Evidence map›Paper›PMID 38086580›Full record

ArticleBMJ open2023

Independent and joint associations of cardiorespiratory fitness and BMI with dementia risk: the Cooper Center Longitudinal Study.

Tal Gafni, Galit Weinstein, David Leonard, Carolyn E Barlow, Laura F DeFina, Kelley Pettee Gabriel, Jarett D Berry, Kerem Shuval

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 2 countries.

Tal GafniDepartment of Epidemiology, University of Haifa, Haifa, Israel.
Galit WeinsteinDepartment of Epidemiology, University of Haifa, Haifa, Israel.
David LeonardDepartment of Research, The Cooper Institute, Dallas, Texas, USA.
Carolyn E BarlowDepartment of Research, The Cooper Institute, Dallas, Texas, USA.
Laura F DeFinaDepartment of Research, The Cooper Institute, Dallas, Texas, USA.
Kelley Pettee GabrielDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabam, USA.
Jarett D BerryUniversity of Texas at Tyler, Tyler, Texas, USA.
Kerem ShuvalDepartment of Research, The Cooper Institute, Dallas, Texas, USA kshuval@cooperinst.org.ORCID 0000-0001-9542-0910
Cooper Institute · USUniversity of Haifa · ILThe University of Texas at Tyler · USUniversity of Alabama at Birmingham · US

Funding

UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeff G McDonald · 2022 to 2026
$7.4M
NIDDK NIH HHS P30 DK127984
6 · The paper itself

Abstract

objectiveThis study aimed to examine the association of midlife fitness and body mass index (BMI) with incident dementia later in life. DESIGN AND

participantsA cohort study of 6428 individuals (mean age 50.9±7.6 years) from the Cooper Center Longitudinal Study. MEASURES: Cardiorespiratory fitness and BMI were assessed twice (1970-1999) during visits to the Cooper Clinic, a preventive medicine clinic in Dallas, Texas. These measures were examined as continuous and categorical variables. As continuous variables, fitness and BMI were examined at baseline (averaged of two examinations) and as absolute change between exams (mean time 2.1±1.8 years). Variables were categorised: unfit versus fit and normal versus overweight/obese. Medicare claims data were used to obtain all-cause dementia incidence (1999-2009). Mean follow-up between midlife examinations and Medicare surveillance was 15.7 ((SD=6.2) years. Multivariable models were used to assess the associations between fitness, BMI and dementia.

resultsDuring 40 773 person years of Medicare surveillance, 632 cases of dementia were identified. After controlling for BMI and covariates, each 1-metabolic equivalent increment in fitness was associated with 5% lower (HR 0.95; 95% CI 0.90 to 0.99) dementia risk. In comparison, after controlling for fitness and covariates, each 1 kg/m

conclusionLower midlife fitness is a risk marker for dementia irrespective of weight status. Being unfit coupled with overweight/obese status might increase one's risk for dementia even further.

Indexed as

Cardiorespiratory FitnessDementiaAdultAgedBody Mass IndexCohort StudiesHumansLongitudinal StudiesMedicareMiddle AgedObesityOverweightPhysical FitnessProspective StudiesRisk FactorsUnited StatesBody Mass IndexCardiorespiratory FitnessDementia

Identifiers

PMID38086580
PMCPMC10729062
OpenAlexW4389627625

What OpenQuestion holds

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LicenceCC BY-NC
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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.