Evidence map›Paper›PMID 37417779›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Mendelian randomization study of diabetes and dementia in the Million Veteran Program.

Elizabeth M Litkowski, Mark W Logue, Rui Zhang, Brian R Charest, Ethan M Lange, John E Hokanson, Julie A Lynch, Marijana Vujkovic, Lawrence S Phillips, Richard L Hauger and 3 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Article
  5. Review
  6. Best practices for using biological data in psychological research.Journal of mood and anxiety disorders · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. The enigma of vascular dementia: current state and emerging perspectives.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  11. Estimated glucose disposal rate is associated with brain aging and dementia among diabetes-free older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Elizabeth M LitkowskiVA Eastern Colorado Healthcare System, Aurora, Colorado, USA.ORCID 0000-0002-7079-696X
Mark W LogueNational Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System, Boston, Massachusetts, USA.
Rui ZhangNational Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System, Boston, Massachusetts, USA.
Brian R CharestVA Boston Healthcare System, Boston, Massachusetts, USA.
Ethan M LangeDepartment of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
John E HokansonDepartment of Epidemiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Julie A LynchSalt Lake City VA, VA Informatics & Computing Infrastructure, Salt Lake City, Utah, USA.
Marijana VujkovicCorporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.
Lawrence S PhillipsAtlanta VA Health Care System, Decatur, Georgia, USA.
Richard L HaugerCenter of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, California, USA.
Leslie A LangeDepartment of Biomedical Informatics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Sridharan RaghavanVA Eastern Colorado Healthcare System, Aurora, Colorado, USA.
VA Million Veteran Program (MVP)VA Eastern Colorado Healthcare System, Aurora, Colorado, USA.

Funding

Glycemia Reduction Approaches in Diabetes: A comparative effectiveness studyU01DK098246 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI KRAUSE-STEINRAUF, HEIDI, LACHIN, JOHN M · 2012 to 2022
$238.9M
Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
The VETSA Longitudinal Twin Study of Cognition and Aging (VETSA 4)R01AG050595 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELMAN, JEREMY A, FRANZ, CAROL ELAINE · 2015 to 2024
$28.0M
University of Colorado Anschutz Medical Campus DRCP30DK116073 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LORI SUSSEL · 2020 to 2026
$10.8M
Novel Antagonists of the N-terminal Domain of the CRF Receptor Type 1 for Alzheimer's DiseaseRF1AG065385 · NIA · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI RISSMAN, ROBERT · 2020 to 2022
$2.1M
CHANGING THE NATURAL HISTORY OF TYPE 2 DIABETES – “CHANGE” STUDYR01DK127083 · NIDDK · EMORY UNIVERSITY · PI PHILLIPS, LAWRENCE S · 2021 to 2025
$1.7M
A genomics-based strategy to precision phenotyping and drug repositioning in cardiometabolic diseasesR01DK134575 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Marijana Vujkovic · 2023 to 2026
$1.4M
The Role of Tuberculosis Disease on Non-Communicable Disease Risk: Comparative Analysis of Large Healthcare DatabasesR21AI156161 · NIAID · EMORY UNIVERSITY · PI CRITCHLEY, JULIA ALISON, MAGEE, MATTHEW JAMES · 2021 to 2022
$372k
Latent tuberculosis infection and risk of type 2 diabetes mellitus in US veteransR03AI133172 · NIAID · GEORGIA STATE UNIVERSITY · PI MAGEE, MATTHEW JAMES · 2018 to 2019
$158k
Early Cognitive Impairment as a Function of Alzheimer’s Disease Genes and TraumaI01BX004192 · VA · VA BOSTON HEALTH CARE SYSTEM · PI LOGUE, MARK W · 2019 to 2024
–
Diabetic Complications and Genetic Variants in the Million Veterans ProgramI01CX001737 · VA · VETERANS HEALTH ADMINISTRATION · PI PHILLIPS, LAWRENCE S · 2019 to 2023
–
BLRD VA I01 BX004192BLRD VA I01 BX005831CSRD VA I01 CX001727CSRD VA I01 CX001737CSRD VA IK2 CX001907NCATS NIH HHS UL1 TR002378NIAID NIH HHS R03 AI133172NIAID NIH HHS R21 AI156161NIA NIH HHS R01 AG050595NIA NIH HHS RF1 AG065385NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK127083NIDDK NIH HHS R01 DK134575NIDDK NIH HHS U01 DK098246NIH HHS R01 DK127083NIH HHS R03 AI133172NIH HHS R21 AI156161NIH HHS U01 DK098246NIH HHS UL1 TR002378
6 · The paper itself

Abstract

introductionDiabetes and dementia are diseases of high health-care burden worldwide. Individuals with diabetes have 1.4 to 2.2 times higher risk of dementia. Our objective was to evaluate evidence of causality between these two common diseases.

methodsWe conducted a one-sample Mendelian randomization (MR) analysis in the US Department of Veterans Affairs Million Veteran program. The study included 334,672 participants ≥65 years of age with type 2 diabetes and dementia case-control status and genotype data.

resultsFor each standard deviation increase in genetically predicted diabetes, we found increased odds of three dementia diagnoses in non-Hispanic White participants (all-cause: odds ratio [OR] = 1.07 [1.05-1.08], P = 3.40E-18; vascular: OR = 1.11 [1.07-1.15], P = 3.63E-09, Alzheimer's disease [AD]: OR = 1.06 [1.02-1.09], P = 6.84E-04) and non-Hispanic Black participants (all-cause: OR = 1.06 [1.02-1.10], P = 3.66E-03, vascular: OR = 1.11 [1.04-1.19], P = 2.20E-03, AD: OR = 1.12 [1.02-1.23], P = 1.60E-02) but not in Hispanic participants (all P > 0.05). DISCUSSION: We found evidence of causality between diabetes and dementia using a one-sample MR study, with access to individual level data, overcoming limitations of prior studies using two-sample MR techniques.

Indexed as

Alzheimer DiseaseDiabetes Mellitus, Type 2VeteransAgedGenome-Wide Association StudyHumansMendelian Randomization AnalysisPolymorphism, Single NucleotideRisk Factorsall-cause dementiaAlzheimer's diseasegeneticsinstrumental variableMendelian randomizationtype 2 diabetesvascular dementia

Identifiers

PMID37417779
PMCPMC10592524

What OpenQuestion holds

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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.