Evidence map›Paper›PMID 34208355›Full record

ArticleBrain sciences2021

Anemia and the Risk of Cognitive Impairment: An Updated Systematic Review and Meta-Analysis.

Woon-Man Kung, Sheng-Po Yuan, Muh-Shi Lin, Chieh-Chen Wu, Md Mohaimenul Islam, Suleman Atique, Musa Touray, Chu-Ya Huang, Yao-Chin Wang

Abstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  20. Genetic Markers of Postmortem Brain Iron.Journal of neurochemistry · 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.

Woon-Man KungDepartment of Exercise and Health Promotion, College of Kinesiology and Health, Chinese Culture University, Taipei 11114, Taiwan.ORCID 0000-0001-8311-2902
Sheng-Po YuanGraduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan.
Muh-Shi LinDepartment of Biotechnology and Animal Science, College of Bioresources, National Ilan University, Yilan 26047, Taiwan.ORCID 0000-0002-9798-8160
Chieh-Chen WuDepartment of Exercise and Health Promotion, College of Kinesiology and Health, Chinese Culture University, Taipei 11114, Taiwan.ORCID 0000-0003-2205-5849
Md Mohaimenul IslamGraduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan.ORCID 0000-0001-6026-2748
Suleman AtiqueDepartment of Health Informatics, College of Public Health and Health Informatics, University of Ha'il, Ha'il 55211, Saudi Arabia.
Musa TourayDepartment of Public Health, University of The Gambia, Serrekunda 3530, The Gambia.
Chu-Ya HuangTaiwan College of Healthcare Executives, Taipei 106607, Taiwan.
Yao-Chin WangDepartment of Emergency, Min-Sheng General Hospital, Taoyuan 33044, Taiwan.ORCID 0000-0002-0094-8016

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive impairment is one of the most common, burdensome, and costly disorders in the elderly worldwide. The magnitude of the association between anemia and overall cognitive impairment (OCI) has not been established.

objectiveWe aimed to update and expand previous evidence of the association between anemia and the risk of OCI.

methodsWe conducted an updated systematic review and meta-analysis. We searched electronic databases, including EMBASE, PubMed, and Web of Science for published observational studies and clinical trials between 1 January 1990 and 1 June 2020. We excluded articles that were in the form of a review, letter to editors, short reports, and studies with less than 50 participants. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed. We estimated summary risk ratios (RRs) with random effects.

resultsA total of 20 studies, involving 6558 OCI patients were included. Anemia was significantly associated with an increased risk of OCI (adjusted RR (aRR) 1.39 (95% CI, 1.25-1.55;

conclusionThis updated meta-analysis shows that patients with anemia appear to have a nearly 1.39-fold risk of developing OCI than those without anemia. The magnitude of this risk underscores the importance of improving anemia patients' health outcomes, particularly in elderly patients.

Indexed as

Alzheimer’sanemiacognitive impairmentdementiairon deficiencymeta-analysis

Identifiers

PMID34208355
PMCPMC8231247

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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.