Evidence map›Paper›PMID 38880341›Full record

ReviewAgeing research reviews2024

A review of the literature on wellbeing and modifiable dementia risk factors.

Emily C Willroth, Gabrielle N Pfund, Payton D Rule, Patrick L Hill, Amber John, Kalista Kyle, Jason Hassenstab, Bryan D James

Registry-linked trialAbstract readReview
In one paragraph

Review in Ageing research reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06741865 (Intervention Strategies for Preserving Intellectual Resilience and Engagement), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

NCT06741865 narecruitingnot on this mapstarted 2025, after this paper: background citation

Intervention Strategies for Preserving Intellectual Resilience and Engagement

TypeinterventionalSponsorHealthy Minds InitiativeRan2025 to 2028Enrolled2,000ConditionsDementiaArmsLifestyle Intervention, Standard Health Education
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Platelet count polygenic scores may modify the effect of aspirin in primary prevention of dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Trial
  4. Article
  5. Wellbeing trajectories and dementia risk among Mexican-origin adults living in the U.S.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  6. Article
  7. Do all components of psychological well-being predict cognitive function?The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Investigating the trivariate reciprocal longitudinal relationships between purpose, loneliness, and cognitive function.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  14. Article
  15. Article
  16. Homocysteine Thiolactone Detoxifying Enzymes and Alzheimer's Disease.International journal of molecular sciences · 2024
    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

8 authors.

Emily C WillrothDepartment of Psychological & Brain Sciences, Washington University in St. Louis, United States. Electronic address: emily.w@wustl.edu.
Gabrielle N PfundDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, United States.
Payton D RuleDepartment of Psychological & Brain Sciences, Washington University in St. Louis, United States.
Patrick L HillDepartment of Psychological & Brain Sciences, Washington University in St. Louis, United States.
Amber JohnDepartment of Clinical, Educational, and Health Psychology, University College London, United Kingdom.
Kalista KyleDepartment of Psychology, University of Toronto, Canada.
Jason HassenstabDepartment of Psychological & Brain Sciences, Washington University in St. Louis, United States; Department of Neurology, Washington University in St. Louis, United States.
Bryan D JamesRush Alzheimer's Disease Center, Department of Internal Medicine, Rush University Medical Center, United States; Rush Alzheimer's Disease Center, United States.

Funding

Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2020 to 2026
$28.7M
Well-being as a Protective Factor against Cognitive Decline and Dementia RiskR00AG071838 · NIA · WASHINGTON UNIVERSITY · PI WILLROTH, EMILY C · 2022 to 2024
$853k
NIA NIH HHS P30 AG066444NIA NIH HHS R00 AG071838
6 · The paper itself

Abstract

Wellbeing-defined broadly as experiencing one's life as enjoyable and fulfilling-has been associated with lower risk for Alzheimer's disease and related dementias. The mechanisms underlying this association are largely unknown. However, prior research and theory suggest that wellbeing impacts health behaviors and biological systems that are relevant to cognitive and brain health. Several of these factors have also been identified by the 2020 Lancet Commission on Dementia Prevention, Intervention, and Care as modifiable dementia risk factors. In the current review, we summarize and evaluate the evidence for associations between wellbeing and each of the 12 Lancet Commission risk factors. We found relatively consistent evidence for associations between higher wellbeing and lower levels of most of the risk factors: physical inactivity, social isolation, smoking, depression, hypertension, diabetes, hearing loss, traumatic brain injury, and air pollution. By contrast, we found evidence for only modest associations between wellbeing and education and mixed evidence for associations of wellbeing with alcohol use and body weight. Although most of the reviewed evidence was observational, longitudinal and experimental evidence suggests that many of the observed associations are likely bidirectional. These findings suggest that modifiable dementia risk factors may be mediators (i.e., intermediate steps in the causal chain) and/or confounders (i.e., variables that impact both wellbeing and dementia, and thus could induce a spurious association) of the association between wellbeing and dementia. We conclude by discussing next steps to test mediation hypotheses and to account for potential confounding in the relation between wellbeing and dementia.

Indexed as

DementiaHumansRisk FactorsAging wellAlzheimer’s DiseaseDementiaProtective factorsRisk factors

Identifiers

PMID38880341
PMCPMC11260526

What OpenQuestion holds

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Read underepoch 390

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.