Evidence map›Paper›PMID 34847922›Full record

ArticleAlzheimer's research & therapy2021

Dementia in Southeast Asia: influence of onset-type, education, and cerebrovascular disease.

Ashwati Vipin, Vaynii Satish, Seyed Ehsan Saffari, Wilbur Koh, Levinia Lim, Eveline Silva, Mei Mei Nyu, Tanya-Marie Choong, Esther Chua, Linda Lim and 4 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Scientific knowledge about dementia: From the Global South to the world.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  3. Article
  4. Article
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  9. Educational disparities in brain health and dementia across Latin America and the United States.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
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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

14 authors at 3 institutions in 1 country.

Ashwati Vipin *National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Vaynii Satish *National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Seyed Ehsan SaffariDuke-NUS Medical School, Singapore, Singapore.
Wilbur KohNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Levinia LimNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Eveline SilvaNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Mei Mei NyuNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Tanya-Marie ChoongNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Esther ChuaNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Linda LimNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Adeline Su Lyn NgNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Hui Jin ChiewNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Kok Pin NgNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Nagaendran KandiahNational Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. nagaendrank@yahoo.com.sg.ORCID 0000-0001-9244-4298
National Neuroscience Institute · SGDuke-NUS Medical School · SGNanyang Technological University · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSoutheast Asia represents 10% of the global population, yet little is known about regional clinical characteristics of dementia and risk factors for dementia progression. This study aims to describe the clinico-demographic profiles of dementia in Southeast Asia and investigate the association of onset-type, education, and cerebrovascular disease (CVD) on dementia progression in a real-world clinic setting.

methodsIn this longitudinal study, participants were consecutive series of 1606 patients with dementia from 2010 to 2019 from a tertiary memory clinic from Singapore. The frequency of dementia subtypes stratified into young-onset (YOD; <65 years age-at-onset) and late-onset dementia (LOD; ≥65 years age-at-onset) was studied. Association of onset-type (YOD or LOD), years of lifespan education, and CVD on the trajectory of cognition was evaluated using linear mixed models. The time to significant cognitive decline was investigated using Kaplan-Meier analysis.

resultsDementia of the Alzheimer's type (DAT) was the most common diagnosis (59.8%), followed by vascular dementia (14.9%) and frontotemporal dementia (11.1%). YOD patients accounted for 28.5% of all dementia patients. Patients with higher lifespan education had a steeper decline in global cognition (p<0.001), with this finding being more pronounced in YOD (p=0.0006). Older patients with a moderate-to-severe burden of CVD demonstrated a trend for a faster decline in global cognition compared to those with a mild burden.

conclusionsThere is a high frequency of YOD with DAT being most common in our Southeast Asian memory clinic cohort. YOD patients with higher lifespan education and LOD patients with moderate-to-severe CVD experience a steep decline in cognition.

Indexed as

Dementia, VascularFrontotemporal DementiaAge of OnsetAsia, SoutheasternHumansLongitudinal StudiesAlzheimer’s diseaseCerebrovascular diseaseClinicalCognitionEducationLongitudinalSoutheast Asian cohort

Identifiers

PMID34847922
PMCPMC8630908
OpenAlexW3216534876

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.