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. 2020 Aug 10;38(3):281–290. doi: 10.1080/02813432.2020.1802140

Table 4.

Systematic review of the association between T2D and global cognition and changes of global cognition.

Authors T2D at intake
n (%)
Cognitive test Cognitive status
Mean (SE)
Cognitive changes
Mean (SE)
Association (if available)
Odds ratio (95% CI)
Non-DM DM p Value Non-DM DM p Value
Espeland et al. [16] 179 (8.3%) Global cognitive function
3MS
96.8 (3.10) 95.7 (4.27) <0.001 0.21 (0.07) 0.005  
Formiga et al. [11] 42 (25.1%) MEC (MMSE) 30.5 (3) 30.1 (3) 0.38 2.7 (5.0) 3.8 (5.9) 0.25 OR = 1.37 [1.02 − 1.85]
Hassing et al. [21] 36 (13.1%) MMSE 27.6 (2.4) 27.7 (2.3) −0.34 (0.06) −0.49 (0.16) <0.05  
Logroscino et al. [17] 1394 (7.3%) TICS 33.8 (2.8) 33.2 (2.9)   OR decline = 1.52 [1.15, 1.99]
Mayeda et al. [27] 530 (32.4%) 3MSE     OR decline = 1.73 [1.39, 2.16]
OR T2D at intake = 1.88 [1.48, 2.38]
OR incident cases = 0.70 [0.36, 1.35]
Okereke et al. [18] n (men) = 553 (9.4%)
n (women) = 405 (6.4%)
TICS 34.3 (2.7)
34.3 (2.7)
33.8 (3.0)
33.8 (2.8)
-
-
-
-
-
-
   
Rouch et al. [7] 12 (7%) FCSR
Total immediate recall
Sum immediate free recall
Delayed free recall
Delayed total recall
46.31 (2.60)
31.93 (5.21)
12.31 (2.23)
15.63 (0.98)
44.81 (3.86)
27.15 (6.55)
11.75 (3.45)
15.29 (1.06)
0.15
0.005
0.45
0.33
0.01 (0.05)
−0.03 (0.15)
−0.01 (0.19)
−0.01 (0.07)
0.04 (0.08)
0.05 (0.17)
−0.01 (0.20)
−0.01 (0.05)
0.19
0.06
0.99
0.24
 
Samaras et al. [8] 106 (12%) Global cognition (Z-score) −0.68 (0.05) −0.97 (0.12) 0.048 −0.92 (0.12) −0.92 (0.06) 0.05  
Wu et al. [12] 585 (32.7%) Modified MMSE 84.8 82.5 0.002       OR decline = 1.68 [1.21, 2.34]
Xu et al. [9] 56 (6%) MMSE 27.6 (1.3) 27.2 (1.3) 0.678    
Yaffe et al. [26] 717 (32%) Modified MMSE 90.9 (0.2) 88.8 (0.3) 0.001 −4.5 (0.3) −6.0 (0.5) 0.008