Evidence map›Paper›PMID 31467393›Full record

ArticleMolecular psychiatry2021

Variation of HbA1c affects cognition and white matter microstructure in healthy, young adults.

Jonathan Repple, Greta Karliczek, Susanne Meinert, Katharina Förster, Dominik Grotegerd, Janik Goltermann, Ronny Redlich, Volker Arolt, Bernhard T Baune, Udo Dannlowski and 1 more

Erratum issued Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07073781 (A Double-blind Placebo-controlled Exploratory Trial to Assess the Impact of Daily Lab4P Probiotic Supplementation on Cognitive Performance and Metabolic Regulation in Overweight Young Adults With Impaired Glucose Regulation), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT07073781 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Double-blind Placebo-controlled Exploratory Trial to Assess the Impact of Daily Lab4P Probiotic Supplementation on Cognitive Performance and Metabolic Regulation in Overweight Young Adults With Impaired Glucose Regulation

TypeinterventionalSponsorLeeds Beckett UniversityRan2025 to 2026Enrolled70ConditionsImpaired Glucose Regulation, Impaired Glucose Tolerance (Prediabetes), Prediabetes (Insulin Resistance, Impaired Glucose Tolerance), Overweight (BMI &gtArmsLab4p Probiotic Consortium, Placebo
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 2 countries.

Jonathan Repple *Department of Psychiatry, University of Münster, Münster, Germany.
Greta Karliczek *Department of Psychiatry, University of Münster, Münster, Germany.
Susanne MeinertDepartment of Psychiatry, University of Münster, Münster, Germany.
Katharina FörsterDepartment of Psychiatry, University of Münster, Münster, Germany.
Dominik GrotegerdDepartment of Psychiatry, University of Münster, Münster, Germany.
Janik GoltermannDepartment of Psychiatry, University of Münster, Münster, Germany.
Ronny RedlichDepartment of Psychiatry, University of Münster, Münster, Germany.
Volker AroltDepartment of Psychiatry, University of Münster, Münster, Germany.
Bernhard T BauneDepartment of Psychiatry, University of Münster, Münster, Germany.
Udo DannlowskiDepartment of Psychiatry, University of Münster, Münster, Germany.
Nils OpelDepartment of Psychiatry, University of Münster, Münster, Germany. n_opel01@uni-muenster.de.
University of Münster · DE

Funding

Mapping the Human Connectome: Structure, Function, and HeritabilityU54MH091657 · NIMH · WASHINGTON UNIVERSITY · PI UGURBIL, KAMIL, VAN ESSEN, DAVID C · 2010 to 2014
$34.7M
NIMH NIH HHS U54 MH091657
6 · The paper itself

Abstract

The metabolic serum marker HbA1c has been associated with both impaired cognitive performance and altered white matter integrity in patients suffering from diabetes mellitus. However, it remains unclear if higher levels of HbA1c might also affect brain structure and function in healthy subjects. With the present study we therefore aimed to investigate the relationship between HbA1c levels and cognitive performance as well as white matter microstructure in healthy, young adults. To address this question, associations between HbA1c and cognitive measures (NIH Cognition Toolbox) as well as DTI-derived imaging measures of white matter microstructure were investigated in a publicly available sample of healthy, young adults as part of the Humane Connectome Project (n = 1206, mean age = 28.8 years, 45.5% male). We found that HbA1c levels (range 4.1-6.3%) were significantly inversely correlated with measures of cognitive performance. Higher HbA1c levels were associated with significant and widespread reductions in fractional anisotropy (FA) controlling for age, sex, body mass index, ethnicity, and education. FA reductions were furthermore found to covary with measures of cognitive performance. The same pattern of results could be observed in analyses restricted to participants with HBA1c levels below 5.7%. The present study demonstrates that low-grade HbA1c variation below diagnostic threshold for diabetes is related to both cognitive performance and white matter integrity in healthy, young adults. These findings highlight the detrimental impact of metabolic risk factors on brain physiology and underscore the importance of intensified preventive measures independent of the currently applied diagnostic HbA1c cutoff scores.

Indexed as

White MatterAdultAnisotropyBrainCognitionDiffusion Tensor ImagingFemaleGlycated HemoglobinHumansMaleYoung AdultGlycated Hemoglobin

Identifiers

PMID31467393
OpenAlexW2970468910

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.