Evidence map›Paper›PMID 31806724›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2020

Association between midlife dementia risk factors and longitudinal brain atrophy: the PREVENT-Dementia study.

John T O'Brien, Michael J Firbank, Karen Ritchie, Katie Wells, Guy B Williams, Craig W Ritchie, Li Su

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Brain patterns and risk factors in the FINGER RCT multimodal lifestyle intervention.The journal of prevention of Alzheimer's disease · 2025
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Cognitive dysfunction in women with theJournal of Alzheimer's disease : JAD · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. BrainLossNet: a fast, accurate and robust method to estimate brain volume loss from longitudinal MRI.International journal of computer assisted radiology and surgery · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

John T O'BrienDepartment of Psychiatry, University of Cambridge, Cambridge, Cambridgeshire, UK.
Michael J FirbankInstitute of Neuroscience and Newcastle University Institute for Ageing, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK michael.firbank@ncl.ac.uk.ORCID 0000-0002-9536-0185
Karen RitchieCentre for Dementia Prevention, University of Edinburgh Centre for Clinical Brain Sciences, Edinburgh, UK.
Katie WellsThe Centre for Psychiatry, Imperial College London, London, UK.
Guy B WilliamsWolfson Brain Imaging Center, University of Cambridge, Cambridge, Cambridgeshire, UK.
Craig W RitchieCentre for Dementia Prevention, University of Edinburgh Centre for Clinical Brain Sciences, Edinburgh, UK.
Li SuDepartment of Psychiatry, University of Cambridge, Cambridge, Cambridgeshire, UK.
University of Cambridge · GBImperial College London · GBInserm · FRNewcastle University · GBUniversity of Edinburgh · GB

Funding

The Dunhill Medical Trust R380R/1114
6 · The paper itself

Abstract

backgroundIncreased rates of brain atrophy on serial MRI are frequently used as a surrogate marker of disease progression in Alzheimer's disease and other dementias. However, the extent to which they are associated with future risk of dementia in asymptomatic subjects is not clear. In this study, we investigated the relationship between the Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) risk score and longitudinal atrophy in middle-aged subjects. MATERIALS AND

methodsA sample of 167 subjects (aged 40-59 at baseline) from the PREVENT-Dementia programme underwent MRI scans on two separate occasions (mean interval 735 days; SD 44 days). We measured longitudinal rates of brain atrophy using the FSL Siena toolbox.

resultsAnnual percentage rates of brain volume and ventricular volume change were greater in those with a high (>6) vs low CAIDE score-absolute brain volume percentage loss 0.17% (CI 0.07 to 0.27) and absolute ventricular enlargement 1.78% (CI 1.14 to 2.92) higher in the at risk group. Atrophy rates did not differ between subjects with and without a parental history of dementia, but were significantly correlated with age. Using linear regression, with covariates of age, sex and education, CAIDE score >6 was the only significant predictor of whole brain atrophy rates (p=0.025) while age (p=0.009), sex (p=0.002) and CAIDE>6 (p=0.017) all predicted ventricular expansion rate.

conclusionOur results show that progressive brain atrophy is associated with increased risk of future dementia in asymptomatic middle-aged subjects, two decades before dementia onset.

Indexed as

AdultAge FactorsAtrophyBrainCerebral VentriclesDementiaDisease ProgressionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingNeuropsychological TestsPredictive Value of Tests

Identifiers

PMID31806724
OpenAlexW2992848041

What OpenQuestion holds

Textmetadata
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.