Glucose but not insulin or insulin resistance is associated with memory performance in middle-aged non-diabetic women: a cross sectional study

• Published in: Diabetology and metabolic syndrome Vol. 7; no. 1; p. 20
• Main Authors: Backeström, Anna, Eriksson, Sture, Nilsson, Lars-Göran, Olsson, Tommy, Rolandsson, Olov
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 15.03.2015; BioMed Central
• Subjects: Care and treatment; Cognition; Complications and side effects; Dextrose; Diabetics; Diagnosis; Episodic memory; Exercise; Glucose; HOMA-IR; Hypertension; Insulin; Insulin resistance; Memory; Physiological aspects; Psychological aspects; Risk factors; Semantic memory; Semantic mory; Type 2 diabetes; Women; HOMA-IR; Semantic memory; Memory; Insulin resistance; Cognition; Glucose; Episodic memory; Insulin
• DOI: 10.1186/s13098-015-0014-7
• ISSN: 1758-5996

Elevated concentrations of plasma glucose appear to play a role in memory impairment, and it has been suggested that insulin might also have a negative effect on cognitive function. Our aim was to study whether glucose, insulin or insulin resistance are associated with episodic or semantic memory in a non-diabetic and non-demented population. We linked and matched two population-based data sets identifying 291 participants (127 men and 164 women, mean age of 50.7 ± 8.0 years). Episodic and semantic memory functions were tested, and fasting plasma insulin, fasting plasma glucose, and 2-hour glucose were analysed along with other potential influencing factors on memory function. Since men and women display different results on memory functions they were analysed separately. Insulin resistance was calculated using the HOMA-IR method. A higher fasting plasma glucose concentration was associated with lower episodic memory in women (r = -0.08, 95% CI -0.14; -0.01), but not in men. Plasma insulin levels and insulin resistance were not associated with episodic or semantic memory in women or in men after adjustments for age, fasting glucose, 2-hour glucose, BMI, education, smoking, cardiovascular disease, hypertension, cholesterol, and physical activity. This indicates that fasting glucose but not insulin, might have impact on episodic memory in middle-aged women.