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Body mass index, cognitive deficit and depressive symptoms in high cardiovascular risk patients
Amanda Lucas da Costa1, Juliana Santos Varela1, Matheus Roriz Cruz2
1Dementia Clinic, Neurology Service, Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brazil.
Insights
Obesity is linked to cognitive impairment in high cardiovascular risk patients. This study found no association between obesity and depressive symptoms in this group.
Area of Science:
- Cardiology
- Neurology
- Geriatrics
Background:
- Obesity is a growing concern, particularly in individuals with high cardiovascular risk.
- Cognitive impairment and depressive symptoms are prevalent in aging populations and can impact quality of life.
Purpose of the Study:
- To investigate the relationship between obesity, cognitive impairment, and depressive symptoms.
- To assess these associations in patients with high cardiovascular risk.
Main Methods:
- A cohort of 93 patients aged 50+ with high cardiovascular risk was studied.
- Cognitive function was assessed using the Mini Mental State Examination (MMSE).
- Depressive symptoms were evaluated using the Geriatric Depression Scale (GDS-15).
Main Results:
- Obese patients exhibited significantly lower MMSE scores compared to non-obese individuals (p=0.0012).
- Each one-point increase in BMI above 30 correlated with a 27% higher likelihood of cognitive impairment.
- Obese patients had a 31% greater chance of cognitive impairment than overweight subjects.
Conclusions:
- A significant association exists between obesity and cognitive impairment in patients at high cardiovascular risk.
- No significant association was found between obesity and depressive symptoms in this patient cohort.
Abstract:
To evaluate the relationship of obesity, cognitive impairment and depressive symptoms in patients with high cardiovascular risk.
Methods:
A sample of 93 patients aged 50 years or older was selected from the Center of Dyslipidemia and High Cardiovascular Risk from Hospital de Clínicas de Porto Alegre (HCPA). Patients with stroke were excluded. For cognitive evaluation, the MMSE (Mini Mental State Examination) was used. A score of 24 or less was considered as cognitive impairment, and for those who had 4 years or less of education, the cutoff point was 17. The GDS-15 (Geriatric Depression Scale) was also used, with the cutoff of 6 for presence of depressive symptoms.
Results:
Obese patients showed lower mean MMSE scores compared to non-obese patients (p=0.0012). Additionally, for every one point increase in BMI above 30 there was a 27% increase in the chances of the patient having cognitive impairment. The obese patients presented 31% chance of having cognitive impairment compared with overweight subjects.
Conclusions:
Our findings corroborated the association between obesity and cognitive impairment in high cardiovascular risk patients. This association however, was not observed for depressive symptoms.
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