Related Experiment Video

Updated: Jan 7, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.2K

Management of cardiometabolic risk factors in cardiovascular high-risk populations with varying cognitive levels

Ting Shen1, Meiqi Zhao1, Siyuan Qiao2

  • 1Department of Cardiology, Beijing Anzhen Hospital, National Clinical Research Center for Cardiovascular Diseases, No.2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.

Aging Clinical and Experimental Research
|December 29, 2025
PubMed

Insights

Cognitive impairment is linked to poorer cardiovascular risk management, especially uncontrolled blood glucose in diabetic patients. This highlights the need for targeted interventions for individuals with cognitive challenges and cardiovascular disease.

Area of Science:

  • Cardiology
  • Neurology
  • Public Health

Background:

  • Cognitive impairment can significantly impede effective self-management of cardiovascular disease (CVD).
  • This can lead to the worsening of cardiovascular risk factors and poorer health outcomes.
  • Understanding the relationship between cognitive function and CVD risk factor control is crucial for patient care.

Purpose of the Study:

  • To determine the prevalence of uncontrolled blood pressure, blood lipids, and blood glucose in CVD patients with varying cognitive function levels.
  • To identify specific patient groups that require priority for risk factor management.
  • To analyze the association between cognitive status and the control of key cardiovascular risk factors.

Main Methods:

  • A cross-sectional study involving 10,707 patients with CVD or high cardiovascular risk.
  • Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) scale, categorizing participants into normal (MoCA ≥ 26) or impaired (MoCA < 26) groups.
  • Logistic regression analysis was employed to examine the relationship between cognitive function and uncontrolled risk factors.

Main Results:

  • Diabetic patients with cognitive impairment showed significantly higher rates of uncontrolled blood glucose (hemoglobin A1c ≥ 7%: 65.7% vs. 56.6%).
  • While rates of uncontrolled blood pressure and lipids were slightly higher in those with cognitive impairment, these differences were not statistically significant.
  • The adjusted odds ratio for uncontrolled blood glucose in cognitively impaired diabetic patients was 1.40 (95% CI: 1.21-1.62).

Conclusions:

  • Cognitive impairment is significantly associated with an unfavorable cardiovascular risk profile in patients with CVD.
  • These findings suggest potential self-management challenges faced by patients with cognitive impairment.
  • Proactive and tailored care strategies are essential for managing cardiovascular risk in this population.
Abstract

Keywords:
Cardiovascular diseaseCardiovascular risk factorsCognitive impairmentDiabetesHyperlipidemiaHypertension

More Related Videos

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome06:04

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome

Published on: September 27, 2024

1.4K
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.9K

Related Concept Videos

Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
290
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
305
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
563
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
194
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
843
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
287