The co-occurrence of depressive symptoms and cognitive impairment and its relationship with self-care behaviors among community dwelling older adults with diabetes

Diabetes Research and Clinical Practice
Chia-Lin LiHsing-Yi Chang

Abstract

The aims of the present study were to investigate the co-occurrence of depressive symptoms and cognitive impairment in community dwelling older adults with diabetes and its relationship with specific diabetes self-care behaviors. We analyzed data from two national samples of older adults (65years or older) with self-reported physician-diagnosed diabetes (N=1034), who participated in the 2005 or 2009 National Health Interview Survey in Taiwan. The Mini-Mental State Examination was used to assess cognitive function. The Center for Epidemiologic Studies Depression Scale was used to assess depressive symptoms. The study assessed self-care behaviors including medication adherence, exercise, healthy diet, and self-monitoring of blood glucose. In this study, 8.8% of participants with diabetes had both depressive symptoms and cognitive impairment. After adjusting for other factors, participants with both cognitive impairment and depressive symptoms were less likely to exercise (Prevalence Ratios (PR)=0.66; 95% Confidence Intervals (CI)=[0.47-0.91]; P-value=0.011), and have a healthy diet (PR=0.82; 95%CI=[0.70-0.96]; P-value=0.012). Our results illustrate the high prevalence of combined depressive symptoms and cognitive impairment and t...Continue Reading

Citations

May 8, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·N NanayakkaraS Zoungas
Jun 23, 2019·Molecular Neurobiology·Zuleide M IgnácioGislaine Z Réus
Jun 7, 2019·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Yanxiaoxiao YangYonggui Yuan
May 28, 2021·Curēus·Hyder MirghaniAfaf Albalawi

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