Purpose

The purpose of this study was to examine the prevalence of subjective cognitive decline (SCD) and SCD-related functional limitations among people with diabetes and to identify socioeconomic and comorbidity risk factors associated with SCD.

Methods

This study analyzed data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS) with background variables (race, gender, education, and age), health-related factors (self-rated health, BMI, insurance, and comorbid conditions), and health behaviors (smoking, exercise, alcohol consumption) entered simultaneously to estimate logistic regression models of SCD.

Results

Within the sample (n = 5263 adults with diabetes), 48% were age ≥65 years; 50% were male; 55% were non-Hispanic White; and of the 15% who reported having SCD, 57% had functional limitations. Increased odds of reporting SCD were observed among individuals who were Hispanic (odds ratio [OR] = 2.21, P < .001), male (OR = 1.47, P < .01), depressed (OR = 3.85, P < .001), or had arthritis (OR = 1.43, P < .03). Participants with better self-rated health had a reduced likelihood of SCD (OR = 0.51, P < .001).

Conclusions

Health care providers should assess high-risk patients for self-rated cognitive dysfunction and offer early interventions.

中文翻译：

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糖尿病患者主观认知能力下降的预测因素：来自行为危险因素监测系统的数据

目的

这项研究的目的是检查糖尿病患者中主观认知能力下降（SCD）和与SCD相关的功能局限性的患病率，并确定与SCD相关的社会经济和合并症危险因素。

方法

这项研究分析了2017年行为风险因素监测系统（BRFSS）的数据，该数据具有背景变量（种族，性别，教育程度和年龄），与健康相关的因素（自测健康，BMI，保险和合并症）以及健康状况同时输入行为（吸烟，运动，饮酒）以估计SCD的逻辑回归模型。

结果

在样本中（n = 5263名糖尿病成年人），年龄≥65岁的占48％。50％是男性；55％为非西班牙裔白人；在报告有SCD的15％的人中，有57％的人功能受限。西班牙裔（优势比[OR] = 2.21，P  <.001），男性（OR = 1.47，P  <.01），沮丧（OR = 3.85，P  <.001）的个体中发现SCD的几率增加或患有关节炎（OR = 1.43，P  <.03）。具有良好自我评估健康状况的参与者患SCD的可能性降低（OR = 0.51，P  <.001）。

结论

卫生保健提供者应评估高危患者的自我评估的认知功能障碍，并提供早期干预措施。