Evidence map›Paper›PMID 31839608›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Telomere Length and the Risk of Alzheimer's Disease: The Rotterdam Study.

Lana Fani, Saima Hilal, Sanaz Sedaghat, Linda Broer, Silvan Licher, Pascal P Arp, Joyce B J van Meurs, M Kamran Ikram, M Arfan Ikram

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
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  7. Article
  8. Shorter Telomere Length in Individuals with Neurocognitive Disorder andInternational journal of molecular sciences · 2025
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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

9 authors.

Lana FaniDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Saima HilalDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Sanaz SedaghatDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Linda BroerDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Silvan LicherDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Pascal P ArpDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Joyce B J van MeursDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
M Kamran IkramDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
M Arfan IkramDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a wide interest in biomarkers that capture the burden of detrimental factors as these accumulate with the passage of time, i.e., increasing age. Telomere length has received considerable attention as such a marker, because it is easily quantified and it may aid in disentangling the etiology of dementia or serve as predictive marker. We determined the association of telomere length with risk of Alzheimer's disease and all-cause dementia in a population-based setting. Within the Rotterdam Study, we performed quantitative PCR to measure mean leukocyte telomere length in blood. We determined the association of telomere length with risk of Alzheimer's disease until 2016, using Cox regression models. Of 1,961 participants (mean age 71.4±9.3 years, 57.1% women) with a median follow-up of 8.3 years, 237 individuals were diagnosed with Alzheimer's disease. We found a U-shaped association between telomere length and risk of Alzheimer's disease: compared to the middle tertile the adjusted hazard ratio was 1.59 (95% confidence interval (CI), 1.13-2.23) for the lowest tertile and 1.47 (1.03-2.10) for the highest tertile. Results were similarly U-shaped but slightly attenuated for all-cause dementia. In conclusion, shorter and longer telomere length are both associated with an increased risk of Alzheimer's disease in the general population.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseApolipoproteins EFemaleFollow-Up StudiesGenotypeHumansIncidenceLeukocytesMaleMiddle AgedNetherlandsPredictive Value of TestsProspective StudiesRisk AssessmentApolipoproteins EAlzheimer’s diseasedementiapopulation-basedprospective cohort studytelomere

Identifiers

PMID31839608
PMCPMC7029372

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Registered trials

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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.