Publicado
28-04-2026

Associação entre cognição e fator de crescimento semelhante à insulina I: revisão integrativa

Association between cognition and insulin-like growth factor I: an integrative review

Asociación entre cognición y factor de crecimiento similar a la insulina I: revisión integrativa

DOI: https://doi.org/10.15332/2422474X.10170
Marckson da Silva Paula https://orcid.org/0009-0009-9575-0720
Jani Cleria Pereira Bezerra https://orcid.org/0000-0001-6247-5480
Neilson Duarte Gomes https://orcid.org/0009-0005-1149-7141
Nilber Soares Ramos https://orcid.org/0009-0001-4572-4075
Carlos Eduardo de Souza Pinto https://orcid.org/0009-0008-8319-7617
Rodrigo Gomes de Souza Vale https://orcid.org/0000-0002-3049-8773
Estélio Henrique Martin Dantas https://orcid.org/0000-0003-0981-8020

Resumen (es)

Este estudio tuvo como objetivo investigar la asociación entre los niveles del factor de crecimiento similar a la insulina tipo 1 (IGF-1) y la función cognitiva en personas mayores. Se trata de una revisión integrativa de la literatura, realizada mediante búsquedas en las bases de datos PubMed, Scopus, Embase y LILACS. Inicialmente, se identificaron 2.559 registros y, tras la aplicación de los criterios de elegibilidad, 12 estudios fueron incluidos en la síntesis final, totalizando 7.483 adultos mayores participantes. Entre los instrumentos utilizados para evaluar la función cognitiva, destacó el Mini-Examen del Estado Mental (MMSE), empleado en 58,33% de los estudios, siendo la prueba más utilizada. En general, los resultados evidenciaron una asociación entre los niveles de IGF-1 y la función cognitiva, indicando que los individuos con niveles más elevados de esta hormona presentaron mejor desempeño en las pruebas cognitivas. Así, se concluye que los niveles de IGF-1 están asociados con la cognición en adultos mayores, lo que sugiere que concentraciones más elevadas de este factor pueden contribuir al mantenimiento de la función cognitiva, mientras que niveles reducidos pueden estar relacionados con el deterioro cognitivo durante el envejecimiento.

Palabras clave (es): anciano, cognición, factor i del crecimiento similar a la insulina

Resumen (pt)

Este estudo teve como objetivo investigar a associação entre os níveis do fator de crescimento semelhante à insulina tipo 1 (IGF-1) e a função cognitiva em idosos. Trata-se de uma revisão integrativa da literatura, realizada por meio de buscas nas bases de dados PubMed, Scopus, Embase e LILACS. Inicialmente, foram identificados 2.559 registros e, após a aplicação dos critérios de elegibilidade, 12 estudos foram incluídos na síntese final, totalizando 7.483 idosos participantes. Entre os instrumentos utilizados para avaliação da função cognitiva, destacou-se o Mini-Exame do Estado Mental (MMSE), empregado em 58,33% dos estudos, sendo o teste mais frequentemente utilizado. De modo geral, os resultados evidenciaram associação entre os níveis de IGF-1 e a função cognitiva, indicando que indivíduos com níveis mais elevados desse hormônio apresentaram melhor desempenho nos testes cognitivos. Assim, conclui-se que os níveis de IGF-1 estão associados à cognição em idosos, sugerindo que concentrações mais elevadas desse fator podem contribuir para a manutenção da função cognitiva, enquanto níveis reduzidos podem estar relacionados ao declínio cognitivo durante o envelhecimento.

Palabras clave (pt): idosos, cognição, fator de crescimento semelhante à insulina tipo 1

Resumen (en)

This study aimed to investigate the association between the levels of insulin-like growth factor 1 (IGF-1) and cognitive function in older adults. This is an integrative literature review conducted through searches in the PubMed, Scopus, Embase, and LILACS databases. Initially, 2,559 records were identified and, after applying the eligibility criteria, 12 studies were included in the final synthesis, totaling 7,483 older adult participants. Among the instruments used to assess cognitive function, the Mini-Mental State Examination (MMSE) stood out, being used in 58.33% of the studies, making it the most frequently applied test. Overall, the results showed an association between IGF-1 levels and cognitive function, indicating that individuals with higher levels of this hormone presented better performance in cognitive tests. Thus, it is concluded that IGF-1 levels are associated with cognition in older adults, suggesting that higher concentrations of this factor may contribute to the maintenance of cognitive function, whereas lower levels may be related to cognitive decline during aging.

Palabras clave (en): aged, cognition, insulin-like growth factor I
Marckson da Silva Paula, Universidade Federal do Estado do Rio de Janeiro

Especialista en entrenamiento deportivo y fisiología del ejercicio, Universidad Castelo Branco, Río de Janeiro, Brasil. Estudiante especial del curso de Posgrado Stricto Sensu en Enfermería y Biociencias, Universidad Federal del Estado de Río de Janeiro, Río de Janeiro, Brasil.

