Association Between Cognitive Function and Social Support with Glycemic Control in Adults with Diabetes Mellitus
dc.contributor.author | Okura, Toru | en_US |
dc.contributor.author | Heisler, Michele M. | en_US |
dc.contributor.author | Langa, Kenneth M. | en_US |
dc.date.accessioned | 2010-04-01T15:15:40Z | |
dc.date.available | 2010-04-01T15:15:40Z | |
dc.date.issued | 2009-10 | en_US |
dc.identifier.citation | Okura, Toru; Heisler, Michele; Langa, Kenneth M. (2009). "Association Between Cognitive Function and Social Support with Glycemic Control in Adults with Diabetes Mellitus." Journal of the American Geriatrics Society 57(10): 1816-1824. <http://hdl.handle.net/2027.42/65732> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/65732 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=19682129&dopt=citation | en_US |
dc.description.abstract | To examine whether cognitive impairment in adults with diabetes mellitus is associated with worse glycemic control and to assess whether level of social support for diabetes mellitus care modifies this relationship. DESIGN : Cross-sectional analysis. SETTING : The 2003 Health and Retirement Study (HRS) Mail Survey on Diabetes and the 2004 wave of the HRS. PARTICIPANTS : Adults aged 50 and older with diabetes mellitus in the United States (N=1,097, mean age 69.2). MEASUREMENTS : Glycosylated hemoglobin (HbA1c) level; cognitive function, measured with the 35-point HRS cognitive scale (HRS-cog); sociodemographic variables; duration of diabetes mellitus; depressed mood; social support for diabetes mellitus care; self-reported knowledge of diabetes mellitus; treatments for diabetes mellitus; components of the Total Illness Burden Index related to diabetes mellitus; and functional limitations. RESULTS : In an ordered logistic regression model for the three ordinal levels of HbA1c (<7.0, 7.0–7.9, ≥8.0 mg/dL), respondents with HRS-cog scores in the lowest quartile had significantly higher HbA1c levels than those in the highest cognitive quartile (adjusted odds ratio=1.80, 95% confidence interval=1.11–2.92). A high level of social support for diabetes mellitus care modified this association; for respondents in the lowest cognitive quartile, those with high levels of support had significantly lower odds of having higher HbA1c than those with low levels of support (1.11 vs 2.87, P =.02). CONCLUSION : Although cognitive impairment was associated with worse glycemic control, higher levels of social support for diabetes mellitus care ameliorated this negative relationship. Identifying the level of social support available to cognitively impaired adults with diabetes mellitus may help to target interventions for better glycemic control. | en_US |
dc.format.extent | 246253 bytes | |
dc.format.extent | 3110 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | Journal compilation 2009 The American Geriatrics Society/Wiley Periodicals, Inc. | en_US |
dc.subject.other | Cognitive Impairment | en_US |
dc.subject.other | Glycemic Control | en_US |
dc.subject.other | Diabetes Mellitus | en_US |
dc.subject.other | Social Support | en_US |
dc.title | Association Between Cognitive Function and Social Support with Glycemic Control in Adults with Diabetes Mellitus | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | General Medicine, Department of Internal Medicine, University of Michigan at Ann Arbor, Michigan Department of Veterans Affairs, Ann Arbor, Michigan ; | en_US |
dc.contributor.affiliationum | Geriatric Research, Education and Clinical Center, Ann Arbor, Michigan; and | en_US |
dc.contributor.affiliationum | Health Services Research and Development Center of Excellence, Ann Arbor, Michigan. | en_US |
dc.contributor.affiliationother | Geriatric Medicine and | en_US |
dc.identifier.pmid | 19682129 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/65732/1/j.1532-5415.2009.02431.x.pdf | |
dc.identifier.doi | 10.1111/j.1532-5415.2009.02431.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
dc.identifier.citedreference | 1. Percentage of Civilian, Noninstitutionalized Population with Diagnosed Diabetes, by Age, United States, 1980–2006. Centers for Disease Control and Prevention (CDC) [on-line]. Available at http://www.cdc.gov/diabetes/statistics/prev/national/figbyage.htm Accessed December 22, 2008. | en_US |
