Evidence map›Paper›PMID 34275900›Full record

SynthesisJournal of Alzheimer's disease : JAD2021

Sense of Purpose in Life Is Associated with Lower Risk of Incident Dementia: A Meta-Analysis.

Angelina R Sutin, Damaris Aschwanden, Martina Luchetti, Yannick Stephan, Antonio Terracciano

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

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

  1. Pooled it
  2. Pooled it
  3. Purpose in life and blood-based biomarkers of brain health.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  4. Wellbeing trajectories and dementia risk among Mexican-origin adults living in the U.S.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  5. Investigating the trivariate reciprocal longitudinal relationships between purpose, loneliness, and cognitive function.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  6. Life Purpose Lowers Risk for Cognitive Impairment in a United States Population-Based Cohort.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  7. Article
  8. Article
  9. Prosocial Intentions and Subsequent Cognitive Health: A Prospective Cohort Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  10. Article
  11. Article
  12. Momentary Associations Between Physical Activity, Affect, and Purpose in Life.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Sense of Purpose in Life and Beliefs and Knowledge of Alzheimer's Disease.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2023
    Article
  18. Reduced Epigenetic Age in Older Adults With High Sense of Purpose in Life.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  19. Review
  20. Sense of Purpose in Life and Subjective Cognitive Failures.Personality and individual differences · 2023
    Article
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

5 authors at 2 institutions in 2 countries.

Angelina R SutinFlorida State University College of Medicine, Tallahassee, FL, USA.
Damaris AschwandenFlorida State University College of Medicine, Tallahassee, FL, USA.
Martina LuchettiFlorida State University College of Medicine, Tallahassee, FL, USA.
Yannick StephanEuromov, University of Montpellier, Montpellier, France.
Antonio TerraccianoFlorida State University College of Medicine, Tallahassee, FL, USA.
Florida State University · USUniversité de Montpellier · FR

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
Prenatal and Early Life Antecedents of Personality: An Intergenerational Lifespan ApproachR01AG053297 · NIA · FLORIDA STATE UNIVERSITY · PI Angelina R Sutin · 2017 to 2026
$4.3M
Purpose in life: Mechanisms to support healthier cognitive aging and reduce risk of Alzheimer's diseaseR01AG074573 · NIA · FLORIDA STATE UNIVERSITY · PI SUTIN, ANGELINA R · 2021 to 2025
$3.5M
Personality and Dementia: Mechanisms and TrajectoriesR01AG068093 · NIA · FLORIDA STATE UNIVERSITY · PI TERRACCIANO, ANTONIO · 2020 to 2024
$3.0M
NIA NIH HHS R01 AG017644NIA NIH HHS R01 AG053297NIA NIH HHS R01 AG068093NIA NIH HHS R01 AG074573NIA NIH HHS U01 AG009740NIA NIH HHS U01 AG032947
6 · The paper itself

Abstract

backgroundA sense of purpose in life has been associated with healthier cognitive outcomes across adulthood, including risk of dementia. The robustness and replicability of this association, however, has yet to be evaluated systematically.

objectiveTo test whether a greater sense of purpose in life is associated with lower risk of dementia in four population-based cohorts and combined with the published literature.

methodsRandom-effect meta-analysis of prospective studies (individual participant data and from the published literature identified through a systematic review) that examined sense of purpose and risk of incident dementia.

resultsIn six samples followed up to 17 years (four primary data and two published; total N = 53,499; n = 5,862 incident dementia), greater sense of purpose in life was associated with lower dementia risk (HR = 0.77, 95%CI = 0.73-0.81, p < 0.001). The association was generally consistent across cohorts (I2 = 47%), remained significant controlling for clinical (e.g., depression) and behavioral (e.g., physical inactivity) risk factors, and was not moderated by age, gender, or education.

conclusionSense of purpose is a replicable and robust predictor of lower risk of incident dementia and is a promising target of intervention for cognitive health outcomes.

Indexed as

DementiaRisk Reduction BehaviorDepressionHumansProspective StudiesQuality of LifeRisk FactorsSedentary BehaviorSurveys and QuestionnairesCognitive healthdementia riskmeta-analysissense of purposewell-being

Identifiers

PMID34275900
PMCPMC8887819
OpenAlexW3184968032

What OpenQuestion holds

Textmetadata
LicenceTDM
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.