Evidence map›Paper›PMID 28860463›Full record

ArticleScientific reports2017

Decision-making in primary onset middle-age type 2 diabetes mellitus: a BOLD-fMRI study.

Dan-Miao Sun, Ye Ma, Zong-Bo Sun, Lei Xie, Jin-Zhuang Huang, Wei-Song Chen, Shou-Xing Duan, Zhi-Rong Lin, Rui-Wei Guo, Hong-Bo Le and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 39% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  4. Pericyte Electrical Signalling and Brain Haemodynamics.Basic & clinical pharmacology & toxicology · 2025
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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

12 authors at 3 institutions in 1 country.

Dan-Miao SunThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Ye MaGraduate School of Beijing Normal University, 519087, Zhuhai, China.
Zong-Bo SunThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Lei XieThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Jin-Zhuang HuangThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Wei-Song ChenThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Shou-Xing DuanThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Zhi-Rong LinThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Rui-Wei GuoThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Hong-Bo LeThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Wen-Can XuThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China.
Shu-Hua MaThe First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong Province, 515041, China. carina_king@163.com.
First Affiliated Hospital of Shantou University Medical College · CNShantou University · CNBeijing Normal University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although type 2 diabetes mellitus (T2DM) is a well-recognized risk factor for dementia, the neural mechanisms that underlying cognitive impairment in T2DM remain unclear. We used functional magnetic resonance imaging (fMRI) during a computerized version of the Iowa Gambling Task to investigate the neural basis of decision making at the initial onset stage of T2DM. Eighteen newly diagnosed middle-aged T2DM patients, with no previous diabetic treatment history, and 18 matched controls were recruited. Results indicated that T2DM patients made more disadvantageous decisions than controls. Compared to healthy subjects, T2DM patients showed decreased activation in the ventral medial prefrontal cortex (VMPFC), orbitofrontal cortex (OFC) and anterior cingulate cortex, and increased activity in the dorsolateral prefrontal cortex, posterior cingulate cortex, insula and occipital lobes. IGT performance positively correlated with changes in brain activation in the VMPFC and OFC in both groups. Moreover, poor glycemic control was associated with decision-making function both in behavioral and brain activity in the VMPFC and OFC in patients. Conclusively, T2DM patients may suffer from weaknesses in their prefrontal cortex functions that lead to poorer decision-making under ambiguity, at least as assessed by the IGT.

Indexed as

AdultAge of OnsetBrain MappingCase-Control StudiesCerebral CortexDecision MakingDiabetes Mellitus, Type 2FemaleGyrus CinguliHumansMagnetic Resonance ImagingMaleMiddle AgedPrefrontal Cortex

Identifiers

PMID28860463
PMCPMC5579021
OpenAlexW2749384402

What OpenQuestion holds

Textmetadata
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.