dc.identifier.citedreference | Sinclair AJ, Robert IE, Croxson SC. Mortality in older people with diabetes mellitus. Diabet Med 1997 ; 14 : 639 – 647. | en_US |
dc.identifier.citedreference | Cigolle CT, Langa KM, Kabeto MU et al. Geriatric conditions and disability : The Health and Retirement Study. Ann Intern Med 2007 ; 147 : 156 – 164. | en_US |
dc.identifier.citedreference | Hogan P, Dall T, Nikolov P American Diabetes Association. Economic costs of diabetes in the US in 2002. Diabetes Care 2003 ; 26 : 917 – 932. | en_US |
dc.identifier.citedreference | Munshi M, Grande L, Hayes M et al. Cognitive dysfunction is associated with poor diabetes control in older adults. Diabetes Care 2006 ; 29 : 1794 – 1799. | en_US |
dc.identifier.citedreference | Sinclair AJ, Girling AJ, Bayer AJ. Cognitive dysfunction in older subjects with diabetes mellitus : Impact on diabetes self-management and use of care services. Diabetes Res Clin Pract 2000 ; 50 : 203 – 212. | en_US |
dc.identifier.citedreference | De Wet H, Levitt N, Tipping B. Executive cognitive impairment detected by simple bedside testing is associated with poor glycemic control in type 2 diabetes. S Afr Med J 2007 ; 97 : 1074 – 1076. | en_US |
dc.identifier.citedreference | Schillinger D, Grumbach K, Piette J et al. Association of health literacy with diabetes outcomes. JAMA 2002 ; 288 : 475 – 482. | en_US |
dc.identifier.citedreference | Cavanaugh K, Huizinga MM, Wallston KA et al. Association of numeracy and diabetes control. Ann Intern Med 2008 ; 148 : 737 – 746. | en_US |
dc.identifier.citedreference | Lustman PJ, Anderson RJ, Freedland KE et al. Depression and poor glycemic control : A meta-analytic review of the literature. Diabetes Care 2000 ; 23 : 934 – 942. | en_US |
dc.identifier.citedreference | Dotson VM, Resnick SM, Zonderman AB. Differential association of concurrent, baseline, and average depressive symptoms with cognitive decline in older adults. Am J Geriatr Psychiatry 2008 ; 16 : 318 – 330. | en_US |
dc.identifier.citedreference | Ganguli M, Du Y, Dodge HH et al. Depressive symptoms and cognitive decline in late life : A prospective epidemiological study. Arch Gen Psychiatry 2006 ; 63 : 153 – 160. | en_US |
dc.identifier.citedreference | Lustman PJ, Clouse RE. Depression in diabetic patients : The relationship between mood and glycemic control. J Diabetes Complicat 2005 ; 19 : 113 – 122. | en_US |
dc.identifier.citedreference | Pereira MG, Berg-Cross L, Almeida P et al. Impact of family environment and support on adherence, metabolic control, and quality of life in adolescents with diabetes. Int J Behav Med 2008 ; 15 : 187 – 193. | en_US |
dc.identifier.citedreference | McNabney MK, Pandya N, Iwuagwu C et al. Differences in diabetes management of nursing home patients based on functional and cognitive status. J Am Med Dir Assoc 2005 ; 6 : 375 – 382. | en_US |
dc.identifier.citedreference | 16. Health and Retirement Study. 2003 Diabetes Study. Version 2.0, April 2007 (Sensitive Health Data) Data Description and Usage [on-line]. Available at http://hrsonline.isr.umich.edu/meta/diabetes/desc/diab2003dd.pdf Accessed December 22, 2008. | en_US |
dc.identifier.citedreference | Heisler M, Faul JD, Hayward RA et al. Mechanisms for racial and ethnic disparities in glycemic control in middle-aged and older Americans in the Health and Retirement Study. Arch Intern Med 2007 ; 167 : 1853 – 1860. | en_US |
dc.identifier.citedreference | Brandt J, Spencer M, Folstein M. The telephone interview for cognitive status. Neuropsychiatry Neuropsychol Behav Neurol 1988 ; 1 : 111 – 117. | en_US |
dc.identifier.citedreference | Ofstedal MB, Fisher G, Herzog AR. Documentation of Cognitive Functioning Measures in the Health and Retirement Study. Ann Arbor, MI: University of Michigan, 2005 [on-line]. Available at http://hrsonline.isr.umich.edu/docs/userg/dr-006.pdf Accessed December 12, 2008. | en_US |
dc.identifier.citedreference | Langa KM, Larson EB, Karlawish JH et al. Trends in the prevalence and mortality of cognitive impairment in the United States : Is there evidence of a compression of cognitive morbidity? Alzheimers Dement 2008 ; 4 : 134 – 144. | en_US |
