The association between cognitive decline and incident depressive symptoms in a sample of older Puerto Rican adults with diabetes

Tyler Bell, Ana Luisa Dávila, Olivio Clay, Kyriakos Markides, Ross Andel, Michael Crowe

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background:: Older Puerto Rican adults have particularly high risk of diabetes compared to the general US population. Diabetes is associated with both higher depressive symptoms and cognitive decline, but less is known about the longitudinal relationship between cognitive decline and incident depressive symptoms in those with diabetes. This study investigated the association between cognitive decline and incident depressive symptoms in older Puerto Rican adults with diabetes over a four-year period. Methods:: Households across Puerto Rico were visited to identify a population-based sample of adults aged 60 years and over for the Puerto Rican Elderly: Health Conditions study (PREHCO); 680 participants with diabetes at baseline and no baseline cognitive impairment were included in analyses. Cognitive decline and depressive symptoms were measured using the Mini-Mental Cabán (MMC) and Geriatric Depression Scale (GDS), respectively. We examined predictors of incident depressive symptoms (GDS ≥ 5 at follow-up but not baseline) and cognitive decline using regression modeling. Results:: In a covariate-adjusted logistic regression model, cognitive decline, female gender, and greater diabetes-related complications were each significantly associated with increased odds of incident depressive symptoms (p < 0.05). In a multiple regression model adjusted for covariates, incident depressive symptoms and older age were associated with greater cognitive decline, and higher education was related to less cognitive decline (p < 0.05). Conclusions:: Incident depressive symptoms were more common for older Puerto Ricans with diabetes who also experienced cognitive decline. Efforts are needed to optimize diabetes management and monitor for depression and cognitive decline in this population.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalInternational Psychogeriatrics
DOIs
StateAccepted/In press - May 17 2017

Fingerprint

Hispanic Americans
Depression
Geriatrics
Cognitive Dysfunction
Logistic Models
Population
Puerto Rico
Neurobehavioral Manifestations
Diabetes Complications
Education
Health

Keywords

  • cognition
  • depressive symptoms
  • diabetes
  • Hispanic
  • older adults

ASJC Scopus subject areas

  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

The association between cognitive decline and incident depressive symptoms in a sample of older Puerto Rican adults with diabetes. / Bell, Tyler; Dávila, Ana Luisa; Clay, Olivio; Markides, Kyriakos; Andel, Ross; Crowe, Michael.

In: International Psychogeriatrics, 17.05.2017, p. 1-9.

Research output: Contribution to journalArticle

@article{d6dbf30436214cf78409f43f6eab81e7,
title = "The association between cognitive decline and incident depressive symptoms in a sample of older Puerto Rican adults with diabetes",
abstract = "Background:: Older Puerto Rican adults have particularly high risk of diabetes compared to the general US population. Diabetes is associated with both higher depressive symptoms and cognitive decline, but less is known about the longitudinal relationship between cognitive decline and incident depressive symptoms in those with diabetes. This study investigated the association between cognitive decline and incident depressive symptoms in older Puerto Rican adults with diabetes over a four-year period. Methods:: Households across Puerto Rico were visited to identify a population-based sample of adults aged 60 years and over for the Puerto Rican Elderly: Health Conditions study (PREHCO); 680 participants with diabetes at baseline and no baseline cognitive impairment were included in analyses. Cognitive decline and depressive symptoms were measured using the Mini-Mental Cab{\'a}n (MMC) and Geriatric Depression Scale (GDS), respectively. We examined predictors of incident depressive symptoms (GDS ≥ 5 at follow-up but not baseline) and cognitive decline using regression modeling. Results:: In a covariate-adjusted logistic regression model, cognitive decline, female gender, and greater diabetes-related complications were each significantly associated with increased odds of incident depressive symptoms (p < 0.05). In a multiple regression model adjusted for covariates, incident depressive symptoms and older age were associated with greater cognitive decline, and higher education was related to less cognitive decline (p < 0.05). Conclusions:: Incident depressive symptoms were more common for older Puerto Ricans with diabetes who also experienced cognitive decline. Efforts are needed to optimize diabetes management and monitor for depression and cognitive decline in this population.",
keywords = "cognition, depressive symptoms, diabetes, Hispanic, older adults",
author = "Tyler Bell and D{\'a}vila, {Ana Luisa} and Olivio Clay and Kyriakos Markides and Ross Andel and Michael Crowe",
year = "2017",
month = "5",
day = "17",
doi = "10.1017/S1041610217000746",
language = "English (US)",
pages = "1--9",
journal = "International Psychogeriatrics",
issn = "1041-6102",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - The association between cognitive decline and incident depressive symptoms in a sample of older Puerto Rican adults with diabetes

