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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, METHODS, METHODS, METHODS, RESULTS. Meshes: Aged, Aged, 80 and over, Body Composition, Cognition Disorders, Cohort Studies, Diabetes Mellitus, Type 2, Diet, Exercise, Female, Humans, Male, Mental Health, Prospective Studies, Risk Factors, Sex Factors, Taiwan.
user
Are cognitive impairment and limited dietary diversity or physical inactivity conjoint precursors of incident diabetes more so in elderly women than men? Context: To establish whether elderly people with impaired cognition are at greater risk for the de-velopment of type 2 diabetes. Prospective population-based cohort study. The El-derly Nutrition and Health Survey in Taiwan (NAHSIT Elderly). One thousand and four hundred ninety-three diabetes-free people >=65 years were followed for incident diabetes in relation to cognitive status for up to 8 years. The association between cognitive impairment and diabetes incidence was analyzed with Cox proportional hazards models with exclusion of people who had diabetes within one year of cognitive function assessments. Cognitively-impaired women, but not men, had increased diabetes incidence density (DID). Age, gender, ethnicity and personal behavior adjusted hazard ratios (HR) and 95% confidence intervals (CI) for type 2 diabetes with normal cognition as referent were 2.43 (95% CI: 1.27-4.63) for women and 1.55 (95% CI: 0.48-5.07) for men. These gender differences and the HR significances remained with adjustments for age, ethnicity, financial status, dietary quality as a dietary diversity score, physical function, physical activity, fasting glucose, indices of body composition, body mass index, waist circumference, mid-arm muscle circumference, perceived and mental health status. There were extensive significant interactions with the covariates in women.
assistant
Cognitive impairment in later life is associated with greater risk of type 2 diabetes in women and considerable potential risk enhancement. Final Decision: yes