Evidence map›Paper›PMID 27491830›Full record

ReviewCurrent diabetes reports2016

Diabetes and Cognitive Impairment.

Lindsay A Zilliox, Krish Chadrasekaran, Justin Y Kwan, James W Russell

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current diabetes reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073781 (A Double-blind Placebo-controlled Exploratory Trial to Assess the Impact of Daily Lab4P Probiotic Supplementation on Cognitive Performance and Metabolic Regulation in Overweight Young Adults With Impaired Glucose Regulation), which is not on this map. Cited by 251 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
251citing papers in PubMed, 9 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07073781 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Double-blind Placebo-controlled Exploratory Trial to Assess the Impact of Daily Lab4P Probiotic Supplementation on Cognitive Performance and Metabolic Regulation in Overweight Young Adults With Impaired Glucose Regulation

TypeinterventionalSponsorLeeds Beckett UniversityRan2025 to 2026Enrolled70ConditionsImpaired Glucose Regulation, Impaired Glucose Tolerance (Prediabetes), Prediabetes (Insulin Resistance, Impaired Glucose Tolerance), Overweight (BMI &gtArmsLab4p Probiotic Consortium, Placebo
3 · Its place in the literature

Who cites it

251 citing papers in PubMed, 9 syntheses or guidelines pooled it, 515 citations in OpenAlex.

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191 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Lindsay A ZillioxDepartment of Neurology, Maryland VA Healthcare System and University of Maryland, 110 South Paca Street, Baltimore, MD, 21201, USA.
Krish ChadrasekaranDepartment of Neurology, Maryland VA Healthcare System and University of Maryland, 110 South Paca Street, Baltimore, MD, 21201, USA.
Justin Y KwanDepartment of Neurology, Maryland VA Healthcare System and University of Maryland, 110 South Paca Street, Baltimore, MD, 21201, USA.
James W RussellDepartment of Neurology, Maryland VA Healthcare System and University of Maryland, 110 South Paca Street, Baltimore, MD, 21201, USA. JRussell@som.umaryland.edu.
University of Maryland, Baltimore · USVA Maryland Health Care System · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
NAD+ and SIRT1 Regulate Mitochondrial Function in Diabetic NeuropathyR01DK107007 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI RUSSELL, JAMES W · 2016 to 2021
$2.3M
Improving Autonomic Function and Balance in Diabetic NeuropathyI01RX001030 · VA · BALTIMORE VA MEDICAL CENTER · PI RUSSELL, JAMES W · 2015 to 2017
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Metabolic Syndrome and Fall RiskIK2RX001651 · VA · BALTIMORE VA MEDICAL CENTER · PI ZILLIOX, LINDSAY · 2016 to 2022
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NIDDK NIH HHS P30 DK072488NIDDK NIH HHS R01 DK107007RRD VA I01 RX001030RRD VA IK2 RX001651
6 · The paper itself

Abstract

Both type 1 (T1DM) and type 2 diabetes mellitus (T2DM) have been associated with reduced performance on multiple domains of cognitive function and with evidence of abnormal structural and functional brain magnetic resonance imaging (MRI). Cognitive deficits may occur at the very earliest stages of diabetes and are further exacerbated by the metabolic syndrome. The duration of diabetes and glycemic control may have an impact on the type and severity of cognitive impairment, but as yet we cannot predict who is at greatest risk of developing cognitive impairment. The pathophysiology of cognitive impairment is multifactorial, although dysfunction in each interconnecting pathway ultimately leads to discordance in metabolic signaling. The pathophysiology includes defects in insulin signaling, autonomic function, neuroinflammatory pathways, mitochondrial (Mt) metabolism, the sirtuin-peroxisome proliferator-activated receptor-gamma co-activator 1α (SIRT-PGC-1α) axis, and Tau signaling. Several promising therapies have been identified in pre-clinical studies, but remain to be validated in clinical trials.

Indexed as

AnimalsBrainCognitive DysfunctionDiabetes Mellitus, Type 2HumansMagnetic Resonance ImagingMitochondriaSignal TransductionBrainDementiaDiabetesEncephalopathyMitochondriaMRINeuropathyTreatment

Identifiers

PMID27491830
PMCPMC5528145
OpenAlexW2480854865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.