Evidence map›Paper›PMID 39873393›Full record

ArticleObesity (Silver Spring, Md.)2025

Trajectories of general and central obesity beyond middle age in relation to late-life cognitive decline and dementia.

Zhengting Liang, Huibo Qin, Binbin Su, Yanping Bao, Michael V Vitiello, Gang Hu, Yunhe Wang

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  6. Obesity, Hypertension and Brain Health.Current hypertension reports · 2025
    Review
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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.

Zhengting LiangSchool of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi, China.
Huibo QinQuality Control Department of Liaocheng People's Hospital, Shandong, China.
Binbin SuSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing, China.
Yanping BaoNational Institute on Drug Dependence, Peking University, Beijing, China.
Michael V VitielloDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Gang HuSchool of Health Management, Xinjiang Medical University, Urumqi, China.
Yunhe WangNuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-0923-1441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective was to evaluate the longitudinal patterns of central and general obesity, identify their genetic and behavioral risk determinants, and investigate the association of distinct obesity trajectories beyond middle age with subsequent cognitive decline and the risk of developing dementia in late life.

methodsUsing a nationally representative, longitudinal, community-based cohort, we examined trajectory patterns of obesity over a 14-year span beyond middle age employing latent mixture modeling. We then evaluated their relationship with subsequent cognitive decline through linear mixed models and with the risk of developing dementia using Cox models, adjusting for confounding variables.

resultsAmong the 4751 eligible participants (mean age, 58.7 [SD 8.1] years; 57% female), our analysis identified five distinct BMI trajectories and four WC trajectories spanning a 14-year period. In comparison with individuals in the low-stable BMI group, characterized by a consistent and healthy body weight (range, 22.8-22.9 kg/m

conclusionsGeneral and central obesity trajectories beyond midlife with persistently high or increasing patterns were significantly associated with an increased risk of developing cognitive decline and dementia in late life. Longitudinal obesity patterns may assist in precise identification of older adults at risk of developing cognitive impairment for targeted intervention.

Indexed as

Cognitive DysfunctionDementiaObesityObesity, AbdominalAgedBody Mass IndexFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsWaist Circumference

Identifiers

PMID39873393
PMCPMC11774005

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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.