Type 2 & other diabetes

Differential effects of a multidomain intervention on cognitive decline in older adults with type 2 diabetes according to white matter hyperintensity status: A secondary analysis of the J‐ MIND ‐Diabetes

Diabetes Obes MetabPublished Secondary analysis of the J-MIND-Diabetes randomised trial

Authors' conclusion

Older adults with type 2 diabetes and WMH may benefit from multidomain interventions. Further studies should be performed to validate this finding.

Study context

Population
Adults aged 70–85 years with T2D and mild cognitive impairment; WMH assessed by Fazekas scale90 analysed
Participants
154 adults
Comparison
Multidomain intervention vs control, by baseline WMH status
Primary endpoint
Change in average Z-scores from all neuropsychological tests combined
Follow-up
Baseline to 18 months

Primary result

As reported in the abstract

Change in composite Z-score, by baseline WMH · 18 months

Z-score difference

+0.335

95% CI +0.045 to +0.624

with WMH

Z-score difference

−0.121

95% CI −0.353 to +0.110

without WMH

Intervention-WMH interaction
P = 0.017
Participants with moderate to severe WMH
34

Original publication

Differential effects of a multidomain intervention on cognitive decline in older adults with type 2 diabetes according to white matter hyperintensity status: A secondary analysis of the J‐ MIND ‐Diabetes. Diabetes Obes Metab. Published 14 July 2025. doi:10.1111/dom.16605

Composed by AI from the published abstract and checked against it. How Briefs are made →

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