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Comparing cognitive function in white Mexican & non-Hispanic white Americans with/without diabetes.
Samantha Lee Saldana1, Charles A Guarnaccia1
1University of North Texas, Denton, TX USA.
Type 2 diabetes negatively impacts cognitive function, especially in Mexican Americans. Higher education and health literacy may mitigate this decline, underscoring the need for targeted cognitive screening.
Area of Science:
- Neuroscience
- Endocrinology
- Public Health
Background:
- Type 2 diabetes mellitus is linked to cognitive decline.
- Diabetes disproportionately affects minority populations.
- The combined effects of ethnicity and diabetes on cognition require further investigation.
Purpose of the Study:
- To compare cognitive functioning in non-Hispanic White and Mexican/Mexican American individuals with and without type 2 diabetes.
- To examine the influence of ethnicity and diabetes status on cognitive performance.
- To identify factors contributing to cognitive performance variations.
Main Methods:
- Utilized data from the 2014 Health and Retirement Study (HRS).
- Compared cognitive functioning (serial 7s, immediate/delayed recall) in adults aged 50+.
- Employed Multivariate Analysis of Covariance (MANCOVA) and stepwise multiple regression.
Main Results:
- Mexican Americans and individuals with diabetes showed poorer cognitive performance.
- Ethnicity and diabetes status were significant predictors of cognitive function.
- Education, age, depression, ethnicity, and diabetes status explained 28.4% of the variance in cognitive performance.
Conclusions:
- Education and health literacy are significant factors in cognitive performance.
- Effective diabetes management and duration may influence cognitive decline.
- Cognitive screening is recommended, particularly for Mexican/Mexican Americans, due to ethnic minority vulnerability.
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