Evidence map›Paper›PMID 36347158›Full record

SynthesisArchives of gerontology and geriatrics2023

Sense of meaning and purpose in life and risk of incident dementia: New data and meta-analysis.

Dr Angelina R Sutin, Martina Luchetti, Damaris Aschwanden, Yannick Stephan, Amanda A Sesker, Antonio Terracciano

Open access · greenAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Archives of gerontology and geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 8 pooled it
8.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 8 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  9. [Modifiable risk and protective factors for dementia: an overview of established and emerging evidence].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  10. Purpose in life and concurrent and incident fatigue.Psychology, health & medicine · 2026
    Article
  11. Purpose in life and blood-based biomarkers of brain health.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  12. Article
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  18. Correlates of Purpose in Life and Their Potential Role in Successful Aging Among Older Adults in Rural Japan.European journal of investigation in health, psychology and education · 2025
    Article
  19. 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
  20. 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

6 authors at 2 institutions in 2 countries.

Dr Angelina R SutinBehavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, United States. Electronic address: angelina.sutin@med.fsu.edu.
Martina LuchettiBehavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, United States.
Damaris AschwandenBehavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, United States.
Yannick StephanUniversity of Montpellier, Montpellier, France.
Amanda A SeskerBehavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, United States.
Antonio TerraccianoBehavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL 32306, United States.
Florida State University · USUniversité de Montpellier · FR

Funding

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
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NIA NIH HHS R01 AG068093NIA NIH HHS R01 AG074573
6 · The paper itself

Abstract

purposeA greater sense of meaning and purpose in life is associated with lower dementia risk. The present research examines meaning and incident dementia in the largest sample to date, the UK Biobank, and combines the findings with the published literature on meaning/purpose and dementia risk in a meta-analysis.

methodParticipants from the UK Biobank reported on their meaning in life in the 2016/2017 mental health assessment (N=153,445). All-cause and cause-specific dementia were derived from hospital and death records through November 2021. Cox regression was used to test the association between meaning in life and risk of incident dementia. Results from the UK Biobank were combined with published studies identified through a systematic literature review in a random-effect meta-analysis (k=8; total N=214,270).

resultsUK Biobank participants were followed up to five years after their assessment of meaning in life; 551 participants developed dementia. For every one-point higher feeling of meaning, there was a 35% decreased risk of all-cause dementia (HR=.74, 95% CI=.67-.82, p<.001). The association was similar controlling for clinical and behavioral risk factors and was not moderated by age, sex, education, or APOE risk status. Similar associations were found for Alzheimer's disease and vascular dementia. The meta-analysis supported the protective association between meaning/purpose and lower dementia risk (HR=.76, 95% CI=.72-.79, p<.001).

conclusionsThe present research supports the growing literature that meaning and purpose in life have a robust association with lower risk of developing dementia. Meaning/purpose is a promising intervention target for healthier cognitive outcomes in older adulthood.

Indexed as

DementiaPsychological Well-BeingAgedBiological Specimen BanksCognitionHumansUnited KingdomAlzheimer's diseaseMeaning in lifemeta-analysisprospectivePurpose in lifevascular dementia

Identifiers

PMID36347158
PMCPMC10015423
OpenAlexW4307125471

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.