Type 2 diabetes and cognitive impairment in an older population with overweight or obesity and metabolic syndrome: baseline cross-sectional analysis ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Núria Mallorquí-Bagué, María Lozano-Madrid, Estefanía Toledo, Dolores Corella, Jordi Salas-Salvadó, Aida Cuenca-Royo, Jesús Vioque, Dora Romaguera, J. Alfredo Martínez, Julia Wärnberg, José López-Miranda, Ramón Estruch, Aurora Bueno-Cavanillas, Ángel Alonso-Gómez, Josep A. Tur, Francisco J. Tinahones, Lluís Serra-Majem, Vicente Martín, José Lapetra, Clotilde Vázquez, Xavier Pintó, Josep Vidal, Lidia Daimiel, José J. Gaforio, Pilar Matía, Emilio Ros, Roser Granero, Pilar Buil-Cosiales, Rocío Barragán, Mònica Bulló, Olga Castañer, Manoli García-de-la-Hera, Aina M. Yáñez, Itziar Abete, Antonio García-Ríos, Miguel Ruiz-Canela, Andrés Díaz-López, Susana Jiménez-Murcia, Miguel A. Martínez-González, Rafael De la Torre, Fernando Fernández-Aranda

ABSTRACT

This study cross-sectionally examines in the elderly population: (a) the association of type 2 diabetes with executive function (EF); (b) the effect of BMI on both type 2 diabetes and EF; (c) the association between glycaemia control and EF in type 2 diabetes. 6823 older individuals with overweight/obesity and metabolic syndrome participating in the PREDIMED-PLUS study, were assessed with a battery of cognitive tests and a medical interview. ANOVA showed a significantly worse performance on EF in type 2 diabetes vs. non-diabetic individuals. Two complementary models were displayed: (1) in the whole sample, the presence of type 2 diabetes, depressive symptoms and BMI had a direct negative effect on EF, while apnoea had an indirect negative effect; (2) in the diabetes subsample, higher illness duration was associated with worse performance in EF. Participants with type 2 diabetes and HbA1c<53 mmol/mol displayed better cognitive performance when compared to those with HbA1c≥53 mmol/mol. Our results provide a controlled comprehensive model that integrates relevant neuropsychological and physical variables in type 2 diabetes. The model suggests that, to improve treatment adherence and quality of life once diabetes has been diagnosed, cognitive decline prevention strategies need to be implemented while monitoring depressive symptoms, BMI and glycaemia control. More... »

PAGES

16128

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-018-33843-8

DOI

http://dx.doi.org/10.1038/s41598-018-33843-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107849775

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30382190


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563 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
564 Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
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567 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
568 Department of Cardiology, University Hospital Araba, Vitoria, Spain
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570 https://www.grid.ac/institutes/grid.4795.f schema:alternateName Complutense University of Madrid
571 schema:name Endocrinology and Nutrition Department, Hospital Clínico San Carlos-IdISSC, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
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573 https://www.grid.ac/institutes/grid.4807.b schema:alternateName University of Leon
574 schema:name Biomedicine Institute (IBIOMED), University of León, León, Spain
575 CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
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577 https://www.grid.ac/institutes/grid.482878.9 schema:alternateName IMDEA Food
578 schema:name Nutritional Genomics and Epigenomics Group, IMDEA Food, CEI UAM + CSIC, 28049, Madrid, Spain
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580 https://www.grid.ac/institutes/grid.5338.d schema:alternateName University of Valencia
581 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
582 Department of Preventive Medicine, University of Valencia, Valencia, Spain
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584 https://www.grid.ac/institutes/grid.5612.0 schema:alternateName Pompeu Fabra University
585 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
586 Department of Experimental and Health Sciences, University Pompeu Fabra, Barcelona, Spain
587 Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, Spain
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589 https://www.grid.ac/institutes/grid.5841.8 schema:alternateName University of Barcelona
590 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
591 Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
592 Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
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594 https://www.grid.ac/institutes/grid.5924.a schema:alternateName University of Navarra
595 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
596 Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, IMDEAfood, Madrid, Spain
597 Primary Health Care Division, Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain
598 University of Navarra, Department of Preventive Medicine and Public Health, Medical School, and Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
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600 https://www.grid.ac/institutes/grid.7080.f schema:alternateName Autonomous University of Barcelona
601 schema:name Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Barcelona, Spain
602 Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
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604 https://www.grid.ac/institutes/grid.9563.9 schema:alternateName University of the Balearic Islands
605 schema:name CIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
606 Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands, Palma de Mallorca, Spain
607 Universitat de les Illes Balear, Palma de Mallorca, Spain
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