HypertensionCohort study

Insulin resistance drives cognitive impairment in hypertensive pre-diabetic frail elders: the CENTENNIAL study

Eur J Prev CardiolPublished

  • Prospective cohort study
  • consecutive patients
  • single-centre

Authors' conclusion

Taken together, our data highlight for the first time the association between insulin resistance and global cognitive function in frail elders with hypertension and pre-diabetes.

Study context

Population
Frail, hypertensive, pre-diabetic elders (age >65 years, Montreal Cognitive Assessment (MoCA) Score <26), Avellino local health authority (ASL AV), Italy, March 2021–March 2022141 completed
Participants
178 participants
Outcome
Association between insulin resistance (HOMA-IR) and cognitive impairment (MoCA Score)

Main finding

As reported in the abstract

Correlation between MoCA Score and HOMA-IR

Strong inverse correlation between MoCA Score and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) (r)

−0.807

Observational data: associations, not effects.

Original publication

Insulin resistance drives cognitive impairment in hypertensive pre-diabetic frail elders: the CENTENNIAL study. Eur J Prev Cardiol. Published 17 May 2023. doi:10.1093/eurjpc/zwad173

Summarised from the published abstract; every number is checked against it