AU - Bell, Tyler

AU - Dávila, Ana Luisa

AU - Clay, Olivio

AU - Markides, Kyriakos

AU - Andel, Ross

AU - Crowe, Michael

PY - 2017/5/17

Y1 - 2017/5/17

N2 - Background:: Older Puerto Rican adults have particularly high risk of diabetes compared to the general US population. Diabetes is associated with both higher depressive symptoms and cognitive decline, but less is known about the longitudinal relationship between cognitive decline and incident depressive symptoms in those with diabetes. This study investigated the association between cognitive decline and incident depressive symptoms in older Puerto Rican adults with diabetes over a four-year period. Methods:: Households across Puerto Rico were visited to identify a population-based sample of adults aged 60 years and over for the Puerto Rican Elderly: Health Conditions study (PREHCO); 680 participants with diabetes at baseline and no baseline cognitive impairment were included in analyses. Cognitive decline and depressive symptoms were measured using the Mini-Mental Cabán (MMC) and Geriatric Depression Scale (GDS), respectively. We examined predictors of incident depressive symptoms (GDS ≥ 5 at follow-up but not baseline) and cognitive decline using regression modeling. Results:: In a covariate-adjusted logistic regression model, cognitive decline, female gender, and greater diabetes-related complications were each significantly associated with increased odds of incident depressive symptoms (p < 0.05). In a multiple regression model adjusted for covariates, incident depressive symptoms and older age were associated with greater cognitive decline, and higher education was related to less cognitive decline (p < 0.05). Conclusions:: Incident depressive symptoms were more common for older Puerto Ricans with diabetes who also experienced cognitive decline. Efforts are needed to optimize diabetes management and monitor for depression and cognitive decline in this population.

AB - Background:: Older Puerto Rican adults have particularly high risk of diabetes compared to the general US population. Diabetes is associated with both higher depressive symptoms and cognitive decline, but less is known about the longitudinal relationship between cognitive decline and incident depressive symptoms in those with diabetes. This study investigated the association between cognitive decline and incident depressive symptoms in older Puerto Rican adults with diabetes over a four-year period. Methods:: Households across Puerto Rico were visited to identify a population-based sample of adults aged 60 years and over for the Puerto Rican Elderly: Health Conditions study (PREHCO); 680 participants with diabetes at baseline and no baseline cognitive impairment were included in analyses. Cognitive decline and depressive symptoms were measured using the Mini-Mental Cabán (MMC) and Geriatric Depression Scale (GDS), respectively. We examined predictors of incident depressive symptoms (GDS ≥ 5 at follow-up but not baseline) and cognitive decline using regression modeling. Results:: In a covariate-adjusted logistic regression model, cognitive decline, female gender, and greater diabetes-related complications were each significantly associated with increased odds of incident depressive symptoms (p < 0.05). In a multiple regression model adjusted for covariates, incident depressive symptoms and older age were associated with greater cognitive decline, and higher education was related to less cognitive decline (p < 0.05). Conclusions:: Incident depressive symptoms were more common for older Puerto Ricans with diabetes who also experienced cognitive decline. Efforts are needed to optimize diabetes management and monitor for depression and cognitive decline in this population.

KW - cognition

KW - depressive symptoms

KW - diabetes

KW - Hispanic

KW - older adults

UR - http://www.scopus.com/inward/record.url?scp=85019237241&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019237241&partnerID=8YFLogxK

U2 - 10.1017/S1041610217000746

DO - 10.1017/S1041610217000746

M3 - Article

C2 - 28511740

AN - SCOPUS:85019237241

SP - 1

EP - 9

JO - International Psychogeriatrics

JF - International Psychogeriatrics

SN - 1041-6102

ER -