Exploring the Relationship between Balance and Cognition in Middle-Aged Individuals with Diabetes and Hypertension: A Cross-sectional Study

Chettinad Health City Medical Journal Pub Date : 2023-09-30 DOI:10.24321/2278.2044.202352

Sanjiv Kumar

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Abstract

Background: Diabetes and hypertension are commonly occurring non-communicablediseases across the world. India is known as the diabetescapital of the world since more than 62 million individuals are presentlysuffering from diabetes. The risk of dementia increases in individualswith type 2 diabetes mellitus (DM). Similarly, in individuals withhypertension (HTN), there is an increased risk of balance impairmentdue to reduced sensory inputs from peripheral nerves to the CNS. Thisstudy has been taken up to evaluate the correlation between balanceand cognition in the adult Indian population suffering from diabetesand hypertension using the Berg Balance and Montreal CognitiveAssessment scale.Method: Two hundred and ninety-eight middle-aged individuals werescreened for hypertension and/ or diabetes mellitus for this crosssectionalstudy. Each subject was assessed for balance and cognitionusing the Berg Balance Scale and Montreal Cognitive Assessment scalerespectively. The data that were obtained were tabulated and analysed.Result: The Pearson correlation analysis suggested a negative correlationbetween diastolic blood pressure (DBP) and cognition (r = -0.267; p =0.020) indicating that higher DBP causes cognition to deteriorate inhypertensive patients. It was seen that an increase in systolic bloodpressure correlated with a decline in cognitive ability among diabeticpeople.Conclusion: Hypertension with increased diastolic pressure resultsin detrimental cognitive decline. No correlation was found betweensystolic blood pressure (SBP), DBP and balance. An increase in theglycaemic level affects cognitive ability and increases the risk of falls. How to cite this article:Kumar S, Chitra J, Fernandes J, Shetty A, Nale A,George CM, Yadav N. Exploring the Relationshipbetween Balance and Cognition in Middle-AgedIndividuals with Diabetes and Hypertension: ACross-sectional Study. Chettinad Health City MedJ. 2023;12(3):56-61. DOI: https://doi.org/10.24321/2278.2044.202352

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探讨中年糖尿病和高血压患者平衡与认知的关系:一项横断面研究

背景:糖尿病和高血压是全球常见的非传染性疾病。印度被称为世界糖尿病之都，因为目前有超过6200万人患有糖尿病。2型糖尿病(DM)患者患痴呆的风险增加。同样，在高血压患者(HTN)中，由于周围神经到中枢神经系统的感觉输入减少，平衡障碍的风险增加。本研究采用Berg平衡和蒙特利尔认知评估量表来评估印度成年糖尿病和高血压患者的平衡与认知之间的相关性。方法:对288名中年人进行高血压和/或糖尿病的横断面研究。每个受试者分别使用伯格平衡量表和蒙特利尔认知评估量表进行平衡和认知评估。所获得的数据被制成表格并加以分析。结果:Pearson相关分析显示舒张压(DBP)与认知呈负相关(r = -0.267;p =0.020)，表明高DBP会导致高血压患者认知功能恶化。研究发现，糖尿病患者的收缩压升高与认知能力下降相关。结论:高血压伴舒张压增高导致认知能力下降。收缩压(SBP)、舒张压(DBP)与平衡无相关性。血糖水平升高会影响认知能力，增加跌倒的风险。引用本文:Kumar S, Chitra J, Fernandes J, Shetty A, Nale A,George CM, Yadav N.中年糖尿病和高血压患者平衡与认知关系的横轴研究。Chettinad Health City MedJ。2023; 12(3): 56 - 61。DOI: https://doi.org/10.24321/2278.2044.202352

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Chettinad Health City Medical Journal

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