Cardiovascular Comorbidities in Relation to the Functional Status and Vitamin D Levels in Elderly Patients with

Violeta Diana Oprea1,2, Mihai Marinescu1,2, Corina Rișcă Popazu1,2

  • 1Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 800216 Galați, Romania.

Insights

Cognitive impairment in older adults is linked to cardiovascular, metabolic, and neurologic conditions. Serum vitamin D levels correlate with cognitive and functional status, suggesting potential early diagnostic markers for dementia.

Area of Science:

  • Neurology
  • Geriatrics
  • Internal Medicine

Background:

  • Dementia is an incurable, multifactorial neurodegenerative disease.
  • Early diagnosis and accurate prognosis are crucial for managing cognitive impairment.
  • Patient characteristics require analysis to identify potential correlations.

Purpose of the Study:

  • To analyze patient characteristics for correlations supporting early dementia diagnosis.
  • To assess links between cognitive impairment and various comorbidities.
  • To investigate the relationship between cognitive status, functional status, and vitamin D levels.

Main Methods:

  • Studied 162 patients aged over 55 years.
  • Utilized standard clinical parameters: cognitive and functional status, comorbidities, and plasma vitamin D levels.
  • Performed correlation analysis on gathered patient data.

Main Results:

  • Higher incidence of cardiovascular and metabolic comorbidities in patients with moderate to severe cognitive impairment.
  • Validated correlation found between functional status, cognitive status, and serum vitamin D levels.
  • Neurologic comorbidities were more frequently associated with significant cognitive deficiency.

Conclusions:

  • Cognitive deficits significantly correlate with cardiovascular, metabolic, and neurologic diseases.
  • No significant correlation was found with osteoarticular illness.
  • Clinical tools for screening and assessment, including risk factor evaluation, are vital for managing cognitive impairment and dementia.

Related Concept Videos

Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
153
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.5K
Vitamins01:30

Vitamins

Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
875
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
418
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
34
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
24