shadow_tr
Pressroom
spacer

Tulane Research Could Help Elderly Veterans Avoid Neurodegenerative Disease


Metformin molecule

New results from Tulane University suggest that long-term
therapy with metformin reduced the incidence of
neurodegenerative diseases among elderly veterans with
diabetes, although this association was not observed with
a less than 2-year exposure to the drug.

(Photo from iStockphoto)


New results from Tulane University suggest that long-term therapy with metformin reduced the incidence of neurodegenerative diseases among elderly veterans with diabetes, although this association was not observed with a less than 2-year exposure to the drug.

Researchers presented the study at the American Diabetes Association (ADA) Scientific Sessions.

According to study background, metformin therapy in elderly patients may be associated with neurodegenerative diseases, such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and dementia, but the direction of influence in practice remains controversial. To better understand this clinical conundrum, researchers evaluated the effect of length of metformin exposure on neurodegenerative diseases among veterans with diabetes aged >50 years using the Veterans Affairs database from 2004 to 2010.

The study was a collaboration between the Department of Global Health Management and Policy (GHMP), in the Tulane University School of Public Health and Tropical Medicine, and the Section of Endocrinology, in the Tulane University School of Medicine.

In all, the study included 6,026 patients (age, 63.2±10.9 years) with a median of 5.2 years of follow-up. Patients were excluded if they had neurodegenerative diseases at baseline; other mental disorders; or were on insulin two-thirds of the study period or less.

According to results, the incidence rate of neurodegenerative diseases was significantly lower for patients receiving metformin treatment compared with those not receiving the therapy (1.38 vs. 2.30 per 100 person-years; P<.0001). After adjusting for several baseline characteristics—age, gender, race, tobacco use, obesity, hemoglobin A1c, other anti-diabetes agents, and medical history—long-term metformin treatment reduced the risk for neurodegenerative diseases compared with no metformin use.

Specifically, compared to no metformin treatment, during the first year of metformin therapy, risk for neurodegenerative diseases increased by 16% (P=.61); however, the risk decreased by 22% at 2 years (P=.08), 38% from 2 to 4 years (P=.0026), and 78% for >4 years (P<.0001), according to a Cox regression model.

“Long-term metformin therapy has [a] potentially protective effect on the incidence of [neurodegenerative diseases] among elderly veterans with type 2 diabetes; however, less than 2-year metformin exposure did not show significant influence,” researchers concluded in the abstract.

The main authors on the page were Qian Shi, doctoral student in the GHMP Department, Dr. Lizheng Shi, Regents Professor in the GHMP Dept., and Dr. Vivian Fonseca with the Tulane University School of Medicine.

###

June 15, 2016
Dee Boling
dboling@tulane.edu

spacer
spacer
 




       

View the latest edition:
Global Health

 

Global Health Magazine Fall/Winter 2015 

RECENT STORIES



Tulane SPHTM at Facebook  Twitter  Tulane SPHTM at LinkedIn  youtube  tumblr
 



CALENDAR OF EVENTS



In The Media


 





       

View the latest edition:
Global Health

 

Global Health Fall/Winter 2014 

RECENT STORIES

 



Tulane SPHTM at Facebook  Twitter  Tulane SPHTM at LinkedIn  youtube  tumblr
 



CALENDAR OF EVENTS



In The Media


 

1440 Canal Street, New Orleans, LA 70112 504-988-5388 or 800-676-5389 website@tulane.edu