ArticleDiabetes, obesity, and cardiometabolic CARE
Determinants of Cognitive Change Over 1 Year in Older Adults With Type 1 Diabetes.
Article in Diabetes, obesity, and cardiometabolic CARE. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveOlder adults with type 1 diabetes (T1D) have a greater risk for cognitive decline, highlighting the need to identify risk factors for meaningful cognitive change using brief screening tools suitable for annual wellness examinations. RESEARCH DESIGN AND
methodsThis study examined determinants of 1-year cognitive change in 74 older adults with T1D (mean age 70 ± 4 years; 47% female). Cognitive outcomes included the Montreal Cognitive Assessment (MoCA) and the Processing Speed Index (PSI) from the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV). Bivariate correlations and multiple regression analyses evaluated demographic, vascular, and diabetes-related predictors.
resultsThe mean MoCA change score was 0.1 (range -5 to 7; 23% with >1.73-point lower scores after 12 months), and the mean change on the WAIS-PSI was 2.5 (range -14 to 28). Greater MoCA decline was seen in participants with neuropathy (
conclusionsPartnered status, older age, hypertension, neuropathy, and interval severe hypoglycemia predicted 1-year cognitive decline detectable with brief cognitive screening and processing speed measures, underscoring the importance of cognitive assessment and monitoring in older adults with T1D who present with these risk factors. f0eb95da-ff7b-4b60-9495-bc32be08ad8ddoc260069video1.
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