Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus.
10.4093/dmj.2014.38.2.150
- Author:
Yun Jeong LEE
1
;
Hye Mi KANG
;
Na Kyung KIM
;
Ju Yeon YANG
;
Jung Hyun NOH
;
Kyung Soo KO
;
Byoung Doo RHEE
;
Dong Jun KIM
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. djkim@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Aged;
Diabetes mellitus, type 2;
Mild cognitive impairment
- MeSH:
Adult*;
Blood Pressure;
Dementia;
Diabetes Mellitus, Type 2*;
Humans;
Logistic Models;
Mild Cognitive Impairment*;
Odds Ratio;
Prevalence
- From:Diabetes & Metabolism Journal
2014;38(2):150-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The aim of this study was to identify factors associated with mild cognitive impairment (MCI) in older Korean adults with type 2 diabetes mellitus. METHODS: A total of 226 older (age > or =65 years) adults without a history of cerebrovascular disease or dementia participated in this study. Cognitive function was assessed with the Montreal Cognitive Assessment-Korean version (MoCA-K). A MoCA-K score <23 was defined as MCI. RESULTS: The prevalence of MCI was 32.7%. In a logistic regression analysis, age (> or =74 years old vs. 65-68 years old; odds ratio [OR], 3.69; 95% confidence interval [CI], 1.55 to 8.82; P=0.003), educational background (college graduation vs. no school or elementary school graduation; OR, 0.16; 95% CI, 0.05 to 0.46; P=0.001), and systolic blood pressure (> or =135 mm Hg vs. < or =120 mm Hg; OR, 3.25; 95% CI, 1.29 to 8.17; P=0.012) were associated with MCI. CONCLUSION: More concentrated efforts focused on early detection and appropriate management of MCI may be required in older Korean adults with type 2 diabetes mellitus.