Type 2 diabetes mellitus might be a risk factor for mild cognitive impairment progressing to Alzheimer's disease

Wei Li1, Tao Wang1, Shifu Xiao1

  • 1Alzheimer's Disease and Related Disorders Center; Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China.

Abstract

Insights

Type 2 diabetes mellitus (T2DM) is a significant risk factor for Alzheimer's disease (AD) progression in older adults. This study found T2DM strongly associated with increased odds of developing AD from mild cognitive impairment (MCI).

Area of Science:

  • Neuroscience
  • Gerontology
  • Endocrinology

Background:

  • Mild cognitive impairment (MCI) is a precursor to Alzheimer's disease (AD).
  • Type 2 diabetes mellitus (T2DM) is linked to cognitive changes, but its role in MCI progression to AD is unclear.

Purpose of the Study:

  • To investigate the relationship between T2DM and MCI in elderly Shanghai residents.
  • To determine if T2DM exacerbates cognitive decline in the elderly.

Main Methods:

  • 197 elderly participants were assessed for T2DM, hyperlipidemia, brain injury, and dementia history.
  • Cognitive function evaluated using Mini-Mental State Examination and Montreal Cognitive Assessment.
  • Diagnoses based on DSM-IV for AD and Petersen's criteria for MCI.

Main Results:

  • 41.6% had no cognitive impairment, 41.6% had MCI, and 16.8% had AD.
  • Multivariate logistic regression showed T2DM as a significant risk factor for AD (OR=49.723).

Conclusions:

  • T2DM may increase the risk of mild cognitive impairment progressing to Alzheimer's disease.
  • Findings highlight T2DM as a critical factor in AD pathogenesis.

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