Association of diabetes mellitus and dementia: the Rotterdam Study.

Abstract:

:Dementia and non-insulin-dependent diabetes mellitus (NIDDM) are highly prevalent disorders in the elderly. Diabetes has repeatedly been reported to affect cognition, but its relation with dementia is uncertain. We therefore studied the association between diabetes and dementia in the Rotterdam Study, a large population-based study in the elderly. Of 6330 participants, aged 55 to 99 years old, complete information on diabetes and presence of dementia was available. Diabetes was diagnosed as use of anti-diabetes medication or random or post-load serum glucose over 11 mmol/1. Dementia was diagnosed through a stepped approach, including a sensitive screening of all participants and a comprehensive diagnostic work-up. Diabetes was present in 724 (11.4%) subjects. Of the 265 dementia patients 59 (22.3%) had diabetes. Multiple logistic regression analyses, adjusting for age and sex differences, revealed a positive association between diabetes and dementia (odds ratio: 1.3, 95% confidence interval 1.0-1.9). In particular, strong associations were found between dementia and diabetes treated with insulin (odds ratio: 3.2, 95% confidence interval: 1.4-7.5) The relation was strongest with vascular dementia but was also observed with Alzheimer's disease. These associations were independent of educational attainment, smoking, body mass index, atherosclerosis, blood pressure and antihypertensive drug treatment, and could not be explained by clinical cerebra infarctions. The results suggest that NIDDM is associated with dementia. Alzheimer's disease may be more frequent in elderly diabetic patients treated with insulin.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Ott A,Stolk RP,Hofman A,van Harskamp F,Grobbee DE,Breteler MM

doi

10.1007/s001250050588

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

1392-7

issue

11

eissn

0012-186X

issn

1432-0428

journal_volume

39

pub_type

杂志文章
  • Meta-analysis of the effects of n-3 polyunsaturated fatty acids on lipoproteins and other emerging lipid cardiovascular risk markers in patients with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:To determine the effects of marine-derived n-3 polyunsaturated fatty acids (PUFA) on established and emerging lipid and lipoprotein cardiovascular risk markers in patients with type 2 diabetes. MATERIALS AND METHODS:We performed a systematic review and meta-analysis of randomised controlled trials comp...

    journal_title:Diabetologia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00125-007-0695-z

    authors: Hartweg J,Farmer AJ,Perera R,Holman RR,Neil HA

    更新日期:2007-08-01 00:00:00

  • The insulin dilemma in resource-limited countries. A way forward?

    abstract::The International Insulin Foundation (IIF) has developed and validated a needs-assessment instrument called the Rapid Assessment Protocol for Insulin Access (RAPIA) which has been used in seven countries in four continents to analyse the constraints to delivering effective continuing care for people with diabetes. One...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-010-1897-3

    authors: Gill GV,Yudkin JS,Keen H,Beran D

    更新日期:2011-01-01 00:00:00

  • Low serum 25-hydroxyvitamin D level predicts progression to type 2 diabetes in individuals with prediabetes but not with normal glucose tolerance.

    abstract:AIMS/HYPOTHESIS:Vitamin D deficiency may increase the risk of type 2 diabetes. We therefore investigated whether serum concentrations of 25-hydroxyvitamin D [25(OH)D] would predict the development of prediabetes (impaired fasting glucose, impaired glucose tolerance or the two combined) and type 2 diabetes, either on th...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-012-2529-x

    authors: Deleskog A,Hilding A,Brismar K,Hamsten A,Efendic S,Östenson CG

    更新日期:2012-06-01 00:00:00

  • Multiple metabolic abnormalities in normal glucose tolerant relatives of NIDDM families.

    abstract::Non-diabetic first degree relatives of non-insulin-dependent diabetic (NIDDM) families are at increased risk of developing diabetes mellitus, and have been studied to identify early metabolic abnormalities. Hormone concentrations measured by specific enzyme immunoassays were assessed in non-diabetic relatives of North...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050805

    authors: Humphriss DB,Stewart MW,Berrish TS,Barriocanal LA,Trajano LR,Ashworth LA,Brown MD,Miller M,Avery PJ,Alberti KG,Walker M

