Evidence map›Paper›PMID 35631532›Full record

ArticlePharmaceutics2022

Dose-Response Association of Metformin with Parkinson's Disease Odds in Type 2 Diabetes Mellitus.

Kuang-Hua Huang, Ya-Lan Chang, Shuo-Yan Gau, Tung-Han Tsai, Chien-Ying Lee

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.4field-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.

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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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  7. Observational
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  9. Review
  10. Article
  11. Review
  12. Review
  13. Insulin Resistance Is a Modifying Factor for Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  14. Metformin role in Parkinson's disease: a double-sword effect.Molecular and cellular biochemistry · 2024
    Review
  15. Antidiabetic drugs in Parkinson's disease.Clinical parkinsonism & related disorders · 2024
    Review
  16. Review
  17. Article
  18. Article
  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

5 authors at 3 institutions in 1 country.

Kuang-Hua HuangDepartment of Health Services Administration, China Medical University, Taichung 40402, Taiwan.ORCID 0000-0003-4351-6202
Ya-Lan ChangDepartment of Pharmacology, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung 40201, Taiwan.
Shuo-Yan GauSchool of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.ORCID 0000-0001-8897-5635
Tung-Han TsaiDepartment of Health Services Administration, China Medical University, Taichung 40402, Taiwan.
Chien-Ying LeeDepartment of Pharmacology, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., Taichung 40201, Taiwan.ORCID 0000-0001-8159-4645
China Medical University · TWChung Shan Medical University Hospital · TWChung Shan Medical University · TW

Funding

China Medical University Taiwan CMU109-S-26Chung Shan Medical University Hospital, Taiwan CSH-2022-C-046Ministry of Science and Technology Taiwan MOST 109-2410-H-039-004-MY2Ministry of Science and Technology Taiwan MOST 110-2410-H-040-002
6 · The paper itself

Abstract

Background. Studies have demonstrated that patients with diabetes mellitus who receive metformin have a lower risk of developing Parkinson’s disease (PD). However, studies have also suggested that metformin may increase the risk of PD. In this study, we investigated whether metformin use was associated with the risk of PD in type 2 diabetes mellitus (T2DM). Methods. In this population-based cross-sectional study, patients with T2DM diagnosed between 2001 and 2018 were enrolled. We categorized these patients as metformin users or nonusers. Participants below 50 years old were excluded. Two models were employed to evaluate the associations of metformin exposure and use intensity with PD after 3 and 5 years of follow-up. Results. Patients with T2DM who received <300 cumulative defined daily doses (cDDD) of metformin and those with metformin use intensity of <10 DDD/month had respective odds ratios (ORs) for PD of 0.88 (95% confidence interval [CI] = 0.83−0.94) and 0.87 (95% CI = 0.81−0.93) in a 3-year follow-up. In a 5-year follow-up, such patients had respective ORs for PD of 0.94 (95% CI = 0.90−0.98) and 0.93 (95% CI = 0.89−0.98). Patients with T2DM who received ≥300 cDDD of metformin or used metformin with intensity of ≥10 DDD/month experienced no neuroprotective effects after 3 or 5 years. Conclusions. Metformin was associated with PD odds in T2DM in a dose−response association manner. Patients who received low dosage and intensity of metformin use were associated with lower odds of PD, while higher dosage and intensity of metformin use had no neuroprotective effect.

Indexed as

cumulative defined daily dosediabetes mellitusmetforminParkinson’s disease

Identifiers

PMID35631532
PMCPMC9147745
OpenAlexW4224980397

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.