Evidence map›Paper›PMID 29634288›Full record

ArticleAging & mental health2019

Depression in type 1 diabetes and risk of dementia.

Paola Gilsanz, Michal Schnaider Beeri, Andrew J Karter, Charles P Quesenberry, Alyce S Adams, Rachel A Whitmer

Open access · greenAbstract read
In one paragraph

Article in Aging & mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Clinical modifiers of the association between type 1 diabetes and dementia incidence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Humor Training and Diabetes: An Adjunct to Treatment.American journal of lifestyle medicine · 2026
    Article
  3. Article
  4. Life stage transitions for people with type 1 diabetes.The lancet. Diabetes & endocrinology · 2025
    Review
  5. Article
  6. The Interconnected Complexity of Diabetes and Depression.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  7. Observational
  8. Article
  9. Article
  10. Novel Challenges in Aging with Type 1 Diabetes.Current diabetes reports · 2020
    Review
  11. Article
  12. Review
  13. Article
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.

Paola Gilsanza Kaiser Permanente Division of Research , Oakland , CA , USA.ORCID 0000-0002-7635-381X
Michal Schnaider Beeric Department of Psychiatry , Icahn School of Medicine at Mount Sinai , New York , NY , USA.
Andrew J Kartera Kaiser Permanente Division of Research , Oakland , CA , USA.
Charles P Quesenberrya Kaiser Permanente Division of Research , Oakland , CA , USA.
Alyce S Adamsa Kaiser Permanente Division of Research , Oakland , CA , USA.
Rachel A Whitmera Kaiser Permanente Division of Research , Oakland , CA , USA.
Kaiser Permanente · USSheba Medical Center · IL

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Translational Epidemiology - Training for Research on Aging and Chronic diseaseT32AG049663 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Elizabeth Rose Mayeda, Mark J Pletcher · 2016 to 2026
$5.8M
Predictors of Late-life Cognitive Health in Type 1 DiabetesR01AG047500 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI WHITMER, RACHEL A · 2015 to 2019
$3.0M
NIA NIH HHS R01 AG047500NIA NIH HHS T32 AG049663NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

objectiveDepression afflicts 14% of individuals with type 1 diabetes (T1D). Depression is a robust risk factor for dementia but it is unknown if this holds true for individuals with T1D, who recently started living to an age conferring dementia risk. We examined if depression is a dementia risk factor among elderly individuals with T1D.

methods3,742 individuals with T1D age ≥50 were followed for dementia from 1/1/96-9/30/2015. Depression, dementia, and comorbidities were abstracted from electronic medical records. Cox proportional hazard models estimated the association between depression and dementia adjusting for demographics, glycosylated hemoglobin, severe dysglycemic epidsodes, stroke, heart disease, nephropathy, and end stage renal disease. The cumulative incidence of dementia by depression was estimated conditional on survival dementia-free to age 55.

resultsFive percent (N = 182) were diagnosed with dementia and 20% had baseline depression. Depression was associated with a 72% increase in dementia (fully adjusted HR = 1.72; 95% CI:1.12-2.65). The 25-year cumulative incidence of dementia was more than double for those with versus without depression (27% vs. 12%).

conclusionsFor people with T1D, depression significantly increases dementia risk. Given the pervasiveness of depression in T1D, this has major implications for successful aging in this population recently living to old age.

Indexed as

AgingAgedComorbidityDementiaDepressive DisorderDiabetes Mellitus, Type 1FemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRiskcohortdementiadepressionType 1 diabetes

Identifiers

PMID29634288
PMCPMC6179940
OpenAlexW2803874264

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.