Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析
Identifieur interne : 000594 ( Istex/Corpus ); précédent : 000593; suivant : 000595Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析
Auteurs : Cajsa Tonoli ; Elsa Heyman ; Bart Roelands ; Nathalie Pattyn ; Luk Buyse ; Maria Francesca Piacentini ; Serge Berthoin ; Romain MeeusenSource :
- Journal of Diabetes [ 1753-0393 ] ; 2014-11.
Abstract
Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD.
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DOI: 10.1111/1753-0407.12193
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title><author><name sortKey="Tonoli, Cajsa" sort="Tonoli, Cajsa" uniqKey="Tonoli C" first="Cajsa" last="Tonoli">Cajsa Tonoli</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Heyman, Elsa" sort="Heyman, Elsa" uniqKey="Heyman E" first="Elsa" last="Heyman">Elsa Heyman</name><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Roelands, Bart" sort="Roelands, Bart" uniqKey="Roelands B" first="Bart" last="Roelands">Bart Roelands</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Fonds Wetenschappelijk Onderzoek – Vlaanderen, Flanders, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Pattyn, Nathalie" sort="Pattyn, Nathalie" uniqKey="Pattyn N" first="Nathalie" last="Pattyn">Nathalie Pattyn</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Vital signs and Performance (VIPER) Monitoring Research Unit, Royal Military Academy, Brussels, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Buyse, Luk" sort="Buyse, Luk" uniqKey="Buyse L" first="Luk" last="Buyse">Luk Buyse</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Piacentini, Maria Francesca" sort="Piacentini, Maria Francesca" uniqKey="Piacentini M" first="Maria Francesca" last="Piacentini">Maria Francesca Piacentini</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Department Human Movement and Sports Science, University of Rome, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Berthoin, Serge" sort="Berthoin, Serge" uniqKey="Berthoin S" first="Serge" last="Berthoin">Serge Berthoin</name><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Meeusen, Romain" sort="Meeusen, Romain" uniqKey="Meeusen R" first="Romain" last="Meeusen">Romain Meeusen</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Tropical Medicine and Rehabilitation Sciences, School of Public Health, James Cook University, Queensland, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium.Tel: +32 2629 22 22Fax: +32 2629 28 76Email:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: rmeeusen@vub.ac.be</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:1F6419309C1366ABC06D50B3C88208B72F2DF300</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/1753-0407.12193</idno><idno type="url">https://api.istex.fr/document/1F6419309C1366ABC06D50B3C88208B72F2DF300/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000594</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000594</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title><author><name sortKey="Tonoli, Cajsa" sort="Tonoli, Cajsa" uniqKey="Tonoli C" first="Cajsa" last="Tonoli">Cajsa Tonoli</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Heyman, Elsa" sort="Heyman, Elsa" uniqKey="Heyman E" first="Elsa" last="Heyman">Elsa Heyman</name><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Roelands, Bart" sort="Roelands, Bart" uniqKey="Roelands B" first="Bart" last="Roelands">Bart Roelands</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Fonds Wetenschappelijk Onderzoek – Vlaanderen, Flanders, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Pattyn, Nathalie" sort="Pattyn, Nathalie" uniqKey="Pattyn N" first="Nathalie" last="Pattyn">Nathalie Pattyn</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Vital signs and Performance (VIPER) Monitoring Research Unit, Royal Military Academy, Brussels, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Buyse, Luk" sort="Buyse, Luk" uniqKey="Buyse L" first="Luk" last="Buyse">Luk Buyse</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Piacentini, Maria Francesca" sort="Piacentini, Maria Francesca" uniqKey="Piacentini M" first="Maria Francesca" last="Piacentini">Maria Francesca Piacentini</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Department Human Movement and Sports Science, University of