    更新日期:1997-10-01 00:00:00

  • Acute in vivo effects of insulin on gene expression in adipose tissue in insulin-resistant and insulin-sensitive subjects.

    abstract:AIMS/HYPOTHESIS:We determined the response of selected genes to in vivo insulin in adipose tissue in 21 non-diabetic women. MATERIALS AND METHODS:The women were divided into insulin-sensitive and -resistant groups based on their median whole-body insulin sensitivity (8.7+/-0.4 vs 4.2+/-0.3 mg kg(-1) min(-1) for insuli...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-005-0075-5

    authors: Westerbacka J,Cornér A,Kannisto K,Kolak M,Makkonen J,Korsheninnikova E,Nyman T,Hamsten A,Fisher RM,Yki-Järvinen H

    更新日期:2006-01-01 00:00:00

  • Defective early phase insulin release in perifused isolated pancreatic islets of spiny mice (Acomys cahirinus).

    abstract::In order to characterize pancreatic beta cell function in Geneva bred spiny mice (acomys cahirinus), the dynamics of immunoreactive insulin release were examined during perifusion of pancreatic islets isolated from normoglycemic acomys. The initial insulin response of acomys was slow: no clear-cut early (1 to 10 min) ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00429916

    authors: Rabinovitch A,Gutzeit A,Kikuchi M,Cerasi E,Renold AE

    更新日期:1975-10-01 00:00:00

  • A population-based study of the association between areca nut chewing and type 2 diabetes mellitus in men (Keelung Community-based Integrated Screening programme No. 2).

    abstract:AIMS/HYPOTHESIS:The aim of this study was to assess whether the diabetogenicity of areca nut (Areca catechu or 'betel-nut'), which has previously been demonstrated experimentally in mice, independently contributes to the risk of hyperglycaemia or type 2 diabetes in men in Taiwan, where the habit has become established ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1532-2

    authors: Tung TH,Chiu YH,Chen LS,Wu HM,Boucher BJ,Chen TH,Keelung Community-based Integrated Screening programme No. 2.

    更新日期:2004-10-01 00:00:00

  • Effect of phenformin on hepatic balances of gluconeogenic substrates in man.

    abstract::The effect of a five day pretreatment with phenformin (3 X 50 mg daily) on hepatic metabolism was studied in six healthy volunteers. Arterial and hepatic venous concentrations of substrates and hepatic blood flow were estimated during a basal period and during a low-dose lactate infusion (0,03 mmol . kg-1 . min-1). Th...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF01219423

    authors: Dietze G,Wicklmayr M,Mehnert H,Czempiel H,Henftling HG

    更新日期:1978-04-01 00:00:00

  • Inhibitory effect of troglitazone on diabetic neuropathy in streptozotocin-induced diabetic rats.

    abstract::Free-radical scavengers and inhibitors of tumour necrosis factor-alpha (TNF-alpha) such as N-acetylcysteine and pentoxifylline have been shown to inhibit the development of peripheral neuropathy in streptozotocin(STZ)-induced diabetic rats. In this study we examined the effect of troglitazone, an anti-diabetic thiazol...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250051072

    authors: Qiang X,Satoh J,Sagara M,Fukuzawa M,Masuda T,Sakata Y,Muto G,Muto Y,Takahashi K,Toyota T

    更新日期:1998-11-01 00:00:00

  • Beta cell compensation for insulin resistance in Zucker fatty rats: increased lipolysis and fatty acid signalling.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to determine the role of fatty acid signalling in islet beta cell compensation for insulin resistance in the Zucker fatty fa/fa (ZF) rat, a genetic model of severe obesity, hyperlipidaemia and insulin resistance that does not develop diabetes. MATERIALS AND METHODS:NEFA augmen...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-006-0305-5

    authors: Nolan CJ,Leahy JL,Delghingaro-Augusto V,Moibi J,Soni K,Peyot ML,Fortier M,Guay C,Lamontagne J,Barbeau A,Przybytkowski E,Joly E,Masiello P,Wang S,Mitchell GA,Prentki M

