Evidence map›Paper›PMID 39140368›Full record

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

Metabolic dysfunctions predict the development of Alzheimer's disease: Statistical and machine learning analysis of EMR data.

Rex Liu, Blythe Durbin-Johnson, Brian Paciotti, Albert T Liu, Alyssa Weakley, Xin Liu, Yu-Jui Yvonne Wan

Abstract 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Rex LiuDepartment of Computer Science, University of California, Davis, Sacramento, California, USA.ORCID 0000-0001-9642-8156
Blythe Durbin-JohnsonDepartment of Public Health Sciences, University of California, Davis, Sacramento, California, USA.
Brian PaciottiData Center of Excellence, University of California, Davis, Sacramento, California, USA.
Albert T LiuDepartment of Obstetrics/Gynecology, University of California, Davis, Sacramento, California, USA.
Alyssa WeakleyDepartment of Neurology, University of California, Davis, Sacramento, California, USA.
Xin LiuDepartment of Computer Science, University of California, Davis, Sacramento, California, USA.
Yu-Jui Yvonne WanDepartment of Medical Pathology and Laboratory Medicine, University of California, Davis, Sacramento, California, USA.ORCID 0000-0003-2243-7759

Funding

UC Davis Alzheimer's Disease Research CenterP30AG072972 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Charles DeCarli, Rachel A Whitmer · 2021 to 2026
$25.2M
Alzheimer's Disease Program 18-10925Alzheimer's Disease Program 22-10079California Department of Public HealthChronic Disease Control BranchNIA NIH HHS P30 AG072972
6 · The paper itself

Abstract

introductionThe incidence of Alzheimer's disease (AD) and obesity rise concomitantly. This study examined whether factors affecting metabolism, race/ethnicity, and sex are associated with AD development.

methodsThe analyses included patients ≥ 65 years with AD diagnosis in six University of California hospitals between January 2012 and October 2023. The controls were race/ethnicity, sex, and age matched without dementia. Data analyses used the Cox proportional hazards model and machine learning (ML).

resultsHispanic/Latino and Native Hawaiian/Pacific Islander, but not Black subjects, had increased AD risk compared to White subjects. Non-infectious hepatitis and alcohol abuse were significant hazards, and alcohol abuse had a greater impact on women than men. While underweight increased AD risk, overweight or obesity reduced risk. ML confirmed the importance of metabolic laboratory tests in predicting AD development. DISCUSSION: The data stress the significance of metabolism in AD development and the need for racial/ethnic- and sex-specific preventive strategies. HIGHLIGHTS: Hispanics/Latinos and Native Hawaiians/Pacific Islanders show increased hazards of Alzheimer's disease (AD) compared to White subjects. Underweight individuals demonstrate a significantly higher hazard ratio for AD compared to those with normal body mass index. The association between obesity and AD hazard differs among racial groups, with elderly Asian subjects showing increased risk compared to White subjects. Alcohol consumption and non-infectious hepatitis are significant hazards for AD. Machine learning approaches highlight the potential of metabolic panels for AD prediction.

Indexed as

Alzheimer DiseaseMachine LearningAgedAged, 80 and overBlack or African AmericanCaliforniaElectronic Health RecordsFemaleHispanic or LatinoHumansMaleNative Hawaiian or Pacific IslanderObesityProportional Hazards ModelsRisk FactorsWhitealcohol abusemetabolic liver diseasemetabolismnon‐infectious hepatitisobesity

Identifiers

PMID39140368
PMCPMC11485292

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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.