Cognitive profile and cardiovascular risk Factors in older adults with mild cognitive impairment

The prevalence of cardiovascular risk factors (CVRFs) in the older adults population and their specific impact on their cognitive profiles still requires further research. For this purpose, a cross-sectional study was carried out to describe the presence of CVRFs and their association with cognitive...

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Detalles Bibliográficos
Autores: Vázquez De Sebastián, Julia, Ortiz Zúñiga, Ángel Michael, Ciudin Mihai, Andreea, Ars , Joan, Inzitari, Marco, Simó Canonge, Rafael, Hernandez, Cristina, Ariño-Blasco, Sergio, Barahona, Maria-José, Franco-Romero, M, Gironès, Xavier, CRESPO MARAVER, MARIA CRUZ, Carles, Joan, Castellano-Tejedor, Carmina, The DIALCAT Consortium
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/151691
Acceso en línea:http://hdl.handle.net/10609/151691
https://doi.org/10.3390/ijerph21040500
Access Level:acceso abierto
Palabra clave:cardiovascular risk factors
type 2 diabetes
cognitive impairment
neuropsychological profile
mild cognitive impairment
older adults
Descripción
Sumario:The prevalence of cardiovascular risk factors (CVRFs) in the older adults population and their specific impact on their cognitive profiles still requires further research. For this purpose, a cross-sectional study was carried out to describe the presence of CVRFs and their association with cognitive performance in a sample of older adults (65–85 years old) with Mild Cognitive Impairment (MCI). Participants (n = 185) were divided into three groups concerning their cardiovascular risk level determined by the presence of different CVRFs, including Type 2 Diabetes (T2D), dyslipidemia, hypertension, and obesity. The primary outcome measures were the participant’s scores in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Sociodemographic, clinical, and psychosocial data were collected. Non-parametrical statistical analyses and effect sizes were calculated. Findings revealed that a greater presence of CVRFs was not associated with a worse overall cognitive performance. High-risk patients were more likely to have significantly worse performance in the attentional domain compared to medium-risk (p = 0.029, r = 0.42) and compared to low-risk (p = 0.041, r = 0.35), specifically in the digits repetition subtest (p = 0.042). T2D alone was the CVRF associated with cognitive differences (p = 0.037, r = 0.32), possibly mediated by the duration of the condition. Consequently, a higher presence of CVRFs did not lead to a worse overall cognitive performance. However, high-risk individuals were more likely to experience cognitive impairment, particularly in the attentional domain. T2D played a significant role in these cognitive profile differences, possibly influenced by its duration.