Rome, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Berthoin, Serge" sort="Berthoin, Serge" uniqKey="Berthoin S" first="Serge" last="Berthoin">Serge Berthoin</name><affiliation><mods:affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</mods:affiliation></affiliation></author><author><name sortKey="Meeusen, Romain" sort="Meeusen, Romain" uniqKey="Meeusen R" first="Romain" last="Meeusen">Romain Meeusen</name><affiliation><mods:affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Tropical Medicine and Rehabilitation Sciences, School of Public Health, James Cook University, Queensland, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium.Tel: +32 2629 22 22Fax: +32 2629 28 76Email:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: rmeeusen@vub.ac.be</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Diabetes</title><title level="j" type="alt">JOURNAL OF DIABETES</title><idno type="ISSN">1753-0393</idno><idno type="eISSN">1753-0407</idno><imprint><biblScope unit="vol">6</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="499">499</biblScope><biblScope unit="page" to="513">513</biblScope><biblScope unit="page-count">15</biblScope><date type="published" when="2014-11">2014-11</date></imprint><idno type="ISSN">1753-0393</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1753-0393</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Cajsa Tonoli</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string><json:string>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</json:string></affiliations></json:item><json:item><name>Elsa Heyman</name><affiliations><json:string>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</json:string></affiliations></json:item><json:item><name>Bart Roelands</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string><json:string>Fonds Wetenschappelijk Onderzoek – Vlaanderen, Flanders, Belgium</json:string></affiliations></json:item><json:item><name>Nathalie Pattyn</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string><json:string>Vital signs and Performance (VIPER) Monitoring Research Unit, Royal Military Academy, Brussels, Belgium</json:string></affiliations></json:item><json:item><name>Luk Buyse</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string></affiliations></json:item><json:item><name>Maria Francesca Piacentini</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string><json:string>Department Human Movement and Sports Science, University of Rome, Rome, Italy</json:string></affiliations></json:item><json:item><name>Serge Berthoin</name><affiliations><json:string>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</json:string></affiliations></json:item><json:item><name>Romain Meeusen</name><affiliations><json:string>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</json:string><json:string>Tropical Medicine and Rehabilitation Sciences, School of Public Health, James Cook University, Queensland, Australia</json:string><json:string>Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium.Tel: +32 2629 22 22Fax: +32 2629 28 76Email:</json:string><json:string>E-mail: rmeeusen@vub.ac.be</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>diabetes</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>diabetes‐associated cognitive decline</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hyperglycemia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hypoglycemia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>关键词：糖尿病，糖尿病相关的认知能力下降，高血糖，低血糖</value></json:item></subject><articleId><json:string>JDB12193</json:string></articleId><arkIstex>ark:/67375/WNG-X4KGVQBL-7</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD.</abstract><qualityIndicators><score>8.044</score><pdfWordCount>8215</pdfWordCount><pdfCharCount>55683</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>15</pdfPageCount><pdfPageSize>595.276 x 779.499 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>87</abstractWordCount><abstractCharCount>586</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title><genre><json:string>article</json:string></genre><host><title>Journal of 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type="first">Cajsa</forename><surname>Tonoli</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation><affiliation><orgName>Department EA4488, Physical