The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Diabetes mellitus and the Risk of Dementia, Alzheimer’s Disease and Vascular Cognitive Impairment in the Canadian Study of Health and Aging
Abstract
Background: Conflicting results have been reported about the status of diabetes mellitus as a risk for Alzheimer’s disease. We investigated the relationship between diabetes and incident dementia (including Alzheimer’s disease and vascular cognitive impairment) in a 5-year longitudinal study. Methods: Secondary analysis of the Canadian Study of Health and Aging, a representative cohort study of dementia in older Canadians. Results: 5,574 subjects without cognitive impairment at baseline participated in 5-year follow-up. Diabetes mellitus at baseline was associated with incident vascular cognitive impairment (RR: 1.62; 95% CI: 1.12–2.33) and its subtypes, vascular dementia (RR: 2.03; 95% CI: 1.15–3.57), and vascular cognitive impairment not dementia (RR: 1.68; 95% CI: 1.01–2.78). Diabetes was not associated with mixed Alzheimer’s/vascular dementia (RR: 0.87; 95% CI: 0.34–2.21), incident Alzheimer’s disease (RR: 1.30; 95% CI: 0.83–2.03) or all dementias (RR: 1.26; 95% CI: 0.90–1.76). Conclusions: Despite increased recognition of the role of vascular factors in Alzheimer’s disease, we did not find an association between diabetes and incident Alzheimer’s disease, even though diabetes was associated with incident vascular cognitive impairment.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
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?
In the citing paper
“The incidence of all-cause dementia and vascular dementia among adults with diabetes in prospective cohort studies was estimated to be 14.2 to 16.8 per 1000 patient-years and 1.8 to 3.2 per 1000 patient-years, respectively, more than double the rate reported in this study.60,61”
From Cardioprotective Glucose-Lowering Agents and Dementia Risk: A Systematic Review and Meta-Analysis (2025) · cites this paper as [61]
In the citing paper
“Studies reporting the development of future dementia of these reported that people with diabetes had a higher risk of all-cause dementia than people without diabetes [56, 58, 64, 65, 67].”
From Cognitive decline and dementia in diabetes—systematic overview of prospective observational studies (2005) · cites this paper as [64]
In the citing paper
“Finally, prospective epidemiological studies also show a relationship between cognitive decline and clinical markers associated with hyperglycaemia, e.g. use of glucose-lowering medication, diabetes duration and diabetes complications [46, 48, 49, 54, 56, 64].”
From Cognitive decline and dementia in diabetes—systematic overview of prospective observational studies (2005) · cites this paper as [64]
Citations
Cites
McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., & Stadlan, E. M. (1984) · Neurology · doi:10.1212/wnl.34.7.939 · Cited by 27,915
Mild Cognitive Impairment: Clinical Characterization and Outcome
Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. (1999) · Archives of Neurology · doi:10.1001/archneur.56.3.303 · Cited by 8,980
Román, G. C., Tatemichi, T. K., Erkinjuntti, T., Cummings, J. L., Masdeu, J. C., Garcia, J. H., Amaducci, L., Orgogozo, J.-M., Brun, A., Hofman, A., et al. (1993) · Neurology · doi:10.1212/wnl.43.2.250 · Cited by 4,921
(1987) · PubMed · Cited by 2,657
Diabetes mellitus and the risk of dementia: The Rotterdam Study
Ott, A., Stolk, R. P., van Harskamp, F., Pols, H. A. P., Hofman, A., & Breteler, M. M. B. (1999) · Neurology · doi:10.1212/wnl.53.9.1937 · Cited by 2,175
Roth, M., Tym, E., Mountjoy, C. Q., Huppert, F. A., Hendrie, H., Verma, S., & Goddard, R. (1986) · British Journal of Psychiatry · doi:10.1192/bjp.149.6.698 · Cited by 2,090
Chui, H. C., Victoroff, J. I., Margolin, D., Jagust, W., Shankle, R., & Katzman, R. (1992) · Neurology · doi:10.1212/wnl.42.3.473 · Cited by 1,201
Prevalence and severity of cognitive impairment with and without dementia in an elderly population
Graham, J., Rockwood, K. J., Beattie, B. L., Eastwood, R., Gauthier, S. G., Tuokko, H. A., & McDowell, I. (1997) · The Lancet · doi:10.1016/s0140-6736(97)01007-6 · Cited by 1,017
Self-citationCardiovascular risk factors and cognitive decline in middle-aged adults
Knopman, D., Boland, L. L., Mosley, T., Howard, G., Liao, D., Szklo, M., McGovern, P., & Folsom, A. R. (2001) · Neurology · doi:10.1212/wnl.56.1.42 · Cited by 883
Yoshitake, T., Kiyohara, Y., Kato, I., Ohmura, T., Iwamoto, H., Nakayama, K., Ohmori, S., Nomiyama, K., Kawano, H., Ueda, K., et al. (1995) · Neurology · doi:10.1212/wnl.45.6.1161 · Cited by 829
Flagged first, then by citations
Cited by
Sorted by citations
Items 301–313 of 313
Laksmidewi, A. A. A. P., Dewi, C. I. G., & Kandarini, Y. (2020) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2020.4691
Current Awareness in Geriatric Psychiatry
(2002) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.584
Rosenzweig, S. A. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.732579862.793572336
Marc, G., Etcharry‐Bouyx, F., & Dubas, F. (2007) · EMC - Neurologia · doi:10.1016/s1634-7072(07)70557-3
Risk of Alzheimer's Disease in People with Diabetes MellitusPreprint
Tunio, A. R., Batool, S., Khan, M. U. Z., Samo, U. B. K., Saldera, K. A., Lakho, R., & arshad, J. Z. (2024) · Research Square · doi:10.21203/rs.3.rs-4023519/v1
Mahmouditabar, R. (2022) · Utāq-i bāzargānī. · doi:10.61186/ijpb.16.1.141
Kumar, P., Lele, V. R., & Akhtar, M. J. (2025) · Cureus · doi:10.7759/cureus.89682
Risk of dementia in diabetes mellitus: a mechanistic endeavor
Samanta, S. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-33355-2.00029-3
Potential and Established Risk Factors for Alzheimer’s Disease
Richter, B. Z. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-661-4_7
Transcriptome analysis of Alzheimer's disease identifies links to cardiovascular disease
Ray, M. (2008) · Open Scholarship Institutional Repository (Washington University in St. Louis) · doi:10.7936/k7jw8c4j
Abbas, T., Rashid, S., & Imran, M. (2026) · Journal of Biological Physics · doi:10.1007/s10867-026-09727-8
Metadata
- Authors
- MacKnight, C., Rockwood, K., Awalt, E., & McDowell, I.
- Affiliations
- Dalhousie University (CA)
- University of Ottawa (CA)
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2002
- Volume
- 14
- Issue
- 2
- Pages
- 77-83
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- OpenAlex
- W2050640530
- Cited by
- 313
- References
- 40
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 7 · 2020: 7 · 2019: 19 · 2018: 12 · 2017: 13 · 2016: 15 · 2015: 12 · 2014: 21 · 2013: 20 · 2012: 12
- FWCI
- 5.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- diabetes mellitus, Alzheimer's disease, dementia, vascular cognitive impairment, vascular dementia, incident dementia risk, older adults, Canadian Study of Health and Aging
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Dementia, Diabetes Mellitus, Female, Humans, Male, Risk Factors, Dementia, Vascular, Cohort Studies
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