Evidence map›Paper›PMID 42333503›Full record

ArticleScandinavian journal of primary health care2026

Association of insulin resistance and health-related quality of life with mild cognitive impairment during aging.

Sanna Rotonen, Juha Auvinen, Aini Bloigu, Pirjo Härkönen, Jari Jokelainen, Markku Timonen, Sirkka Keinänen-Kiukaanniemi

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sanna RotonenResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.ORCID 0000-0002-2208-9865
Juha AuvinenResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.ORCID 0000-0003-2067-4056
Aini BloiguResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.
Pirjo HärkönenResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.
Jari JokelainenNorthern Finland Birth Cohorts, Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0003-4629-0560
Markku TimonenResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.
Sirkka Keinänen-KiukaanniemiResearch Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.ORCID 0000-0003-1218-6925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown an association between dementia and diabetes. This study focused on examining whether insulin resistance is a risk factor for mild cognitive impairment (MCI). We also evaluated whether common cardiovascular risk factors or depressive symptoms modify the risk of MCI along with insulin resistance and compared the health-related quality of life (HRQoL) with or without MCI.

methodsThe participants were followed from 57 to 69 years of age and divided into two groups, MCI and non-MCI, according to their Consortium to Establish a Registry for Alzheimer's Disease

resultsGreater increases in HOMA-IR (OR 2.20, 95% CI 1.05-4.62) and fasting insulin (OR 3.49, 95% CI 1.48-8.23) increased the risk of MCI. Lower cognitive performance at baseline (OR 6.33; 95% CI 3.27-12.29), lower level of education (OR 3.94, 95% CI 1.76-8.81) and lower level of physical activity (OR 2.44, 95% CI 1.06-5.65) also increased the risk of MCI at follow-up. There was a greater decline in health-related quality of life among the MCI group.

conclusionInsulin resistance is a risk factor for MCI and MCI causes worsening of HRQoL during aging.

Indexed as

AgingCognitive DysfunctionDepressionInsulin ResistanceAgedExerciseFastingFemaleFollow-Up StudiesHeart Disease Risk FactorsHumansInsulinMaleMiddle AgedQuality of LifeInsulincognitive impairmentcognitive performancehealth-related quality of lifeInsulin resistancephysical activity

Identifiers

PMID42333503
PMCPMC13292304

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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.