The link between cognition and somatic conditions related to insulin resistance in the UK Biobank study cohort: a systematic review

Giuseppe Fanelli, Nina Roth Mota, Jordi Salas-Salvadó, Mònica Bulló, Fernando Fernandez-Aranda, Lucía Camacho-Barcia, Giulia Testa, Susana Jiménez-Murcia, Valérie Bertaina-Anglade, Barbara Franke, Geert Poelmans, Veerle van Gils, Willemijn J Jansen, Stephanie J B Vos, Theresa Wimberley, Søren Dalsgaard, Csaba Barta, Alessandro Serretti, Chiara Fabbri, Janita Bralten*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Clinical and genomic studies have shown an overlap between neuropsychiatric disorders and insulin resistance (IR)-related somatic conditions, including obesity, type 2 diabetes, and cardiovascular diseases. Impaired cognition is often observed among neuropsychiatric disorders, where multiple cognitive domains may be affected. In this review, we aimed to summarise previous evidence on the relationship between IR-related diseases/traits and cognitive performance in the large UK Biobank study cohort. Electronic searches were conducted on PubMed, Scopus, and Web of Science until April 2022. Eighteen articles met the inclusion criteria and were qualitatively reviewed. Overall, there is substantial evidence for an association between IR-related cardio-metabolic diseases/traits and worse performance on various cognitive domains, which is largely independent of possible confoundings. The most consistent findings referred to IR-related associations with poorer verbal and numerical reasoning ability, as well as slower processing speed. The observed associations might be mediated by alterations in immune-inflammation, brain integrity/connectivity, and/or comorbid somatic or psychiatric diseases/traits. Our findings provide impetus for further research into the underlying neurobiology and possible new therapeutic targets.

Original languageEnglish
Article number104927
Number of pages12
JournalNeuroscience and Biobehavioral Reviews
Volume143
Early online date28 Oct 2022
DOIs
Publication statusPublished - Dec 2022

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