Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降:一项对最新文献的meta分析
Abstract
Background: Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD. Methods: Two electronic databases were consulted: PubMed and ISI W eb of K nowledge. Literature published up until the end of 2013 was included in the analysis. Effect sizes (C ohen's d), which are standardized differences between experimental and control groups, were calculated. Results: There was a small to modest decrease in cognitive performance in T1D patients compared with non‐diabetic controls. Children with T1D performed worse while testing for executive function, full intelligence quotient (IQ), and motor speed, whereas adults with T1D performed worse while testing the full, verbal and performance IQ, part of the executive function, memory, spatial memory, and motor speed. Episodes of severe hypoglycemia, chronic hyperglycemia, and age of onset can be significant factors influencing cognitive function in T1D. Conclusions: The findings in the literature suggest that T1DACD is more severe in adults than children, indicating that age and diabetes duration contribute to this T1DACD.
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Diabetes may cause acute and chronic neurocognitive changes, including cognitive decline affecting psychomotor speed, cognitive flexibility, attention, and visual perception.
“People with diabetes might also have both chronic and acute neurocognitive changes that include decline in cognitive function with detrimental effects on psychomotor speed, cognitive flexibility, attention, and visual perception.121,122”
From Type 1 diabetes (2018) · cites this paper as [122]
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Perzyński, A., & Chmiel-Perzyńska, I. (2016) · Current Problems of Psychiatry · doi:10.1515/cpp-2016-0026 · Cited by 3 · see citing works
Hendrich, S. (2017) · Elsevier eBooks · doi:10.1016/b978-0-08-100868-3.00023-8 · Cited by 3 · see citing works
Complications of type 1 diabetes melitus in children
Miolski, J., Ješić, M. D., & Zdravković, V. (2020) · Medicinski podmladak · doi:10.5937/mp71-28003 · Cited by 3 · see citing works
Liu, Z., Schaeffer, N. E., & Wang, X. T. (2024) · Journal of Behavioral Medicine · doi:10.1007/s10865-024-00500-7 · Cited by 2 · see citing works
Meo, S. A., Alotaibi, M. S., Shaikh, N., & Alguwaihes, A. M. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1660384 · Cited by 2 · see citing works
- Authors
- Tonoli, C., Heyman, E., Roelands, B., Pattyn, N., Buyse, L., Piacentini, M. F., Berthoin, S., & Meeusen, R.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Université Lille Nord de France (FR)
- Corresponding author
- Meeusen, Romain
- ORCID
- Venue
- Journal of Diabetes
- Publisher
- Wiley
- Published
- 2014-09-10
- Volume
- 6
- Issue
- 6
- Pages
- 499-513
- ISSN
- 1753-0393 (ISSN-L)
- 1753-0407
- OpenAlex
- W1553269373
- Cited by
- 148
- References
- 98
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 13 · 2021: 9 · 2020: 14 · 2019: 15 · 2018: 21 · 2017: 15 · 2016: 15 · 2015: 5 · 2014: 2
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Diabetes (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- HAL (submittedVersion)
- LillOA (Université de Lille (University Of Lille)) (submittedVersion)
- Lirias (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Vlaamse regering
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- type 1 diabetes, cognitive decline, executive function, intelligence quotient, motor speed, memory, severe hypoglycemia, chronic hyperglycemia, age of onset, diabetes duration, children versus adults, diabetes complications
- MeSH terms
- Adult, Age Factors, Child, Cognition, Cognition Disorders, Diabetes Mellitus, Type 1, Humans, Memory, Neuropsychological Tests, Severity of Illness Index
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