Activity, Muscle, Health</orgName><orgName>University Lille Nord de France</orgName><address><settlement type="city">Lille</settlement><country key="FR">France</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Elsa</forename><surname>Heyman</surname></persName><affiliation><orgName>Department EA4488, Physical Activity, Muscle, Health</orgName><orgName>University Lille Nord de France</orgName><address><settlement type="city">Lille</settlement><country key="FR">France</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Bart</forename><surname>Roelands</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation><affiliation><orgName>Fonds Wetenschappelijk Onderzoek – Vlaanderen</orgName><address><settlement type="city">Flanders</settlement><country key="BE">Belgium</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Nathalie</forename><surname>Pattyn</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation><affiliation><orgName>Vital signs and Performance (VIPER) Monitoring Research Unit</orgName><orgName>Royal Military Academy</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Luk</forename><surname>Buyse</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Maria Francesca</forename><surname>Piacentini</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation><affiliation><orgName>Department Human Movement and Sports Science</orgName><orgName>University of Rome</orgName><address><settlement type="city">Rome</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Serge</forename><surname>Berthoin</surname></persName><affiliation><orgName>Department EA4488, Physical Activity, Muscle, Health</orgName><orgName>University Lille Nord de France</orgName><address><settlement type="city">Lille</settlement><country key="FR">France</country></address></affiliation></author><author xml:id="author-0007" role="corresp"><persName><forename type="first">Romain</forename><surname>Meeusen</surname></persName><affiliation><orgName>Department of Human Physiology and Sports Medicine</orgName><orgName>Faculty of Physical Education and Physical Therapy</orgName><orgName>Vrije Universiteit Brussel</orgName><address><settlement type="city">Brussels</settlement><country>Belgium</country></address></affiliation><affiliation><orgName>Tropical Medicine and Rehabilitation Sciences</orgName><orgName>School of Public Health</orgName><orgName>James Cook University</orgName><address><settlement type="city">Queensland</settlement><country key="IT">Australia</country></address></affiliation><affiliation>Correspondence Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium. Tel: +32 2629 22 22 Fax: +32 2629 28 76 Email: rmeeusen@vub.ac.be</affiliation></author><idno type="istex">1F6419309C1366ABC06D50B3C88208B72F2DF300</idno><idno type="ark">ark:/67375/WNG-X4KGVQBL-7</idno><idno type="DOI">10.1111/1753-0407.12193</idno><idno type="unit">JDB12193</idno><idno type="toTypesetVersion">file://JDB.JDB12193.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Diabetes</title><title level="j" type="alt">JOURNAL OF DIABETES</title><idno type="pISSN">1753-0393</idno><idno type="eISSN">1753-0407</idno><idno type="book-DOI">10.1111/(ISSN)1753-0407</idno><idno type="book-part-DOI">10.1111/jdb.2014.6.issue-6</idno><idno type="product">JDB</idno><imprint><biblScope unit="vol">6</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="499">499</biblScope><biblScope unit="page" to="513">513</biblScope><biblScope unit="page-count">15</biblScope><date type="published" when="2014-11"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Background
<p>Type 1 diabetes (<hi rend="fc">T1D</hi>) can have a significant impact on brain structure and function, which is referred to as <hi rend="fc">T1D</hi>‐associated cognitive decline (<hi rend="fc">T1DACD</hi>). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to <hi rend="fc">T1DACD</hi>. However, there have been no comparisons in <hi rend="fc">T1DACD</hi> between children and adults with <hi rend="fc">T1D</hi>. To obtain a better insight into the occurrence and effects of <hi rend="fc">T1DACD</hi> in <hi rend="fc">T1D</hi>, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing <hi rend="fc">T1DACD</hi>.</p>
Methods
