Evidence map›Paper›PMID 38860751›Full record

Observational studyAlzheimer's & dementia : the journal of the Alzheimer's Association2024

The risk of Alzheimer's disease and cognitive impairment characteristics in eight mental disorders: A UK Biobank observational study and Mendelian randomization analysis.

Yiliang Liu, Xuewen Xiao, Yang Yang, Rui Yao, Qijie Yang, Yuan Zhu, Xuan Yang, Sizhe Zhang, Lu Shen, Bin Jiao

Abstract readObservational Study
In one paragraph

Observational study 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 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Preliminary Investigation of the Association Between Epigenetic Aging Acceleration and Amyloid Biomarkers in Bipolar Disorder.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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  19. Tauopathy after long-term cervical lymphadenectomy.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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

10 authors.

Yiliang LiuDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Xuewen XiaoDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Yang YangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Rui YaoDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Qijie YangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Yuan ZhuDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Xuan YangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Sizhe ZhangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Lu ShenDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Bin JiaoDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.

Funding

China Postdoctoral Science Foundation 2022M723554National Clinical Research Center for Geriatric DisordersNational Key R&D Program of China 2023YFC3603700National Natural Science Foundation of China 82001358National Natural Science Foundation of China 82371434National Natural Science Foundation of China U22A20300Science and Technology Innovation Program of Hunan Province 2021JJ41046Science and Technology Innovation Program of Hunan Province 2021RC3028Science and Technology Major Project of Hunan Province 2021SK1020STI2030-Major Projects 2021ZD0201803Xiangya Hospital 2022LNJJ16
6 · The paper itself

Abstract

introductionThe cognitive impairment patterns and the association with Alzheimer's disease (AD) in mental disorders remain poorly understood.

methodsWe analyzed data from 486,297 UK Biobank participants, categorizing them by mental disorder history to identify the risk of AD and the cognitive impairment characteristics. Causation was further assessed using Mendelian randomization (MR).

resultsAD risk was higher in individuals with bipolar disorder (BD; hazard ratio [HR] = 2.37, P < 0.01) and major depressive disorder (MDD; HR = 1.63, P < 0.001). MR confirmed a causal link between BD and AD (OR DISCUSSION: Observational study and MR provide consistent evidence that mental disorders are independent risk factors for AD. Mental disorders exhibit distinct cognitive impairment prior to dementia, indicating the potential different mechanisms in AD pathogenesis. Early detection of these impairments in mental disorders is crucial for AD prevention. HIGHLIGHTS: This is the most comprehensive study that investigates the risk and causal relationships between a history of mental disorders and the development of Alzheimer's disease (AD), alongside exploring the cognitive impairment characteristics associated with different mental disorders. Individuals with bipolar disorder (BD) exhibited the highest risk of developing AD (hazard ratio [HR] = 2.37, P < 0.01), followed by those with major depressive disorder (MDD; HR = 1.63, P < 0.001). Individuals with schizophrenia (SCZ) showed a borderline higher risk of AD (HR = 2.36, P = 0.056). Two-sample Mendelian randomization (MR) confirmed a causal association between BD and AD (OR

Indexed as

Alzheimer DiseaseBiological Specimen BanksCognitive DysfunctionMendelian Randomization AnalysisAgedBipolar DisorderFemaleHumansMajor Depressive DisorderMaleMental DisordersMiddle AgedRisk FactorsSchizophreniaUK BiobankUnited KingdomAlzheimer's diseasebipolar disordercognitive impairmentMendelian randomizationmental disorderobsessive‐compulsive disorderschizophrenia

Identifiers

PMID38860751
PMCPMC11247675

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.