Association Between Individual Components of Metabolic Syndrome and Cognitive Function in Northeast Rural China.

Nursing mirror and midwives journal Pub Date : 2019-11-01 Epub Date: 2019-07-28 DOI:10.1177/1533317519865428
Xue Wang, Dechun Luan, Shimeng Xin, Yang Liu, Qian Gao
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Abstract

Aim: The aim of this article was to examine associations between metabolic syndrome and its individual components with cognitive function among rural elderly population in northeast China.

Methods: Our study included 1047 residents aged older than 60 years in a northeast rural area. All were interviewed and data were obtained including sociodemographic and medical histories. Cognitive function was assessed by Mini-Mental State Examination. Metabolic syndrome was defined by NCEP-ATP III.

Results: After adjusted for confounding factors, metabolic syndrome was inversely associated with cognitive function (odds ratio [OR] = 1.79; 95% confidence interval [CI]: 1.06-3.01) especially in participants aged less than 70 years old (OR = 2.60; 95% CI: 1.27-5.26). In addition, participants with metabolic syndrome had worse language function, which is a part of cognitive function (OR = 2.64; 95% CI: 1.39-5.00). Individual metabolic syndrome components, especially abdominal obesity and hyperglycemia, had significant association with cognitive function (OR = 0.72, 95% CI: 0.56-0.92 and OR = 1.41; 95% CI: 1.12-1.78, respectively).

Conclusions: Abdominal obesity might be a protective factor for cognitive function. However, hyperglycemia might be a risk factor.

中国东北农村地区代谢综合征个体成分与认知功能之间的关系
目的:本文旨在研究中国东北地区农村老年人群中代谢综合征及其个体成分与认知功能之间的关系:我们的研究纳入了东北农村地区 1047 名 60 岁以上的居民。方法:我们的研究纳入了东北农村地区 1047 名 60 岁以上的老年人,对他们进行了访谈,获得了包括社会人口学和病史在内的数据。认知功能通过迷你精神状态检查进行评估。代谢综合征根据 NCEP-ATP III 进行定义:经调整混杂因素后,代谢综合征与认知功能成反比(几率比 [OR] = 1.79;95% 置信区间 [CI]:1.06-3.01),尤其是在 70 岁以下的参与者中(OR = 2.60;95% 置信区间 [CI]:1.27-5.26)。此外,代谢综合征患者的语言功能也较差,而语言功能是认知功能的一部分(OR = 2.64;95% CI:1.39-5.00)。代谢综合征的各个组成部分,尤其是腹部肥胖和高血糖,与认知功能有显著关联(OR = 0.72,95% CI:0.56-0.92 和 OR = 1.41;95% CI:1.12-1.78):结论:腹部肥胖可能是认知功能的保护因素。结论:腹部肥胖可能是认知功能的保护因素,但高血糖可能是风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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