Evidence map›Paper›PMID 40302139›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Associations of Metabolic Syndrome and Insulin Resistance With Attenuated Executive Function Post-Preeclampsia: A Nested Case-Control Study.

Robert-Jan Alers, Chahinda Ghossein-Doha, Yentl Brandt, M Eline Kooi, Suzanne C Gerretsen, Jacobus F A Jansen, Walter H Backes, Vincent van de Ven, Petra P M Hurks, Marc E A Spaanderman

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Robert-Jan AlersDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre+ (MUMC+), Maastricht, the Netherlands.ORCID https://orcid.org/0000-0003-4478-7207
Chahinda Ghossein-DohaGROW, School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands.
Yentl BrandtCARIM, School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherlands.
M Eline KooiCARIM, School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0001-7562-5724
Suzanne C GerretsenDepartment of Radiology and Nuclear Medicine, MUMC+, Maastricht, the Netherlands.
Jacobus F A JansenDepartment of Radiology and Nuclear Medicine, MUMC+, Maastricht, the Netherlands.
Walter H BackesDepartment of Radiology and Nuclear Medicine, MUMC+, Maastricht, the Netherlands.
Vincent van de VenFaculty of Psychology and Neuroscience, Department of Cognitive Neuroscience, Maastricht University, Maastricht, the Netherlands.
Petra P M HurksFaculty of Psychology and Neuroscience, Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, the Netherlands.
Marc E A SpaandermanDepartment of Obstetrics and Gynaecology, Maastricht University Medical Centre+ (MUMC+), Maastricht, the Netherlands.

Funding

Hartstichting
6 · The paper itself

Abstract

objectivePreeclampsia contributes to maternal cognitive problems, particularly involving executive functions. These higher-order cognitive functions-including working memory, organisation of materials, and task focus-are essential for adaptive, purposeful, and goal-directed behaviour. Similar cognitive problems are observed in metabolic syndrome and insulin resistance. This study investigates whether these conditions are also associated with executive function after preeclampsia.

designNested case-control study.

settingMaastricht University Medical Centre+, a tertiary care hospital. POPULATION: Women 0.5 to 30 years after preeclampsia.

methodsThe Behaviour Rating Inventory of Executive Function for Adults provided a measure of executive function performance. The National Cholesterol Education Program Adult Treatment Panel III defined metabolic syndrome. The Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) quantified insulin resistance. Participants were matched on age, postpartum time, and educational attainment. Associations of attenuated executive function with metabolic syndrome, its constituents, and insulin resistance were examined with conditional logistic regression.

main outcome measuresOdds ratios and population attributable fractions for the associations of attenuated executive function with metabolic syndrome, its constituents, and insulin resistance.

resultsIn 155 matched pairs, attenuated executive function was associated with metabolic syndrome (odds ratio 4.20 (95% confidence interval 1.58-11.14)), hyperglycaemia (2.96 (1.13-7.79)), and obesity (3.86 (2.00-7.47)). Attenuated executive function related to HOMA-IR (7.26 (3.75-14.07)), and was 13% (6%-20%) attributable to metabolic syndrome and 56% (49%-67%) to insulin resistance.

conclusionsMetabolic syndrome and insulin resistance are associated with attenuated executive function after preeclampsia. Our findings provide leads for future studies focused on improving post-preeclamptic cognitive performance.

Indexed as

Executive FunctionInsulin ResistanceMetabolic SyndromePre-EclampsiaAdultCase-Control StudiesFemaleHumansPregnancycognitioncognitive impairmentexecutive functioninsulin resistancematernal healthmetabolic syndromeobstetrical complicationpostpartumpreeclampsia

Identifiers

PMID40302139
PMCPMC12232527

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