Effects of transdermal nicotine delivery on cognitive outcomes: A meta-analysis.


Journal

Acta neurologica Scandinavica
ISSN: 1600-0404
Titre abrégé: Acta Neurol Scand
Pays: Denmark
ID NLM: 0370336

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 23 02 2021
accepted: 11 04 2021
pubmed: 27 4 2021
medline: 20 7 2021
entrez: 26 4 2021
Statut: ppublish

Résumé

By the association of nicotinic acetylcholine receptors in the brain, nicotine in the therapeutic window lowers neuronal damage and raises protective factors. These data, however, are contradicted by other findings. Here, we assessed the effects of transdermal nicotine administration on cognitive functions in healthy non-smoker adults by systematic review and meta-analysis of clinical trials. We included reports of clinical trials comparing the effects of nicotine patches with placebo in healthy non-smoking adults. The main outcome was the impact of nicotine patches on overall cognitive function with a focus on attention and memory. Standard meta-analytic and statistical methods measured the effect of transdermal nicotine compared with placebo patches. We included 31 publications involving 978 subjects. Nicotine patches boosted cognitive function in healthy adults (0.233 SMD, 95%CI, 0.111-0.355, p < .001). Overall heterogeneity of the studies was found to be modest (ϰ The meta-analysis showed that transdermal nicotine had statistically significant positive effects on attention, and non-significant effects on memory, in healthy non-smoking adults. The results encourage further studies of the therapeutic potential of nicotine patches in disorders of cognition.

Identifiants

pubmed: 33899218
doi: 10.1111/ane.13436
doi:

Substances chimiques

Nicotine 6M3C89ZY6R

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

179-191

Subventions

Organisme : Tabriz University of Medical Sciences
ID : 61017

Informations de copyright

© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Alireza Majdi (A)

Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Saeed Sadigh-Eteghad (S)

Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Albert Gjedde (A)

Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Clinical Research, Translational Neuropsychiatry Unit, Aarhus University, Aarhus, Denmark.
Department of Neuroscience, University of Copenhagen, Copenhagen, Denmark.
Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada.

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