Associations between depression and cognition, mild cognitive impairment and dementia in persons with diabetes mellitus: A systematic review and meta-analysis
| Autor: | Yeng Yan Chow, Milou Verdonschot, Claire T. McEvoy, Geeske Peeters |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Depression
Endocrinology Diabetes and Metabolism Cognitive Dysfunction/complications Dementia/epidemiology General Medicine Antidepressive Agents/therapeutic use Antidepressive Agents Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Cognition Endocrinology Depression/complications SDG 3 - Good Health and Well-being Diabetes Mellitus Internal Medicine Diabetes Mellitus/epidemiology Humans Cognitive Dysfunction Dementia |
| Zdroj: | Chow, Y Y, Verdonschot, M, McEvoy, C T & Peeters, G 2022, ' Associations between depression and cognition, mild cognitive impairment and dementia in persons with diabetes mellitus: A systematic review and meta-analysis ', Diabetes Research and Clinical Practice, vol. 185, 109227 . https://doi.org/10.1016/j.diabres.2022.109227 Diabetes Research and Clinical Practice, 185 |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2022.109227 |
| Popis: | Contains fulltext : 251779.pdf (Publisher’s version ) (Open Access) AIMS: This systematic review aimed to examine whether persons with diabetes and depression had poorer cognition and higher dementia risk than persons with diabetes only. Moreover, the impact of timing, frequency of depressive episodes throughout life, and antidepressant treatment were examined. METHODS: PubMed, Embase and PsycINFO were searched to obtain observational studies between August 2015 and June 2021 that examined the association between depression and cognition, mild cognitive impairment or dementia in people with diabetes. Studies published before August 2015 were retrieved from a previous systematic review. Findings were pooled using meta-analyses. RESULTS: 10 out of 19 included articles were appropriate for the meta-analyses. Persons with diabetes and depression experienced greater declines in executive function (SMD = -0.39 (-0.69, -0.08)), language (SMD = -0.80 (-1.52, -0.09)), memory (SMD = -0.63 (-1.12, -0.14)) and overall cognition (SMD = -0.77 (-1.33, -0.20)), and greater dementia risk (HR = 1.82 (1.79, 1.85)) than persons with diabetes only. No significant differences were observed for complex attention. No studies examined the role of timing and frequency of depressive episodes and antidepressant treatment. CONCLUSION: In persons with diabetes, depression is associated with worse cognition and higher dementia risk. The potential mitigating effect of antidepressant treatment remains unclear. |
| Databáze: | OpenAIRE |
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