Evidence map›Paper›PMID 38967222›Full record

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

Sex and gender differences in cognitive resilience to aging and Alzheimer's disease.

Eider M Arenaza-Urquijo, Rory Boyle, Kaitlin Casaletto, Kaarin J Anstey, Clara Vila-Castelar, Aaron Colverson, Eleni Palpatzis, Jaclyn M Eissman, Ted Kheng Siang Ng, Sheelakumari Raghavan and 17 more

Abstract readReview
In one paragraph

Review 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 145 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 3 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

145 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Elevated temporal tau PET predicts faster cognitive decline in women than men: A meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  19. Tau-PET and CSF MTBR-tau243 comparisons validate increased tau aggregation in females.European journal of nuclear medicine and molecular imaging · 2026
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85 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

27 authors.

Eider M Arenaza-UrquijoEnvironment and Health Over the Life Course Programme, Climate, Air Pollution, Nature and Urban Health Programme, Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Rory BoyleMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kaitlin CasalettoDepartment of Neurology, Memory and Aging Center, University of California San Francisco, San Francisco, California, USA.
Kaarin J AnsteyUniversity of New South Wales Ageing Futures Institute, Sydney, New South Wales, Australia.
Clara Vila-CastelarMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Aaron ColversonUniversity of Florida Center for Arts in Medicine Interdisciplinary Research Lab, University of Florida, Center of Arts in Medicine, Gainesville, Florida, USA.
Eleni PalpatzisEnvironment and Health Over the Life Course Programme, Climate, Air Pollution, Nature and Urban Health Programme, Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Jaclyn M EissmanVanderbilt Memory and Alzheimer's Center, Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ted Kheng Siang NgRush Institute for Healthy Aging and Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Sheelakumari RaghavanDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Muge AkinciEnvironment and Health Over the Life Course Programme, Climate, Air Pollution, Nature and Urban Health Programme, Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
Jet M J VonkDepartment of Neurology, Memory and Aging Center, University of California San Francisco, San Francisco, California, USA.
Luiza S MachadoGraduate Program in Biological Sciences: Biochemistry, Universidade Federal Do Rio Grande Do Sul, Farroupilha, Porto Alegre, Brazil.
Preeti P ZanwarJefferson College of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Hom L ShresthaLaurentian University, Sudbury, Ontario, Canada.
Maude WagnerRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Stefano TamburinDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Hamid R SohrabiCentre for Healthy Ageing, Health Future Institute, Murdoch University, Murdoch, Western Australia, Australia.
Samantha LoiNeuropsychiatry Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia.
David Bartrés-FazDepartment of Medicine, Faculty of Medicine and Health Sciences & Institut de Neurociències, University of Barcelona, Barcelona, Barcelona, Spain.
Dena B DubalDepartment of Neurology and Weill Institute of Neurosciences, University of California, San Francisco, San Francisco, California, USA.
Prashanthi VemuriDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Ozioma OkonkwoAlzheimer's Disease Research Center and Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Timothy J HohmanVanderbilt Memory and Alzheimer's Center, Department of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Michael EwersInstitute for Stroke and Dementia Research, Klinikum der Universität München, Ludwig Maximilians Universität (LMU), Munich, Germany.
Rachel F BuckleyMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Reserve, Resilience and Protective Factors Professional Interest Area, Sex and Gender Professional Interest area and the ADDRESS! Special Interest Group

