Evidence map›Paper›PMID 40017059›Full record

SynthesisBrain and behavior2025

Prevalence and risk of cognitive impairment among patients with asthma: A systematic review and meta-analysis.

Ganesh Bushi, Mahalaqua Nazli Khatib, Shilpa Gaidhane, Renuka Jyothi S, Manish Srivastava, Apurva Koul, M Ravi Kumar, Quazi Syed Zahiruddin, Sarvesh Rustagi, Sanjit Sah and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

12 authors.

Ganesh BushiCenter for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
Mahalaqua Nazli KhatibDivision of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher Education, Wardha, India.
Shilpa GaidhaneOne Health Centre (COHERD), Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education, Wardha, India.
Renuka Jyothi SDepartment of Biotechnology and Genetics, School of Sciences, JAIN (Deemed to be University), Bangalore, Karnataka, India.
Manish SrivastavaDepartment of Endocrinology, NIMS University, Jaipur, India.
Apurva KoulChandigarh Pharmacy College, Chandigarh Group of College, Mohali, Punjab, India.
M Ravi KumarDepartment of Chemistry, Raghu Engineering College, Visakhapatnam, Andhra Pradesh, India.
Quazi Syed ZahiruddinSouth Asia Infant Feeding Research Network (SAIFRN), Division of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher Education, Wardha, India.
Sarvesh RustagiSchool of Applied and Life Sciences, Uttaranchal University, Dehradun, Uttarakhand, India.
Sanjit SahDepartment of Paediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.
Hashem Abu SerhanDepartment of Ophthalmology, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0002-2953-2188
Muhammed ShabilUniversity Center for Research and Development, Chandigarh University, Mohali, Punjab, India.

Funding

Qatar National Library funded the publication of this article.
6 · The paper itself

Abstract

backgroundAsthma, a prevalent chronic respiratory condition, is hypothesized to influence cognitive health; however, the precise nature of this association remains unclear. This systematic review and meta-analysis aimed to elucidate the prevalence and risk of cognitive impairment in individuals with asthma.

methodsA comprehensive literature search was performed in databases such as PubMed, EMBASE, and Web of Science, spanning publications up to December 25, 2023. This search aimed to identify studies that assessed cognitive impairment in patients with asthma. We used the random effects model in the R v4.3 software for the meta-analysis to evaluate the prevalence and risk of cognitive decline, including dementia and Alzheimer's disease, among asthma patients. To ensure robustness and validity, the quality of the studies was assessed using Newcastle-Ottawa scale.

resultsTwelve studies met the inclusion criteria, of these 10 were eligible for meta-analysis. The pooled prevalence of cognitive impairment in patients with asthma was 16.3%. The analysis also revealed an increased hazard ratio of 1.47 (95% confidence interval [1.09; 1.84]) for cognitive impairment in patients with asthma compared to the control group (individuals without asthma). Significant heterogeneity and publication bias were observed across the studies. The results underscored the substantial correlation between asthma and heightened risks of cognitive decline, dementia, and Alzheimer's disease.

conclusionThis review found a notable association between asthma and an increased risk of cognitive decline, including dementia and Alzheimer's disease. These findings highlight the importance of integrating cognitive health assessments into asthma care. Further research is required to understand this relationship and develop effective treatments. Emphasizing a holistic approach to asthma management, these findings highlight the need to consider both respiratory and cognitive health for comprehensive patient care.

Indexed as

AsthmaCognitive DysfunctionAlzheimer DiseaseHumansPrevalenceRisk FactorsAlzheimer's diseaseasthmacognitive declinedementiameta‐analysissystematic review

Identifiers

PMID40017059
PMCPMC11868436

What OpenQuestion holds

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LicenceCC BY
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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.