<p>Two electronic databases were consulted: <hi rend="fc">PubMed</hi> and <hi rend="fc">ISI W</hi>eb of <hi rend="fc">K</hi>nowledge. Literature published up until the end of 2013 was included in the analysis. Effect sizes (<hi rend="fc">C</hi>ohen's d), which are standardized differences between experimental and control groups, were calculated.</p>
Results
<p>There was a small to modest decrease in cognitive performance in <hi rend="fc">T1D</hi> patients compared with non‐diabetic controls. Children with <hi rend="fc">T1D</hi> performed worse while testing for executive function, full intelligence quotient (<hi rend="fc">IQ</hi>), and motor speed, whereas adults with <hi rend="fc">T1D</hi> performed worse while testing the full, verbal and performance <hi rend="fc">IQ</hi>, part of the executive function, memory, spatial memory, and motor speed. Episodes of severe hypoglycemia, chronic hyperglycemia, and age of onset can be significant factors influencing cognitive function in <hi rend="fc">T1D</hi>.</p>
Conclusions
<p>The findings in the literature suggest that <hi rend="fc">T1DACD</hi> is more severe in adults than children, indicating that age and diabetes duration contribute to this <hi rend="fc">T1DACD</hi>.</p></abstract><abstract xml:lang="zh" style="main"><head>摘要</head><p><hi rend="bold">背景：</hi>1型糖尿病（Type 1 diabetes，T1D）可能会对患者的大脑结构与功能产生重要的影响，这被称为1型糖尿病相关的认知能力下降（T1D‐associated cognitive decline，T1DACD）。目前提出了糖尿病病程、疾病发生时年龄较小以及糖尿病相关的并发症都是促进T1DACD发生的因素。然而，在儿童与成人T1D之间还没有T1DACD的比较。为了更好地观察T1D患者中T1DACD的发生情况以及影响，本项meta分析的目的是调查儿童与成人T1DACD之间的差异，并且分析可能促进T1DACD发生的因素。</p><p><hi rend="bold">方法：</hi>查阅了2个电子数据库：PubMed与ISI网络知识库。将2013年底以前发表的文献都纳入了分析。计算了影响的大小（Cohen’s d），亦即试验组与对照组之间的标准差异。</p><p><hi rend="bold">结果：</hi>与非糖尿病对照组相比较，T1D患者的认知能力下降程度为轻度至适度。儿童T1D患者在测试执行功能、全智商（IQ）以及运动速度时表现较差，然而成年T1D患者在测试全智商、语言与操作智商、部分执行功能、记忆力、空间记忆力以及运动速度时表现较差。在T1D患者中严重低血糖发作、慢性高血糖以及发病年龄可能是认知功能的显著影响因素。</p><p><hi rend="bold">结论：</hi>这些文献中的结果提示成年人的T1DACD比儿童更严重，这表明年龄与糖尿病病程可能会促进这种T1DACD的发生。</p></abstract><textClass><keywords xml:lang="zh"><term xml:id="jdb12193-kwd-0001">diabetes</term><term xml:id="jdb12193-kwd-0002">diabetes‐associated cognitive decline</term><term xml:id="jdb12193-kwd-0003">hyperglycemia</term><term xml:id="jdb12193-kwd-0004">hypoglycemia</term><term xml:id="jdb12193-kwd-9001">
关键词：糖尿病，糖尿病相关的认知能力下降，高血糖，低血糖
</term></keywords><keywords rend="tocHeading1"><term>Original Article</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jdb12193" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1111/(ISSN)1753-0407</doi><issn type="print">1753-0393</issn><issn type="electronic">1753-0407</issn><idGroup><id type="product" value="JDB"></id></idGroup><titleGroup><title sort="JOURNAL OF DIABETES" type="main">Journal of Diabetes</title><title type="short">Journal of Diabetes</title></titleGroup></publicationMeta><publicationMeta level="part" position="11106"><doi>10.1111/jdb.2014.6.issue-6</doi><copyright ownership="joint">Copyright © 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd</copyright><numberingGroup><numbering number="6" type="journalVolume">6</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2014-11">November 2014</coverDate></publicationMeta><publicationMeta level="unit" position="40" status="forIssue" type="article"><doi>10.1111/1753-0407.12193</doi><idGroup><id type="unit" value="JDB12193"></id></idGroup><countGroup><count number="15" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">Original Article</title><title type="articleCategory">Original Article</title></titleGroup><copyright ownership="joint">© 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd</copyright><eventGroup><event agent="bestset" date="2014-08-13" type="xmlCreated"></event><event date="2013-12-19" type="manuscriptReceived"></event><event date="2014-05-07" type="manuscriptRevised"></event><event date="2014-06-29" type="manuscriptAccepted"></event><event type="publishedOnlineAccepted" date="2014-07-07"></event><event type="publishedOnlineEarlyUnpaginated" date="2014-09-10"></event><event type="firstOnline" date="2014-09-10"></event><event type="publishedOnlineFinalForm" date="2014-10-23"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-06"></event></eventGroup><numberingGroup><numbering type="pageFirst">499</numbering><numbering type="pageLast">513</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Correspondence</b></line><line>Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium.