4.2 Article

The Effect of Undiagnosed Diabetes on the Association Between Self-Reported Diabetes and Cognitive Impairment Among Older Mexican Adults

出版社

SAGE PUBLICATIONS INC
DOI: 10.1177/1533317516653824

关键词

diabetes; cognition; dementia; Mexico; older adults

资金

  1. US National Institutes of Health National Institute on Aging [5T32 AG000270-17, 2P2C HD065702-06, 5R01 AG018016-10, P30 AG024832-11]

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Purpose: To study the effect of undiagnosed diabetes on the relationship between self-reported diabetes and cognitive impairment. Methods: Data were from 1033 participants aged >= 60 from Wave III (2012) of the Mexican Health and Aging Study. Participants were classified as nondiabetic (n = 589), undiagnosed diabetic (n = 201), and self-reported diabetic (n = 243). Multivariate logistic regression models were used to estimate the relationship between self-reported diabetes and severity of cognitive impairment (nonimpaired, moderate impaired, severe impaired). Results: Self-reported diabetes was associated with significantly higher odds for severe, but not moderate, cognitive impairment (odds ratio [OR] = 2.70, 95% confidence interval [ CI] = 1.39-5.32). The association between self-reported diabetes and severe cognitive impairment decreased by 6.3% when undiagnosed diabetics were included in the nondiabetic category and by 30.4% when undiagnosed diabetics were included in the self-reported diabetes category. Discussion: The association between self-reported diabetes and severe cognitive impairment is underestimated when undiagnosed diabetics are not differentiated from self-reported diabetics and nondiabetics.

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