Insulin-resistance and metabolic syndrome are related to executive function in women in a large family-based study

Eur J Epidemiol. 2010 Aug;25(8):561-8. doi: 10.1007/s10654-010-9476-y. Epub 2010 Jun 29.

Abstract

While type 2 diabetes is well-known to be associated with poorer cognitive performance, few studies have reported on the association of metabolic syndrome (MetS) and contributing factors, such as insulin-resistance (HOMA-IR), low adiponectin-, and high C-reactive protein (CRP)-levels. We studied whether these factors are related to cognitive function and which of the MetS components are independently associated. The study was embedded in an ongoing family-based cohort study in a Dutch population. All participants underwent physical examinations, biomedical measurements, and neuropsychological testing. Linear regression models were used to determine the association between MetS, HOMA-IR, adiponectin levels, CRP, and cognitive test scores. Cross-sectional analyses were performed in 1,898 subjects (mean age 48 years, 43% men). People with MetS had significantly higher HOMA-IR scores, lower adiponectin levels, and higher CRP levels. MetS and high HOMA-IR were associated with poorer executive function in women (P = 0.03 and P = 0.009). MetS and HOMA-IR are associated with poorer executive function in women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / blood
  • Adiponectin / genetics
  • Adiponectin / physiology
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • C-Reactive Protein / analysis
  • C-Reactive Protein / genetics
  • C-Reactive Protein / physiology
  • Cognition Disorders / blood
  • Cognition Disorders / etiology
  • Cognition Disorders / genetics*
  • Cohort Studies
  • Cross-Sectional Studies
  • Executive Function / physiology*
  • Family
  • Female
  • Humans
  • Insulin Resistance / genetics
  • Insulin Resistance / physiology
  • Linear Models
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / genetics*
  • Middle Aged
  • Netherlands
  • Sex Factors
  • Young Adult

Substances

  • Adiponectin
  • C-Reactive Protein