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Tip 2 Diabetes Mellitus Penceresinden Metabolik Sendromlu Hastalarda Bilişsel Fonksiyonlar ve Zeka Katsayısı

Yıl 2022, Cilt: 6 Sayı: 1, 1 - 6, 22.04.2022
https://doi.org/10.46332/aemj.867330

Öz

Amaç: Metabolik sendrom (MetS) olan hastalarda bilişsel işlevleri ve zeka katsayısı (IQ) değerini, tip 2 diabetes mellitus (DM) hastalığını dikkate alarak değerlendirmek.
Araçlar ve Yöntem: Ocak-Mart 2020 tarihleri arasında kesitsel bir çalışma yürütüldü. Bu çalışmaya katılanlar üçüncü basamak bir hastanedendir. Sağlık kontrolü veya DM takibi ile polikliniğe başvuran hastalar çalışmaya dahil edildi. Çalışmaya 18-75 yaşlarında toplam 80 hasta (44 MetS'li ve 36 MetS'siz hasta) art arda dahil edildi. Hastaların klinik ve laboratuvar parametreleri, Mini Mental
Durum Muayenesi (MMSE) ve Kent E-G-Y skorları ile ölçüldü.
Bulgular: MetS'li hastalarda glikozile hemoglobin (HbA1c) ve trigliserid düzeyleri daha yüksek, yüksek dansiteli lipoprotein-kolesterol (HDL-c) ve ferritin düzeyleri daha düşüktü. MMSE skoru MetS'li katılımcılarda MetS'siz katılımcılardan daha düşükken, Kent E-G-Y skoru her iki grupta da benzerdi. Tüm hastaların DM ve/veya MetS olup olmadığına bağlı olarak, alt grup analizleri yapıldı ve
değerlendirildi. Diyabetli hastalar, diğer alt gruplara kıyasla daha düşük IQ puanlarına sahipti.
Sonuç: MetS, bilişsel işlevleri azaltır, ancak bunun genel olarak IQ üzerinde bir etkisi olmadığı gösterilmiştir. Bununla birlikte, DM varlığının MetS’lu hastalarda zeka üzerine kötüleştiren bir faktör olduğu gösterilmiş olsa da, daha fazla çalışmaya ihtiyaç vardır.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Kaynakça

