Evidence map›Paper›PMID 24893836›Full record

ArticleClimacteric : the journal of the International Menopause Society2014

Three midlife strategies to prevent cognitive impairment due to Alzheimer's disease.

V W Henderson

Abstract read
In one paragraph

Article in Climacteric : the journal of the International Menopause Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Individually modifiable risk factors to ameliorate cognitive aging: a systematic review and meta-analysis.Climacteric : the journal of the International Menopause Society · 2015
    Pooled it
  2. Trial
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  6. Review
  7. Multi-angles of smoking and mild cognitive impairment: is the association mediated by sleep duration?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

V W HendersonDepartments of Health Research and Policy (Epidemiology) and of Neurology and Neurological Sciences, Stanford University , Stanford, California , USA.

Funding

Tai Chi and Guided Autobiography for Remediation of Age-Related Cognitive DeclineR01AG034639 · NIA · STANFORD UNIVERSITY · PI HENDERSON, VICTOR · 2009 to 2011
$824k
NIA NIH HHS R01 AG034639NIA NIH HHS R01-AG034639
6 · The paper itself

Abstract

The slow, progressive accumulation of pathology characteristic of Alzheimer's disease is the principal determinant of cognitive decline leading to dementia. Risk-reduction strategies during midlife focus on raising the clinical threshold for the appearance of cognitive symptoms and on reducing the extent of Alzheimer pathology. Best available evidence suggests an approach based on three, conceptually distinct strategies. (1) Raise the threshold for cognitive symptoms by improving brain health. To achieve this goal, the tactic is to reduce cerebrovascular risks mediated by hypertension, diabetes, cigarette smoking, and hyperlipidemia. (2) Raise the threshold for cognitive symptoms by enhancing cognitive reserve. Here, tactics focus on mental stimulation associated with occupation, leisure activities and social engagement. (3) Reduce the burden of Alzheimer pathology. The most promising tactic toward this end is regular aerobic exercise. Tactics in support of strategies to reduce cognitive impairment due to Alzheimer pathology are not yet substantiated by robust, consistent clinical trial evidence. There is pressing need for well-designed pragmatic trials to provide stronger evidence on preventive strategies for late-life cognitive decline and dementia.

Indexed as

Alzheimer DiseaseCardiovascular DiseasesCognitive DysfunctionCognitive ReserveDementiaEstrogen Replacement TherapyEstrogensExerciseFemaleHumansLearningRisk FactorsEstrogensALZHEIMER'S DISEASECOGNITIVE IMPAIRMENTCOGNITIVE RESERVEMIDLIFEPHYSICAL ACTIVITYPREVENTION

Identifiers

PMID24893836
PMCPMC4236238

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.