Evidence map›Paper›PMID 41925811›Full record

Observational studyAdvances in therapy2026

Evaluation of Frequency, Severity and Spectrum of Cognitive Impairment and Its Associated Risk Factors in Elderly Individuals with Diabetes in India: A Prospective Observational Cohort Study.

Anu Gupta, Yashdeep Gupta, Vineeta Garg, Roopa Rajan, Venugopalan Y Vishnu, Nikhil Tandon

Abstract readObservational Study
In one paragraph

Observational study in Advances in therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anu GuptaDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.ORCID http://orcid.org/0000-0002-0095-6569
Yashdeep GuptaDepartment of Endocrinology, All India Institute of Medical Sciences, New Delhi, 110029, India. yash_deep_gupta@yahoo.co.in.ORCID http://orcid.org/0000-0002-4345-717X
Vineeta GargDepartment of Endocrinology, All India Institute of Medical Sciences, New Delhi, 110029, India.
Roopa RajanDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Venugopalan Y VishnuDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Nikhil TandonDepartment of Endocrinology, All India Institute of Medical Sciences, New Delhi, 110029, India.

Funding

Indian Council of Medical Research 5/4/5-4/Diab.-19-NCD-III
6 · The paper itself

Abstract

introductionCognitive impairment in type 2 diabetes mellitus affects self-management of the disease, creating a vicious cycle of worsening cognitive and glycaemic control. Low- and middle-income countries are underrepresented in research focusing on this association. This study aimed to evaluate the frequency, severity, spectrum and risk factors associated with cognitive impairment in elderly individuals with diabetes in India.

methodsElderly participants aged 60 years and above underwent a comprehensive clinical, biochemical and neuropsychological evaluation (cognitive concerns, neuropsychological testing and functional activity assessments).

resultsA total of 832 participants were included: 698 with diabetes and 134 without diabetes. Participants with diabetes had a mean age of 65.2 ± 4.5 years and average HbA1c level of 7.8 ± 1.8%. Cognitive impairment (NIA-AA 2018 criteria for cognitive staging) was identified in 75 participants (9.2%), with a higher prevalence in the group with diabetes (10.7%) compared to the group without diabetes (1.5%) [adjusted odds ratio (OR) 9.1 (95% CI 2.1-39.4)]. Gender-based subgroup analysis did not reach statistical significance [female participants, OR 3.7 (95% CI 0.76-18.4), p = 0.11]. Risk factors for cognitive impairment included increasing age [OR 1.1 (95% CI 1.02-1.14)] and unemployment [OR 2.5 (95% CI 1.2-5.4)], while protective factors included higher education [OR 0.86 (95% CI 0.82-0.92)] and physical activity [OR 0.99 (95% CI 0.99-0.99)].

conclusionCognitive impairment affects one in ten elderly Indians with type 2 diabetes mellitus. Factors affecting cognitive reserve are a crucial, modifiable determinant of cognitive function in these individuals.

Indexed as

Cognitive DysfunctionDiabetes Mellitus, Type 2AgedFemaleHumansIndiaMaleMiddle AgedNeuropsychological TestsPrevalenceProspective StudiesRisk FactorsSeverity of Illness IndexCognitive impairmentElderly IndiansMCIType 2 diabetes mellitus

Identifiers

PMID41925811
PMCPMC13222269

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.