    更新日期:2006-09-01 00:00:00

  • Insulin receptor tyrosine-kinase activity is altered in both muscle and adipose tissue from non-obese normoglycaemic insulin-resistant subjects.

    abstract::We performed i.v. insulin tolerance test in 30 non-obese (BMI < 30 male and < 28 female) non-diabetic (by oral glucose tolerance test) subjects and subdivided them into three groups of 10 subjects each, according to their insulin sensitivity (K(itt) values). Then we compared the tyrosine-kinase activity of immunopurif...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF02369353

    authors: Grasso G,Frittitta L,Anello M,Russo P,Sesti G,Trischitta V

    更新日期:1995-01-01 00:00:00

  • Abnormal regulation of sympathetic nervous activity and heart rate after oral glucose in type 1 (insulin-dependent) diabetic patients.

    abstract::Oral glucose administration increased plasma noradrenaline concentration significantly in seven normal subjects (p less than 0.02), whereas in six young short-term Type 1 diabetic patients without complications plasma noradrenaline did not change. Basal plasma noradrenaline did not differ between the two groups. In th...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00279937

    authors: Hegedüs L,Christensen NJ,Sestoft L

    更新日期:1983-09-01 00:00:00

  • Symptoms, signs and complications in newly diagnosed type 2 diabetic patients, and their relationship to glycaemia, blood pressure and weight.

    abstract:AIMS/HYPOTHESIS:To document the prevalence of typical diabetic symptoms, signs and complications in the diagnosis of type 2 diabetes mellitus, examine their pre-diagnostic duration, and analyse associations with glycaemic level, blood pressure (BP), and weight. METHODS:An epidemiological population-based study of 1137...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1625-y

    authors: Drivsholm T,de Fine Olivarius N,Nielsen AB,Siersma V

    更新日期:2005-02-01 00:00:00

  • Long-term effects of exposure of pancreatic islets to nicotinamide in vitro on DNA synthesis, metabolism and B-cell function.

    abstract::Using 3H-thymidine labeling techniques, we found that rates of DNA synthesis in islet cells doubled when mouse pancreatic islets were cultured for 1 week with 10 mmol/l nicotinamide, a potent poly(ADP-ribose) synthetase inhibitor. Culture with nicotinamide partially inhibited glucose-stimulated insulin release, wherea...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF02427093

    authors: Sandler S,Andersson A

    更新日期:1986-03-01 00:00:00

  • Tubular lesions in streptozotocin-diabetic rats.

    abstract::Renal tubular lesions have been studied in streptozotocin-diabetic rats after 50 days of diabetes and compared with age-matched controls. The kidney weight increased by 67% in the diabetic animals and the length of the proximal tubules increased by 22%, but no abnormalities were found. The length of the distal tubules...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00253498

    authors: Rasch R

    更新日期:1984-07-01 00:00:00

  • Insulin autoantibodies and high titre islet cell antibodies are preferentially associated with the HLA DQA1*0301-DQB1*0302 haplotype at clinical type 1 (insulin-dependent) diabetes mellitus before age 10 years, but not at onset between age 10 and 40 years

    abstract::Demographic and biological data were collected from all Caucasian Type 1 diabetic patients (n = 279) who were recruited at clinical onset by the Belgian Diabetes Registry over 34 months. The male/female ratio was significantly higher for onset between age 20 and 40 years (2.4) than before age 20 years (1.0); no age-or...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00401060

    authors: Vandewalle CL,Decraene T,Schuit FC,De Leeuw IH,Pipeleers DG,Gorus FK

    更新日期:1993-11-01 00:00:00

  • Inhibition of matrix-induced bone differentiation by advanced glycation end-products in rats.

    abstract::Glycation of long-lived proteins is an inevitable consequence of aging that is accelerated in patients with diabetes mellitus. Treatment of demineralized bone matrix particles from 35-week-old normal Long-Evans rats with glycoaldehyde, a precursor of advanced glycation end-products, was used to assess the effects of b...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00400353

    authors: Fong Y,Edelstein D,Wang EA,Brownlee M

    更新日期:1993-09-01 00:00:00

  • Stimulation of adipose tissue lipolysis following insulin-induced hypoglycaemia: evidence of increased beta-adrenoceptor-mediated lipolytic response in IDDM.

