementia was predicted by ≥3 HCEs. Prevention of recurrent HCE, control of comorbidities, and close follow-up of cognitive decline and dementia are suggested in patients with HCE.

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Section: Introductionmentioning

confidence: 99%

Risk of Dementia in Diabetic Patients with Hyperglycemic Crisis: A Nationwide Taiwanese Population-Based Cohort Study

et al. 2020

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Memory complaints at primary care in a middle-income country: clinical and neuropsychological characterization

Pereira

Vasconcelos

Oliveira

et al. 2021

Dement. neuropsychol.

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ABSTRACT. There are different causes of memory complaints in the elderly, such as subjective cognitive decline (SCD), mild cognitive impairment (MCI) or dementia. Objective: 1) To characterize individuals with memory complaints in a mid-sized city in Brazil, through clinical, cognitive and functional assessment; 2) to compare SCD individuals with MCI and dementia patients in terms of clinical and cognitive variables. Methods: We consecutively included individuals aged ≥50 years, with memory complaints (spontaneous or inquired). Subjects who scored ≥25 on the Memory Complaint Questionnaire or who had spontaneous memory complaints were selected. Participants underwent a semi-structured interview, the Mini-Mental State Examination, Figure Memory Test for visual episodic memory, Clock Drawing Test, Category Fluency (Animals), Neuropsychiatric Inventory, and functional assessment. Individuals were classified as SCD, MCI or dementia. We did not include individuals with previous diagnosis of dementia. Results: The final sample consisted of 91 subjects (73.6% women; mean age 67.6±9.8 years): 14.3% had spontaneous complaints and 85.7% had inquired complaints. The most common comorbidities were hypertension (69.2%), diabetes (36.3%), and dyslipidemia (24.2%). Low levels of vitamin B12 and hypothyroidism were found in 26.4 and 16.5%, respectively. Regarding cognitive diagnosis, 16.5% of the sample were classified as SCD, 49.4% as MCI and 34.1% as dementia. MCI and dementia were identified in five (38.5%) and seven (53.4%) patients with spontaneous complaint, respectively. Conclusions: MCI and dementia are frequently underdiagnosed. Potential reversible causes of cognitive decline are common. The diagnosis of dementia is highly frequent among individuals with spontaneous memory complaints.

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Letramento Em Saúde a Idosos: Uma Abordagem Da Comunicação Na Atenção Básica Em Saúde

Pasklan

Pereira

Mesquita

et al. 2021

Rev Enferm Atenção Saúde

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Objetivo: Avaliar o letramento em saúde dos idosos hipertensos e/ou diabéticos acompanhados pela Estratégia Saúde da Família. Método: Foram selecionados 121 idosos aptos a participarem do estudo. Resultados: A maioria era do sexo feminino, com idade entre 60 e 64 anos, escolaridade básica, e sem ocupação após a aposentadoria. 60,3% possuem letramento baixo. Há uma diferença estatisticamente significante no baixo letramento com as variáveis sexo, faixa etária, escolaridade, e o tipo de ocupação. As mulheres possuem maior nível de letramento, e quanto mais avançada a idade, menor o letramento. A população idosa aposentada demonstrou maior nível de letramento. O tipo de material para leitura mais citado foi a bíblia. Destaca-se um número alto de idosos que relatou não gostar de ler, influenciando a alta prevalência do baixo nível de letramento. Conclusões: Propõe-se aqui, que intervenções que visem garantir a promoção da saúde, devem verificar o nível de letramento dos indivíduos.

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Hypertension, diabetes and obesity are associated with lower cognitive performance in community-dwelling elderly: Data from the FIBRA study

Cited by 3 publications

References 42 publications

Risk of Dementia in Diabetic Patients with Hyperglycemic Crisis: A Nationwide Taiwanese Population-Based Cohort Study

Risk of Dementia in Diabetic Patients with Hyperglycemic Crisis: A Nationwide Taiwanese Population-Based Cohort Study

Memory complaints at primary care in a middle-income country: clinical and neuropsychological characterization

Letramento Em Saúde a Idosos: Uma Abordagem Da Comunicação Na Atenção Básica Em Saúde

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