The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes.
The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes.
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DOI：
10.3390/ijerph20031885
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发表时间：
2023-01-19
影响因子：
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通讯作者：
McClure, Leslie A
中科院分区：
文献类型：
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作者：
Cohn-Schwartz, Ella;Joshi, Rennie;McClure, Leslie A
糖尿病是一种发病率和死亡率都很高的慢性疾病，它与晚年的认知能力低下有关。本研究旨在探讨2型糖尿病(T2 DM)患者社会支持与认知功能的关系。我们使用的数据来自卒中的地理和种族差异(CONTS)研究，包括45岁及以上的T2 DM参与者(n=4821)。我们考察了感知社会支持的不同方面，测量为结构性社会支持(例如，婚姻状况)、功能性社会支持(在生病或残疾时有照顾者)和孤独感。我们使用六项筛查器检查了认知功能。我们的结果表明，每周有5-7天感到孤独的成年人患认知障碍的几率几乎是那些不感到孤独的人的两倍。这些结果表明，在患有T2 DM的中老年患者中，针对孤独成年人的干预措施旨在减少孤独感，可能会对抗认知能力下降的一些风险。
Diabetes mellitus is a chronic disease with significant morbidity and mortality and it is associated with poor cognitive performance in later life. This study seeks to determine the relationship between social support and cognitive function among participants with type 2 diabetes mellitus (T2DM). We used data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including participants with T2DM aged 45 and older (n = 4821). We examined different aspects of perceived social support, measured as structural social support (e.g., marital status), functional social support (having a caregiver in case of sickness or disability), and loneliness. We examined cognitive functioning using a six-item screener. Our results indicate that adults who felt lonely for 5–7 days per week had almost double the odds of cognitive impairment compared to those who didn’t feel lonely. These results suggest that among middle-aged and older individuals with T2DM, interventions targeting lonely adults and which aim to reduce loneliness may combat some of the risks of cognitive decline.