Evidence map›Paper›PMID 30584138›Full record

ArticleJournal of Alzheimer's disease : JAD2019

Vital Exhaustion and Incidence of Dementia: Results from the Copenhagen City Heart Study.

Sabrina Islamoska, Kazi Ishtiak-Ahmed, Åse Marie Hansen, Matias Brødsgaard Grynderup, Erik Lykke Mortensen, Anne Helene Garde, Finn Gyntelberg, Eva Irene Bossano Prescott, Eszter Török, Gunhild Waldemar and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Umbrella review and Delphi study on modifiable factors for dementia risk reduction.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
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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

11 authors at 3 institutions in 1 country.

Sabrina IslamoskaDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Kazi Ishtiak-AhmedDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Åse Marie HansenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Matias Brødsgaard GrynderupDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Erik Lykke MortensenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Anne Helene GardeDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Finn GyntelbergThe National Research Centre for the Working Environment, Copenhagen, Denmark.
Eva Irene Bossano PrescottDepartment of Cardiology, Bispebjerg Hospital, Copenhagen, Denmark.
Eszter TörökDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
Gunhild WaldemarDanish Dementia Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Kirsten Nabe-NielsenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKBispebjerg Hospital · DKNational Research Centre for the Working Environment · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychological distress is potentially linked to the risk of dementia through neurologic and cardiovascular mechanisms. Vital exhaustion (VE) is a mental state of psychological distress, which could be a risk factor for dementia.

objectiveTo investigate whether VE is a risk factor for dementia in later life.

methodsWe used data from 6,807 participants attending the third survey of the Copenhagen City Heart Study in 1991-1994. VE was assessed by 17 symptoms (score: 0-17) from the Maastricht Questionnaire. Information on dementia was obtained from national registers. Risk time for dementia was counted from five years after VE assessment for participants > 55 years at the time of VE assessment. For younger participants, risk time for dementia was counted from the year they turned 60 years and onwards. Participants were followed until 2016. We used Poisson regression to calculate incidence rate ratios (IRR) and their 95% confidence intervals (CI).

resultsDuring an average follow-up of 10 years, 872 participants were registered with dementia. We found a dose-response relation between the number of VE symptoms and the incidence of dementia. For every additional VE symptom, the dementia incidence increased by 2% (IRR = 1.024; 95% CI: 1.004-1.043). Adjustment for socio-demographic and health-related factors did not change the results substantially. Neither did stratification by age, sex, educational level, and marital status.

conclusionWe found evidence that VE is a risk factor for dementia. Our sensitivity analyses supported that this association was not only due to VE being a potential prodromal sign of dementia.

Indexed as

AdultAgedAged, 80 and overAge of OnsetDementiaDenmarkFemaleFollow-Up StudiesHumansIncidenceLife StyleMaleMiddle AgedRisk FactorsSocioeconomic FactorsStress, PsychologicalDementiamental healthpsychological stresssubjective health complaint

Identifiers

PMID30584138
PMCPMC6398840
OpenAlexW2905298707

What OpenQuestion holds

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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.