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Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India

The goal of this research is to study the prevalence of cognitive impairment in diabetes mellitus (DM) patients and establish the necessity of detecting and treating it early in these patients. A cross-sectional study was conducted at a tertiary care hospital in Mysuru for 4 months examined diabetic...

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Autores principales: Kinattingal, Nabeel, Mehdi, Seema, Undela, Krishna, Wani, Shahid Ud Din, Almuqbil, Mansour, Alshehri, Sultan, Shakeel, Faiyaz, Imam, Mohammad T., Manjula, Santhepete N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10052732/
https://www.ncbi.nlm.nih.gov/pubmed/36983706
http://dx.doi.org/10.3390/jpm13030524
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author Kinattingal, Nabeel
Mehdi, Seema
Undela, Krishna
Wani, Shahid Ud Din
Almuqbil, Mansour
Alshehri, Sultan
Shakeel, Faiyaz
Imam, Mohammad T.
Manjula, Santhepete N.
author_facet Kinattingal, Nabeel
Mehdi, Seema
Undela, Krishna
Wani, Shahid Ud Din
Almuqbil, Mansour
Alshehri, Sultan
Shakeel, Faiyaz
Imam, Mohammad T.
Manjula, Santhepete N.
author_sort Kinattingal, Nabeel
collection PubMed
description The goal of this research is to study the prevalence of cognitive impairment in diabetes mellitus (DM) patients and establish the necessity of detecting and treating it early in these patients. A cross-sectional study was conducted at a tertiary care hospital in Mysuru for 4 months examined diabetic patients (test) and nondiabetic subjects (control) for cognitive decline using the Montreal Cognitive Assessment (MoCA) tool. Cognitive functions such as visuospatial/executive function, naming, attention, language, abstraction, delayed recall, and orientation were assessed in both groups. The diabetic group showed a significantly lower total MoCA score than the non-diabetic group (18.99 ± 0.48 and 26.21 ± 0.46, respectively; p < 0.001). Assessment of scores in diabetic patients demonstrated the significant influence of age demographics on cognitive impairment (p-value < 0.001). Furthermore, a higher proportion of diabetic patients displayed cognitive impairment despite a higher score in a single subdomain, making it evident that diabetes is diverse and multifactorial in origin, where oxidative stress and inflammatory responses play a predominant role. This study suggested that the local T2DM population residing in Mysuru (India) has a high prevalence of cognitive impairment, evident from poor performance in almost all cognitive domains assessed by MoCA. Future studies could examine the generalizability of cognitive function findings in diabetic patients across diverse geographic regions and ethnic groups, as well as investigate interventions such as lifestyle modifications and medication to prevent or delay cognitive decline in those with diabetes.
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spelling pubmed-100527322023-03-30 Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India Kinattingal, Nabeel Mehdi, Seema Undela, Krishna Wani, Shahid Ud Din Almuqbil, Mansour Alshehri, Sultan Shakeel, Faiyaz Imam, Mohammad T. Manjula, Santhepete N. J Pers Med Article The goal of this research is to study the prevalence of cognitive impairment in diabetes mellitus (DM) patients and establish the necessity of detecting and treating it early in these patients. A cross-sectional study was conducted at a tertiary care hospital in Mysuru for 4 months examined diabetic patients (test) and nondiabetic subjects (control) for cognitive decline using the Montreal Cognitive Assessment (MoCA) tool. Cognitive functions such as visuospatial/executive function, naming, attention, language, abstraction, delayed recall, and orientation were assessed in both groups. The diabetic group showed a significantly lower total MoCA score than the non-diabetic group (18.99 ± 0.48 and 26.21 ± 0.46, respectively; p < 0.001). Assessment of scores in diabetic patients demonstrated the significant influence of age demographics on cognitive impairment (p-value < 0.001). Furthermore, a higher proportion of diabetic patients displayed cognitive impairment despite a higher score in a single subdomain, making it evident that diabetes is diverse and multifactorial in origin, where oxidative stress and inflammatory responses play a predominant role. This study suggested that the local T2DM population residing in Mysuru (India) has a high prevalence of cognitive impairment, evident from poor performance in almost all cognitive domains assessed by MoCA. Future studies could examine the generalizability of cognitive function findings in diabetic patients across diverse geographic regions and ethnic groups, as well as investigate interventions such as lifestyle modifications and medication to prevent or delay cognitive decline in those with diabetes. MDPI 2023-03-15 /pmc/articles/PMC10052732/ /pubmed/36983706 http://dx.doi.org/10.3390/jpm13030524 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kinattingal, Nabeel
Mehdi, Seema
Undela, Krishna
Wani, Shahid Ud Din
Almuqbil, Mansour
Alshehri, Sultan
Shakeel, Faiyaz
Imam, Mohammad T.
Manjula, Santhepete N.
Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title_full Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title_fullStr Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title_full_unstemmed Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title_short Prevalence of Cognitive Decline in Type 2 Diabetes Mellitus Patients: A Real-World Cross-Sectional Study in Mysuru, India
title_sort prevalence of cognitive decline in type 2 diabetes mellitus patients: a real-world cross-sectional study in mysuru, india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10052732/
https://www.ncbi.nlm.nih.gov/pubmed/36983706
http://dx.doi.org/10.3390/jpm13030524
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