</line><line>Tel: +32 2629 22 22</line><line>Fax: +32 2629 28 76</line><line>Email: <email>rmeeusen@vub.ac.be</email></line></lineatedText></correspondenceTo><attributeValueGroup><attributeValue attribute="category" element="featureFixed" value="other"></attributeValue></attributeValueGroup><linkGroup><link type="toTypesetVersion" href="file://JDB.JDB12193.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">T1D‐associated cognitive decline</title><title type="shortAuthors">C. <fc>T</fc>onoli et al.</title><title type="main">Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title></titleGroup><creators><creator affiliationRef="#jdb12193-aff-0001 #jdb12193-aff-0004" creatorRole="author" xml:id="jdb12193-cr-0001"><personName><givenNames>Cajsa</givenNames><familyName>Tonoli</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0004" creatorRole="author" xml:id="jdb12193-cr-0002"><personName><givenNames>Elsa</givenNames><familyName>Heyman</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0001 #jdb12193-aff-0003" creatorRole="author" xml:id="jdb12193-cr-0003"><personName><givenNames>Bart</givenNames><familyName>Roelands</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0001 #jdb12193-aff-0002" creatorRole="author" xml:id="jdb12193-cr-0004"><personName><givenNames>Nathalie</givenNames><familyName>Pattyn</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0001" creatorRole="author" xml:id="jdb12193-cr-0005"><personName><givenNames>Luk</givenNames><familyName>Buyse</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0001 #jdb12193-aff-0005" creatorRole="author" xml:id="jdb12193-cr-0006"><personName><givenNames>Maria Francesca</givenNames><familyName>Piacentini</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0004" creatorRole="author" xml:id="jdb12193-cr-0007"><personName><givenNames>Serge</givenNames><familyName>Berthoin</familyName></personName></creator><creator affiliationRef="#jdb12193-aff-0001 #jdb12193-aff-0006" corresponding="yes" creatorRole="author" xml:id="jdb12193-cr-0008"><personName><givenNames>Romain</givenNames><familyName>Meeusen</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="jdb12193-aff-0001"><orgDiv>Department of Human Physiology and Sports Medicine</orgDiv><orgDiv>Faculty of Physical Education and Physical Therapy</orgDiv><orgName>Vrije Universiteit Brussel</orgName><address><city>Brussels</city><country>Belgium</country></address></affiliation><affiliation xml:id="jdb12193-aff-0002"><orgDiv>Vital signs and Performance (VIPER) Monitoring Research Unit</orgDiv><orgName>Royal Military Academy</orgName><address><city>Brussels</city><country>Belgium</country></address></affiliation><affiliation countryCode="BE" xml:id="jdb12193-aff-0003"><orgName>Fonds Wetenschappelijk Onderzoek – Vlaanderen</orgName><address><city>Flanders</city><country>Belgium</country></address></affiliation><affiliation countryCode="FR" xml:id="jdb12193-aff-0004"><orgDiv>Department EA4488, Physical Activity, Muscle, Health</orgDiv><orgName>University Lille Nord de France</orgName><address><city>Lille</city><country>France</country></address></affiliation><affiliation countryCode="IT" xml:id="jdb12193-aff-0005"><orgDiv>Department Human Movement and Sports Science</orgDiv><orgName>University of Rome</orgName><address><city>Rome</city><country>Italy</country></address></affiliation><affiliation countryCode="IT" xml:id="jdb12193-aff-0006"><orgName>School of Public Health</orgName><orgDiv>Tropical Medicine and Rehabilitation Sciences</orgDiv><orgName>James Cook University</orgName><address><city>Queensland</city><country>Australia</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jdb12193-kwd-0001">diabetes</keyword><keyword xml:id="jdb12193-kwd-0002">diabetes‐associated cognitive decline</keyword><keyword xml:id="jdb12193-kwd-0003">hyperglycemia</keyword><keyword xml:id="jdb12193-kwd-0004">hypoglycemia</keyword></keywordGroup><keywordGroup type="author" xml:lang="zh"><keyword xml:id="jdb12193-kwd-9001">
关键词：糖尿病，糖尿病相关的认知能力下降，高血糖，低血糖
