Relação entre resistência à insulina e declínio cognitivo em adultos com síndrome metabólica: uma revisão narrativa
DOI:
https://doi.org/10.34119/bjhrv9n1-109Keywords:
síndrome metabólica, cognição, comprometimento cognitivo, demência, fatores de risco, envelhecimentoAbstract
A síndrome metabólica (SM) tem sido associada ao comprometimento cognitivo em diferentes populações e fases do ciclo de vida. Esta revisão narrativa teve como objetivo analisar a literatura recente sobre a relação entre SM e desempenho cognitivo, considerando estudos publicados entre 2017 e 2025. Foi realizada uma busca na base de dados PubMed, sem restrição quanto ao tipo de estudo, utilizando descritores específicos e aplicando critérios de inclusão e exclusão definidos previamente. Dezessete estudos foram selecionados e analisados quanto aos seus métodos, populações, domínios cognitivos avaliados e principais achados. Os resultados indicaram associação consistente entre SM e déficits em funções executivas, memória e velocidade de processamento. Componentes isolados da SM, como hiperglicemia e obesidade central, também apresentaram correlação negativa com o desempenho cognitivo. As evidências sugerem que a SM é um fator de risco modificável para o declínio cognitivo, com implicações clínicas relevantes para a prevenção de demência e comprometimento neurocognitivo. São necessárias pesquisas futuras que explorem mecanismos causais e intervenções terapêuticas.
References
ALCORN, Tara et al. Cross-sectional associations between metabolic syndrome and performance across cognitive domains: A systematic review. Applied Neuropsychology: Adult, v. 26, n. 2, p. 186–199, 2019. DOI: https://doi.org/10.1080/23279095.2017.1363039.
ALASANTRO, Lori Haase et al. Metabolic syndrome and cognitive performance across the adult lifespan. PLoS One, v. 16, n. 5, e0249348, 2021. DOI: https://doi.org/10.1371/journal.pone.0249348.
ASSUNCAO, Naima et al. Metabolic syndrome and cognitive decline in the elderly: A systematic review. PLoS One, v. 13, n. 3, e0194990, 2018. DOI: https://doi.org/10.1371/journal.pone.0194990.
ATTI, Anna Rita et al. Metabolic syndrome, mild cognitive impairment, and dementia: A meta-analysis of longitudinal studies. American Journal of Geriatric Psychiatry, v. 27, n. 6, p. 625–637, 2019. DOI: https://doi.org/10.1016/j.jagp.2019.01.214.
BANGEN, Katherine J. et al. Metabolic syndrome and cognitive trajectories in the Framingham Offspring Study. Journal of Alzheimer’s Disease, v. 71, n. 3, p. 931–943, 2019. DOI: https://doi.org/10.3233/JAD-190261.
DENG, Shuang; GUO, Zhongqiang; LIU, Min. Metabolic syndrome, social isolation, and sarcopenia in mild cognitive impairment: A multifaceted analysis of risk factors and mediating pathways. PLoS One, v. 20, n. 10, e0333266, 2025. DOI: https://doi.org/10.1371/journal.pone.0333266.
FEINKOHL, Insa et al. Associations of the metabolic syndrome and its components with cognitive impairment in older adults. BMC Geriatrics, v. 19, n. 1, p. 77, 2019. DOI: https://doi.org/10.1186/s12877-019-1073-7.
FEINKOHL, Insa et al. Metabolic syndrome and the risk of postoperative delirium and postoperative cognitive dysfunction: A multicentre cohort study. British Journal of Anaesthesia, v. 131, n. 2, p. 338–347, 2023. DOI: https://doi.org/10.1016/j.bja.2023.04.031.
FORET, Janelle T. et al. Metabolic syndrome and cognitive function in midlife. Archives of Clinical Neuropsychology, v. 36, n. 6, p. 897–907, 2021. DOI: https://doi.org/10.1093/arclin/acaa112.
KOKOABASI ISONG, Idongesit et al. Prevalence of cognitive impairment and metabolic syndrome among older adults in Calabar Metropolis and the associated risk factors. BMC Geriatrics, v. 24, n. 1, p. 1031, 2024. DOI: https://doi.org/10.1186/s12877-024-05627-5.
KOUTSONIDA, Myrto et al. Metabolic syndrome and cognitive deficits in the Greek cohort of Epirus Health Study. Neurological Sciences, v. 44, n. 10, p. 3523–3533, 2023. DOI: https://doi.org/10.1007/s10072-023-06835-4.
NEERGAARD, Jesper S. et al. Metabolic syndrome, insulin resistance, and cognitive dysfunction: Does your metabolic profile affect your brain? Diabetes, v. 66, n. 7, p. 1957–1963, 2017. DOI: https://doi.org/10.2337/db16-1444.
PILLAI, Jagan A. et al. Metabolic syndrome biomarkers relate to rate of cognitive decline in MCI and dementia stages of Alzheimer’s disease. Alzheimer’s Research & Therapy, v. 15, n. 1, p. 54, 2023. DOI: https://doi.org/10.1186/s13195-023-01203-y.
WANG, Xue et al. Association Between Individual Components of Metabolic Syndrome and Cognitive Function in Northeast Rural China. American Journal of Alzheimer’s Disease & Other Dementias, v. 34, n. 7-8, p. 507–512, 2019. DOI: https://doi.org/10.1177/1533317519865428.
XIE, Peichen et al. Association of cardiovascular-kidney-metabolic syndrome with cognitive decline and dementia: The ARIC Study insights. Journal of the American Heart Association, v. 14, n. 10, e038445, 2025. DOI: https://doi.org/10.1161/JAHA.124.038445.
ZUO, Qianlin et al. Associations of metabolic syndrome with cognitive function and dementia risk: Evidence from the UK Biobank cohort. Diabetes, Obesity and Metabolism, v. 26, n. 12, p. 6023–6033, 2024. DOI: https://doi.org/10.1111/dom.15977.


