Evidence map›Paper›PMID 28161155›Full record

SynthesisThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

History of Bipolar Disorder and the Risk of Dementia: A Systematic Review and Meta-Analysis.

Breno S Diniz, Antonio L Teixeira, Fei Cao, Ariel Gildengers, Jair C Soares, Meryl A Butters, Charles F Reynolds

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06662526 (Trace Lithium Dosage for Prevention of Cognitive Declining in Patients with Mood Illnesses), which is not on this map. Cited by 76 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 6 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.

NCT06662526 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Trace Lithium Dosage for Prevention of Cognitive Declining in Patients with Mood Illnesses: a Randomized Double Blind Placebo Controlled Trial

TypeinterventionalSponsorUniversity of ChileRan2024 to 2030Enrolled250ConditionsDementia, Bipolar Disorder (BD), Depression - Major Depressive Disorder, Mild Cognitive Impairment (MCI)ArmsTrace lithium dose plus treatment as usual, Placebo pill plus treatment as usual
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Article
  8. [Modifiable risk and protective factors for dementia: an overview of established and emerging evidence].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  9. Article
  10. Review
  11. Preliminary Investigation of the Association Between Epigenetic Aging Acceleration and Amyloid Biomarkers in Bipolar Disorder.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  12. Premature aging in serious mental illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  13. Burden of psychiatric disease inversely correlates with Alzheimer's age at onset.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  14. Genome-wide methylation biomarkers and biological aging in patients with bipolar disorder characterized for lithium response.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  15. Article
  16. Bipolar disorder.Lancet (London, England) · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Breno S DinizDepartment of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX; Harris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX. Electronic address: breno.satlerdeoliveiradiniz@uth.tmc.edu.
Antonio L TeixeiraDepartment of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX; Harris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX.
Fei CaoHarris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX.
Ariel GildengersDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Jair C SoaresDepartment of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX; Harris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX.
Meryl A ButtersDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, JAMES T. · 1985 to 2019
$43.0M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 2011 to 2015
$8.3M
NIA NIH HHS P50 AG005133NIMH NIH HHS P30 MH090333
6 · The paper itself

Abstract

objectiveWe carried out a systematic review and meta-analysis to evaluate whether history of bipolar disorder (BD) increases the risk of dementia.

methodsWe searched PubMed and Scopus to identify studies that evaluated the risk of dementia in individuals with a history of BD. A total of 6 studies including 3,026 individuals with history of BD and 191,029 non-BD individuals were included in the meta-analysis.

resultsHistory of BD significantly increased the risk of diagnosis of dementia (pooled odds ratio: 2.36; 95% confidence interval: 1.36-4.09; z = 3.07, p < 0.001). Evidence of heterogeneity and of publication bias in the analysis was found.

conclusionHistory of BD is associated with significantly higher risk of dementia in older adults. Future studies are necessary to evaluate the potential mediators of this association and to evaluate interventions that may reduce the risk of dementia in this population.

Indexed as

ComorbidityRiskBipolar DisorderDementiaHumansAlzheimer diseaseBipolar disorderdementiarisk factor

Identifiers

PMID28161155
PMCPMC5365367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.