Fig. 2: Boxplots with the z-scores for the three cognitive domains separated by groups.

The boxplots illustrate the distribution of z-scores for the three cognitive domains—executive function, global function, and working memory—among IS and IR groups. The executive function domain assessed phonemic and sematic verbal fluency and Trail Making-Test B. Global function included Rey Complex Figure test, phonemic and semantic verbal fluency, Trail Making-Test A and B, Digit Span Forward and Backward, Block Span Forward and Backward, and Letter-Number-Span. Working memory included Digit Span Forward and Backward, Block Span Forward and Backward, and Letter-Number-Span. The red dots represent the IS group, while the turquoise rectangles represent the IR group. Higher z-scores indicate better cognitive performance. IS insulin-sensitive, IR insulin-resistant. * P < 0.05; ** P < 0.01.