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Olfactory Dysfunction Mediates Adiposity in Cognitive Impairment of Type 2 Diabetes: Insights From Clinical and Functional Neuroimaging Studies

Plain-language guide to PMID 31221697 (2019): randomized controlled trial study of Exenatide and Liraglutide in 35 people.

Key Facts

PMID
31221697
Journal
Diabetes care
Year
2019
Study type
Randomized Controlled Trial
Authors
Zhang Z et al. (9 authors)
DOI
10.2337/dc18-2584
Registered trial
NCT05313529

What This Study Did, in Plain Language

What Was Tested

Researchers studied Exenatide and Liraglutide in this randomized controlled trial publication.

Large numbers of people with type 2 diabetes are obese.

However, changes in cognition and related brain function in obese people with diabetes have not been characterized.

Here, the researchers investigated cognition, olfactory function, and odor-induced brain alterations in these patients and therapeutic effects of glucagon-like peptide 1 receptor agonists (GLP-1Ras) on their psychological behavior and olfactory networks.

Who Took Part

According to the abstract, 35 people were involved.

By PubMed's age tags, the people studied were adults, middle-aged adults and older adults, both men and women.

Cognitive, olfactory, and odor-induced brain activation assessments were administered to 35 obese and 35 nonobese people with type 2 diabetes and 35 control subjects matched for age, sex, and education.

Among them, 20 obese individuals with diabetes with inadequate glycemic control and metformin monotherapy received GLP-1Ra treatment for 3 months and were reassessed for metabolic, cognitive, olfactory, and neuroimaging changes.

How the Study Was Run

The researchers set it up as a randomized study.

The people were allocated by chance, so the Exenatide group and the comparison group should start out alike.

A time span of 3 months appears in the methods.

What Was Measured

The subject headings attached to it are Adiposity, Blood Glucose, Brain, Cognition, Cognitive Dysfunction, Diabetes Mellitus, Type 2 and Exenatide.

What This Means in Plain Language

The paper is a randomized study of Exenatide and Liraglutide in 35 people over 3 months.

With fewer than 40 people, it is a small study, so it is better read as an early signal for further research than as a settled answer.

The abstract goes on to report its results in about 6 sentences; this page does not restate them, so read the paper for the findings and their limits.

The publication is from 2019 (Diabetes care), a journal based in United States.

More context: the Exenatide compound page and the Liraglutide compound page.

Our Notes on the Compounds

Exenatide: A 39-amino-acid GLP-1 receptor agonist first identified in Gila monster venom; sold as Byetta and Bydureon for type 2 diabetes.

Liraglutide: A once-daily GLP-1 receptor agonist peptide; sold as Victoza for type 2 diabetes and Saxenda for weight management.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.