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Updated: Nov 21, 2025

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
Published on: April 23, 2021
Cardiovascular Risk Factors, Cognitive Dysfunction, and Mild Cognitive Impairment
Raul Vintimilla1, Kishore Balasubramanian2, James Hall1
1Institute for Translational Research, University of North Texas Health Science Center, Fort Worth, Texas, USA.
Objectives:
The present study sought to evaluate the contribution of cardiovascular risk factors to cognitive functioning in a sample of Mexican Americans diagnosed with mild cognitive impairment (MCI).
Methods:
Hypertension, diabetes, dyslipidemia, and obesity were diagnosed based on self-report and/or standardized procedures. Cognitive function was measured with MMSE, Logical Memory I and II, Trail A & B, FAS, animal naming, and digit span tests. Independent samples t tests and two-way ANOVAs were conducted for analyses, adjusting for relevant covariates. We studied 100 Mexican Americans (65 female) with MCI, ages 50-86, from a longitudinal study of cognitive aging conducted at the University of North Texas Health Science Center.
Results:
A difference between subjects with and without obesity and memory scores was shown by t tests. Two-way ANOVAs detected an association between the coexistence of hypertension and diabetes with language measures, diabetes and dyslipidemia with executive function, and diabetes and obesity with memory and language measures.
Conclusions:
This study provides additional evidence about the link between cardiovascular risk factors and cognitive dysfunction in MCI subjects, and also demonstrated that comorbid risk factors increased the degree of cognitive deficit in many areas, which may indicate a higher risk of developing dementia.
Insights
Cardiovascular risk factors significantly impact cognitive function in Mexican Americans with mild cognitive impairment (MCI). Comorbid conditions, like diabetes and obesity, worsen cognitive deficits, increasing dementia risk.
Area of Science:
- Neuroscience
- Gerontology
- Public Health
Background:
- Cardiovascular risk factors are increasingly recognized as contributors to cognitive decline.
- Mild cognitive impairment (MCI) represents a transitional stage between normal aging and dementia.
- Understanding these links is crucial for early intervention strategies.
Purpose of the Study:
- To investigate the association between hypertension, diabetes, dyslipidemia, and obesity with cognitive functioning in Mexican Americans with MCI.
- To determine if the presence of multiple risk factors exacerbates cognitive impairment.
Main Methods:
- A cohort of 100 Mexican Americans (ages 50-86) diagnosed with MCI was studied.
- Cardiovascular risk factors were assessed via self-report and standardized measures.
- Cognitive function was evaluated using a battery of neuropsychological tests, including MMSE and memory/executive function assessments.
- Statistical analyses included independent samples t tests and two-way ANOVAs, controlling for covariates.
Main Results:
- Obesity was associated with differences in memory scores.
- The combination of hypertension and diabetes correlated with poorer language abilities.
- Diabetes and dyslipidemia were linked to impaired executive function.
- Diabetes combined with obesity showed associations with deficits in memory and language.
Conclusions:
- Cardiovascular risk factors are significantly associated with cognitive dysfunction in individuals with MCI.
- The presence of comorbid cardiovascular risk factors amplifies cognitive deficits across multiple domains.
- These findings suggest that managing cardiovascular health may be vital in mitigating dementia risk in at-risk populations.
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