Evidence map›Paper›PMID 38085549›Full record

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

Age at cardiovascular disease onset, dementia risk, and the role of lifestyle factors.

April C E van Gennip, Thomas T van Sloten, Aurore Fayosse, Séverine Sabia, Archana Singh-Manoux

Open access · hybridAbstract read
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. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.7field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  13. Target the Heart: A New Axis of Alzheimer's Disease Prevention.Journal of dementia and alzheimer's disease · 2025
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  20. Atrial Fibrillation and Other Cardiovascular Factors and the Risk of Dementia: An Italian Case-Control Study.International journal of environmental research and public health · 2024
    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

5 authors at 4 institutions in 3 countries.

April C E van GennipEpidemiology of Ageing and Neurodegenerative Diseases, Inserm U1153, Université Paris Cité, Paris, France.
Thomas T van SlotenDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Aurore FayosseEpidemiology of Ageing and Neurodegenerative Diseases, Inserm U1153, Université Paris Cité, Paris, France.
Séverine SabiaEpidemiology of Ageing and Neurodegenerative Diseases, Inserm U1153, Université Paris Cité, Paris, France.
Archana Singh-ManouxEpidemiology of Ageing and Neurodegenerative Diseases, Inserm U1153, Université Paris Cité, Paris, France.
University College London · GBInserm · FRMaastricht University Medical Centre · NLUniversity Medical Center Utrecht · NL

Funding

Education, socioeconomic status and Aging: transitions from multimorbidity to functional limitations and mortalityR01AG056477 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2018 to 2022
$2.8M
Role of mid- and late-life risk factors in social inequalities in Alzheimer's Disease and Related DementiasRF1AG062553 · NIA · INSERM PARIS 5 · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2019 to 2019
$1.5M
Medical Research Council MR/R024227/1Medical Research Council MR/S011676/1NIA NIH HHS R01 AG056477NIA NIH HHS RF1 AG062553NIH HHS R01AG056477NIH HHS RF1AG062553Wellcome TrustWellcome Trust 221854/Z/20/Z
6 · The paper itself

Abstract

introductionWe first examined the role of age at cardiovascular disease (CVD) onset for incident dementia, and then examined whether lifestyle factors at guideline-recommended levels in individuals with CVD mitigates dementia risk.

methodsWe used population-based data (Whitehall II: n = 10,308/baseline 1985-1988/examinations every 4-5 years). Lifestyle factors (non-smoking, body mass index [BMI], physical activity, diet) were extracted post-CVD.

resultsOver a median of 31.6 years, 3275 (32.1%) developed CVD. At age 70, risk of dementia was higher in individuals with CVD onset before (hazard ratio [HR] of incident dementia for participants with CVD before age 60, using participants without CVD at age 70 as the reference: 1.56, 95% confidence interal [CI] 1.18-2.08) but not after 60 years. In participants with CVD, a greater number of lifestyle factors at recommended levels post-CVD was associated with a lower dementia risk (per lifestyle factor at recommended level HR: 0.73, 95% CI 0.59-0.92). DISCUSSION: Our results suggest that early onset CVD is associated with a higher dementia risk at older ages. In those with CVD, the dementia risk was lower if lifestyle factors are at recommended levels following CVD diagnosis. HIGHLIGHTS: CVD in midlife but not in late life is associated with a higher risk of dementia. Dementia risk in CVD patients is lower if their lifestyle factors are at recommended levels. These findings provide evidence to promote CVD prevention in midlife or earlier. Study findings also show the importance of a healthy lifestyle in those with CVD.

Indexed as

Cardiovascular DiseasesDementiaAgedHumansLife StyleMiddle AgedProspective StudiesRisk Factorsage at onsetcardiovascular diseasedementiaepidemiologylifestyle factors

Identifiers

PMID38085549
PMCPMC10947967
OpenAlexW4389640271

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.