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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.
Abstract:
(1) Background: As dementia is an incurable, multifactorial neurodegenerative disease, we gathered and analyzed a number of patient characteristics, assessing possible correlations that may support early diagnosis and a more accurate prognosis for cognitively impaired patients. (2) Methods: We used standard clinical parameters (cognitive and functional status, comorbidities, and plasma vitamin D levels) in a study group of 162 patients aged above 55 years old. (3) Results: We reported a higher incidence of cardiovascular and metabolic comorbidities in patients with severe or moderate cognitive impairment; a validated correlation between functional status, cognitive status, and serum vitamin D levels; and a more frequently associated profile of neurologic comorbidities in patients with a more significant cognitive deficiency. (4) Conclusions: The present research adds data on the significant correlations of cognitive deficits with cardiovascular, metabolic, and neurologic diseases (and the lack of correlation with osteoarticular illness). Clinicians should make the best use of the current screening and assessment tools (such as the functional scoring of daily activities, cognitive evaluation, and the screening of risk factors). Our data may offer starting points for future in-depth analysis of dementia-modifiable risk factors.
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