Jani Cleria Pereira Bezerra, Universidade Federal do Estado do Rio de Janeiro

Doctora en Ciencias, Universidad Federal del Estado de Río de Janeiro, Río de Janeiro, Brasil.

Neilson Duarte Gomes, Universidade Federal do Estado do Rio de Janeiro

Especializándose en entrenamiento deportivo, Universidad Federal del Estado de Río de Janeiro, Río de Janeiro, Brasil.

Nilber Soares Ramos, Universidade Castelo Branco

Especialista en entrenamiento deportivo y fisiología del ejercicio, Universidad Castelo Branco, Río de Janeiro, Brasil.

Carlos Eduardo de Souza Pinto, Facultad Metropolitana del Valle do Aço (FAMEV)

Especialista en bases fisiológicas del entrenamiento personalizado, nutrición deportiva y medicina avanzada, Facultad Metropolitana del Vale do Aço, Belo Horizonte, Minas Gerais, Brasil.

Rodrigo Gomes de Souza Vale, Universidade do Estado do Rio de Janeiro

Doctor en Ciencias de la Salud, Laboratorio de Fisiología del Ejercicio, Universidad Estácio de Sá, Cabo Frio, y Laboratorio de Ejercicio y Deporte, Universidad del Estado de Río de Janeiro, Río de Janeiro, Brasil.

Estélio Henrique Martin Dantas, Universidade Federal do Estado do Rio de Janeiro

Doctor en Educación Física. Programa de Posgrado en Salud y Medio Ambiente (PSA), Universidad Tiradentes (UNIT), Aracaju, Brasil. Programa de Posgrado en Enfermería y Biociencias, Universidad Federal del Estado de Río de Janeiro (UNIRIO), Río de Janeiro, Brasil.

Referencias

Al-Delaimy, W. K., von Muhlen, D., & Barrett-Connor, E. (2009). Insulin-like growth factor-1, insulin-like growth factor binding protein-1, and cognitive function in older men and women. Journal of the American Geriatrics Society, 57(8), 1441–1446. https://doi.org/10.1111/j.1532-5415.2009.02343.x

Almeida, O. P., Hankey, G. J., Yeap, B. B., Chubb, S. A. P., Golledge, J., & Flicker, L. (2018). Risk of prevalent and incident dementia associated with insulin-like growth factor and insulin-like growth factor-binding protein 3. Molecular Psychiatry, 23(8), 1825–1829. https://doi.org/10.1038/mp.2017.152

Aleman, A., de Vries, W. R., de Haan, E. H. F., Verhaar, H. J. J., Samson, M. M., & Koppeschaar, H. P. F. (2000). Age-sensitive cognitive function, growth hormone and insulin-like growth factor 1 plasma levels in healthy older men. Neuropsychobiology, 41(2), 73–78. https://doi.org/10.1159/000026636

Aleman, A., Verhaar, H. J. J., de Haan, E. H. F., de Vries, W. R., Samson, M. M., Drent, M. L., & Koppeschaar, H. P. F. (1999). Insulin-like growth factor-I and cognitive function in healthy older men. The Journal of Clinical Endocrinology and Metabolism, 84(2), 471–475. https://doi.org/10.1210/jcem.84.2.5455

Arwert, L. I., Veltman, D. J., Deijen, J. B., Lammertsma, A. A., Jonker, C., & Drent, M. L. (2005). Memory performance and the growth hormone/insulin-like growth factor axis in elderly: A positron emission tomography study. Neuroendocrinology, 81(1), 31–40. https://doi.org/10.1159/000084872

Ashpole, N. M., Sanders, J. E., Hodges, E. L., Yan, H., & Sonntag, W. E. (2015). Growth hormone, insulin-like growth factor-1 and the aging brain. Experimental Gerontology, 68, 76–81. https://doi.org/10.1016/j.exger.2014.10.002

Bellar, D., Glickman, E. L., Juvancic-Heltzel, J., & Gunstad, J. (2011). Serum insulin-like growth factor-1 is associated with working memory, executive function, and selective attention in a sample of healthy, fit older adults. Neuroscience, 178, 133–137. https://doi.org/10.1016/j.neuroscience.2010.12.023

Calvo, D., Gunstad, J., Miller, L. A., Glickman, E., & Spitznagel, M. B. (2013). Higher serum insulin-like growth factor-1 is associated with better cognitive performance in persons with mild cognitive impairment. Psychogeriatrics, 13(3), 170–174. https://doi.org/10.1111/psyg.12023

