Evidence mapPaperPMID 36065050Full record

Trial reportDiabetes, obesity & metabolism2022

Effect of renin-angiotensin system antihypertensive medication use on cognitive function in diabetes mellitus with obesity or overweight: An ancillary study to the Action for Health in Diabetes (Look AHEAD) trial.

Whitney Wharton, Andrea Anderson, Kathleen M Hayden, Owen T Carmichael, Jeanne M Clark, José A Luchsinger, Mark Espeland, Sevil Yasar

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Whitney WhartonEmory University, School of Nursing, Atlanta, Georgia.
Andrea AndersonDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Kathleen M HaydenDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0002-7745-3513
Owen T CarmichaelBiomedical Imaging Center, Pennington Biomedical Research Center, Baton Rouge, Louisiana.
Jeanne M ClarkDivision of General Internal Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland.
José A LuchsingerDepartments of Medicine and Epidemiology, Columbia University Irving Medical Center, New York City, New York.
Mark EspelandDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0002-3711-1949
Sevil YasarDivision of Gerontology and Geriatric Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5080-6534
Wake Forest University · USJohns Hopkins University · USColumbia University Irving Medical Center · USEmory University · USPennington Biomedical Research Center · US

Funding

Alzheimer's Clinical Trials Consortium (ACTC)U24AG057437 · UNIVERSITY OF SOUTHERN CALIFORNIA · 2025 to 2025
$29.4M
WITHIN SUBJ VARIABILITY IN MEASUREMENTS DRUG METABOL ENZYMES IN HLTY SUBJM01RR000056 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 1985 to 2005
$27.6M
HEALTH OUTCOMES OF WEIGHT-LOSS: DATA COORDINATING CENTERU01DK057136 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 1999 to 2005
$18.5M
ZOLEDRONATE VS AREDIA IN MULTIPLE MYELOMA/BREAST CANCER W /BONE DISORDERSM01RR001346 · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · 1985 to 2005
$16.1M
Clinical Center for Look AHEAD: Health in DiabetesU01DK057178 · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · 1999 to 2005
$9.3M
Clinical Center for Look AHEAD: Health in DiabetesU01DK057151 · UNIVERSITY OF COLORADO DENVER · 1999 to 2005
$8.4M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057135 · UNIVERSITY OF PENNSYLVANIA · 1999 to 2005
$8.2M
SHOW PROJECTU01DK057154 · MASSACHUSETTS GENERAL HOSPITAL · 1999 to 2005
$8.1M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW) TRIALU01DK056992 · MIRIAM HOSPITAL · 1999 to 2005
$8.1M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW) TRIALU01DK057177 · BAYLOR COLLEGE OF MEDICINE · 1999 to 2005
$7.7M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057002 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 1999 to 2005
$7.6M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057078 · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · 1999 to 2005
$7.4M
NCRR NIH HHS M01 RR000056NCRR NIH HHS M01 RR001346NCRR NIH HHS UL1 RR024153NIA NIH HHS K24 AG045334NIA NIH HHS P30 AG049638NIA NIH HHS R01 AG033087NIA NIH HHS R01 AG050657NIA NIH HHS R01 AG058571NIA NIH HHS R01 AG064440NIA NIH HHS R01 AG074258NIA NIH HHS R03 AG058043NIA NIH HHS U01 AG073697NIA NIH HHS U24 AG057437NIDDK NIH HHS P30 DK046204NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK092237NIDDK NIH HHS U01 DK056990NIDDK NIH HHS U01 DK056992NIDDK NIH HHS U01 DK057002NIDDK NIH HHS U01 DK057008NIDDK NIH HHS U01 DK057078NIDDK NIH HHS U01 DK057131NIDDK NIH HHS U01 DK057135NIDDK NIH HHS U01 DK057136NIDDK NIH HHS U01 DK057149NIDDK NIH HHS U01 DK057151NIDDK NIH HHS U01 DK057154NIDDK NIH HHS U01 DK057171NIDDK NIH HHS U01 DK057177NIDDK NIH HHS U01 DK057178NIDDK NIH HHS U01 DK057182NIDDK NIH HHS U01 DK057219
6 · The paper itself

Abstract

aimTo determine whether antihypertensive medication (AHM) acting through the renin angiotensin system (RAS-AHM), compared with other AHM, can mitigate effects on cognitive function and risk for impairment in a population with type 2 diabetes mellitus (T2DM). MATERIALS AND

methodsThis secondary analysis of the randomized controlled Action for Health in Diabetes (Look AHEAD) study included 712 community-dwelling participants who were followed over 15 years. Logistic regression was used to relate RAS-AHM use to cognitive impairment, and linear regression was used to relate RAS-AHM use to domain-specific cognitive function after adjusting for potential confounders.

resultsA total of 563 individuals reported RAS-AHM use and 149 reported other-AHM use during the study. RAS-AHM users have college or higher education (53%), had higher baseline glycated haemoglobin (57 mmol/mol), and reported higher diabetes medication use (86%), while other-AHM users were more likely to be White (72%), obese (25%) and to have cardiovascular history (19%). RAS-AHM use was not associated with a reduced risk of dementia compared with other-AHM use. We did observe better executive function (Trail Making Test, part B, P < 0.04), processing speed (Digit Symbol Substitution Test, P < 0.004), verbal memory (Rey Auditory Verbal Learning Test-delayed recall, P < 0.005), and composite score (P < 0.008) among RAS-AHM users compared with other-AHM users.

conclusionIn this sample of adults with T2DM, free of dementia at baseline, we observed a slower decline in processing speed, executive function, verbal memory, and composite score among RAS-AHM users.

Indexed as

Cognitive DysfunctionDementiaDiabetes Mellitus, Type 2Antihypertensive AgentsCognitionHumansObesityOverweightRenin-Angiotensin SystemAntihypertensive Agentsantihypertensive medicationscognitive declinecognitive impairmentdementiaobesityoverweightrenin angiotensin systemtype 2 diabetes

Identifiers

PMID36065050
PMCPMC9617758
OpenAlexW4292183391

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.