Evidence map›Paper›PMID 34893023›Full record

ArticleBMC geriatrics2021

Association of mental demands in the workplace with cognitive function in older adults at increased risk for dementia.

Andrea E Zülke, Melanie Luppa, Susanne Röhr, Marina Weißenborn, Alexander Bauer, Franziska-Antonia Zora Samos, Flora Kühne, Isabel Zöllinger, Juliane Döhring, Christian Brettschneider and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Physical and mental demands of work associated with dementia risk in later life.The journal of prevention of Alzheimer's disease · 2025
    Article
  3. Article
  4. Loneliness in Older Indian Dyads.International journal of environmental research and public health · 2022
    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

21 authors at 13 institutions in 3 countries.

Andrea E ZülkeInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103, Leipzig, Germany. andrea.zuelke@medizin.uni-leipzig.de.
Melanie LuppaInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103, Leipzig, Germany.
Susanne RöhrInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103, Leipzig, Germany.
Marina WeißenbornDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Alexander BauerInstitute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, 06112, Halle (Saale), Germany.
Franziska-Antonia Zora SamosInstitute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, 06112, Halle (Saale), Germany.
Flora KühneInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, 80336, Munich, Germany.
Isabel ZöllingerInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, 80336, Munich, Germany.
Juliane DöhringInstitute of General Practice, University of Kiel, 24105, Kiel, Germany.
Christian BrettschneiderDepartment of Health Economics and Health Service Research, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Anke OeyInstitute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, 30625, Hannover, Germany.
David CzockDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Thomas FreseInstitute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, 06112, Halle (Saale), Germany.
Jochen GensichenInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, 80336, Munich, Germany.
Walter E HaefeliDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Wolfgang HoffmannDeutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), site Rostock/ Greifswald, 17489, Greifswald, Germany.
Hanna KaduszkiewiczInstitute of General Practice, University of Kiel, 24105, Kiel, Germany.
Hans-Helmut KönigDepartment of Health Economics and Health Service Research, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany.
Jochen René ThyrianDeutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), site Rostock/ Greifswald, 17489, Greifswald, Germany.
Birgitt WieseInstitute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, 30625, Hannover, Germany.
Steffi G Riedel-HellerInstitute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103, Leipzig, Germany.
Leipzig University · DEMartin Luther University Halle-Wittenberg · DEHeidelberg University · DEKiel University · DELMU Klinikum · DEMedizinische Hochschule Hannover · DEGerman Center for Neurodegenerative Diseases · DELudwig-Maximilians-Universität München · DETrinity College Dublin · IEUniversität Hamburg · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Heidelberg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGrowing evidence suggests a protective effect of high mental demands at work on cognitive function in later life. However, evidence on corresponding associations in older adults at increased risk for dementia is currently lacking. This study investigates the association between mental demands at work and cognitive functioning in the population of the AgeWell.de-trial.

methodsCross-sectional investigation of the association between global cognitive functioning (Montreal Cognitive Assessment) and mental demands at work in older individuals at increased risk for dementia (Cardiovascular Risk Factors, Aging, and Incidence of Dementia (CAIDE)score ≥ 9; n = 941, age: 60-77 years). Occupational information was matched to Occupational Information Network (O*NET)-descriptors. Associations between cognitive function and O*NET-indices executive, verbal and novelty were investigated using generalized linear models.

resultsHigher values of index verbal (b = .69, p = .002) were associated with better cognitive function when adjusting for covariates. No association was observed for indices executive (b = .37, p = .062) and novelty (b = .45, p = .119). Higher education, younger age, and employment were linked to better cognitive function, while preexisting medical conditions did not change the associations. Higher levels of depressive symptomatology were associated with worse cognitive function.

conclusionsHigher levels of verbal demands at work were associated with better cognitive function for older adults with increased dementia risk. This suggests an advantage for older persons in jobs with high mental demands even after retirement and despite prevalent risk factors. Longitudinal studies are warranted to confirm these results and evaluate the potential of workplaces to prevent cognitive decline through increased mental demands.

Indexed as

Cognitive DysfunctionDementiaAgedAged, 80 and overCognitionCross-Sectional StudiesHumansWorkplaceCognitionCognitive declineDementiaMental demandsOccupationRisk factorsWorkplace

Identifiers

PMID34893023
PMCPMC8665567
OpenAlexW4200156529

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.