1. Diabetes, Cognitive Decline, and Mild Cognitive Impairment Among Diverse Hispanics/Latinos: Study of Latinos–Investigation of Neurocognitive Aging Results (HCHS/SOL)
- Author
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González, Hector M, Tarraf, Wassim, González, Kevin A, Fornage, Myriam, Zeng, Donglin, Gallo, Linda C, Talavera, Gregory A, Daviglus, Martha L, Lipton, Richard B, Kaplan, Robert, Ramos, Alberto R, Lamar, Melissa, Cai, Jianwen, DeCarli, Charles, and Schneiderman, Neil
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Health Sciences ,Aging ,Prevention ,Clinical Research ,Neurosciences ,Neurodegenerative ,Alzheimer's Disease ,Dementia ,Brain Disorders ,Cardiovascular ,Acquired Cognitive Impairment ,Diabetes ,Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) ,Behavioral and Social Science ,Good Health and Well Being ,Aged ,Aged ,80 and over ,California ,Chicago ,Cognitive Aging ,Cognitive Dysfunction ,Diabetes Complications ,Diabetes Mellitus ,Female ,Florida ,Hispanic or Latino ,Humans ,Male ,Middle Aged ,New York ,Prevalence ,Prospective Studies ,Risk Factors ,United States ,Epidemiology ,Diabetes ,Mild Cognitive Impairment ,Alzheimer’s Disease ,dementia ,neuroepidemiology ,cognitive function ,cognitive decline ,neuropsychology ,Hispanics ,Latinos ,Hispanics/Latinos ,population neuroscience - Abstract
ObjectiveHispanics/Latinos are the largest ethnic/racial group in the U.S., have the highest prevalence of diabetes, and are at increased risk for neurodegenerative disorders. Currently, little is known about the relationship between diabetes and cognitive decline and disorders among diverse Hispanics/Latinos. The purpose of this study is to clarify these relationships in diverse middle-aged and older Hispanics/Latinos.Research design and methodsThe Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA) is an ancillary study of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). HCHS/SOL is a multisite (Bronx, NY; Chicago, IL; Miami, FL; and San Diego, CA), probability-sampled (i.e., representative of targeted populations), and prospective cohort study. Between 2016 and 2018, SOL-INCA enrolled diverse Hispanics/Latinos aged ≥50 years (n = 6,377). Global cognitive decline and mild cognitive impairment (MCI) were the primary outcomes.ResultsPrevalent diabetes at visit 1, but not incident diabetes at visit 2, was associated with significantly steeper global cognitive decline (βGC = -0.16 [95% CI -0.25; -0.07]; P < 0.001), domain-specific cognitive decline, and higher odds of MCI (odds ratio 1.74 [95% CI 1.34; 2.26]; P < 0.001) compared with no diabetes in age- and sex-adjusted models.ConclusionsDiabetes was associated with cognitive decline and increased MCI prevalence among diverse Hispanics/Latinos, primarily among those with prevalent diabetes at visit 1. Our findings suggest that significant cognitive decline and MCI may be considered additional disease complications of diabetes among diverse middle-aged and older Hispanics/Latinos.
- Published
- 2020