Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis

ABSTRACT Introduction There has been a surge in interest in identifying the factors that impact cognitive impairment (CI) in patients with multiple sclerosis (MS). The purpose of our study was to examine the correlation between fasting blood sugar (FBS), fasting insulin level, as well as insulin sen...

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Main Authors: Nasim Rezaeimanesh, Naghme Abbasi Kasbi, Roghayyeh Saeedi, Mohammad Ali Sahraian, Soodeh Razeghi Jahromi, Abdorreza Naser Moghadasi
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Endocrinology, Diabetes & Metabolism
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Online Access:https://doi.org/10.1002/edm2.70006
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author Nasim Rezaeimanesh
Naghme Abbasi Kasbi
Roghayyeh Saeedi
Mohammad Ali Sahraian
Soodeh Razeghi Jahromi
Abdorreza Naser Moghadasi
author_facet Nasim Rezaeimanesh
Naghme Abbasi Kasbi
Roghayyeh Saeedi
Mohammad Ali Sahraian
Soodeh Razeghi Jahromi
Abdorreza Naser Moghadasi
author_sort Nasim Rezaeimanesh
collection DOAJ
description ABSTRACT Introduction There has been a surge in interest in identifying the factors that impact cognitive impairment (CI) in patients with multiple sclerosis (MS). The purpose of our study was to examine the correlation between fasting blood sugar (FBS), fasting insulin level, as well as insulin sensitivity and cognitive function in patients with MS. Material and Methods A total of 85 patients with MS enrolled in this cross‐sectional study. Insulin sensitivity (IS) was determined using the quantitative insulin sensitivity check index (Quicki) formula. Cognitive function was evaluated using the Persian version of the Brief International Cognitive Assessment for MS (BICAMS). Spearman correlation test was employed to examine the correlation between cognition and FBS, insulin and IS. Results The mean ± SD age of the participants was 39.4 ± 10.2 years, and 62 (72.9%) were female. The participants had a FBS level of 87.05 ± 11.73 mg/dL, insulin level of 10.14 ± 7.57 μU/mL and a Quicki index of 0.36 ± 0.05. A higher score on the BVMT‐R and BVMT‐R‐Delayed subtests showed a significant negative correlation with FBS (r: −0.32; p: 0.003 and r: −0.31; p: 0.004, respectively). Conversely, a significant negative correlation (r: −0.24; p: 0.031) was observed between higher fasting insulin levels and the CVLT_II score. IS showed a positive correlation with the CVLT‐II (r: 0.24; p: 0.027) and BVMT_R (r: 0.21; p: 0.054) subtests. Conclusion Our data indicate that elevated fasting glucose, developed fasting insulin levels and reduced insulin sensitivity may serve as potential predictors for CI in patients with MS.
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spelling doaj-art-fb8ed8cc6e3d4f1b94c4f0b0df17e2222024-11-25T04:44:35ZengWileyEndocrinology, Diabetes & Metabolism2398-92382024-11-0176n/an/a10.1002/edm2.70006Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple SclerosisNasim Rezaeimanesh0Naghme Abbasi Kasbi1Roghayyeh Saeedi2Mohammad Ali Sahraian3Soodeh Razeghi Jahromi4Abdorreza Naser Moghadasi5Multiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranMultiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranMultiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranMultiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranMultiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranMultiple Sclerosis Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran IranABSTRACT Introduction There has been a surge in interest in identifying the factors that impact cognitive impairment (CI) in patients with multiple sclerosis (MS). The purpose of our study was to examine the correlation between fasting blood sugar (FBS), fasting insulin level, as well as insulin sensitivity and cognitive function in patients with MS. Material and Methods A total of 85 patients with MS enrolled in this cross‐sectional study. Insulin sensitivity (IS) was determined using the quantitative insulin sensitivity check index (Quicki) formula. Cognitive function was evaluated using the Persian version of the Brief International Cognitive Assessment for MS (BICAMS). Spearman correlation test was employed to examine the correlation between cognition and FBS, insulin and IS. Results The mean ± SD age of the participants was 39.4 ± 10.2 years, and 62 (72.9%) were female. The participants had a FBS level of 87.05 ± 11.73 mg/dL, insulin level of 10.14 ± 7.57 μU/mL and a Quicki index of 0.36 ± 0.05. A higher score on the BVMT‐R and BVMT‐R‐Delayed subtests showed a significant negative correlation with FBS (r: −0.32; p: 0.003 and r: −0.31; p: 0.004, respectively). Conversely, a significant negative correlation (r: −0.24; p: 0.031) was observed between higher fasting insulin levels and the CVLT_II score. IS showed a positive correlation with the CVLT‐II (r: 0.24; p: 0.027) and BVMT_R (r: 0.21; p: 0.054) subtests. Conclusion Our data indicate that elevated fasting glucose, developed fasting insulin levels and reduced insulin sensitivity may serve as potential predictors for CI in patients with MS.https://doi.org/10.1002/edm2.70006cognitive functionfasting blood sugarinsulinmultiple sclerosis
spellingShingle Nasim Rezaeimanesh
Naghme Abbasi Kasbi
Roghayyeh Saeedi
Mohammad Ali Sahraian
Soodeh Razeghi Jahromi
Abdorreza Naser Moghadasi
Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
Endocrinology, Diabetes & Metabolism
cognitive function
fasting blood sugar
insulin
multiple sclerosis
title Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
title_full Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
title_fullStr Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
title_full_unstemmed Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
title_short Investigating the Correlation Between Cognitive Function and Fasting Blood Sugar, Fasting Insulin Level and Insulin Sensitivity in Patients With Multiple Sclerosis
title_sort investigating the correlation between cognitive function and fasting blood sugar fasting insulin level and insulin sensitivity in patients with multiple sclerosis
topic cognitive function
fasting blood sugar
insulin
multiple sclerosis
url https://doi.org/10.1002/edm2.70006
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