KMID : 1200020140380020150
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Diabetes & Metabolism Journal 2014 Volume.38 No. 2 p.150 ~ p.157
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Factors Associated for Mild Cognitive Impairment in Older Korean Adults with Type 2 Diabetes Mellitus
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Lee Yun-Jeong
Kang Hye-Mi Kim Na-Kyung Yang Ju-Yeon Noh Jung-Hyun Ko Kyung-Soo Rhee Byoung-Doo Kim Dong-Jun
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Abstract
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Background: The aim of this study was to identify factors associated with mild cognitive impairment (MCI) in older Korean adults with type 2 diabetes mellitus.
Methods: A total of 226 older (age ¡Ã65 years) adults without a history of cerebrovascular disease or dementia participated in this study. Cognitive function was assessed with the Montreal Cognitive Assessment-Korean version (MoCA-K). A MoCA-K score <23 was defined as MCI.
Results: The prevalence of MCI was 32.7%. In a logistic regression analysis, age (¡Ã74 years old vs. 65-68 years old; odds ratio [OR], 3.69; 95% confidence interval [CI], 1.55 to 8.82; P=0.003), educational background (college graduation vs. no school or elementary school graduation; OR, 0.16; 95% CI, 0.05 to 0.46; P=0.001), and systolic blood pressure (¡Ã135 mm Hg vs. ¡Â120 mm Hg; OR, 3.25; 95% CI, 1.29 to 8.17; P=0.012) were associated with MCI.
Conclusion: More concentrated efforts focused on early detection and appropriate management of MCI may be required in older Korean adults with type 2 diabetes mellitus.
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KEYWORD
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Aged, Diabetes mellitus, type 2, Mild cognitive impairment
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