Evidence map›Paper›PMID 39920174›Full record

ArticleScientific reports2025

A data-driven cluster analysis to explore cognitive reserve and modifiable risk factors in early phases of cognitive decline.

Sara Bernini, Alice Valcarenghi, Elena Ballante, Federico Fassio, Marta Picascia, Elena Cavallini, Matteo Cotta Ramusino, Alfredo Costa, Tomaso Vecchi, Cristina Tassorelli and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

11 authors.

Sara BerniniIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy. sara.bernini@mondino.it.
Alice ValcarenghiUniversity of Chieti, Chieti, Italy.
Elena BallanteIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Federico FassioDepartment of Public Health, Experimental and Forensic Medicine, Section of Biostatistics and Clinical Epidemiology, University of Pavia, Pavia, Italy.
Marta PicasciaIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Elena CavalliniDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Matteo Cotta RamusinoIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Alfredo CostaIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Tomaso VecchiIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Cristina TassorelliIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.
Sara BottiroliIRCCS Mondino Foundation, Via Mondino 2, 20100, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study was aimed to cluster sub-groups of patients with varying degrees of cognitive impairment (Subjective Cognitive Decline, mild or Major Neurocognitive Disorder) based on their modifiable risk factors and cognitive reserve with k-means analysis. As a secondary analysis, we described the identified clusters from different perspectives, i.e., socio-demographic characteristics, cognitive functioning, and mental health. The analysis revealed two clusters, which were composed by 27 and 43 patients characterized by protective (Cluster 1) and unprotective (Cluster 2) everyday life habits, respectively. The two groups showed significant differences across all examined dimensions, with Cluster 1 demonstrating a more favourable profile compared to Cluster 2. Specifically, Cluster 1 exhibited advantages in: (1) sociodemographic (education, technological skills, and occupation), (2) cognitive (global cognitive functioning, executive functioning, and working memory), and (3) mental health (mood state and quality of life) characteristics. Such a finding is representative of a more positive individual wellbeing for people who adopt protective behaviours. In the field of dementia prevention, these results support the importance to intervene proactively and simultaneously in the management of multiple risk factors during the entire lifespan.

Indexed as

Cognitive DysfunctionCognitive ReserveAgedAged, 80 and overCluster AnalysisExecutive FunctionFemaleHumansMaleMental HealthMiddle AgedQuality of LifeRisk Factors

Identifiers

PMID39920174
PMCPMC11805903

What OpenQuestion holds

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Registered trials

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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.