Assessment of cognitive impairment by using Addenbrooke’s Cognitive Examination (ACE) and Montreal Cognitive Assessment (MoCA) amongst type 2 diabetes mellitus patients in Eastern Uttar Pradesh, India
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 4
Abstract
Aim The occurrence of diabetes mellitus DM is in increasing trend worldwide predominantly in South East Asian countries comprising India Also there is strong evidences that DM upsurges the risk of cognitive impairment and dementia Hence our main aim behind this study was to divulge the relationship between DM and mild cognitive impairment MCIMaterials and Methods A retrospective cohort study was conducted by reviewing and analyzing the medical records of DM who had been consulted at the neurology outpatient department during a period of 2015 2016The cognitive impairment in DM patients were assessed by using Addenbrookes Cognitive Examination ACE and Montreal Cognitive Assessment MoCAStatistical Analysis The data was analyzed using Statistical Package for Social Sciences SPSS version 19 software If the pvalue 0Results The prevalence of cognitive impairment in DM patient is seemingly high with both scores ie 9631 with MoCA and 9985 with ACER The variables like sex and age groups were not statistically significant with MoCA scores The MoCA score ACER score showed a negative association with education levels The MoCA scores of different items ie visuoexcutive naming attention language abstraction and orientation were highly statistically significant at 001 level between the DM patients who had cognitive impairment and DM patients with normal score except memory which score zero in all patientsConclusion The prevalence of cognitive impairment in DM patients is very high The elder age low education attainment and unskilled occupation were also the potential identified risk factors for cognitive impairmentKeywords Diabetes Dementia MoCA Cognitive impairment Low education etc
Authors and Affiliations
S Kant, Karan Poddar, M Kamle, C Patil
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