Cited by 2,187Dementia and Cognitive Impairment ResearchDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Treatment and Management

Risk of dementia in diabetes mellitus: a systematic review

Biessels, Geert Jan, Staekenborg, Salka, Brunner, Eric, Brayne, Carol, Scheltens, Philip·2006·The Lancet Neurology

Abstract

The relation between diabetes and major types of dementia is controversial. This systematic review examines the incidence of dementia in people with diabetes mellitus. We identified 14 eligible longitudinal population-based studies of variable methodological quality. The incidence of "any dementia" was higher in individuals with diabetes than in those without diabetes in seven of ten studies reporting this aggregate outcome. This high risk included both Alzheimer's disease and vascular dementia (eight of 13 studies and six of nine studies respectively). Detailed data on modulating and mediating effects of glycaemic control, microvascular complications, and comorbidity (eg, hypertension and stroke) were generally absent. The findings of mechanistic studies suggest that vascular disease and alterations in glucose, insulin, and amyloid metabolism underlie the pathophysiology, but which of these mechanisms are clinically relevant is unclear. Further high quality studies need to be initiated, with objective diabetes assessment, together with reliable methods to establish the contribution of vascular disease and other comorbidity to dementia.

Integrity signals

Registry

Crossref · 10.1016/s1474-4422(05)70284-2

Cites

98 of 98 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Biessels, G. J., Staekenborg, S., Brunner, E., Brayne, C., & Scheltens, P.
Affiliations
  • University Medical Center Utrecht (NL)
  • The Royal Free Hospital (GB)
  • University of Cambridge (GB)
  • Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Corresponding author
Biessels, Geert Jan
Venue
The Lancet Neurology
Publisher
Elsevier BV
Published
2006-01
Volume
5
Issue
1
Pages
64-74
ISSN
1474-4422 (ISSN-L)
OpenAlex
W2102528806
Cited by
2,187
References
98
Citations by year
2026: 67 · 2025: 110 · 2024: 126 · 2023: 118 · 2022: 132 · 2021: 149 · 2020: 143 · 2019: 143 · 2018: 127 · 2017: 114 · 2016: 129 · 2015: 131 · 2014: 137 · 2013: 114 · 2012: 94
FWCI
4.86
Type
journal article
Language
en
Open access
closed
Locations
  • The Lancet Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
diabetes mellitus, dementia, Alzheimer's disease, vascular dementia, dementia incidence, glycemic control, microvascular complications, hypertension, stroke, amyloid metabolism, insulin, vascular disease
MeSH terms
Dementia, Diabetes Mellitus, Humans, Longitudinal Studies, Models, Biological, Risk, Outcome Assessment, Health Care, Community Health Planning, Diabetes Complications

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review