Sex-related differences in the prevalence of cognitive impairment among overweight and obese adults with type 2 diabetes.
In: Alzheimer's & dementia : the journal of the Alzheimer's Association, Jg. 14 (2018-09-01), Heft 9, S. 1184-1192
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Zugriff:
Introduction: Type 2 diabetes mellitus and obesity may increase risks for cognitive decline as individuals age. It is unknown whether this results in different prevalences of cognitive impairment for women and men.
Methods: The Action for Health in Diabetes, a randomized controlled clinical trial of a 10-year intensive lifestyle intervention, adjudicated cases of cross-sectional cognitive impairment (mild cognitive impairment or dementia) 10-13 years after enrollment in 3802 individuals (61% women).
Results: The cross-sectional prevalences of cognitive impairment were 8.3% (women) and 14.8% (men): adjusted odds ratio 0.55, 95% confidence interval [0.43, 0.71], P < .001. Demographic, clinical, and lifestyle risk factors varied between women and men but did not account for this difference, which was limited to individuals without apolipoprotein E (APOE)-ε4 alleles (interaction P = .034).
Conclusions: Among overweight and obese adults with type 2 diabetes mellitus, traditional risk factors did not account for the lower prevalence of cognitive impairment observed in women compared with men.
(Copyright © 2018 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.)
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Sex-related differences in the prevalence of cognitive impairment among overweight and obese adults with type 2 diabetes.
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Autor/in / Beteiligte Person: | Espeland, MA ; Carmichael, O ; Yasar, S ; Hugenschmidt, C ; Hazzard, W ; Hayden, KM ; Rapp, SR ; Neiberg, R ; Johnson, KC ; Hoscheidt, S ; Mielke, MM |
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Zeitschrift: | Alzheimer's & dementia : the journal of the Alzheimer's Association, Jg. 14 (2018-09-01), Heft 9, S. 1184-1192 |
Veröffentlichung: | 2020- : Hoboken, NJ : John Wiley & Sons, Ltd. ; <i>Original Publication</i>: Orlando, FL : Elsevier, Inc., 2018 |
Medientyp: | academicJournal |
ISSN: | 1552-5279 (electronic) |
DOI: | 10.1016/j.jalz.2018.05.015 |
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