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Cited by 104Dementia and Cognitive Impairment ResearchCancer-related cognitive impairment studiesDiabetes Treatment and Management

Impact of diabetes on cognitive function among older Latinos

Wu, Jasmanda H, Haan, Mary N, Liang, Jersey, Ghosh, Debashis, Gonzalez, Hector M, Herman, William H·2003·Journal of Clinical Epidemiology
DOI 10.1016/s0895-4356(03)00077-5
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Abstract

Background and objectives Type 2 diabetes, which is highly prevalent in older Mexican Americans, may influence cognitive functioning. We examined the association of diabetes with decline in global cognitive function and memory function over a 2-year period.Methods Study subjects were derived from an existing cohort of Latinos aged 60 and over in the SALSA project (n=1,789). Statistical analysis was conducted using logistic regression and a generalized estimating equation (GEE).Results Logistic regression analysis indicated that baseline diabetes was a significant predictor of major cognitive impairment in Modified Mini Mental State Exam (3MSE) (OR=1.68, 95% CI=1.21, 2.34) and word-list test (OR=1.31, 95% CI=0.99, 1.75). GEE analysis showed that there was no significant difference between diabetic and nondiabetic subjects in change of cognitive scores over 2 years (3MSE, mean=-0.58, 95% CI=-1.48, 0.32; word-list test, mean=-0.10, 95% CI=-0.32, 0.11).Conclusions More diabetic complications were associated with major cognitive decline among diabetic subjects. Research on long-term impact of treatment for type 2 diabetes is warranted.

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  • Prospective epidemiological studies show a relationship between cognitive decline and clinical markers associated with hyperglycaemia (e.g., use of glucose-lowering medication, diabetes duration, diabetes complications).

    “Finally, prospective epidemiological studies also show a relationship between cognitive decline and clinical markers associated with hyperglycaemia, e.g. use of glucose-lowering medication, diabetes duration and diabetes complications [46, 48, 49, 54, 56, 64].”

    From Cognitive decline and dementia in diabetes—systematic overview of prospective observational studies (2005) · cites this paper as [48]

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Authors
Wu, J. H., Haan, M. N., Liang, J., Ghosh, D., Gonzalez, H. M., & Herman, W. H.
Affiliations
University of Michigan (US)
Corresponding author
Haan, Mary N
ORCID
Venue
Journal of Clinical Epidemiology
Publisher
Elsevier BV
Published
2003-07
Volume
56
Issue
7
Pages
686-693
ISSN
0895-4356 (ISSN-L)
DOI
10.1016/s0895-4356(03)00077-5
OpenAlex
W2068329087
Cited by
104
References
43
Citations by year
2026: 1 · 2024: 1 · 2023: 2 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 10 · 2014: 5 · 2013: 3 · 2012: 7
FWCI
4.08
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Clinical Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (12975)
  • National Institute on Aging (R01AG012975, R03AG033751)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK060753)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 2 diabetes, cognitive decline, cognitive impairment, memory function, Latino older adults, Mexican Americans, aging, diabetes complications
MeSH terms
Aged, Aged, 80 and over, California, Cognition Disorders, Diabetes Mellitus, Type 2, Female, Hispanic or Latino, Humans, Longitudinal Studies, Male, Middle Aged, Psychiatric Status Rating Scales, Mental Recall, Risk Factors, Logistic Models, Stroke

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