PMID- 38167163 OWN - NLM STAT- MEDLINE DCOM- 20240105 LR - 20240106 IS - 2047-783X (Electronic) IS - 0949-2321 (Print) IS - 0949-2321 (Linking) VI - 29 IP - 1 DP - 2024 Jan 2 TI - The association between blood lipids and cognitive impairment in type 2 diabetes mellitus. PG - 1 LID - 10.1186/s40001-023-01574-w [doi] LID - 1 AB - OBJECTIVE: The study was performed to explore the association between blood lipids and cognitive impairment in patients with type 2 diabetes mellitus (T2DM). METHODS: This study included 336 patients with T2DM. Relevant clinical data including total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), apolipoprotein A1, apolipoprotein B were collected, and the Mini-Mental State Examination (MMSE) score and Montreal Cognitive Assessment (MoCA) score were used to assess the cognitive function in patients with T2DM. RESULTS: Serum apolipoprotein A1 levels were significantly increased in T2DM patients with cognitive impairment compared with T2DM patients without cognitive impairment (p = 0.017). Serum apolipoprotein A1 levels were significantly negatively correlated with MoCA score (r = - 0.143, p = 0.009) and MMSE score (r = - 0.132, p = 0.016) in patients with T2DM. In multivariable-adjusted regression model, serum apolipoprotein A1 was independently associated with cognitive impairment in patients with T2DM (OR = 5.201, p = 0.024). CONCLUSION: Serum apolipoprotein A1 is associated with cognitive impairment in patients with T2DM, but not TC, TG, HDL-C, LDL-C, and apolipoprotein B, indicating that increased serum apolipoprotein A1 may be a risk factor of cognitive impairment in patients with T2DM. CI - (c) 2023. The Author(s). FAU - Ma, Li AU - Ma L AD - Department of Rehabilitative Medicine, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, Jiangsu, China. FAU - Yuan, Yue-Xing AU - Yuan YX AD - Department of Endocrinology and Metabolism, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, Jiangsu, China. FAU - Cheng, Feng-Jin AU - Cheng FJ AD - Department of Rheumatology and Immunology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210009, Jiangsu, China. FAU - Liu, Yan AU - Liu Y AD - Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing, 210009, Jiangsu, China. FAU - Wei, Qiong AU - Wei Q AD - Department of Endocrinology and Metabolism, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, Jiangsu, China. weiqiong_seu@163.com. FAU - Peng, You-Fan AU - Peng YF AD - Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China. youfanpeng@hotmail.com. FAU - Wang, Yao AU - Wang Y AD - Department of Endocrinology and Metabolism, Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, Jiangsu, China. wang_yao100@163.com. LA - eng PT - Journal Article DEP - 20240102 PL - England TA - Eur J Med Res JT - European journal of medical research JID - 9517857 RN - 0 (Apolipoprotein A-I) RN - 0 (Cholesterol, LDL) RN - 0 (Lipids) RN - 0 (Triglycerides) RN - 0 (Cholesterol, HDL) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/complications MH - Apolipoprotein A-I MH - Cholesterol, LDL MH - Lipids MH - Triglycerides MH - Cholesterol, HDL MH - *Cognitive Dysfunction/complications PMC - PMC10763275 OTO - NOTNLM OT - Blood lipids OT - Cognitive impairment OT - Type 2 diabetes mellitus COIS- All authors have no interests of a financial or personal nature to declare. EDAT- 2024/01/04 01:18 MHDA- 2024/01/05 06:42 PMCR- 2024/01/02 CRDT- 2024/01/03 09:35 PHST- 2023/08/16 00:00 [received] PHST- 2023/12/07 00:00 [accepted] PHST- 2024/01/05 06:42 [medline] PHST- 2024/01/04 01:18 [pubmed] PHST- 2024/01/03 09:35 [entrez] PHST- 2024/01/02 00:00 [pmc-release] AID - 10.1186/s40001-023-01574-w [pii] AID - 1574 [pii] AID - 10.1186/s40001-023-01574-w [doi] PST - epublish SO - Eur J Med Res. 2024 Jan 2;29(1):1. doi: 10.1186/s40001-023-01574-w.