Type 2 & other diabetes

Risk of dementia associated with body mass index, changes in body weight and waist circumference in older people with type 2 diabetes: The Edinburgh Type 2 Diabetes Study

Diabet MedPublished Prospective cohort study

Authors' conclusion

Both a lower BMI and weight loss over a period of years are indicative of increased dementia risk for older people with type 2 diabetes, while waist circumference changes may be less informative.

Study context

Population
Older men and women with T2D aged 60–75, Edinburgh Type 2 Diabetes Study105 dementia events
Participants
1,064 men
Exposure
Body mass index (BMI) groups; body weight change >5% loss vs ≦5%
Outcome
Incident dementia
Follow-up
Median 10.84 years
Methodological detailscompeting-risk survival models
  • Competing-risk survival models

Main finding

As reported in the abstract

Incident dementia by baseline BMI

Hazard ratio

0.44

P = 0.002

BMI 25-29.9 kg/m²

Hazard ratio

0.41

P = 0.001

BMI 30-34.9 kg/m²

Hazard ratio

0.35

P = 0.001

BMI ≧35 kg/m²

Observational data: associations, not effects.

Further findings

OutcomeHRP value
Incident dementia by body weight change over 4 years (weight change subgroup, n = 821; 78 events) · between years 4 and 10Weight loss >5% vs Weight loss ≦5%2.06P = 0.010

Waist circumference change and dementia

The association between waist circumference change and dementia was not significant

Original publication

Risk of dementia associated with body mass index, changes in body weight and waist circumference in older people with type 2 diabetes: The Edinburgh Type 2 Diabetes Study. Diabet Med. Published 3 March 2023. doi:10.1111/dme.15063

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

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