dc.identifier.citedreference | Langa KM, Chernew ME, Kabeto MU et al. National estimates of the quantity and cost of informal caregiving for the elderly with dementia. J Gen Intern Med 2001 ; 16 : 770 – 778. | en_US |
dc.identifier.citedreference | Banaszak-Holl J, Fendrick AM, Foster NL et al. Predicting nursing home admission : Estimates from a 7-year follow-up of a nationally representative sample of older Americans. Alzheimer Dis Assoc Disord 2004 ; 18 : 83 – 89. | en_US |
dc.identifier.citedreference | Mehta KM, Yaffe K, Langa KM et al. Additive effects of cognitive function and depressive symptoms on mortality in elderly community-living adults. J Gerontol A Biol Sci Med Sci 2003 ; 58A : M461 – M467. | en_US |
dc.identifier.citedreference | 24. FlexSite Diagnostics Inc. Important Facts About A1c at Home [on-line]. Available at http://www.flexsite.com/About_A1c_At_Home.html Accessed December 22, 2008. | en_US |
dc.identifier.citedreference | Greenfield S, Sullivan L, Dukes KA et al. Development and testing of a new measure of case mix for use in office practice. Med Care 1995 ; 33 : AS47 – AS55. | en_US |
dc.identifier.citedreference | Hayward RA, Manning WG, Kaplan SH et al. Starting insulin therapy in patients with type 2 diabetes : Effectiveness, complications, and resource utilization. JAMA 1997 ; 278 : 1663 – 1669. | en_US |
dc.identifier.citedreference | Radloff LS. The CES-D scale : A self-report depression scale for research in the general population. Appl Psycholog Measure 1977 ; 1 : 385 – 401. | en_US |
dc.identifier.citedreference | Fitzgerald JT, Davis WK, Connell CM et al. Development and validation of the diabetes care profile. Eval Health Prof 1996 ; 19 : 208 – 230. | en_US |
dc.identifier.citedreference | Kleinbaum DG, Klein M. Logistic Regression: A Self-Learning Text, 2nd Ed. New York : Springer, 2002. | en_US |
dc.identifier.citedreference | Panja S, Starr B, Colleran KM. Patient knowledge improves glycemic control : Is it time to go back to the classroom? J Investig Med 2005 ; 53 : 264 – 266. | en_US |
dc.identifier.citedreference | Heisler M, Piette JD, Spencer M et al. The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-management. Diabetes Care 2005 ; 28 : 816 – 822. | en_US |
dc.identifier.citedreference | Fontbonne A, Berr C, DucimetiÈre P et al. Changes in cognitive abilities over a 4-year period are unfavorably affected in elderly diabetic subjects : Results of the Epidemiology of Vascular Aging Study. Diabetes Care 2001 ; 24 : 366 – 370. | en_US |
dc.identifier.citedreference | Jacobson AM Musen G, Ryan CM et al. Long-term effect of diabetes and its treatment on cognitive function. N Engl J Med 2007 ; 356 : 1842 – 1852. | en_US |
dc.identifier.citedreference | Gregg EW, Yaffe K, Cauley JA et al. Is Diabetes associated with cognitive impairment and cognitive decline among older women? Arch Intern Med 2000 ; 160 : 174 – 180. | en_US |
dc.identifier.citedreference | Cukierman T, Gerstein HC, Williamson JD. Cognitive decline and dementia in diabetes : Systematic overview of prospective observational studies. Diabetologia 2005 ; 48 : 2460 – 2469. | en_US |
dc.identifier.citedreference | Strachan MW, Price JF, Frier BM. Diabetes, cognitive impairment, and dementia. BMJ 2008 ; 336 : 6. | en_US |
dc.identifier.citedreference | Whitmer RA. Type 2 diabetes and risk of cognitive impairment and dementia. Curr Neurol Neurosci Rep 2007 ; 7 : 373 – 380. | en_US |
dc.identifier.citedreference | Stewart R, Liolitsa D. Type 2 diabetes mellitus, cognitive impairment and dementia. Diabet Med 1999 ; 16 : 93 – 112. | en_US |
dc.identifier.citedreference | Albright TL, Parchman M, Burge SK et al. RNeST Investigators. Predictors of self-care behavior in adults with type 2 diabetes : An RRNeST Study. Fam Med 2001 ; 33 : 354 – 360. | en_US |
dc.identifier.citedreference | Van Dam HA, van der Horst FG, Knoops L et al. Social support in diabetes : A systematic review of controlled intervention studies. Patient Educ Couns 2005 ; 59 : 1 – 12. | en_US |
dc.identifier.citedreference | 41. Committee on the Future Health Care Workforce for Older Americans, Institute of Medicine. Retooling for an Aging America: Building the Health Care Workforce [on-line]. Available at http://books.nap.edu/openbook.php?record_id=12089&page=241 Accessed May 10, 2009. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.