Impact of cognitive health education on cognitive function and glucose and lipid metabolism in patients with pre-diabetes accompanied with subjective memory complaints
Objective To study the impact of cognitive health education on the overall cognitive function and glucose and lip-id metabolism of pre-diabetes patients with subjective memory complaints(SMC).Methods From January 2020 to December 2022,patients diagnosed with pre-diabetes and SMC aged 60 years who were treated in the Health Medicine Department of our hospital were randomly divided into a control group and a treatment group by simple random sampling.The control group received routine medi-cal services and health education,while based on them,the treatment group received an additional 3-month intervention targeting cog-nitive health education.Before intervention(T1),at the end of 3 months(T2),and at 9 months of telephone follow-up(T3),the Mon-treal Cognitive Assessment Scale(MoCA),Auditory Verbal Learning Test(AVLT),and Motivation to Change Lifestyle and Health Behav-iors Dementia Risk Reduction(MCLHB-DRR)evaluation scales were tested,respectively.The Health Promotion Lifestyle Profile Ⅱ (HPLP-ZII)and the Chinese version of the Rivermead Behavioral Memory Test Second Edition(RBMT-Ⅱ)were used to evaluate and compare the cognitive abilities of two groups,and their blood glucose and fat metabolism status were also tested.Restuls A total of 96 eligible patients were included,including 50 in the control group and 46 in the treatment group.There was no statistically significant difference in all evaluation indicators between the two groups before in-tervention(P＞0.05).The treatment group performed better than the control group in MoCA,MoCA-LR,MoCA total score,AVLT-LR,AVLT-LR score,and memory strategy at T2 and T3,with statistically significant differences(P＜0.05).At T2 and T3,the treatment group scored higher than the control group in HPLP-Ⅱ total score,RBMT-Ⅱ total score,and tests including immediate memory story,facial recognition,and delayed story recall(P＜0.05).The fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglo-bin,and total cholesterol concentrations of the two groups were basically consistent with those before the intervention,but at T2 and T3,the treatment group was significantly lower than the control group(P＜0.05).Conclusion Effective cognitive health education for pre-diabetes patients with SMC can improve their cognitive function,prevent dementia beliefs and improve glucose and lipid metabolism.
pre-diabetesmemory complaintscognitive health educationglycolipid metabolism
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