Association between cognitive dysfunction and diabetes in patients over 65 years old: a cross-sectional study using propensity score matching.

IF 2.5 4区 医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2024-02-21 DOI:10.2340/jrm.v56.18372
Liwen Zhai, Yao Yang, Jun Zhang, Weiqian Hou, Yujie Yang, Dongfang Ding, Conghui Li, Yi Zhu
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Abstract

Objectives: To investigate the association between diabetes and cognitive dysfunction in the elderly population, and examine the impact of cognitive dysfunction on level of activities of daily living (ADL) in patients with diabetes.

Methods: Data analysis was conducted on 2,951 individuals aged over 65 years from the Chinese Longitudinal Healthy Longevity Survey cohort. Propensity score matching was utilized to mitigate selection bias. Multivariate binary logistic regression was performed to analyse the association between diabetes and cognitive dysfunction in the study subjects. In addition, the relationship between ADL and cognitive function in patients with diabetes was analysed using the Wilcoxon rank-sum test.

Results: A significant association (p = 0.017) was found between diabetes and the occurrence of cognitive dysfunction in older adults. Subgroup analyses revealed that diabetes patients with cognitive dysfunction exhibited a worse ADL dependence compared with those without cognitive dysfunction (p < 0.001).

Conclusion: These findings indicate that diabetes is associated with cognitive dysfunction in older adults. Meanwhile, there is an association between cognitive impairment and ADL level in subjects with diabetes. As such, healthcare professionals should pay close attention to the occurrence of cognitive dysfunction and ADL decline during diagnosis and treatment, and proactive prevention and intervention strategies should be implemented.

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65 岁以上患者认知功能障碍与糖尿病之间的关系:一项采用倾向得分匹配法进行的横断面研究。
目的研究老年人群中糖尿病与认知功能障碍之间的关系,并探讨认知功能障碍对糖尿病患者日常生活活动(ADL)水平的影响:对中国健康长寿纵向调查队列中的 2951 名 65 岁以上老年人进行了数据分析。采用倾向得分匹配法来减少选择偏差。采用多变量二元逻辑回归分析糖尿病与研究对象认知功能障碍之间的关系。此外,还使用 Wilcoxon 秩和检验分析了糖尿病患者的 ADL 与认知功能之间的关系:结果:研究发现,糖尿病与老年人认知功能障碍的发生有明显关系(p = 0.017)。分组分析表明,与无认知功能障碍的糖尿病患者相比,有认知功能障碍的糖尿病患者的ADL依赖性更差(p 结论:这些研究结果表明,糖尿病与认知功能障碍的发生有关:这些研究结果表明,糖尿病与老年人的认知功能障碍有关。同时,糖尿病患者的认知功能障碍与 ADL 水平之间存在关联。因此,医护人员在诊断和治疗过程中应密切关注认知功能障碍和日常生活能力下降的发生,并实施积极的预防和干预策略。
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来源期刊
CiteScore
5.60
自引率
5.70%
发文量
102
审稿时长
4-8 weeks
期刊介绍: Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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