期刊
JOURNAL OF ALZHEIMERS DISEASE
卷 95, 期 3, 页码 1029-1039出版社
IOS PRESS
DOI: 10.3233/JAD-230286
关键词
Alzheimer's disease; cognition; diabetes mellitus; epidemiology; Mexico
Cognitive functioning among Mexican older adults with diabetes aged >= 60 has improved over time, possibly due to improvements in education and diabetes management.
Background: The prevalence of type 2 diabetes in Mexico has nearly doubled for adults aged >= 60. Increases in education and healthcare resources to manage chronic conditions have contributed to population-level increases in the cognitive functioning of older adults. However, research has not focused on older adults with chronic conditions such as diabetes. Objective: Our objective was to compare the cognitive functioning of Mexican adults aged >= 60 with diabetes in 2001 and 2018. Methods: Data came fromMexican Health and Aging Study. Our study used a cross-sectional design and included participants aged >= 60 with self-reported diabetes during the 2001 (n = 1,052, mean age = 68.4, female = 59.6%) and 2018 (n = 2,469, mean age = 70.6, female = 62.0%) observation waves. Five cognitive tests were used to create a score of global cognition. Generalized estimating equations were used to compare global cognition in 2001 to 2018. Results: Older adults in 2018 had more education and were more likely than older adults in 2001 to take oral medication for diabetes, insulin, and to check blood sugar weekly. Older adults in 2018 had higher global cognition than in 2001 when adjusting for age, gender, education, and health insurance coverage (b = 0.38, SE = 0.02). This statistically significant difference remained after adjusting for health conditions, health behaviors, and diabetes management behaviors. Conclusions: Older adults in Mexico with self-reported diabetes in 2018 had higher cognitive function than in 2001. Future research is needed to investigate causes of the cohort differences in cognitive functioning among Mexican older adults with self-reported diabetes.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据