Evidence map›Paper›PMID 37776210›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Study design and methods: U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER).

Laura D Baker, Heather M Snyder, Mark A Espeland, Rachel A Whitmer, Miia Kivipelto, Nancy Woolard, Jeffrey Katula, Kathryn V Papp, Jennifer Ventrelle, Sarah Graef and 31 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03688126 (U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk), which is not on this map. Cited by 74 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 2 pooled it
16.0field-weighted citation impact, top 1% 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.

NCT03688126 nacompletednot on this map

U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2025Enrolled2,000ConditionsAlzheimer DiseaseArmsSelf-Guided Lifestyle Intervention, Structured Lifestyle Intervention
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Relative impact of multidomain lifestyle interventions on deficit accumulation frailty over 24 months in the U.S. POINTER trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Trial
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  10. Enhancing Interpretation of Cognitive Changes in Alzheimer's Intervention Trials: Application of Standardized Regression-Based Change Scores.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Trial
  11. Trial
  12. Baseline cognition and demographic, lifestyle, and cardiovascular risk factors in US POINTER.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  13. Trial
  14. Associations Between Deficit Accumulation Frailty and Baseline Markers of Lifestyle in the U.S. POINTER Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  15. Trial
  16. Measuring in-vivo tau pathology in the basal forebrain with PET imaging.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  17. Article
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  20. Article

14 more citing papers are in PubMed but not listed here.

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

41 authors at 12 institutions in 4 countries.

Laura D BakerWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Heather M SnyderAlzheimer's Association, Chicago, Illinois, USA.
Mark A EspelandWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Rachel A WhitmerUniversity of California Davis, Department of Public Health Sciences, Sacramento, California, USA.
Miia KivipeltoKarolinska Institute, Division of Clinical Geriatrics, Center for Alzheimer Research, Stockholm, Sweden.
Nancy WoolardWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Jeffrey KatulaWake Forest University, Department of Health and Exercise Science, Winston Salem, North Carolina, USA.
Kathryn V PappBrigham and Women's Hospital, Department of Neurology, Boston, Massachusetts, USA.
Jennifer VentrelleRush University Medical Center, Departments of Clinical Nutrition, and Family and Preventive Medicine, Chicago, Illinois, USA.
Sarah GraefRush University Medical Center, Departments of Clinical Nutrition, and Family and Preventive Medicine, Chicago, Illinois, USA.
Marcus A HillWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Scott RushingWake Forest University School of Medicine, Division of Public Health Sciences, Winston Salem, North Carolina, USA.
Julia SpellWake Forest University School of Medicine, Division of Public Health Sciences, Winston Salem, North Carolina, USA.
Laura LovatoWake Forest University School of Medicine, Division of Public Health Sciences, Winston Salem, North Carolina, USA.
Deborah FeltonWake Forest University School of Medicine, Division of Public Health Sciences, Winston Salem, North Carolina, USA.
Benjamin J WilliamsWake Forest University School of Medicine, Department of Neurology, Winston Salem, North Carolina, USA.
Mina Ghadimi NouranWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Rema RamanUniversity of Southern California, Alzheimer's Therapeutic Research Institute, San Diego, California, USA.
Tiia NganduKarolinska Institute, Division of Clinical Geriatrics, Center for Alzheimer Research, Stockholm, Sweden.
Alina SolomonKarolinska Institute, Division of Clinical Geriatrics, Center for Alzheimer Research, Stockholm, Sweden.
Sharon WilmothWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Maryjo L ClevelandWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Jeff D WilliamsonWake Forest University School of Medicine, Department of Internal Medicine, Winston Salem, North Carolina, USA.
Katherine L LambertAlzheimer's Association, Western Carolina Chapter, Charlotte, North Carolina, USA.
Sarah Tomaszewski FariasUniversity of California Davis, Department of Neurology, Sacramento, California, USA.
Claire E DayAlzheimer's Association, Northern California Northern Nevada Chapter, San Jose, California, USA.
Christy C TangneyUniversity of Southern California, Alzheimer's Therapeutic Research Institute, San Diego, California, USA.
Darren R GitelmanAdvocate Health Care, Department of Behavioral Neurology, Downers Grove, Illinois, USA.
Olivia MatongoAlzheimer's Association, Illinois Chapter, Chicago, Illinois, USA.
Terrianne ReynoldsAlzheimer's Association, Illinois Chapter, Chicago, Illinois, USA.
Valory N PavlikBaylor College of Medicine, Department of Neurology, Houston, Texas, USA.
Melissa M YuBaylor College of Medicine, Department of Neurology, Houston, Texas, USA.
Ashley S AlexanderKelsey Research Foundation, Houston, Texas, USA.
Richard ElbeinAlzheimer's Association, Houston & Southeast Texas Chapter, Houston, Texas, USA.
Ann Marie McDonaldAlzheimer's Association, Houston & Southeast Texas Chapter, Houston, Texas, USA.
Stephen SallowayButler Hospital, Memory and Aging Program, and Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Rena R WingBrown University, Department of Psychiatry and Human Behavior, School of Medicine, Providence, Rhode Island, USA.
Susan AntkowiakAlzheimer's Association, Rhode Island Chapter, Providence, Rhode Island, USA.
Martha Clare Morris *Rush University Medical Center, Departments of Clinical Nutrition, and Family and Preventive Medicine, Chicago, Illinois, USA.
Maria C CarrilloAlzheimer's Association, Chicago, Illinois, USA.
U.S. POINTER Study Group
Wake Forest University · USAlzheimer's Association · USRush University Medical Center · USBaylor College of Medicine · USBrown University · USUniversity of California, Davis · USUniversity of Eastern Finland · FIUniversity of Southern California · USAdvocate Health Care · USBrigham and Women's Hospital · USKarolinska Institutet · SEKelsey-Seybold Clinic · US

Funding

Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUZANNE CRAFT · 2021 to 2026
$24.3M
Alzheimer's Association 19-611541NIA NIH HHS P30 AG072947
6 · The paper itself

Abstract

introductionThe U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER) is conducted to confirm and expand the results of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) in Americans.

methodsU.S. POINTER was planned as a 2-year randomized controlled trial of two lifestyle interventions in 2000 older adults at risk for dementia due to well-established factors. The primary outcome is a global cognition composite that permits harmonization with FINGER.

resultsU.S. POINTER is centrally coordinated and conducted at five clinical sites (ClinicalTrials.gov: NCT03688126). Outcomes assessments are completed at baseline and every 6 months. Both interventions focus on exercise, diet, cognitive/social stimulation, and cardiovascular health, but differ in intensity and accountability. The study partners with a worldwide network of similar trials for harmonization of methods and data sharing. DISCUSSION: U.S. POINTER is testing a potentially sustainable intervention to support brain health and Alzheimer's prevention for Americans. Impact is strengthened by the targeted participant diversity and expanded scientific scope through ancillary studies.

Indexed as

Cognitive DysfunctionAgedBrainCognitionExerciseHumansLife StyleRandomized Controlled Trials as TopicagingAlzheimer's diseaseclinical trialcognitioncognitive trainingdietexerciselifestyle interventionnon-pharmacologicalpreventionrisk modification

Identifiers

PMID37776210
PMCPMC10916955
OpenAlexW4387196478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.