  • 1. Brandão AD, da Silva JH, Mariane Oliveira Lima S, et al. Short and long term effect of treatment non-pharmacological and lifestyle in patients with metabolic syndrome. Diabetol Metab Syndr. 2020;12(1):1-8.
  • 2. Gül Yurdakul F, Bodur H, Öztop Çakmak Ö, et al. On the severity of carpal tunnel syndrome: diabetes or metabolic syndrome. J Clin Neurol. 2015;11(3):234-240.
  • 3. Alalwan TA, Perna S, Mandeel QA, et al. Effects of daily low-dose date consumption on glycemic control, lipid profile, and quality of life in adults with pre- and type 2 diabetes: a randomized controlled trial. Nutrients. 2020;12(1):217.
  • 4. Vanleerberghe P, De Witte N, Claes C, Schalock RL, Verté D. The quality of life of older people aging in place: a literature review. Qual Life Res. 2017;26(11):2899-2907.
  • 5. Shin HY, Han HJ, Shin DJ, Park HM, Lee YB, Park KH. Sleep problems associated with behavioral and psychological symptoms as well as cognitive functions in Alzheimer's disease. J Clin Neurol. 2014;10(3):203-209.
  • 6. Ghafoor H, Ahmad RA, Nordbeck P, Ritter O, Pauli P, Schulz SM. A cross-cultural comparison of the roles of emotional intelligence, metacognition, and negative coping for health-related quality of life in German versus Pakistani patients with chronic heart failure. Br J Health Psychol. 2019;24(4):828-846.
  • 7. Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the ınternational diabetes federation task force on epidemiology and prevention; national heart, lung, and blood ınstitute; american heart association; world heart federation; ınternational atherosclerosis society; and ınternational association for the study of obesity. Circulation. 2009;120(16):1640-1645.
  • 8. American Diabetes Association. Standards of medical care in diabetes-2019. Diabetes Care. 2020;42(1):13-18.
  • 9. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198.
  • 10. Katz L, Crook GH. Use of the kent E-G-Y with an aged population. J Gerontol. 1962;17(2):186-189.
  • 11. Cohen E, Margalit I, Goldberg E, Krause I. Gender as an ındependent risk factor for the components of metabolic syndrome among ındividuals within the normal range of body mass ındex. Metab Syndr Relat Disord. 2018;16(10):537-542.
  • 12. Kumbasar B, Yenigun M, Ataoglu HE, et al. The prevalence of metabolic syndrome in different ethnic groups in Turkey. J Int Med Res. 2013;41(1):188-199.
  • 13. Kim H, Noh J, Noh Y, Oh SS, Koh SB, Kim C. Gender Difference in the Effects of Outdoor Air Pollution on Cognitive Function Among Elderly in Korea. Front. Public Health. 2019;7:375.
  • 14. Xu H, Vorderstrasse AA, Dupre ME, McConnell ES, Østbye T, Wu B. Gender differences in the association between migration and cognitive function among older adults in China and India. Arch Gerontol Geriatr. 2019;81:31-38.
  • 15. Chen B, Jin X, Guo R, et al. Metabolic syndrome and cognitive performance among Chinese 50 years: a cross-sectional study with 3988 participants. Metab Syndr Relat Disord. 2016;14(4):222-227.
  • 16. Liu M, He Y, Jiang B, et al. Association between metabolic syndrome and mild cognitive impairment and its age difference in a Chinese community elderly population. Clin Endocrinol (Oxf). 2015;82(6):844-853.
  • 17. Tortelli R, Lozupone M, Guerra V, et al. Midlife metabolic profile and the risk of late-life cognitive decline. J Alzheimers Dis. 2017;59(1):121-130.
  • 18. Rambod M, Ghodsbin F, Moradi A. The association between body mass ındex and comorbidity, quality of life, and cognitive function in the elderly population. Int J Community Based Nurs Midwifery. 2020;8(1):45-54.
  • 19. Hartanto A, Yong JC, Toh WX. Bidirectional Associations between Obesity and Cognitive Function in Midlife Adults: A Longitudinal Study. Nutrients. 2019;11(10):2343.
  • 20. Pancani S, Sofi F, Cecchi F, Macchi C. HDL cholesterol ıs ındependently associated with cognitive function in males but not in females within a cohort of nonagenarians: the mugello study. J Nutr Health Aging. 2019;23(6):552-557.
  • 21. Parthasarathy V, Frazier DT, Bettcher BM, et al. Triglycerides are negatively correlated with cognitive function in nondemented aging adults. Neuropsychology. 2017;31(6):682-688.
  • 22. Teixeira MM, Passos VMA, Barreto SM, et al. Association between diabetes and cognitive function at baseline in the Brazilian longitudinal study of adult health (ELSA- Brasil). Sci Rep. 2020;10(1):1-10.
  • 23. Wang X, Luan D, Xin S, Liu Y, Gao Q. Association between ındividual components of metabolic syndrome and cognitive function in northeast rural china. Am J Alzheimers Dis Other Demen. 2019;34(7-8):507-512.
  • 24. Rahmanian M, Hojat M, Fatemi NS, Mehran A, Parvizy S. Spiritual intelligence of adolescents with diabetes based on demographic components. J Educ. Health Promot. 2019;8:204.
  • 25. Nunn AV, Guy GW, Bell JD. The intelligence paradox; will ET get the metabolic syndrome? Lessons from and for Earth. Nutr Metab (Lond). 2014;11(1):1-13.

Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus

Yıl 2022, Cilt: 6 Sayı: 1, 1 - 6, 22.04.2022
https://doi.org/10.46332/aemj.867330

Öz

Purpose: To evaluate the cognitive functions and intelligence quotient (IQ) in patients with metabolic syndrome (MetS) by also considering Type 2 diabetes mellitus (DM).
Materials and Methods: A cross‑sectional study was conducted from January to March 2020. Participants in this study are from a tertiary care hospital. Patients admitted to the outpatient clinic with health check-up, or follow-up of DM were included in the study. A total of 80 patients (44 patients with MetS and 36 patients without MetS), 18-75 years old, were recruited to the study consecutively.
Clinical and laboratory parameters, Mini Mental State Examination (MMSE) and Kent E-G-Y scores of patients were measured. 
Results: Glycated hemoglobin (HbA1c) and triglycerides levels were higher, whereas high-density lipoprotein-cholesterol (HDL-c) and ferritin levels were lower in patients with MetS. MMSE score was lower in participants with MetS than without MetS, whereas Kent E-G-Y score was similar in both groups. Depending on whether all patients have DM and/or MetS, subgroup analyzes were performed and evaluated. Patients with diabetes had lower IQ scores compared to the other subgroups. 
Conclusion: MetS reduces cognitive functions, whereas it has been shown that this generally does not have any effect on IQ. However, even though DM presence has been shown to be a worsening factor on intelligence in MetS, further studies are needed.

