Evidence map›Paper›PMID 27793691›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2017

Glucose level decline precedes dementia in elderly African Americans with diabetes.

Hugh C Hendrie, Mengjie Zheng, Wei Li, Kathleen Lane, Roberta Ambuehl, Christianna Purnell, Frederick W Unverzagt, Alexia Torke, Ashok Balasubramanyam, Chris M Callahan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Changes of glucose levels precede dementia in African-Americans with diabetes but not in Caucasians.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2018
    Article
  9. Letter.Alzheimer's & dementia (Amsterdam, Netherlands) · 2017
    Article
  10. Article
  11. Review
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

11 authors at 4 institutions in 1 country.

Hugh C HendrieIndiana University Center for Aging Research, Indianapolis, IN, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA; Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: hhendri@iupui.edu.
Mengjie ZhengDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Wei LiSchool of Health and Rehabilitation Sciences, IUPUI, Indianapolis, IN, USA.
Kathleen LaneDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Roberta AmbuehlRegenstrief Institute, Inc., Indianapolis, IN, USA.
Christianna PurnellIndiana University Center for Aging Research, Indianapolis, IN, USA.
Frederick W UnverzagtDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Alexia TorkeIndiana University Center for Aging Research, Indianapolis, IN, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Ashok BalasubramanyamDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Chris M CallahanIndiana University Center for Aging Research, Indianapolis, IN, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Sujuan GaoDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineRegenstrief Institute · USBaylor College of Medicine · US

Funding

Research Education ComponentP30AG010133 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SAYKIN, ANDREW J · 1991 to 2020
$37.3M
Longitudinal interactive vascular exposure and Alzheimer's DiseaseR01AG045350 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI GAO, SUJUAN · 2014 to 2016
$925k
NIA NIH HHS P30 AG010133NIA NIH HHS R01 AG045350
6 · The paper itself

Abstract

introductionHigh blood glucose levels may be responsible for the increased risk for dementia in diabetic patients.

methodsA secondary data analysis merging electronic medical records (EMRs) with data collected from the Indianapolis-Ibadan Dementia project (IIDP). Of the enrolled 4105 African Americans, 3778 were identified in the EMR. Study endpoints were dementia, mild cognitive impairment (MCI), or normal cognition. Repeated serum glucose measurements were used as the outcome variables.

resultsDiabetic participants who developed incident dementia had a significant decrease in serum glucose levels in the years preceding the diagnosis compared to the participants with normal cognition (P = .0002). They also had significantly higher glucose levels up to 9 years before the dementia diagnosis (P = .0367). DISCUSSION: High glucose levels followed by a decline occurring years before diagnosis in African American participants with diabetes may represent a powerful presymptomatic metabolic indicator of dementia.

Indexed as

Black or African AmericanBlood GlucoseAgedApolipoproteins EBiomarkersCognitive DysfunctionDementiaDiabetes ComplicationsFemaleFollow-Up StudiesHumansHypoglycemic AgentsMaleRisk FactorsApolipoproteins EBiomarkersBlood GlucoseHypoglycemic AgentsAfrican AmericansAlzheimer diseaseDementiaDiabetesEarly detectionElectronic medical recordsGlucose levelsLongitudinal risk factors

Identifiers

PMID27793691
PMCPMC5318260
OpenAlexW2537272447

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.