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Diabetes and dementia in long-term care
1Department of Psychiatry, University of Rochester Medical Center, NY, USA.
Journal of the American Geriatrics Society
|April 15, 1999
Summary
Adult onset diabetes (AODM) was not associated with Alzheimer's disease (AD) but was linked to vascular dementia. This study explored dementia prevalence in patients with and without AODM.
Area of Science:
- Gerontology
- Neurology
- Endocrinology
Background:
- Dementia is a significant health concern in older adults.
- Adult onset diabetes (AODM) is increasingly prevalent in aging populations.
- The relationship between AODM and different types of dementia requires further investigation.
Purpose of the Study:
- To determine the prevalence of dementia and specific dementia subtypes in individuals with and without AODM.
- To analyze the association between AODM and Alzheimer's disease (AD) versus vascular dementia.
Main Methods:
- A chart survey was conducted on 476 long-term care residents aged 50 years and older.
- Dementia and AODM status were determined from chart data.
- Demographic information and other comorbidities were also extracted.
Main Results:
- The prevalence of AODM in the sample was approximately 21%.
- AODM showed a significant negative association with Alzheimer's disease (AD).
- Conversely, AODM was strongly associated with vascular dementia, with a 47.4% prevalence in this group.
Conclusions:
- Adult onset diabetes (AODM) and clinically diagnosed Alzheimer's disease (AD) did not co-occur in this study.
- AODM was associated with clinically diagnosed vascular dementia.
- In non-Alzheimer, nonvascular dementias, AODM rates were similar to those in non-demented patients.
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