Obesity

Association of Type 2 Diabetes Subgroups With Cognitive Status Without Modification From Lifestyle Intervention

J Clin Endocrinol MetabPublished Secondary analysis of the Look AHEAD randomised trial

Authors' conclusion

Among individuals with T2D and overweight or obesity, probability of MCI/PD differed by T2D subgroup. Probability of MCI/PD was highest for a subgroup characterized by severe obesity.

Study context

Population
Look AHEAD participants with T2D and overweight or obesity randomly assigned to 10 years of intensive lifestyle intervention (ILI) or diabetes support and education
Participants
3,760 participants
Comparison
T2D subgroups; modification by ILI vs diabetes support and education
Primary endpoint
Prevalent MCI/PD, centrally adjudicated
Follow-up
10 to 13 years after randomization
Methodological detailsk-means clustering, centrally adjudicated outcomes
  • K-means clustering
  • Centrally adjudicated outcomes

Primary result

As reported in the abstract

Unadjusted prevalence of MCI/PD
Overall mild cognitive impairment (MCI)/probable dementia (PD) cases
314 cases, 8.4%

Further findings

OutcomeP value
Modification of subgroup association by ILI armILI vs Diabetes support and education · did not differ by ILI arminteraction P value = 0.84

Original publication

Association of Type 2 Diabetes Subgroups With Cognitive Status Without Modification From Lifestyle Intervention. J Clin Endocrinol Metab. Published 6 December 2022. doi:10.1210/clinem/dgac706

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