    abstract::The adrenergic regulation of adipose tissue lipolysis in response to insulin-induced hypoglycaemia (intravenous infusion of soluble insulin 0.10 IU.kg body weight-1.h-1 until the arterial plasma glucose fell below 2.8 mmol/l) was investigated directly in vivo in 11 insulin-dependent diabetic (IDDM) patients and 12 con...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050519

    authors: Bolinder J,Sjöberg S,Arner P

    更新日期:1996-07-01 00:00:00

  • Localisation and composition of skeletal muscle diacylglycerol predicts insulin resistance in humans.

    abstract:AIMS/HYPOTHESIS:We sought to evaluate if the cellular localisation and molecular species of diacylglycerol (DAG) were related to insulin sensitivity in human skeletal muscle. METHODS:Healthy sedentary obese controls (Ob; n = 6; mean±SEM age 39.5 ± 2.3 years; mean ± SEM BMI 33.3 ± 1.4 kg/m(2)), individuals with type 2 ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-011-2419-7

    authors: Bergman BC,Hunerdosse DM,Kerege A,Playdon MC,Perreault L

    更新日期:2012-04-01 00:00:00

  • Fibrinogen and von Willebrand factor in IDDM: relationships to lipid vascular risk factors, blood pressure, glycaemic control and urinary albumin excretion rate: the EURODIAB IDDM Complications Study.

    abstract::The interrelationships between fibrinogen, von Willebrand factor, a marker of vascular endothelial cell damage, and serum lipids were explored in well-characterised subjects with insulin-dependent diabetes mellitus. The 2091 subjects were enrolled into a cross-sectional, clinic-based study of complications, from 16 Eu...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s001250050736

    authors: Greaves M,Malia RG,Goodfellow K,Mattock M,Stevens LK,Stephenson JM,Fuller JH

    更新日期:1997-06-01 00:00:00

  • Outcomes of surgical treatment of diabetic foot osteomyelitis: a series of 185 patients with histopathological confirmation of bone involvement.

    abstract:AIMS/HYPOTHESIS:We analysed the factors that determine the outcomes of surgical treatment of osteomyelitis of the foot in diabetic patients given early surgical treatment within 12 h of admission and treated with prioritisation of foot-sparing surgery and avoidance of amputation. METHODS:A consecutive series of 185 di...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-008-1131-8

    authors: Aragón-Sánchez FJ,Cabrera-Galván JJ,Quintana-Marrero Y,Hernández-Herrero MJ,Lázaro-Martínez JL,García-Morales E,Beneit-Montesinos JV,Armstrong DG

    更新日期:2008-11-01 00:00:00

  • Association of blood glucose control and pancreatic reserve with diabetic retinopathy in the Veterans Affairs Diabetes Trial (VADT).

    abstract:AIMS/HYPOTHESIS:The aim of this study was to test the hypothesis that intensive glycaemic control (INT) and higher plasma C-peptide levels in patients with poorly controlled diabetes would be associated with better eye outcomes. METHODS:The incidence and progression of diabetic retinopathy (DR) was assessed by grading...

    journal_title:Diabetologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00125-014-3199-7

    authors: Azad N,Agrawal L,Emanuele NV,Klein R,Bahn GD,Reaven P,VADT Study Group.

    更新日期:2014-06-01 00:00:00

  • The effect of hyperglycaemia on pancreatic islets transplanted into rats beneath the kidney capsule.

    abstract::The effect of hyperglycaemia on islet transplantation in the rat has been examined in two ways, using syngeneic transplantation of 400 islets to the kidney capsule and subsequent measurement of kidney insulin content as a measurement of B-cell survival. Firstly, islets were transplanted into either diabetic or normal ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00274254

    authors: Gray DW,Cranston D,McShane P,Sutton R,Morris PJ

    更新日期:1989-09-01 00:00:00

  • Nupr1 deletion protects against glucose intolerance by increasing beta cell mass.

