Factors associated with mild cognitive impairment among elderly Filipinos with type 2 diabetes mellitus
- Author:
Louren Blanquisco
1
;
Joshua Emmanuel Abejero
2
;
Bonifacio Buno II
3
;
Laura Trajano-Acampado
1
;
Alvin Cenina
2
;
Darby Santiago
3
Author Information
- Publication Type:Journal Article
- Keywords: Older persons
- MeSH: Cognitive Dysfunction; Diabetes Mellitus, Type 2
- From: Journal of the ASEAN Federation of Endocrine Societies 2017;32(2):145-150
- CountryPhilippines
- Language:English
-
Abstract:
Objective:This study aims to identify factors associated with mild cognitive impairment (MCI) among elderly Filipinos with Type 2 diabetes mellitus.
Methodology:This is an analytic cross-sectional study involving 133 elderly (≥60 years old) with Type 2 diabetes mellitus consecutively sampled from the General Medicine and Diabetes Clinics of the Philippine General Hospital. Eligible subjects were interviewed to gather demographic and clinical data. Body mass index, waist-hip ratio and mean blood pressure were computed. HBA1c, lipid profile, creatinine and urine proteinuria were tested or recorded if done recently. Dilated fundus examination via indirect ophthalmoscopy and 10-gram monofilament test were performed to detect retinopathy and neuropathy. The Montreal Cognitive Assessment-Philippines tool was administered to detect patients with probable MCI using a cutoff score of ≤21. Multivariate logistic regression analysis was performed to determine the associated factors.
Results:Using MoCA-P tool, MCI has a rate of 45% among elderly Filipino diabetics. Having more than 12 years of education is significantly associated with lower odds of MCI. (OR 0.38 CI 0.18, 0.80, p value 0.010).
Conclusion:The rate of MCI among Filipino elderly diabetics is high. Higher education is associated with lower odds of having MCI. Case-control or prospective cohort studies involving larger sample and non-diabetic population are recommended. - Full text:JAFES 7.pdf
