Cited by 592Dementia and Cognitive Impairment ResearchCancer-related cognitive impairment studiesAlzheimer's disease research and treatments

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Relation of Diabetes to Mild Cognitive Impairment

Luchsinger, José A., Reitz, Christiane, Patel, Bindu, Tang, Ming-Xin, Manly, Jennifer J., Mayeux, Richard·2007·Archives of Neurology

DOI 10.1001/archneur.64.4.570

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Abstract

BACKGROUND: Type 2 diabetes mellitus is an important risk factor for Alzheimer disease and is more prevalent in elderly minority persons compared with non-Hispanic white persons. OBJECTIVE: To determine whether diabetes is related to a higher risk of mild cognitive impairment (MCI), a transitional stage between normal cognition and Alzheimer disease, in a multiethnic cohort with a high prevalence of diabetes. DESIGN: Longitudinal cohort study. SETTING: Northern Manhattan in New York, NY. PARTICIPANTS: We studied persons without prevalent MCI or dementia at baseline and with at least 1 follow-up interval. Of 1772 participants with a complete neuropsychological evaluation, 339 (19.1%) were excluded because of prevalent dementia, 304 were excluded because of prevalent MCI (17.2%), and 211 were excluded because of loss to follow-up (11.9%), resulting in a final sample of 918 participants for longitudinal analyses. MAIN OUTCOME MEASURES: We related diabetes defined by self-report to incident all-cause MCI, amnestic MCI, and nonamnestic MCI. We conducted multivariate analyses with proportional hazards regression adjusting for age, sex, years of education, ethnic group, apolipoprotein E (APOE) epsilon4 allele, hypertension, low-density lipoprotein level, current smoking, heart disease, and stroke. RESULTS: A total of 334 persons had incident MCI, 160 (47.9%) had amnestic MCI, and 174 (52.1%) had nonamnestic MCI. Diabetes was related to a significantly higher risk of all-cause MCI and amnestic MCI after adjustment for all covariates. Diabetes was also related to a higher risk of nonamnestic MCI, but this association was appreciably attenuated after adjustment for socioeconomic variables and vascular risk factors. The risk of MCI attributable to diabetes was 8.8% for the whole sample and was higher for African American persons (8.4%) and Hispanic persons (11.0%) compared with non-Hispanic white persons (4.6%), reflecting the higher prevalence of diabetes in minority populations in the United States. CONCLUSION: Diabetes is related to a higher risk of amnestic MCI in a population with a high prevalence of this disorder.

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Authors: Luchsinger, J. A., Reitz, C., Patel, B., Tang, M.-X., Manly, J. J., & Mayeux, R.
ORCID: Reitz, Christiane
Patel, Bindu
Tang, Ming-Xin
Manly, Jennifer J.
Mayeux, Richard
Venue: Archives of Neurology
Publisher: American Medical Association (AMA)
Published: 2007-04-01
Volume: 64
Issue: 4
Pages: 570
ISSN: 0003-9942 (ISSN-L)
DOI: 10.1001/archneur.64.4.570
OpenAlex: W2034664059
Cited by: 592
References: 58
Citations by year: 2026: 14 · 2025: 22 · 2024: 24 · 2023: 26 · 2022: 24 · 2021: 28 · 2020: 37 · 2019: 32 · 2018: 28 · 2017: 29 · 2016: 35 · 2015: 33 · 2014: 47 · 2013: 34 · 2012: 39
FWCI: 19.93
Type: journal article
Language: en
Open access: closed
Locations: Archives of Neurology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (P01AG007232, K08AG020856, AG 07702, AG 07232, 1K08 AG 20856-01)
National Center for Research Resources (RR 00645, M01RR000645)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
Keywords: type 2 diabetes, mild cognitive impairment, amnestic mild cognitive impairment, non-amnestic mild cognitive impairment, Alzheimer's disease risk, racial and ethnic disparities, African Americans, Hispanic Americans, minority groups, vascular risk factors, socioeconomic factors
MeSH terms: Aged, Aged, 80 and over, Analysis of Variance, Apolipoproteins E, Black or African American, Cognition Disorders, Diabetes Mellitus, Type 2, Female, Follow-Up Studies, Genotype, Hispanic or Latino, Humans, Male, Middle Aged, Neuropsychological Tests, New York, Risk Factors, Cohort Studies, Prevalence, White People

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Relation of Diabetes to Mild Cognitive Impairment

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