Evidence map›Paper›PMID 28291957›Full record

Trial reportAging2017

Effect of intranasally administered insulin on cerebral blood flow and perfusion; a randomized experiment in young and older adults.

Abimbola A Akintola, Anna M van Opstal, Rudi G Westendorp, Iris Postmus, Jeroen van der Grond, Diana van Heemst

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 52 citations in OpenAlex.

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  10. Effect of insulin on indices of cerebral blood flow and cerebrovascular compliance in young adults.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  11. Review
  12. Effects of dietary soy content on cerebral artery function and behavior in ovariectomized female mice.American journal of physiology. Heart and circulatory physiology · 2024
    Article
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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

6 authors at 2 institutions in 2 countries.

Abimbola A AkintolaDepartment of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.
Anna M van OpstalDepartment of Radiology, Leiden University Medical Centre, Leiden, the Netherlands.
Rudi G WestendorpDepartment of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.
Iris PostmusDepartment of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.
Jeroen van der GrondDepartment of Radiology, Leiden University Medical Centre, Leiden, the Netherlands.
Diana van HeemstDepartment of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, the Netherlands.
Leiden University · NLNetherlands Consortium for Healthy Ageing · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin, a vasoactive modulator regulating peripheral and cerebral blood flow, has been consistently linked to aging and longevity. In this proof of principle study, using a randomized, double-blinded, placebo-controlled crossover design, we explored the effects of intranasally administered insulin (40IU) on cerebral blood flow (CBF) and perfusion in older (60-69 years, n=11) and younger (20-26 years, n=8) adults. Changes in CBF through the major cerebropetal arteries were assessed via phase contrast MR-angiography, and regional cortical tissue perfusion via pseudo-continuous arterial spin labelling. Total flow through the major cerebropetal arteries was unchanged in both young and old. In the older participants, intranasal insulin compared to placebo increased perfusion through the occipital gray matter (65.2±11.0 mL/100g/min vs 61.2±10.1 mL/100g/min, P=0.001), and in the thalamus (68.28±6.75 mL/100g/min versus 63.31±6.84 mL/100g/min, P=0.003). Thus, intranasal insulin improved tissue perfusion of the occipital cortical brain region and the thalamus in older adults.

Indexed as

Administration, IntranasalAdultAgedAge FactorsBrainCerebrovascular CirculationFemaleHumansHypoglycemic AgentsInsulinMagnetic Resonance AngiographyMaleMiddle AgedYoung AdultHypoglycemic AgentsInsulinagingcerebral blood flowcontinuous arterial spin labelling (CASL)intranasal insulinmagnetic resonance imaging (MRI)phase contrast MR angiography

Identifiers

PMID28291957
PMCPMC5391232
OpenAlexW2602081862

What OpenQuestion holds

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LicenceCC BY
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.