Factors associated with cognitive decline in older adults with type 2 diabetes mellitus during a 6-year observation

Abstract Objective: To analyze the biopsychosocial factors associated with complaints of dizziness in older adults with Type 2 Diabetes Mellitus. Methods: A cross-sectional, descriptive study with a sample selected for convenience was performed in a university hospital. The participants were individuals aged 60 years or older diagnosed with type 2 Diabetes Mellitus. Patients were assessed using a multidimensional survey, containing sociodemographic, clinical-functional, psycho-psychological and cognitive data. The Mini-Mental State Exam and the Short Geriatric Depression Scale (GDS-15) were used to screen for cognitive deficits and depressive symptoms, respectively, and the Timed Up and Go Test was used to assess mobility. Data analysis was performed using the Chi-square and Mann-Whitney tests. Results: The sample consisted of 157 older adults of whom 45.22% complained of dizziness. There was a statistically significant association between dizziness and the variables: female sex, being unmarried, a low level of education, a negative self-perception of general health and vision, complaints of pain in the lower limbs, a fear of falling, a tendency to fall, cognitive impairment and psychological symptoms. Conclusion: Knowledge of the factors associated with the complaint of dizziness in older adults with DM2 allows improved targeting of prevention, assessment and intervention actions, in order to minimize the occurrence of falls, maintain or optimize functional capacity and cognitive skills, and thus improve quality of life.

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Factors associated with the functional performance of older adults with type 2 Diabetes Mellitus

Research Society and Development ◽

10.33448/rsd-v9i11.10185 ◽

2020 ◽

Vol 9 (11) ◽

pp. e51391110185

Author(s):

Vanessa da Nóbrega Dias ◽

Adriana Guedes Carlos ◽

Alice Fernandes de Lemos ◽

Bartolomeu Fagundes de Lima Filho ◽

Monica Rodrigues Perracini ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Older Adults ◽

Type 2 Diabetes Mellitus ◽

Functional Impairment ◽

Functional Performance ◽

Factors Associated ◽

Type 2 Dm ◽

Functional Factors

The aim of this study was to investigated factors associated with the functional impairment of older adult patients with type 2 diabetes mellitus (type 2 DM) and identify the influence of sociodemographic, clinical, and functional factors in this population. This is an observational analytical, and cross-sectional study, which evaluated 159 individuals of both genders, aged 60 years or older. The WHODAS (World Health Organization Disability Assessment Schedule) total score was analyzed in relation to other variables of the study, using the following statistical tests: Mann-Whitney, Kruskal-Wallis, Dunn’s post hoc, Spearman correlation, and simple linear regression analysis. Significance level was set at 5% (p<0.05). In total, 12 linear regression models were generated and the latter was selected for elaborating the prediction equation and its possible interpretations. Functional impairment was associated with sociodemographic, clinical, and functional factors. Sedentary lifestyle, overweight, cognitive deficit, decreased mobility, and falls were the factors that predicted the restriction of functional performance in older adults with type 2 DM. This study assessed the relationship between sociodemographic, clinical, and functional factors concerning the functional impairment of older adults with type 2 DM, reaffirming that this disease causes negative impacts in a global way and that the association among these factors leads to a decrease in functionality and worsening of life quality in this population. The findings of this study point out the importance of preventive programs in order to promote behavioral changes that can reduce the impact of type 2 DM complications.

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