Musical Activity Engagement, Depressive Symptoms, Physical Activity, and Cognitive Function in People With Type 2 Diabetes.
Jeeyeon Kim, Heather Cuevas
PMID 38838256WHAT IT FOUND
In adults with type 2 diabetes who reported cognitive problems, more musical activity was linked to more physical activity, which was linked to better self-perceived thinking and memory.
No links were found to objective cognitive test scores.
Key findings
01In the subjective cognitive model, musical activity engagement was directly associated with more physical activity but not with depressive symptoms.
02Depressive symptoms and physical activity were directly associated with subjective cognitive function, and physical activity fully mediated the link between musical activity and subjective cognitive function.
03No paths were significant in the model using objective cognitive function as the outcome.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The data were cross-sectional, so associations cannot show that musical activity, physical activity, or depressive symptoms caused changes in cognition. Participants were only adults aged 50 or older with type 2 diabetes living in Texas who reported cognitive problems, so results may not apply to younger adults or people without subjective cognitive complaints. Musical activity and physical activity were self-reported, and the musical activity questionnaire was developed for this study, so recall and measurement bias are possible. The objective cognitive model included only 87 participants, limiting power to detect associations. This was an exploratory secondary analysis of baseline data from a trial; it did not test whether a music intervention improves cognition. Multiple models were tested without adjusting the significance threshold.
Declared interests
The authors declared no conflicts of interest. The listed publication types include NIH extramural research support.
The easy way to misread this
Do not conclude that music improves cognition in type 2 diabetes. This was a cross-sectional baseline analysis; musical activity was linked to physical activity, and physical activity was linked to better subjective cognitive function, but no causal effect was tested and no paths with objective cognitive scores were significant.