Dik, M. G., Pluijm, S. M. F., Jonker, C., Deeg, D. J. H., Lomecky, M. Z., & Lips, P. (2003). Insulin-like growth factor I (IGF-I) and cognitive decline in older persons. Neurobiology of Aging, 24(4), 573–581. https://doi.org/10.1016/s0197-4580(02)00136-7

Doi, T., Makizako, H., Tsutsumimoto, K., Hotta, R., Nakakubo, S., Makino, K., Suzuki, T., & Shimada, H. (2018). Association between insulin-like growth factor-1 and frailty among older adults. The Journal of Nutrition, Health & Aging, 22(1), 68–72. https://doi.org/10.1007/s12603-017-0916-1

Doi, T., Shimada, H., Makizako, H., Tsutsumimoto, K., Hotta, R., Nakakubo, S., & Suzuki, T. (2015). Association of insulin-like growth factor-1 with mild cognitive impairment and slow gait speed. Neurobiology of Aging, 36(2), 942–947. https://doi.org/10.1016/j.neurobiolaging.2014.10.035

Frater, J., Lie, D., Bartlett, P., & McGrath, J. J. (2018). Insulin-like growth factor 1 (IGF-1) as a marker of cognitive decline in normal ageing: A review. Ageing Research Reviews, 42, 14–27. https://doi.org/10.1016/j.arr.2017.12.002

Huang, X., Zhao, X., Li, B., Cai, Y., Zhang, S., Yu, F., & Wan, Q. (2021). Biomarkers for evaluating the effects of exercise interventions in patients with MCI or dementia: A systematic review and meta-analysis. Experimental Gerontology, 151, 111424. https://doi.org/10.1016/j.exger.2021.111424

Kalmijn, S., Janssen, J. A. M. J. L., Pols, H. A. P., Lamberts, S. W. J., & Breteler, M. M. B. (2000). A prospective study on circulating insulin-like growth factor I (IGF-I), IGF-binding proteins, and cognitive function in the elderly. The Journal of Clinical Endocrinology and Metabolism, 85(12), 4551–4555. https://doi.org/10.1210/jcem.85.12.7033

Kang, D., Waldvogel, H. J., Wang, A., Fan, D., Faull, R. L. M., Curtis, M. A., Shorten, P. R., & Guan, J. (2021). The autocrine regulation of insulin-like growth factor-1 in human brain of Alzheimer’s disease. Psychoneuroendocrinology, 127, 105191. https://doi.org/10.1016/j.psyneuen.2021.105191

Kang, J., Luo, W., Zhang, C., Ren, Y., Cao, L., Wu, J., & Li, H. (2021). Positive association between serum insulin-like growth factor-1 and cognition in patients with cerebral small vessel disease. Journal of Stroke and Cerebrovascular Diseases, 30(7), 105790. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105790

King, M., Kelly, L. P., Wallack, E. M., Hasan, S. M. M., Kirkland, M. C., Curtis, M. E., & Ploughman, M. (2019). Serum levels of insulin-like growth factor-1 and brain-derived neurotrophic factor as potential recovery biomarkers in stroke. Neurological Research, 41(4), 354–363. https://doi.org/10.1080/01616412.2018.1564451

Landi, F., Capoluongo, E., Russo, A., Onder, G., Cesari, M., Lulli, P., Minucci, A., Pahor, M., Zuppi, C., & Bernabei, R. (2007). Free insulin-like growth factor-I and cognitive function in older persons living in community. Growth Hormone & IGF Research, 17(1), 58–66. https://doi.org/10.1016/j.ghir.2006.11.001

Li, D.-J., Tseng, P.-T., Stubbs, B., Chen, T.-Y., Lin, P.-Y., Chen, S.-L., Thompson, T., Adamis, D., & Chu, C.-S. (2018). Low peripheral levels of insulin growth factor-1 are associated with high incidence of delirium among elderly patients: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 77, 13–18. https://doi.org/10.1016/j.archger.2018.03.011

Lin, F., Suhr, J., Diebold, S., & Heffner, K. L. (2014). Associations between depressive symptoms and memory deficits vary as a function of insulin-like growth factor (IGF-1) levels in healthy older adults. Psychoneuroendocrinology, 42, 118–123. https://doi.org/10.1016/j.psyneuen.2014.01.006

Maass, A., Düzel, S., Brigadski, T., Goerke, M., Becke, A., Sobieray, U., & Düzel, E. (2016). Relationships of peripheral IGF-1, VEGF and BDNF levels to exercise-related changes in memory, hippocampal perfusion and volumes in older adults. NeuroImage, 131, 142–154. https://doi.org/10.1016/j.neuroimage.2015.10.084

Mogic, L., Rutter, E. C., Tyas, S. L., Maxwell, C. J., O’Connell, M. E., & Oremus, M. (2023). Functional social support and cognitive function in middle- and older-aged adults: A systematic review of cross-sectional and cohort studies. Systematic Reviews, 12(1), Article 51. https://doi.org/10.1186/s13643-023-02251-z

