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The cognitive decline is linked with self-reported race and ethnicity of U.S. adults with diabetes.
Non-Hispanic Blacks, Hispanics, Native Americans, and Mexican Americans have more significant cognitive deficits over ti
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Diabetes is one of the most common chronic diseases, affecting roughly 1 in every 10 U.S. citizens. Racial/ethnic minorities have higher rates of diagnosed diabetes than non-Hispanic Whites, which increases risks of decline in cognitive functioning. Diabetes may increase one’s risk for the progression from mild cognitive impairment to dementia, in addition to the increased risk of progression from normal cognition to dementia.
In older adults with diabetes, cognitive deficits show significant differences across races and ethnicities. Non-Hispanic Blacks, Hispanics, Native Americans, and Mexican Americans have more significant cognitive deficits over time than non-Hispanic Whites.
A study published in BMC Geriatrics examined the role of sociodemographic, clinical, behavioral, and social factors on racial/ethnic differences in cognitive decline among adults with diabetes. This study assessed diabetic adults aged 50+ years from the U.S. for cognitive function. Factors used for model adjustment were sociodemographic (gender, age, education, household income), behavioral (smoking), clinical (i.e., health status, body mass index), and social (i.e., social support, loneliness, social participation).
After adjusting for sociodemographic, clinical/behavioral, and social measures, non-Hispanic Blacks were 3.75 times more likely than non-Hispanic Whites to reach dementia from normal cognition. Non-Hispanic Blacks were 2.87 times more likely than non-Hispanic Whites to develop mild cognitive impairment. Hispanics were 1.72 times more likely than non-Hispanic Whites to develop dementia from mild cognitive impairment. Very similar results were obtained for unadjusted models, which means that, contrary to the hypothesis, clinical, behavioral, and social factors did not explain racial and ethnic differences.
The racial or ethnic differences are less visible in the development of dementia from mild cognitive impairment, highlighting the importance of prevention before the onset of cognitive impairment. Investigating additional factors that may help explain disparities not available in this dataset, such as discrimination or disease-specific measures of social support, is needed.
Variables in this study are focused at the individual level, and macro-level contextual factors, such as structural racism, need further investigation.
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Diabetes is one of the most common chronic diseases, affecting roughly 1 in every 10 U.S. citizens. Racial/ethnic minorities have higher rates of diagnosed diabetes than non-Hispanic Whites, which increases risks of decline in cognitive functioning. Diabetes may increase one’s risk for the progression from mild cognitive impairment to dementia, in addition to the increased risk of progression from normal cognition to dementia.
In older adults with diabetes, cognitive deficits show significant differences across races and ethnicities. Non-Hispanic Blacks, Hispanics, Native Americans, and Mexican Americans have more significant cognitive deficits over time than non-Hispanic Whites.
A study published in BMC Geriatrics examined the role of sociodemographic, clinical, behavioral, and social factors on racial/ethnic differences in cognitive decline among adults with diabetes. This study assessed diabetic adults aged 50+ years from the U.S. for cognitive function. Factors used for model adjustment were sociodemographic (gender, age, education, household income), behavioral (smoking), clinical (i.e., health status, body mass index), and social (i.e., social support, loneliness, social participation).
After adjusting for sociodemographic, clinical/behavioral, and social measures, non-Hispanic Blacks were 3.75 times more likely than non-Hispanic Whites to reach dementia from normal cognition. Non-Hispanic Blacks were 2.87 times more likely than non-Hispanic Whites to develop mild cognitive impairment. Hispanics were 1.72 times more likely than non-Hispanic Whites to develop dementia from mild cognitive impairment. Very similar results were obtained for unadjusted models, which means that, contrary to the hypothesis, clinical, behavioral, and social factors did not explain racial and ethnic differences.
The racial or ethnic differences are less visible in the development of dementia from mild cognitive impairment, highlighting the importance of prevention before the onset of cognitive impairment. Investigating additional factors that may help explain disparities not available in this dataset, such as discrimination or disease-specific measures of social support, is needed.
Variables in this study are focused at the individual level, and macro-level contextual factors, such as structural racism, need further investigation.
Source: link
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Dr. Ana Baroni MD. Ph.D.
Scientific & Medical Advisor
Quality Garant
Ana has over 20 years of consultancy experience in longevity, regenerative and precision medicine. She has a multifaceted understanding of genomics, molecular biology, clinical biochemistry, nutrition, aging markers, hormones and physical training. This background allows her to bridge the gap between longevity basic sciences and evidence-based real interventions, putting them into the clinic, to enhance the healthy aging of people. She is co-founder of Origen.life, and Longevityzone. Board member at Breath of Health, BioOx and American Board of Clinical Nutrition. She is Director of International Medical Education of the American College of Integrative Medicine, Professor in IL3 Master of Longevity at Barcelona University and Professor of Nutrigenomics in Nutrition Grade in UNIR University.
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