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There are 463 million adults living with diabetes worldwide , accounting for about 8.
8% of the population, and the prevalence is expected to increase to nearly 10% by 2045
.
The aging of the world's population is the main reason for the increase in the number of diabetic patients, and the elderly are one of the fastest growing groups of diabetic patients
diabetes
In the United States, nearly 40% of elderly people are diagnosed with diabetes.
Minorities/ethnicities are too much affected by diabetes, and this difference persists in the elderly
.
Hispanics are one of the largest racial/ethnic groups in the United States.
diagnosis
As we all know, diabetes is associated with negative health outcomes, such as cognitive decline.
According to reports, Hispanic elderly have a prevalence of 12.
Although many studies have examined the impact of cognitive decline on all-cause mortality, no studies have examined this relationship between Hispanic elderly with and without diabetes
.
In this way, Martin Martinez of the University of Wisconsin and others explored the relationship between mortality and cognitive function in Hispanic/Latino adults over 50 years of age living in the United States with or without diabetes
.
It is also hypothesized that people with cognitive decline will have an increased risk of death, and compared with people without diabetes, people with diabetes will have an even greater risk of death
They analyzed data from the Health and Retirement Study (1995-2014)
.
The Cox proportional hazard model was used to estimate the relationship between mortality and cognitive function
A total of 4,130 senior Hispanic Americans were included
.
The fully adjusted model of diabetic patients showed that compared with normal cognitive ability, mild cognitive impairment (MCI; hazard ratio [HR]: 1.
61; 95% confidence interval [CI]: 1.
06, 2.
45; P=0.
The fully adjusted model of people without diabetes showed that compared with normal cognition, people with MCI (HR: 1.
87; 95% CI: 1.
28, 2.
74; P = .
001) and dementia (HR: 3.
25; 95% CI: 1.
91 , 5.
55; P <.
001) the death rate of people increased
.
87; 95% CI: 1.
28, 2.
74; P = .
001) and dementia (HR: 3.
25; 95% CI: 1.
91, 5.
55; P <.
001) The mortality rate has increased
.
The significance of this study is that it shows that cognitive impairment is associated with increased mortality among American Hispanic elderly with or without diabetes
.
Clinicians should regularly evaluate the cognitive function of this group to quickly identify decline and provide appropriate referral support to optimize health and reduce mortality
Cognitive impairment is linked to increased mortality in American Hispanic elderly with or without diabetes
Original source:
Martinez M, Dawson AZ, Lu K, Walker RJ, Egede LE.
Effect of cognitive impairment on risk of death in Hispanic/Latino adults over the age of 50 residing in the United States with and without diabetes: Data from the Health and Retirement Study 1995–2014.
Alzheimer's & Dementia.
Published online December 7, 2021:alz.
12521.
doi:10.
1002/alz.
12521
Effect of cognitive impairment on risk of death in Hispanic/Latino adults over the age of 50 residing in the United States with and without diabetes:
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