    abstract:AIMS/HYPOTHESIS:The stress-activated nuclear protein transcription regulator 1 (NUPR1) is induced in response to glucose and TNF-α, both of which are elevated in type 2 diabetes, and Nupr1 has been implicated in cell proliferation and apoptosis cascades. We used Nupr1(-/-) mice to study the role of Nupr1 in glucose hom...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-013-3006-x

    authors: Barbosa-Sampaio HC,Liu B,Drynda R,Rodriguez de Ledesma AM,King AJ,Bowe JE,Malicet C,Iovanna JL,Jones PM,Persaud SJ,Muller DS

    更新日期:2013-11-01 00:00:00

  • Indian Asians have poorer cardiovascular autonomic function than Europeans: this is due to greater hyperglycaemia and may contribute to their greater risk of heart disease.

    abstract:AIMS/HYPOTHESIS:A high prevalence of diabetes contributes to excess CHD in Indian Asians, but the underlying mechanisms are unclear. Heart rate, heart rate variability (HRV) and baroreflex sensitivity (BRS) are measures of cardiac autonomic function that are disturbed by hyperglycaemia and predict CHD. We compared thes...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-010-1818-5

    authors: Bathula R,Hughes AD,Panerai R,Potter J,Thom SA,Francis DP,Shore AC,Kooner J,Chaturvedi N

    更新日期:2010-10-01 00:00:00

  • Chronic exposure to high glucose decreases myo-inositol in cultured cerebral microvascular pericytes but not in endothelium.

    abstract::It has been proposed that the development of diabetic complications may involve a depletion of cellular myo-inositol due to an increase in polyol (sorbitol) formation. We therefore initially examined the effect of diabetes on levels of these metabolites in isolated cerebral microvessels. Compared with microvessels fro...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00274782

    authors: Sussman I,Carson MP,Schultz V,Wu XP,McCall AL,Ruderman NB,Tornheim K

    更新日期:1988-10-01 00:00:00

  • Improved survival in patients with diabetic nephropathy.

    abstract::The effect of early antihypertensive treatment on survival of patients with diabetic nephropathy was evaluated by studying two cohorts of Type 1 (insulin-dependent) diabetic patients developing persistent proteinuria in I: 1957-1973 (late treatment group n = 49) and II: 1979-1983 (early treatment group n = 71). At ons...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00297455

    authors: Mathiesen ER,Borch-Johnsen K,Jensen DV,Deckert T

    更新日期:1989-12-01 00:00:00

  • Adiposity, inflammation and hyperglycaemia in rural and urban Indian men: Coronary Risk of Insulin Sensitivity in Indian Subjects (CRISIS) Study.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to investigate whether the higher prevalence of insulin resistance and glucose intolerance in urban compared with rural Indian men is related to their higher adiposity (percentage body fat) and the associated inflammatory state. METHODS:We studied 149 rural, 142 urban slum and...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-007-0847-1

    authors: Yajnik CS,Joglekar CV,Lubree HG,Rege SS,Naik SS,Bhat DS,Uradey B,Raut KN,Shetty P,Yudkin JS

    更新日期:2008-01-01 00:00:00

  • Genetic evidence of a causal effect of insulin resistance on branched-chain amino acid levels.

    abstract:AIMS/HYPOTHESIS:Fasting plasma levels of branched-chain amino acids (BCAAs) are associated with insulin resistance, but it remains unclear whether there is a causal relation between the two. We aimed to disentangle the causal relations by performing a Mendelian randomisation study using genetic variants associated with...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-017-4222-6

    authors: Mahendran Y,Jonsson A,Have CT,Allin KH,Witte DR,Jørgensen ME,Grarup N,Pedersen O,Kilpeläinen TO,Hansen T

    更新日期:2017-05-01 00:00:00

  • Antecedent chronic hyperglycaemia blocks phlorizin-induced insulin resistance in the dog.

    abstract::Hyperglycaemia may enhance insulin resistance typical of non-insulin dependent diabetes mellitus, as well as insulin dependent diabetes mellitus, and thus initiate a vicious pathogenetic cycle. We sought to test the hypothesis that reduction in chronic hyperglycaemia in the diabetic dog by methods that do not employ i...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00290590

    authors: Koffler M,Imamura T,Santeusanio F,Helderman JH

    更新日期:1988-04-01 00:00:00