Evidence map›Paper›PMID 36656649›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Examination of potentially modifiable dementia risk factors across the adult life course: The Framingham Heart Study.

Phillip H Hwang, Ting Fang Alvin Ang, Ileana De Anda-Duran, Xue Liu, Yulin Liu, Ashita Gurnani, Jesse Mez, Sanford Auerbach, Prajakta Joshi, Jing Yuan and 3 more

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Cognitive Engagement and Dementia Risk: A Dose-Response Comparison of Nursing Home and Community Residents.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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  8. Alzheimer's disease multi-ancestry genome-wide interaction and stratified study with smoking.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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  12. Observational
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  15. Review
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

13 authors at 5 institutions in 2 countries.

Phillip H HwangDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Ting Fang Alvin AngDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Ileana De Anda-DuranDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
Xue LiuDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Yulin LiuDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Ashita GurnaniDepartment of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA.
Jesse MezDepartment of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA.
Sanford AuerbachDepartment of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA.
Prajakta JoshiDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Jing YuanDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Sherral DevineDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Rhoda AuDepartment of Anatomy & Neurobiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Chunyu LiuDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Boston University · USBoston Engineering (United States) · USFramingham Heart Study · USPeking Union Medical College Hospital · CNTulane University · US

Funding

TBDU19AG068753 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rhoda Au, Lindsay A. Farrer · 2020 to 2026
$42.4M
FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Meredith Nahm Zozus · 2021 to 2026
$24.0M
EPIDEMIOLOGY OF DEMENTIA IN THE FRAMINGHAM STUDYR01AG008122 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, SESHADRI, SUDHA · 1989 to 2015
$14.4M
Temporal Trends, Novel Imaging and Molecular Characterization of Preclinical and Clinical Alzheimer's Disease in the Framingham CohortsR01AG054076 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DECARLI, CHARLES, SESHADRI, SUDHA · 2016 to 2020
$12.3M
Re-visiting Methods for MCI Diagnosis to Improve Biomarker and Trial FindingsR01AG049810 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BONDI, MARK W, EDLAND, STEVEN DYAL · 2016 to 2020
$3.7M
Epigenetic changes in synaptic and inflammatory genes involved in the age-dependent development of Alzheimer's disease pathologies andcognitive declineRF1AG054156 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, RYU, HOON · 2016 to 2018
$3.4M
Mitochondrial DNA Copy Number and Sequence Variation in Relation to Age, Alzheimer's Disease Related Phenotypes and Age-related Metabolic TraitsR01AG059727 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LIU, CHUNYU, SATIZABAL, CLAUDIA L · 2018 to 2021
$2.6M
Cognitive Heterogeneity in those with high Alzheimer's Disease RiskRF1AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 2020 to 2021
$1.8M
Cognitive heterogeneity in those with high Alzheimer's Disease RiskR01AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rhoda Au, Vijaya B. Kolachalama · 2025 to 2026
$1.6M
Cognitive heterogeneity in those with high Alzheimer's Disease RiskR56AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 2018 to 2018
$517k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
CLC NIH HHS HHSN269201500001CCLC NIH HHS HHSN269201500001INHLBI NIH HHS 75N92019D00031NHLBI NIH HHS HHSN269201500001INHLBI NIH HHS N01 HC025195NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG008122NIA NIH HHS R01-AG016496NIA NIH HHS R01 AG049810NIA NIH HHS R01 AG054076NIA NIH HHS R01 AG059727NIA NIH HHS R01 AG062109NIA NIH HHS R01-AG062109NIA NIH HHS R56 AG062109NIA NIH HHS RF1 AG054156NIA NIH HHS RF1 AG062109NIA NIH HHS U19 AG068753
6 · The paper itself

Abstract

introductionWe examined for associations between potentially modifiable risk factors across the adult life course and incident dementia.

methodsParticipants from the Framingham Heart Study were included (n = 4015). Potential modifiable risk factors included education, alcohol intake, smoking, body mass index (BMI), physical activity, social network, diabetes, and hypertension. Cox models were used to examine associations between each factor and incident dementia, stratified by early adult life (33-44 years), midlife (45-65 years), and late life (66-80 years).

resultsIncreased dementia risk was associated with diabetes (hazard ratio [HR] = 1.62; 95% confidence interval [CI] = 1.07-2.46) and physical inactivity (HR = 1.57; 95% CI = 1.12-2.20) in midlife, and with obesity (HR = 1.76; 95% CI = 1.08-2.87) in late life. Having multiple potential modifiable risk factors in midlife and late life was associated with greater risk. DISCUSSION: Potentially modifiable risk factors individually have limited impact on dementia risk in this population across the adult life course, although in combination they may have a synergistic effect. HIGHLIGHTS: Diabetes and physical inactivity in midlife is associated with increased dementia risk. Obesity in late life is associated with increased dementia risk. Having more potentially modifiable risk factors in midlife and late life is associated with greater dementia risk.

Indexed as

DementiaDiabetes MellitusAdultCohort StudiesHumansLongitudinal StudiesObesityRisk FactorsdementiaepidemiologyFramingham Heart Studylife coursemodifiable risk factors

Identifiers

PMID36656649
PMCPMC10354206
OpenAlexW4317476552

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.