Evidence map›Paper›PMID 38436476›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024

The Impact of Type 2 Diabetes on Peripheral and Cerebral Hemodynamic Responses to Active Stand.

Belinda Hernández, Adam H Dyer, Ciaran Finucane, Bernardo Nipoti, Roman Romero-Ortuno, Richard Reilly, Rose Anne Kenny

Open access · hybridAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

7 authors at 2 institutions in 2 countries.

Belinda HernándezThe Irish Longitudinal Study on Ageing, Department of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0001-5034-1282
Adam H DyerDiscipline of Medical Gerontology, School of Medicine, Trinity College, Dublin, Ireland.ORCID 0000-0003-1356-510X
Ciaran FinucaneDiscipline of Medical Gerontology, School of Medicine, Trinity College, Dublin, Ireland.
Bernardo NipotiDepartment of Economics, Management, and Statistics, University of Milano-Bicocca, Milan, Italy.
Roman Romero-OrtunoDiscipline of Medical Gerontology, School of Medicine, Trinity College, Dublin, Ireland.ORCID 0000-0002-3882-7447
Richard ReillySchool of Engineering, Trinity College, The University of Dublin, Dublin, Ireland.ORCID 0000-0001-8578-1245
Rose Anne KennyThe Irish Longitudinal Study on Ageing, Department of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Trinity College Dublin · IEUniversity of Milano-Bicocca · IT

Funding

Health Research BoardHealth Research Board 203930/B/16/ZHealth Research Board ILP-HSR-2017-021Science Foundation Ireland 18/FRL/6188Wellcome Trust
6 · The paper itself

Abstract

backgroundAlthough type 2 diabetes mellitus (T2DM) is an established risk factor for cognitive impairment, the underlying mechanisms remain poorly explored. One potential mechanism may be through effects of T2DM on cerebral perfusion. The current study hypothesized that T2DM is associated with altered peripheral and central hemodynamic responses to orthostasis, which may in turn be associated with cognitive impairment in T2DM.

methodsA novel use of function-on-scalar regression, which allows the entire hemodynamic response curve to be modeled, was employed to assess the association between T2DM and hemodynamic responses to orthostasis. Logistic regression was used to assess the relationship between tissue saturation index (TSI), T2DM, and cognitive impairment. All analyses used cross-sectional data from Wave 3 of The Irish Longitudinal Study on Ageing (TILDA).

resultsOf 2 984 older adults (aged 64.3 ± 8.0; 55% female), 189 (6.3%) had T2DM. T2DM was associated with many features that are indicative of autonomic dysfunction including a blunted peak heart rate and lower diastolic blood pressure. T2DM was associated with reduced TSI and also with greater odds of impaired performance on the Montreal Cognitive Assessment (odds ratio [OR]: 1.62; confidence interval [CI: 1.07, 2.56]; p = .019). Greater TSI was associated with lower odds of impaired performance (OR: 0.90, CI [0.81-0.99]; p = .047).

conclusionsT2DM was associated with impaired peripheral and cerebral hemodynamic responses to active stand. Both T2DM and reduced cerebral perfusion were associated with impaired cognitive performance. Altered cerebral perfusion may represent an important mechanism linking T2DM and adverse brain health outcomes in older adults.

Indexed as

Cognitive DysfunctionDiabetes Mellitus, Type 2AgedCross-Sectional StudiesDizzinessFemaleHemodynamicsHumansLongitudinal StudiesMaleActive standCerebral perfusionFunctional regressionOrthostasisType 2 diabetes

Identifiers

PMID38436476
PMCPMC11025558
OpenAlexW4392477248

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.