Diabetes Mellitus and Depression as Risk Factors for Dementia: SADEM Study
Por:
Teresa, Juarez-Cedillo, Ging-Yuek, Hsiung, Amir, Sepehry A., Lynn, Beattie B., Claudia, Jacova, de la Pena Jorge, Escobedo
Publicada:
1 ene 2016
Resumen:
Aim: 3Evidence indicates that the comorbidity of dementia with diabetes
and depression may affect most cognitive functions. Our chief interest
was to examine the patterns of cognitive functioning in individuals
diagnosed with dementia, diabetes, and depression as compared with
dementia plus diabetes (DDM), or dementia plus depression (DD) and
healthy controls.
Methods: We included 207 participants with dementia (age 60+), 83 with
Alzheimer's disease (AD), 66 vascular dementia (VaD), and 58 mixed
dementia (AD/VaD). The Mini Mental State Examination (MMSE) was used for
global neuropsychological assessment, and the Center for Epidemiologic
Studies Depression Scale for symptoms of depression. Diabetes was
confirmed by medical diagnosis.
Results: Analysis showed differences in cognitive functioning among the
groups with statistical significance. Notably, there was greater
cognitive dysfunction in patients with diagnosis of dementia and
depression than in controls, but the difference was reduced in patients
with comorbid dementia diabetes. Subsequent comparisons indicated that
vascular dementia with comorbid depression and diabetes presents
significantly inferior cognitive performance than those with dementia
alone or the control group.
Conclusions: These results suggest that dementia, when combined with
depression or diabetes, adversely affects cognitive performance. These
findings highlight the importance of identifying depression among
diabetics and patients with dementia.
Filiaciones:
Teresa, Juarez-Cedillo:
IMSS Mexican Inst Social Secur, Hosp Gen Reg 1, Clin Epidemiol Res Unit, Mexico City, DF, Mexico
Univ Nacl Autonoma Mexico, Fac High Studies FES Zaragoza, Mexico City, DF, Mexico
Ging-Yuek, Hsiung:
Univ British Columbia, Div Neurol, Dept Med, Vancouver, BC, Canada
Univ British Columbia, Hosp Clin Alzheimer Dis & Related Disorders, Vancouver, BC, Canada
Amir, Sepehry A.:
Univ British Columbia, Div Neurol, Dept Med, Vancouver, BC, Canada
Lynn, Beattie B.:
Univ British Columbia, Hosp Clin Alzheimer Dis & Related Disorders, Vancouver, BC, Canada
Univ British Columbia, Div Geriatr Med, Dept Med, Vancouver, BC, Canada
Claudia, Jacova:
Univ British Columbia, Div Neurol, Dept Med, Vancouver, BC, Canada
Univ British Columbia, Hosp Clin Alzheimer Dis & Related Disorders, Vancouver, BC, Canada
de la Pena Jorge, Escobedo:
IMSS Mexican Inst Social Secur, Hosp Gen Reg 1, Clin Epidemiol Res Unit, Mexico City, DF, Mexico
Moretti, DV:
Teresa, Juarez-Cedillo de la Pena Jorge, Escobedo, IMSS Mexican Inst Social Secur, Hosp Gen Reg 1, Clin Epidemiol Res Unit, Mexico City, DF, Mexico
Teresa, Juarez-Cedillo, Univ Nacl Autonoma Mexico, Fac High Studies FES Zaragoza, Mexico City, DF, Mexico
Ging-Yuek, Hsiung Amir, Sepehry A
Claudia, Jacova, Univ British Columbia, Div Neurol, Dept Med, Vancouver, BC, Canada
Ging-Yuek, Hsiung Lynn, Beattie B
Claudia, Jacova, Univ British Columbia, Hosp Clin Alzheimer Dis & Related Disorders, Vancouver, BC, Canada
Lynn, Beattie B
Univ British Columbia, Div Geriatr Med, Dept Med, Vancouver, BC, Canada
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