Evidence map›Paper›PMID 29568674›Full record

ArticleBrain and behavior2018

Hippocampal atrophy, asymmetry, and cognition in type 2 diabetes mellitus.

Nicole T Milne, Romola S Bucks, Wendy A Davis, Timothy M E Davis, Ronald Pierson, Sergio E Starkstein, David G Bruce

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  9. Journal of diabetes and metabolic disorders · 2025
    Review
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  17. The Role of Iron Overload in Diabetic Cognitive Impairment: A Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
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  19. 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

7 authors at 2 institutions in 2 countries.

Nicole T MilneSchool of Psychology University of Western Australia Western Australia Australia.
Romola S BucksSchool of Psychology University of Western Australia Western Australia Australia.ORCID 0000-0002-4207-4724
Wendy A DavisSchool of Medicine & Pharmacology University of Western Australia Western Australia Australia.
Timothy M E DavisSchool of Medicine & Pharmacology University of Western Australia Western Australia Australia.
Ronald PiersonBrain Image Analysis Technology Innovation Center Coralville IA USA.
Sergio E StarksteinSchool of Psychiatry & Clinical Neuroscience University of Western Australia Western Australia Australia.
David G BruceSchool of Medicine & Pharmacology University of Western Australia Western Australia Australia.ORCID 0000-0002-9979-6867
The University of Western Australia · AUImaging, Brain, and Neuropsychiatry · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Type 2 diabetes mellitus is associated with global and hippocampal atrophy and cognitive deficits, and some studies suggest that the right hippocampus may display greater vulnerability than the left. Methods: Hippocampal volumes, the hippocampal asymmetry index, and cognitive functioning were assessed in 120 nondemented adults with long duration type 2 diabetes. Results: The majority of the sample displayed left greater than right hippocampal asymmetry (which is the reverse of the expected direction seen with normal aging). After adjustment for age, sex, and IQ, right (but not left) hippocampal volumes were negatively associated with memory, executive function, and semantic fluency. These associations were stronger with the hippocampal asymmetry index and remained significant for memory and executive function after additional adjustment for global brain atrophy. Conclusions: We conclude that asymmetric hippocampal atrophy may occur in type 2 diabetes, with greater atrophy occurring in the right than the left hippocampus, and that this may contribute to cognitive impairment in this disorder. These cross-sectional associations require further verification but may provide clues into the pathogenesis of cognitive disorders in type 2 diabetes.

Indexed as

CognitionCognitive DysfunctionDiabetes Mellitus, Type 2HippocampusAgedAtrophyCross-Sectional StudiesExecutive FunctionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMemoryNeuropsychological TestsWestern Australiacognitionhippocampusmagnetic resonance imagingtype 2 diabetes

Identifiers

PMID29568674
PMCPMC5853633
OpenAlexW2775894062

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.