Okereke, O. I., Kang, J. H., Ma, J., Hankinson, S. E., Pollak, M. N., & Grodstein, F. (2007). Plasma IGF-I levels and cognitive performance in older women. Neurobiology of Aging, 28(1), 135–142. https://doi.org/10.1016/j.neurobiolaging.2005.10.012

Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—A web and mobile app for systematic reviews. Systematic Reviews, 5(1), Article 210. https://doi.org/10.1186/s13643-016-0384-4

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Paula, M. da S., Gomes, N. D., & Dantas, E. H. M. (2024). Resistance training, cognitive function and the elderly: An integrative review. Revista de Pesquisa Cuidado é Fundamental Online, 16, e13410. https://doi.org/10.9789/2175-5361.rpcfo.v16.13410

Paulsen, A. J., Schubert, C. R., Pinto, A., Carlsson, C. M., Chappell, R. J., Fischer, M. E., & Cruickshanks, K. J. (2020). Neuroprotective biomarkers and cognitive function in a long-term prospective population-based study of aging US adults. Alzheimer Disease and Associated Disorders, 34(1), 31–39. https://doi.org/10.1097/wad.0000000000000341

Picillo, M., Pivonello, R., Santangelo, G., Pivonello, C., Savastano, R., Auriemma, R., Amboni, M., Scannapieco, S., Pierro, A., Colao, A., Barone, P., & Pellecchia, M. T. (2017). Serum IGF-1 is associated with cognitive functions in early, drug-naïve Parkinson’s disease. PLOS ONE, 12(10), e0186508. https://doi.org/10.1371/journal.pone.0186508

Rollero, A., Murialdo, G., Fonzi, S., Garrone, S., Gianelli, M. V., Gazzerro, E., Barreca, A., & Polleri, A. (1998). Relationship between cognitive function, growth hormone and insulin-like growth factor I plasma levels in aged subjects. Neuropsychobiology, 38(2), 73–79. https://doi.org/10.1159/000026520

Salem, L., Saleh, N., Désaméricq, G., Youssov, K., Dolbeau, G., Cleret, L., & Maison, P. (2016). Insulin-like growth factor-1 but not insulin predicts cognitive decline in Huntington’s disease. PLOS ONE, 11(9), e0162890. https://doi.org/10.1371/journal.pone.0162890

Shi, X., Zheng, J., Ma, J., Li, D., Gu, Q., Chen, S., & Li, M. (2023). Correlation between serum IGF-1 and EGF levels and neuropsychiatric and cognitive symptoms in Parkinson’s disease patients. Neurological Sciences, 44(3), 881–887. https://doi.org/10.1007/s10072-022-06490-1

Stein, A. M., da Silva, T. M. V., Coelho, F. G. M., Rueda, A. V., Camarini, R., & Galduróz, R. F. S. (2021). Acute exercise increases circulating IGF-1 in Alzheimer’s disease patients, but not in older adults without dementia. Behavioural Brain Research, 396, 112903. https://doi.org/10.1016/j.bbr.2020.112903

Tumati, S., Burger, H., Martens, S., van der Schouw, Y. T., & Aleman, A. (2016). Association between cognition and serum insulin-like growth factor-1 in middle-aged and older men: An 8-year follow-up study. PLOS ONE, 11(4), e0154450. https://doi.org/10.1371/journal.pone.0154450

Wennberg, A. M. V., Hagen, C. E., Machulda, M. M., Hollman, J. H., Roberts, R. O., Knopman, D. S., & Mielke, M. M. (2018). The association between peripheral total IGF-1, IGFBP-3, and IGF-1/IGFBP-3 and functional and cognitive outcomes in the Mayo Clinic Study of Aging. Neurobiology of Aging, 66, 68–74. https://doi.org/10.1016/j.neurobiolaging.2017.11.017

Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x

Xu, L.-Z., Li, F.-Y., Li, B.-Q., Cao, S.-M., Li, Y., Xu, J., & Jia, J.-P. (2021). Decreased levels of insulin-like growth factor-1 are associated with Alzheimer’s disease: A meta-analysis. Journal of Alzheimer’s Disease, 82(3), 1357–1367. https://doi.org/10.3233/JAD-210516

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da Silva Paula, M., Pereira Bezerra, J. C., Duarte Gomes, N., Soares Ramos, N., de Souza Pinto, C. E. ., Gomes de Souza Vale, R., & Martin Dantas, E. H. (2026). Asociación entre cognición y factor de crecimiento similar a la insulina I: revisión integrativa. Cuerpo, Cultura Y Movimiento, 16(1), 135-148. https://doi.org/10.15332/2422474X.10170
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