Diabetes, Cognitive Function and Mortality Risk Among Older Hispanics.

IF 2.8 3区 医学 Q3 NEUROSCIENCES
Jagdish Khubchandani, Elizabeth England-Kennedy, Srikanta Banerjee, Karen Kopera-Frye, Kavita Batra
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Abstract

Background: Diabetes is a leading cause of death globally and is strongly associated with aging-related conditions, such as cognitive decline. Both diabetes and cognitive impairment share overlapping biological mechanisms, including vascular damage and insulin resistance. While each condition independently affects health outcomes, the impact of their coexistence on mortality risk among older Hispanic adults remains understudied. This study aimed to examine the impact of the combination of diabetes and low cognitive performance on mortality risk among this marginalized population. Methods: Data were drawn from 636 Hispanic adults aged 60 years and older who participated in NHANES 1999-2002, with mortality follow-up through 2019. Cox proportional hazards models were used to estimate hazard ratios (HRs) for all-cause mortality, adjusting for sociodemographic and health-related variables. Results: Among participants, 23.3% had diabetes, and 54.9% had low cognitive performance. The combination of diabetes and low cognitive performance was associated with a significantly elevated risk of all-cause mortality (HR = 2.36; 95% CI: 1.70-3.28). No statistically significant increase in mortality risk was observed for either condition alone (i.e. diabetes or cognitive impairment). Conclusions: Coexisting diabetes and cognitive impairment in older Hispanic adults were associated with more than a twofold increase in mortality risk. These findings underscore the need for culturally appropriate, interdisciplinary strategies to address the dual burden of diabetes and cognitive decline in aging minority populations.

西班牙裔老年人的糖尿病、认知功能和死亡风险
背景:糖尿病是全球死亡的主要原因,与认知能力下降等衰老相关疾病密切相关。糖尿病和认知障碍具有重叠的生物学机制,包括血管损伤和胰岛素抵抗。虽然每种情况都独立影响健康结果,但它们共存对西班牙裔老年人死亡风险的影响仍未得到充分研究。本研究旨在研究糖尿病和低认知能力对边缘人群死亡风险的影响。方法:数据来自1999-2002年参加NHANES的636名60岁及以上的西班牙裔成年人,并随访至2019年。Cox比例风险模型用于估计全因死亡率的风险比(hr),并对社会人口统计学和健康相关变量进行调整。结果:在参与者中,23.3%患有糖尿病,54.9%认知能力低下。糖尿病和认知能力低下的合并与全因死亡风险显著升高相关(HR = 2.36; 95% CI: 1.70-3.28)。两种情况(即糖尿病或认知障碍)均未观察到有统计学意义的死亡风险增加。结论:西班牙裔老年人并发糖尿病和认知障碍与死亡风险增加两倍以上相关。这些发现强调需要文化上合适的跨学科策略来解决少数民族老龄化人群糖尿病和认知能力下降的双重负担。
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来源期刊
Brain Sciences
Brain Sciences Neuroscience-General Neuroscience
CiteScore
4.80
自引率
9.10%
发文量
1472
审稿时长
18.71 days
期刊介绍: Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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