Proje Numarası

yok

Kaynakça

  • 1. Brandão AD, da Silva JH, Mariane Oliveira Lima S, et al. Short and long term effect of treatment non-pharmacological and lifestyle in patients with metabolic syndrome. Diabetol Metab Syndr. 2020;12(1):1-8.
  • 2. Gül Yurdakul F, Bodur H, Öztop Çakmak Ö, et al. On the severity of carpal tunnel syndrome: diabetes or metabolic syndrome. J Clin Neurol. 2015;11(3):234-240.
  • 3. Alalwan TA, Perna S, Mandeel QA, et al. Effects of daily low-dose date consumption on glycemic control, lipid profile, and quality of life in adults with pre- and type 2 diabetes: a randomized controlled trial. Nutrients. 2020;12(1):217.
  • 4. Vanleerberghe P, De Witte N, Claes C, Schalock RL, Verté D. The quality of life of older people aging in place: a literature review. Qual Life Res. 2017;26(11):2899-2907.
  • 5. Shin HY, Han HJ, Shin DJ, Park HM, Lee YB, Park KH. Sleep problems associated with behavioral and psychological symptoms as well as cognitive functions in Alzheimer's disease. J Clin Neurol. 2014;10(3):203-209.
  • 6. Ghafoor H, Ahmad RA, Nordbeck P, Ritter O, Pauli P, Schulz SM. A cross-cultural comparison of the roles of emotional intelligence, metacognition, and negative coping for health-related quality of life in German versus Pakistani patients with chronic heart failure. Br J Health Psychol. 2019;24(4):828-846.
  • 7. Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the ınternational diabetes federation task force on epidemiology and prevention; national heart, lung, and blood ınstitute; american heart association; world heart federation; ınternational atherosclerosis society; and ınternational association for the study of obesity. Circulation. 2009;120(16):1640-1645.
  • 8. American Diabetes Association. Standards of medical care in diabetes-2019. Diabetes Care. 2020;42(1):13-18.
  • 9. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198.
  • 10. Katz L, Crook GH. Use of the kent E-G-Y with an aged population. J Gerontol. 1962;17(2):186-189.
  • 11. Cohen E, Margalit I, Goldberg E, Krause I. Gender as an ındependent risk factor for the components of metabolic syndrome among ındividuals within the normal range of body mass ındex. Metab Syndr Relat Disord. 2018;16(10):537-542.
  • 12. Kumbasar B, Yenigun M, Ataoglu HE, et al. The prevalence of metabolic syndrome in different ethnic groups in Turkey. J Int Med Res. 2013;41(1):188-199.
  • 13. Kim H, Noh J, Noh Y, Oh SS, Koh SB, Kim C. Gender Difference in the Effects of Outdoor Air Pollution on Cognitive Function Among Elderly in Korea. Front. Public Health. 2019;7:375.
  • 14. Xu H, Vorderstrasse AA, Dupre ME, McConnell ES, Østbye T, Wu B. Gender differences in the association between migration and cognitive function among older adults in China and India. Arch Gerontol Geriatr. 2019;81:31-38.
  • 15. Chen B, Jin X, Guo R, et al. Metabolic syndrome and cognitive performance among Chinese 50 years: a cross-sectional study with 3988 participants. Metab Syndr Relat Disord. 2016;14(4):222-227.
  • 16. Liu M, He Y, Jiang B, et al. Association between metabolic syndrome and mild cognitive impairment and its age difference in a Chinese community elderly population. Clin Endocrinol (Oxf). 2015;82(6):844-853.
  • 17. Tortelli R, Lozupone M, Guerra V, et al. Midlife metabolic profile and the risk of late-life cognitive decline. J Alzheimers Dis. 2017;59(1):121-130.
  • 18. Rambod M, Ghodsbin F, Moradi A. The association between body mass ındex and comorbidity, quality of life, and cognitive function in the elderly population. Int J Community Based Nurs Midwifery. 2020;8(1):45-54.
  • 19. Hartanto A, Yong JC, Toh WX. Bidirectional Associations between Obesity and Cognitive Function in Midlife Adults: A Longitudinal Study. Nutrients. 2019;11(10):2343.
  • 20. Pancani S, Sofi F, Cecchi F, Macchi C. HDL cholesterol ıs ındependently associated with cognitive function in males but not in females within a cohort of nonagenarians: the mugello study. J Nutr Health Aging. 2019;23(6):552-557.
  • 21. Parthasarathy V, Frazier DT, Bettcher BM, et al. Triglycerides are negatively correlated with cognitive function in nondemented aging adults. Neuropsychology. 2017;31(6):682-688.
  • 22. Teixeira MM, Passos VMA, Barreto SM, et al. Association between diabetes and cognitive function at baseline in the Brazilian longitudinal study of adult health (ELSA- Brasil). Sci Rep. 2020;10(1):1-10.
  • 23. Wang X, Luan D, Xin S, Liu Y, Gao Q. Association between ındividual components of metabolic syndrome and cognitive function in northeast rural china. Am J Alzheimers Dis Other Demen. 2019;34(7-8):507-512.
  • 24. Rahmanian M, Hojat M, Fatemi NS, Mehran A, Parvizy S. Spiritual intelligence of adolescents with diabetes based on demographic components. J Educ. Health Promot. 2019;8:204.
  • 25. Nunn AV, Guy GW, Bell JD. The intelligence paradox; will ET get the metabolic syndrome? Lessons from and for Earth. Nutr Metab (Lond). 2014;11(1):1-13.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Bilimsel Araştırma Makaleleri
Yazarlar

