CHANGES OF COGNITIVE FUNCTION IN PATIENTS WITH HYPERTENSION WITH CONCOMITANT DIABETES MELLITUS TYPE 2
Article PDF

Keywords

arterial hypertension, cognitive functions, type 2 diabetes mellitus

Abstract views: 24
PDF Downloads: 5

How to Cite

Netiazhenko , V., Malchevska , T., Plenova , O., Potaskalova , V., & Taranchuk , V. (2020). CHANGES OF COGNITIVE FUNCTION IN PATIENTS WITH HYPERTENSION WITH CONCOMITANT DIABETES MELLITUS TYPE 2. Medical Science of Ukraine (MSU), 16(2), 9-15. https://doi.org/10.32345/2664-4738.2.2020.2

Abstract

Relevance. Till now there is no clear clinical trial understanding of the relationship between hypertension (AH) and the patient's cognitive function.

Objective: the investigation of changes in cognitive function in patients with hypertension with concomitant type 2 diabetes mellitus (DM2).

Materials and methods. 215 people were examined: Group I (n = 131) – stage II hypertensive disease (HD); Group II (n = 46) – HD, combined with diabetes mellitus2; Group III, control (n = 38) – without a diagnosis of HD and diabetes mellitus2. All examined blood pressure (BP), echocardiogram. Clinical complaints, anamnestic data, and neuropsychiatric testing data were used to diagnose moderate cognitive impairment (MCI). Used modified diagnostic criteria J. Touchon, R. Petersen. To assess cognitive function used: Short scale of assessment of mental state (Mini-Mental State Examination - MMSE); Frontal Assessment Battery (FAB); clock drawing test; test for literal and categorical associations; Schulte tables; the Global Deterioration Scale (GDS) and the Clinical Dementia Rating (CDR).

Result. In patients with HD, the most significant risk factors for moderate cognitive impairment are hypercholesterolemia and overweight (with OR 1.8), obesity (OR 1.6), the presence of concomitant diabetes mellitus2, which, especially in overweight, significantly impairs cognitive function ( OR 2.56). Deterioration of cognitive function correlates with the duration of HD, cholesterol levels. Concomitant diabetes mellitus2 in patients with HD creates a statistically significant additional negative effect on the results of cognitive function. In patients with HD with a distorted daily blood pressure profile, the neurodynamic component of cognitive function is first of all affected - conceptualization, repetition, the reaction of choice. The relationship between cognitive function and daily monitoring of blood pressure often have a U-shaped relationship, where the maximum indicators of cognitive function are at the level of the optimal recommended blood pressure figures (130-139 mm Hg for SBP, and 75-85 mm Hg for DBP, and the daily index within 10%).

Conclusions. There is a dependence on changes in cognitive function on the presence of risk factors and signs of subclinical damage to target organs. The nonlinear U-shaped character of the relationship between the average daily, average night, and average daily blood pressure and the results of screening tests and scales for assessing cognitive function are shown.

https://doi.org/10.32345/2664-4738.2.2020.2
Article PDF

References

REFERENCES
1. Yakhno N.N., Zakharov V.V., Strachunskaya E.Ya.,
Velmeikin S.B., Zhitkova Yu.V., Ivanova I.L.,
Kurushina O.V., Pokhabov D.V., Svirkunova S.A.
[Treatment of non-demented cognitive impairments
in patients with arterial hypertension and cerebral
atherosclerosis (According to the Russian multicenter
study «FUETE»)] // Neurological Journal. 2012; 4:
49-55. [in Russian] https://cyberleninka.ru/article/n/
lechenie-nedementnyh-kognitivnyh-narusheniy-upatsientov-
s-arterialnoy-gipertenziey-i-tserebralnymaterosklerozom-
po-dannym
2. Danaei G., Finucane M.M., Lin J.K., Singh G., Paciorek
Ch.J., Cowan M.J., Farzadfar F., Stevens G.A., Lim
S.S., Riley L.M., Ezzati M. National, regional, and
global trends in systolic blood pressure since 1980:
systematic analysis of health examination surveys and
epidemiological studies with 786 country-years and
5•4 million participants // The Lancet. 2011 February
04; 377: 568-77. https://doi.org/10.1016/S0140-
6736(10)62036-3
3. Nery A.B., Mesquita E.T., Lugon J.R., Kang H.Ch.,
de Miranda V.A., de Souza B.GT, Andrade J.AM,
Rosa ML.G. Prehypertension and cardiovascular risk
factors in adults enrolled in a primary care programme
// Eur. J. Cardiovasc. Prev. Rehabil. 2011 January
28; 18(2): 233-9. https://journals.sagepub.com/doi/
abs/10.1177/1741826710389380
4. Landsberg L., Aronne L.J., Beilin L.J., Burke V.,
Igel L.I., Lloyd-Jones D., Sowers J. Obesity-related
hypertension: Pathogenesis, cardiovascular risk, and
treatment – A position paper of the The Obesity Society
and the American Society of Hypertension // Obesity.
2013 Jan; 21 (1): 8-24. PMID: 23282121. https://doi.
org/10.1111/jch.12049
5. Kivipelto M., Helkala E.L., Laakso M.P., Hänninen
T., Hallikainen M., Alhainen K., Soininen H.,
Tuomilehto J., Nissinen A. Midlife vascular risk factors
and Alzheimer’s disease in later life: longitudinal,
population based study / // BMJ. 2001 June 16;
322 (7300): 1447-51. PMID: 11408299. https://doi.
org/10.1136/bmj.322.7300.1447
6. Virta J.J., Heikkilä K., Perola M., Koskenvuo M. Midlife
cardiovascular risk factors and late cognitive impairment
// European Journal of Epidemiology. 2013 March; 28(5):
405-16. DOI: 10.1007/s10654-013-9794-y
7. Moretti F., Ronchia D., Palmerb K., Forlani C., Morini
V., Ferrari B., Dalmonte E., Atti A.R. Prevalence and
characteristics of mild cognitive impairment in the
general population. Data from an Italian populationbased
study: The Faenza Project // Aging & Mental
Health. 2013 Oct.16; 17 (3): 267-75. https://doi.org/10.
1080/13607863.2012.732034
8. The AGES-Reykjavík Study: The Prevalence of
Amnestic MCI in an Elderly Population. – Haskoli
Islands School of Health Sciences, 2009. 64 p.
9. Ostroumova O.D. Cognitive impairments in arterial
hypertension and the possibilities of their correction
// Doctor. 2011; 14: 33-8. [in Russian] https://medi.ru/
info/2388/
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.