Evidence map›Paper›PMID 30518353›Full record

ArticleCardiovascular diabetology2018

Cognitive function in adolescence and the risk for premature diabetes and cardiovascular mortality in adulthood.

Gilad Twig, Amir Tirosh, Estela Derazne, Ziona Haklai, Nehama Goldberger, Arnon Afek, Hertzel C Gerstein, Jeremy D Kark, Tali Cukierman-Yaffe

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 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
6.2field-weighted citation impact, top 4% 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, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. High intelligence is not associated with a greater propensity for mental health disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Article
  18. Article
  19. Article
  20. 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

9 authors at 5 institutions in 3 countries.

Gilad TwigDepartment of Medicine, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel. Gilad.twig@gmail.com.ORCID 0000-0003-2829-3645
Amir TiroshThe Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Estela DerazneThe Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Ziona HaklaiIsrael Ministry of Health, Jerusalem, Israel.
Nehama GoldbergerIsrael Ministry of Health, Jerusalem, Israel.
Arnon AfekDepartment of Medicine, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Hertzel C GersteinDivision of Endocrinology & Metabolism, and Population Health Research Institute, McMaster University & Hamilton Health Sciences, Hamilton, ON, Canada.
Jeremy D KarkHebrew University-Hadassah School of Public Health and Community Medicine, Ein Kerem, Jerusalem, Israel.
Tali Cukierman-YaffeThe Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Tel Aviv University · ILIsrael Ministry of Health · ILBrigham and Women's Hospital · USHebrew University of Jerusalem · ILPopulation Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidemiological studies have demonstrated a relationship between cognitive function in youth and the future risk of death. Less is known regarding the relationship with diabetes related death. This study assessed the relationship between cognitive function in late adolescence and the risk for diabetes, cardiovascular- (CVD) and all-cause mortality in adulthood.

methodsThis retrospective study linked data from 2,277,188 16-19 year olds who had general intelligence tests (GIT) conducted during pre-military recruitment assessment with cause of death as coded by the Israel Central Bureau of Statistics. The associations between cognitive function and cause-specific mortality were assessed using Cox models.

resultsThere were 31,268 deaths that were recorded during 41,916,603 person-years of follow-up, with a median follow-up of 19.2 (IQR 10.7, 29.5) years. 3068, 1443, 514 and 457 deaths were attributed to CVD, CHD, stroke, and diabetes, respectively. Individuals in the lowest GIT vs. highest GIT quintiles in unadjusted models had the highest risk for all-cause mortality (HR 1.84, 95% CI 1.78, 1.91), total CVD (HR 3.32, 95% CI 2.93, 3.75), CHD (HR 3.49 95% CI 2.92, 4.18), stroke (HR 3.96 95% CI 2.85, 5.5) and diabetes-related (HR 6.96 95% CI 4.68, 10.36) mortality. These HRs were attenuated following adjustment for age, sex, birth year, body-mass index, residential socioeconomic status, education and country of origin for all-cause (HR 1.23, 95% CI 1.17, 1.28), CVD (HR 1.76, 95% CI 1.52, 2.04), CHD (HR 1.7 95% CI 1.37, 2.11), stroke (HR 2.03, 95% CI 1.39, 2.98) and diabetes-related (HR 3.14 95% CI 2.00, 4.94) mortality. Results persisted in a sensitivity analyses limited to participants with unimpaired health at baseline and that accounted competing risk.

conclusionsThis analysis of over 2 million demonstrates a strong relationship between cognitive function at youth and the risk for diabetes, all-cause and CVD-related mortality independent of adolescent obesity.

Indexed as

Adolescent BehaviorCognitionAdolescentAge of OnsetCardiovascular DiseasesCause of DeathCognition DisordersDiabetes MellitusFemaleHumansIntelligence TestsIsraelMalePrognosisRetrospective StudiesRisk AssessmentAdolescenceCognitive performanceDiabetesIsraelisMortality

Identifiers

PMID30518353
PMCPMC6280532
OpenAlexW2902459361

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.