PMID- 31319676 OWN - NLM STAT- MEDLINE DCOM- 20200710 LR - 20240402 IS - 1938-2731 (Electronic) IS - 1533-3175 (Print) IS - 1533-3175 (Linking) VI - 34 IP - 7-8 DP - 2019 Nov-Dec TI - Decreased Levels of Serum IGF-1 and Vitamin D Are Associated With Cognitive Impairment in Patients With Type 2 Diabetes. PG - 450-456 LID - 10.1177/1533317519860334 [doi] AB - PURPOSE: To determine the association of serum insulin-like growth factor 1 (IGF-1) and vitamin D levels with cognition status in patients with type 2 diabetes mellitus (T2DM). METHODS: A total of 173 patients with T2DM were recruited and divided into mild cognitive impairment (MCI) group (n = 94) and normal cognition (NC) group (n = 79). Levels of IGF-1 and 25(OH)D were measured and compared, and the correlations among IGF-1, 25(OH)D, and cognitive function were analyzed. RESULTS: Insulin-like growth factor 1 and 25(OH)D levels significantly decreased in MCI group than those in the NC group (both P < .001). Multiple stepwise regression analysis revealed that IGF-1 (beta = .146, P < .001) and 25(OH)D (beta = .199, P < .001) independently predicted Montreal Cognitive Assessment (MoCA) scores. Partial least square regression showed that contributions of both 25(OH)D (P < .001) and IGF-1 (P < .001) to MoCA scores were significant, while no cross-effect was observed between them (P = .714). CONCLUSIONS: Low serum IGF-1 and 25(OH)D levels may separately predict poor cognitive performance in patients with diabetes. FAU - Rui-Hua, Chen AU - Rui-Hua C AD - Department of Endocrinology, Shanghai General Hospital of Nanjing Medical University, Nanjing, China. FAU - Yong-de, Peng AU - Yong-de P AUID- ORCID: 0000-0001-5483-7007 AD - Department of Endocrinology, Shanghai General Hospital of Nanjing Medical University, Nanjing, China. FAU - Xiao-Zhen, Jiang AU - Xiao-Zhen J AD - Department of Endocrinology, Shanghai Pudong New Area People's Hospital, Shanghai, China. FAU - Chen, Jason AU - Chen J AD - JMP China Division, SAS Institute Inc, Cary, NC, USA. FAU - Bin, Zhou AU - Bin Z AD - Department of Endocrinology, Shanghai Pudong New Area People's Hospital, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190718 PL - United States TA - Am J Alzheimers Dis Other Demen JT - American journal of Alzheimer's disease and other dementias JID - 101082834 RN - 0 (IGF1 protein, human) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - P6YZ13C99Q (Calcifediol) SB - IM MH - Aged MH - Calcifediol/*blood MH - Cognitive Dysfunction/*blood/etiology MH - Diabetes Complications/*blood MH - Diabetes Mellitus, Type 2/*blood/complications MH - Female MH - Humans MH - Insulin-Like Growth Factor I/*metabolism MH - Male MH - Middle Aged PMC - PMC10653368 OTO - NOTNLM OT - IGF-1 OT - Montreal Cognitive Assessment OT - diabetes mellitus OT - mental status and dementia tests OT - mild cognitive impairment OT - type 2 OT - vitamin D COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2019/07/20 06:00 MHDA- 2020/07/11 06:00 PMCR- 2019/07/18 CRDT- 2019/07/20 06:00 PHST- 2019/07/20 06:00 [pubmed] PHST- 2020/07/11 06:00 [medline] PHST- 2019/07/20 06:00 [entrez] PHST- 2019/07/18 00:00 [pmc-release] AID - 10.1177_1533317519860334 [pii] AID - 10.1177/1533317519860334 [doi] PST - ppublish SO - Am J Alzheimers Dis Other Demen. 2019 Nov-Dec;34(7-8):450-456. doi: 10.1177/1533317519860334. Epub 2019 Jul 18.