Funding

Project 1U19AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Duygu Tosun-Turgut · 2016 to 2026
$226.7M
The Health & Aging Brain Study - Health Disparities (HABS-HD)U19AG078109 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI Sid E O'Bryant · 2022 to 2026
$181.1M
SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
Wisconsin Registry for Alzheimer's Prevention: Sex Differences in DNA MethylationR01AG027161 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Nathaniel Ark Chin, Sterling C Johnson · 2007 to 2026
$35.6M
Vascular and Behavioral Determinants of Superior Memory Performance from Continuous Monitoring of Everyday ActivitiesU19AG073153 · NIA · UNIVERSITY OF CHICAGO · PI GEULA, CHANGIZ, MESULAM, MAREK-MARSEL M · 2021 to 2025
$19.1M
Investigating Resistance and Resilience Mechanisms in Alzheimer’s DiseaseR01AG056366 · NIA · MAYO CLINIC ROCHESTER · PI PRASHANTHI VEMURI · 2017 to 2026
$7.0M
Expanding the CAARN to accelerate research on multiple chronic conditions with rural and African-American communities and health-care providersR33AG061699 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Dorothy Farrar Edwards, Hongrui Jiang · 2019 to 2026
$5.1M
Lifestyle Risk and Resiliency Factors and Alzheimer’s Disease in Down syndromeR01AG070028 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sigan L Hartley, Christy Hom · 2020 to 2026
$4.6M
Longitudinal Investigation of Cardiorespiratory Fitness and AD Biomarkers in an At-Risk CohortR01AG062167 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI OKONKWO, OZIOMA C · 2019 to 2023
$4.5M
Genetic Drivers of Resilience to Alzheimer's DiseaseR01AG059716 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HOHMAN, TIMOTHY J · 2018 to 2022
$4.4M
Unraveling the intersection of synaptic biology, lifestyle, and cognitive resilienceR01AG072475 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CASALETTO, KAITLIN B · 2021 to 2025
$4.3M
Building predictive algorithms to identify resilience and resistance to Alzheimer's diseaseR01AG079142 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Rachel Frances Buckley, Michael C Donohue · 2023 to 2026
$4.0M
Alzheimer's Association AARG2019-AARG-644641Alzheimer's Association AARG2019-AARG-644641-RAPIDBakar Aging Research Institute Grants AG068325Bakar Aging Research Institute Grants AG079176Catalan Government, and the Spanish Ministry of Science and education PID2022-137234OB-I00EU Joint Programme-Neurodegenerative Disease Research JPND2022-138ICREA Academia 2019 AwardNIA-funded Hopkins Economics of Alzheimer's Disease & Services CenterNIA-funded The Science of Alzheimer's Disease and Related DementiasNIA NIH HHS DP2 AG082342NIA NIH HHS F31 AG077791NIA NIH HHS K99 AG073452NIA NIH HHS R00 AG061238NIA NIH HHS R00 AG066934NIA NIH HHS R01 AG027161NIA NIH HHS R01 AG056366NIA NIH HHS R01 AG059716NIA NIH HHS R01 AG062167NIA NIH HHS R01 AG066203NIA NIH HHS R01 AG068325NIA NIH HHS R01 AG070028NIA NIH HHS R01 AG072475NIA NIH HHS R01AG072475NIA NIH HHS R01 AG077507NIA NIH HHS R01 AG079142NIA NIH HHS R01 AG079176NIA NIH HHS R33 AG061699NIA NIH HHS R56 AG082414NIA NIH HHS R56AG082414NIA NIH HHS RF1 AG052324NIA NIH HHS RF1 AG068325NIA NIH HHS RF1 AG079176NIA NIH HHS T32 AG078115NIA NIH HHS U01 AG006786NIA NIH HHS U19 AG024904NIA NIH HHS U19 AG073153NIA NIH HHS U19 AG078109Research and innovation Program of the Barcelona City Council and Fundació La Caixa 21S0906Simons FoundationSpanish Ministry of Science and Innovation PID2019-111514RA-I00Spanish Ministry of Science and Innovation, European Social Fund-State Research Agency RYC2018-026053-Ithe National Institute of Health DP2AG082342the National Institute of Health F31-AG077791the National Institute of Health R00AG061238the National Institute of Health R00AG066934the National Institute of Health R01AG027161the National Institute of Health R01-AG059716the National Institute of Health R01AG062167the National Institute of Health R01AG066203the National Institute of Health R01AG070028the National Institute of Health R01AG077507the National Institute of Health R01AG079142the National Institute of Health RF1AG052324the National Institute of Health T32AG078115the National Institute of Health U19AG024904the National Institute of Health U19AG073153the National Institute of Health U19AG078109
6 · The paper itself

Abstract

Sex and gender-biological and social constructs-significantly impact the prevalence of protective and risk factors, influencing the burden of Alzheimer's disease (AD; amyloid beta and tau) and other pathologies (e.g., cerebrovascular disease) which ultimately shape cognitive trajectories. Understanding the interplay of these factors is central to understanding resilience and resistance mechanisms explaining maintained cognitive function and reduced pathology accumulation in aging and AD. In this narrative review, the ADDRESS! Special Interest Group (Alzheimer's Association) adopted a multidisciplinary approach to provide the foundations and recommendations for future research into sex- and gender-specific drivers of resilience, including a sex/gender-oriented review of risk factors, genetics, AD and non-AD pathologies, brain structure and function, and animal research. We urge the field to adopt a sex/gender-aware approach to resilience to advance our understanding of the intricate interplay of biological and social determinants and consider sex/gender-specific resilience throughout disease stages. HIGHLIGHTS: Sex differences in resilience to cognitive decline vary by age and cognitive status. Initial evidence supports sex-specific distinctions in brain pathology. Findings suggest sex differences in the impact of pathology on cognition. There is a sex-specific change in resilience in the transition to clinical stages. Gender and sex factors warrant study: modifiable, immune, inflammatory, and vascular.

Indexed as

AgingAlzheimer DiseaseSex CharacteristicsAnimalsBrainCognitionCognitive DysfunctionFemaleHumansMaleResilience, PsychologicalRisk FactorsSex Factorsbrain maintenancecardiovascularcognitive declinecognitive reserveeducationgeneticsinequalitieslifestyleTDP43

Identifiers

PMID38967222
PMCPMC11350140

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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.