ABSTRACT
BACKGROUND: The association between diabetes and cognitive decline is already known; however, there is not much literature that document if this association is different according to gender. The aim of this study was to determine this relationship and to establish if there is a difference according to gender in older adults of Mérida, Yucatán, México. METHODS: 1293 older than sixty years old individuals without severe depression, history of psychiatric disease or stroke were included in the study. A structured survey was applied to them, including mini-mental state examination, anthropometry, capillary glucose and lipid measurements. These parameters were compared between diabetic and non-diabetic patients. The association between diabetes and cognitive decline was determined first to general population and then in each sex with logistic regression. RESULTS: Prevalence of diabetes was 27.38 %. Diabetic patients were younger (p = 0.049), with less years of formal education (p = 0.014) and with a larger waist circumference (p = 0.004) than non-diabetics. Diabetes was associated to a greater frequency of cognitive decline only in women (ß = 2.897, IC 95 % 1.428-5.877, p = 0.003). CONCLUSIONS: There is an association between diabetes and cognitive decline in women older than 60 years of age. However, there is a need of longitudinal studies that confirm these findings.
Introducción: la asociación entre diabetes y deterioro cognitivo es conocida; sin embargo, existen pocos datos respecto a si esta asociación es diferente a partir del sexo. Este estudio pretende determinar esta asociación y establecer si existe diferencia de acuerdo al sexo, en adultos mayores de Mérida, Yucatán, México. Métodos: participaron 1293 personas mayores de 60 años sin depresión grave, historia de enfermedad psiquiátrica, o evento vascular cerebral, a quienes se les aplicó una encuesta estructurada que incluyó el mini examen del estado mental, antropometría y medición capilar de glucosa y lípidos. Se compararon estos parámetros entre pacientes diabéticos y no diabéticos. Se determinó la asociación de diabetes con deterioro cognitivo mediante regresión logística para la población en general y para cada uno de los sexos. Resultados: la prevalencia de diabetes fue del 27.38 %. Los pacientes diabéticos fueron más jóvenes (p = 0.049), con menor escolaridad (p = 0.014) y con mayor circunferencia abdominal (p = 0.004) que los no diabéticos. La diabetes estuvo asociada a una mayor frecuencia de deterioro cognitivo únicamente en las mujeres (ß = 2.897, IC 95 % 1.428-5.877, p = 0.003). Conclusión: existe asociación entre diabetes y deterioro cognitivo en mujeres mayores de 60 años. Hacen falta estudios longitudinales que confirmen estos hallazgos.
Subject(s)
Cognition Disorders/etiology , Diabetes Complications/etiology , Age Factors , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Health Surveys , Humans , Logistic Models , Male , Middle Aged , Risk Factors , Sex FactorsABSTRACT
INTRODUCTION: Musculoskeletal disorders are public health issues in the entire world; their impact seems to be higher on elderly people. OBJECTIVE: To establish the prevalence and the functional impact of arthropathies on the elderly people from Mérida, Yucatán, México. MATERIAL AND METHODS: The SABE-PAHO survey was administered to a random sample of people older than 60 Mérida, Yucatán, México. Arthropathy was evaluated by self report; on the other hand, physical function was evaluated using the modified Katz's scale (basic activities of daily living, BADL) and the Lawton's scale (instrumental activities of daily living, IADL). RESULTS: 1747 patients (68.6% females, 31.4% males), aged 71.5 +/- 8.5 years old, were studied; 498 (28.5%; 95% CI = 26.4 to 30.6) had arthropathy. After logistic regression and adjustment for chronic obstructive lung disease, ischemic cardiopathy, and stroke presence or to be older than 80 were performed, arthropathy was found associated to BADL (p=0.03) as well to IADL (p=0.04) impairment. CONCLUSIONS: The prevalence of arthropathy in elderly people from Mérida, México, was 28.5%, it was found to be independently associated to impairment for BADL and IADL.
