Type 2 & other diabetes

Frail hypertensive older adults with prediabetes and chronic kidney disease: insights on organ damage and cognitive performance - preliminary results from the CARYATID study

Cardiovasc DiabetolPublished Prospective observational study

An erratum to this article was published (Cardiovasc Diabetol, 29 May 2024 ↗)

Authors' conclusion

Our study represents the pioneering effort to establish a significant correlation between albuminuria and eGFR with cognitive function in frail hypertensive older adults afflicted with prediabetes and CKD.

Study context

Population
Consecutive frail hypertensive older adults (>65 years) with prediabetes, Montreal Cognitive Assessment (MoCA) score <26 and chronic kidney disease (CKD) with estimated glomerular filtration rate (eGFR) >15 ml/min, ASL Avellino, Italy, March 2021–March 2023237 completed
Outcome
Association between albuminuria and cognitive impairment (MoCA score)
Methodological detailsconsecutive patients, 3-month follow-up
  • Consecutive patients
  • 3-month follow-up

Main finding

As reported in the abstract

Significant inverse correlation between albuminuria and MoCA score (r)
0.8846; p < 0.0001
MoCA score differed significantly by eGFR
p < 0.0001

Observational data: associations, not effects.

Further findings

Multivariable regression with albuminuria as dependent variable

Findings further supported by multivariable regression analysis

Original publication

Frail hypertensive older adults with prediabetes and chronic kidney disease: insights on organ damage and cognitive performance - preliminary results from the CARYATID study. Cardiovasc Diabetol. Published 10 April 2024. doi:10.1186/s12933-024-02218-x

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