We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Utilization of Frontal Assessment Battery and Executive Interview 25 in Assessing for Dysexecutive Syndrome and Its Association with Diabetes Self Care in Elderly Patients with Type 2 Diabetes Mellitus.
- Authors
Thabit, Hood; Kennelly, Siobhan; Bhagarva, Amit; Ogunlewe, Moyo; Mcdermott, John H.; Mccormack, Patricia; Sreenan, Seamus K.
- Abstract
Executive function (EF) comprises a set of cognitive skills that controls the execution of complex activities. In the context of diabetes, this may include patients' self monitoring and daily management of their condition. We compared two different measures of EF in a population of elderly patients with type 2 diabetes mellitus (T2DM) and studied its relationship with diabetes self care. Fifty patients (34 males) had EF assessed using Frontal Assessment Battery (FAB) and Executive Interview 25 (EXIT25). Diabetes self care was assessed using the Summary of Diabetes Self-Care Activities (SDSCA) scale. Haemoglobin A1c (HbA1c), lipid levels, blood pressure and diabetes duration were recorded. Data are presented as mean ± standard deviations. The mean age of patients in this study was 67.0 ± 7.5 years and mean duration of diabetes was 8.1 ± 6.4 years. Mean HbA1c was 7.0 ± 1.2%, and mean fasting plasma glucose, cholesterol and LDL-C were 7.0 ± 1.2 mM, 3.0 ± 0.9 mM and 2.1 ± 0.7 mM respectively. Mean EXIT25 score was 9.5 ± 4.5 in the range of normal EF (14% had EXIT25 score > 15, indicating impaired EF). Mean FAB score was 13.7 ± 3.3, (48% having scores < 15, indicating impaired EF). This suggests a degree of dysexecutive syndrome involving frontal lobe functions. Analysing the whole cohort, 70.3% had verbal fluency impairment on the FAB test. EXIT 25 score was inversely correlated with SDSCA (r=-0.3, p<0.05). There was no significant correlation between FAB and SDSCA. No significant relationships were found between HbA1c, diabetes duration, lipid levels and blood pressure with EXIT25, FAB or SDSCA. We conclude that a substantial proportion of elderly patients with T2DM may have dysexecutive syndrome, although the prevalence is greater when assessed using FAB than with EXIT 25, suggesting that frontal lobe functions may be particularly affected in this group. In addition the correlation between EXIT 25 and SDSCA indicates that EF may impact on self care in elderly patients with T2DM. These preliminary data highlight the importance of further studies of EF in diabetes to enhance awareness among health care professionals of the potential impact on dysexecutive syndrome on patients' abilities to manage their condition.
- Subjects
TYPE 2 diabetes; PEOPLE with diabetes; HEALTH of older people; HEALTH self-care; BLOOD pressure; BLOOD sugar
- Publication
Diabetes, 2007, Vol 56, pA499
- ISSN
0012-1797
- Publication type
Article