</keyword></keywordGroup><fundingInfo><fundingAgency>Vrije Universiteit Brussel</fundingAgency><fundingNumber>OZR2096BOF</fundingNumber></fundingInfo><fundingInfo><fundingAgency>University of France “Lille Nord de France”</fundingAgency></fundingInfo><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="jdb12193-sec-0001"><title type="main">Background</title><p>Type 1 diabetes (<fc>T1D</fc>) can have a significant impact on brain structure and function, which is referred to as <fc>T1D</fc>‐associated cognitive decline (<fc>T1DACD</fc>). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to <fc>T1DACD</fc>. However, there have been no comparisons in <fc>T1DACD</fc> between children and adults with <fc>T1D</fc>. To obtain a better insight into the occurrence and effects of <fc>T1DACD</fc> in <fc>T1D</fc>, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing <fc>T1DACD</fc>.</p></section><section xml:id="jdb12193-sec-0002"><title type="main">Methods</title><p>Two electronic databases were consulted: <fc>PubMed</fc> and <fc>ISI W</fc>eb of <fc>K</fc>nowledge. Literature published up until the end of 2013 was included in the analysis. Effect sizes (<fc>C</fc>ohen's d), which are standardized differences between experimental and control groups, were calculated.</p></section><section xml:id="jdb12193-sec-0003"><title type="main">Results</title><p>There was a small to modest decrease in cognitive performance in <fc>T1D</fc> patients compared with non‐diabetic controls. Children with <fc>T1D</fc> performed worse while testing for executive function, full intelligence quotient (<fc>IQ</fc>), and motor speed, whereas adults with <fc>T1D</fc> performed worse while testing the full, verbal and performance <fc>IQ</fc>, part of the executive function, memory, spatial memory, and motor speed. Episodes of severe hypoglycemia, chronic hyperglycemia, and age of onset can be significant factors influencing cognitive function in <fc>T1D</fc>.</p></section><section xml:id="jdb12193-sec-0004"><title type="main">Conclusions</title><p>The findings in the literature suggest that <fc>T1DACD</fc> is more severe in adults than children, indicating that age and diabetes duration contribute to this <fc>T1DACD</fc>.</p></section></abstract><abstract type="main" xml:lang="zh"><title type="main">摘要</title><p><b>背景：</b>1型糖尿病（Type 1 diabetes，T1D）可能会对患者的大脑结构与功能产生重要的影响，这被称为1型糖尿病相关的认知能力下降（T1D‐associated cognitive decline，T1DACD）。目前提出了糖尿病病程、疾病发生时年龄较小以及糖尿病相关的并发症都是促进T1DACD发生的因素。然而，在儿童与成人T1D之间还没有T1DACD的比较。为了更好地观察T1D患者中T1DACD的发生情况以及影响，本项meta分析的目的是调查儿童与成人T1DACD之间的差异，并且分析可能促进T1DACD发生的因素。</p><p><b>方法：</b>查阅了2个电子数据库：PubMed与ISI网络知识库。将2013年底以前发表的文献都纳入了分析。计算了影响的大小（Cohen’s d），亦即试验组与对照组之间的标准差异。</p><p><b>结果：</b>与非糖尿病对照组相比较，T1D患者的认知能力下降程度为轻度至适度。儿童T1D患者在测试执行功能、全智商（IQ）以及运动速度时表现较差，然而成年T1D患者在测试全智商、语言与操作智商、部分执行功能、记忆力、空间记忆力以及运动速度时表现较差。在T1D患者中严重低血糖发作、慢性高血糖以及发病年龄可能是认知功能的显著影响因素。</p><p><b>结论：</b>这些文献中的结果提示成年人的T1DACD比儿童更严重，这表明年龄与糖尿病病程可能会促进这种T1DACD的发生。</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>T1D‐associated cognitive decline</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Type 1 diabetes‐associated cognitive decline: A meta‐analysis and update of the current literature 1型糖尿病相关的认知能力下降：一项对最新文献的meta分析</title></titleInfo><name type="personal"><namePart type="given">Cajsa</namePart><namePart type="family">Tonoli</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Elsa</namePart><namePart type="family">Heyman</namePart><affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bart</namePart><namePart type="family">Roelands</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><affiliation>Fonds Wetenschappelijk Onderzoek – Vlaanderen, Flanders, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nathalie</namePart><namePart type="family">Pattyn</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><affiliation>Vital signs and Performance (VIPER) Monitoring Research Unit, Royal Military Academy, Brussels, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Luk</namePart><namePart type="family">Buyse</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Maria Francesca</namePart><namePart type="family">Piacentini</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><affiliation>Department Human Movement and Sports Science, University of Rome, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Serge</namePart><namePart type="family">Berthoin</namePart><affiliation>Department EA4488, Physical Activity, Muscle, Health, University Lille Nord de France, Lille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Romain</namePart><namePart type="family">Meeusen</namePart><affiliation>Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Brussels, Belgium</affiliation><affiliation>Tropical