Dolan C, Glynn R, Griffin S, Conroy C, Loftus C, Wiehe P C, Healy M L, Lawlor B
Department of Psychiatry, University of Dublin Trinity College, Dublin, Ireland.
Health Service Executive, Public Health and Epidemiology, Dublin, Ireland.
Diabet Med. 2018 Jul;35(7):871-879. doi: 10.1111/dme.13639. Epub 2018 May 2.
To identify awareness of potential brain complications of diabetes among individuals with diabetes and the public.
For this observational, cross-sectional survey study, we recruited consecutive adult attendees of a specialist diabetes clinic and two primary care practices. Primary care attendees represented members of the general population of Ireland. An interviewer-administered questionnaire was used to gather data on respondents' awareness of brain complications of diabetes and modifiable risk factors for dementia. Multivariable logistic regression was undertaken to identify variables independently associated with awareness.
Respondents included a total of 502 adults: 250 in the diabetes group (37% women, mean age 63 ± 14 years, 88% with Type 2 diabetes) and 252 in the general population group (51% women, mean age 47 ± 17 years, 7% with Type 2 diabetes). The diabetes group had significantly greater awareness of diabetes complications, except for depression, compared with the general population group. In the group as a whole, respondent awareness of dementia (35%) and memory problems (47%) as potential complications of diabetes was poor compared with awareness of kidney (84%) and eye damage (84%). Respondents were 1.5 times more likely to identify that individuals can modify their risk of developing Type 2 diabetes than their risk of dementia.
This study shows that there is poor awareness of brain complications of diabetes among individuals with diabetes and the general population in Ireland. The results suggest a need for expansion of public awareness campaigns and diabetes education programmes to promote awareness of the brain complications of diabetes and of the modifiable risk factors for dementia, as part of a life-course approach to dementia prevention.
确定糖尿病患者及公众对糖尿病潜在脑部并发症的认知情况。
在这项观察性横断面调查研究中，我们连续招募了专科糖尿病诊所的成年就诊者以及两家基层医疗诊所的患者。基层医疗就诊者代表爱尔兰普通人群。通过访谈员实施的问卷收集受访者对糖尿病脑部并发症的认知以及痴呆可改变风险因素的数据。采用多变量逻辑回归来确定与认知独立相关的变量。
受访者共有502名成年人：糖尿病组250人（女性占37%，平均年龄63±14岁，88%为2型糖尿病患者），普通人群组252人（女性占51%，平均年龄47±17岁，7%为2型糖尿病患者）。与普通人群组相比，糖尿病组对糖尿病并发症（抑郁症除外）的认知明显更高。在整个群体中，与肾脏（84%）和眼部损伤（84%）的认知相比，受访者对痴呆（35%）和记忆问题（47%）作为糖尿病潜在并发症的认知较差。受访者认为个体能够改变患2型糖尿病风险的可能性是改变患痴呆风险可能性的1.5倍。
这项研究表明，爱尔兰的糖尿病患者和普通人群对糖尿病脑部并发症的认知较差。结果表明，有必要扩大公众宣传活动和糖尿病教育项目，以提高对糖尿病脑部并发症以及痴呆可改变风险因素的认知，作为痴呆症预防全生命周期方法的一部分。