Ulaş Serkan Topaloğlu 0000-0001-6625-7763

Kamil Deveci 0000-0002-9108-4769

Mehmet Fatih Göl 0000-0001-7773-641X

Melih Kızıltepe 0000-0001-6100-2024

Ersin Ulusoy 0000-0001-7003-4597

Döndü Melek Ulusoy 0000-0001-7847-9048

Bedriye Simitci 0000-0003-3906-3917

Proje Numarası yok
Yayımlanma Tarihi 22 Nisan 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 6 Sayı: 1

Kaynak Göster

APA Topaloğlu, U. S., Deveci, K., Göl, M. F., Kızıltepe, M., vd. (2022). Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus. Ahi Evran Medical Journal, 6(1), 1-6. https://doi.org/10.46332/aemj.867330
AMA Topaloğlu US, Deveci K, Göl MF, Kızıltepe M, Ulusoy E, Ulusoy DM, Simitci B. Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus. Ahi Evran Med J. Nisan 2022;6(1):1-6. doi:10.46332/aemj.867330
Chicago Topaloğlu, Ulaş Serkan, Kamil Deveci, Mehmet Fatih Göl, Melih Kızıltepe, Ersin Ulusoy, Döndü Melek Ulusoy, ve Bedriye Simitci. “Cognitive Functions and Intelligence Quotient in Patients With Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus”. Ahi Evran Medical Journal 6, sy. 1 (Nisan 2022): 1-6. https://doi.org/10.46332/aemj.867330.
EndNote Topaloğlu US, Deveci K, Göl MF, Kızıltepe M, Ulusoy E, Ulusoy DM, Simitci B (01 Nisan 2022) Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus. Ahi Evran Medical Journal 6 1 1–6.
IEEE U. S. Topaloğlu, “Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus”, Ahi Evran Med J, c. 6, sy. 1, ss. 1–6, 2022, doi: 10.46332/aemj.867330.
ISNAD Topaloğlu, Ulaş Serkan vd. “Cognitive Functions and Intelligence Quotient in Patients With Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus”. Ahi Evran Medical Journal 6/1 (Nisan 2022), 1-6. https://doi.org/10.46332/aemj.867330.
JAMA Topaloğlu US, Deveci K, Göl MF, Kızıltepe M, Ulusoy E, Ulusoy DM, Simitci B. Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus. Ahi Evran Med J. 2022;6:1–6.
MLA Topaloğlu, Ulaş Serkan vd. “Cognitive Functions and Intelligence Quotient in Patients With Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus”. Ahi Evran Medical Journal, c. 6, sy. 1, 2022, ss. 1-6, doi:10.46332/aemj.867330.
Vancouver Topaloğlu US, Deveci K, Göl MF, Kızıltepe M, Ulusoy E, Ulusoy DM, Simitci B. Cognitive Functions and Intelligence Quotient in Patients with Metabolic Syndrome Through the Window of Type 2 Diabetes Mellitus. Ahi Evran Med J. 2022;6(1):1-6.

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