Medicine and Rehabilitation Sciences, School of Public Health, James Cook University, Queensland, Australia</affiliation><affiliation>Romain Meeusen, Pleinlaan 2, B‐1050 Brussels, Belgium.Tel: +32 2629 22 22Fax: +32 2629 28 76Email:</affiliation><affiliation>E-mail: rmeeusen@vub.ac.be</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-11</dateIssued><dateCreated encoding="w3cdtf">2014-08-13</dateCreated><dateCaptured encoding="w3cdtf">2013-12-19</dateCaptured><dateValid encoding="w3cdtf">2014-06-29</dateValid><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Type 1 diabetes (T1D) can have a significant impact on brain structure and function, which is referred to as T1D‐associated cognitive decline (T1DACD). Diabetes duration, early onset disease, and diabetes‐associated complications are all proposed as factors contributing to T1DACD. However, there have been no comparisons in T1DACD between children and adults with T1D. To obtain a better insight into the occurrence and effects of T1DACD in T1D, the aim of the present meta‐analysis was to investigate differences between children and adults and to analyse factors contributing T1DACD.</abstract><abstract>Two electronic databases were consulted: PubMed and ISI Web of Knowledge. Literature published up until the end of 2013 was included in the analysis. Effect sizes (Cohen's d), which are standardized differences between experimental and control groups, were calculated.</abstract><abstract>There was a small to modest decrease in cognitive performance in T1D patients compared with non‐diabetic controls. Children with T1D performed worse while testing for executive function, full intelligence quotient (IQ), and motor speed, whereas adults with T1D performed worse while testing the full, verbal and performance IQ, part of the executive function, memory, spatial memory, and motor speed. Episodes of severe hypoglycemia, chronic hyperglycemia, and age of onset can be significant factors influencing cognitive function in T1D.</abstract><abstract>The findings in the literature suggest that T1DACD is more severe in adults than children, indicating that age and diabetes duration contribute to this T1DACD.</abstract><abstract>背景：1型糖尿病（Type 1 diabetes，T1D）可能会对患者的大脑结构与功能产生重要的影响，这被称为1型糖尿病相关的认知能力下降（T1D‐associated cognitive decline，T1DACD）。目前提出了糖尿病病程、疾病发生时年龄较小以及糖尿病相关的并发症都是促进T1DACD发生的因素。然而，在儿童与成人T1D之间还没有T1DACD的比较。为了更好地观察T1D患者中T1DACD的发生情况以及影响，本项meta分析的目的是调查儿童与成人T1DACD之间的差异，并且分析可能促进T1DACD发生的因素。</abstract><abstract>方法：查阅了2个电子数据库：PubMed与ISI网络知识库。将2013年底以前发表的文献都纳入了分析。计算了影响的大小（Cohen’s d），亦即试验组与对照组之间的标准差异。</abstract><abstract>结果：与非糖尿病对照组相比较，T1D患者的认知能力下降程度为轻度至适度。儿童T1D患者在测试执行功能、全智商（IQ）以及运动速度时表现较差，然而成年T1D患者在测试全智商、语言与操作智商、部分执行功能、记忆力、空间记忆力以及运动速度时表现较差。在T1D患者中严重低血糖发作、慢性高血糖以及发病年龄可能是认知功能的显著影响因素。</abstract><abstract>结论：这些文献中的结果提示成年人的T1DACD比儿童更严重，这表明年龄与糖尿病病程可能会促进这种T1DACD的发生。</abstract><note type="funding">Vrije Universiteit Brussel - No. OZR2096BOF; </note><note type="funding">University of France “Lille Nord de France”</note><subject><genre>keywords</genre><topic>diabetes</topic><topic>diabetes‐associated cognitive decline</topic><topic>hyperglycemia</topic><topic>hypoglycemia</topic></subject><subject lang="zh"><genre>keywords</genre><topic>关键词：糖尿病，糖尿病相关的认知能力下降，高血糖，低血糖</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Diabetes</title></titleInfo><titleInfo type="abbreviated"><title>Journal of Diabetes</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">1753-0393</identifier><identifier type="eISSN">1753-0407</identifier><identifier type="DOI">10.1111/(ISSN)1753-0407</identifier><identifier type="PublisherID">JDB</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>6</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>499</start><end>513</end><total>15</total></extent></part></relatedItem><identifier type="istex">1F6419309C1366ABC06D50B3C88208B72F2DF300</identifier><identifier type="ark">ark:/67375/WNG-X4KGVQBL-7</identifier><identifier type="DOI">10.1111/1753-0407.12193</identifier><identifier type="ArticleID">JDB12193</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd© 2014 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/1F6419309C1366ABC06D50B3C88208B72F2DF300/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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