Evidence map›Paper›PMID 40082927›Full record

SynthesisSystematic reviews2025

Summarizing attributable factors and evaluating risk of bias of Mendelian randomization studies for Alzheimer's dementia and cognitive status: a systematic review and meta-analysis.

Xiaoni Meng, Xiaochun Li, Meiling Cao, Jing Dong, Haotian Wang, Weijie Cao, Di Liu, Youxin Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

8 authors.

Xiaoni Meng *Department of Clinical Epidemiology, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China.
Xiaochun Li *School of Public Health, Capital Medical University, Beijing, 100069, China.
Meiling Cao *School of Public Health, Capital Medical University, Beijing, 100069, China.
Jing DongHealth Management Center, Xuanwu Hospital, Capital Medical University, Beijing, 100050, China.
Haotian WangSchool of Public Health, Capital Medical University, Beijing, 100069, China.
Weijie CaoCentre for Precision Medicine, Edith Cowan University, Perth, WA, 7027, Australia.
Di LiuShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, University Town, 1068 Xueyuan Avenue, Nanshan District, Shenzhen, 518055, China. di.liu@siat.ac.cn.
Youxin WangCentre for Precision Medicine, Edith Cowan University, Perth, WA, 7027, Australia. wangy@ccmu.edu.cn.ORCID 0000-0002-6574-6706

Funding

National Key R&D Program of China-European Commission Horizon 2020 2017YFE0118800-779238
6 · The paper itself

Abstract

backgroundNo effective treatment is available to delay or reverse the onset and progression of Alzheimer's dementia (AD). Mild cognitive impairment, a clinical state between normal aging and AD, may offer the proper window for AD intervention and treatment. This systematic review aimed to summarize evidence from Mendelian randomization (MR) studies exploring factors attributable to AD and related cognitive status and to assess its credibility.

methodsWe searched PubMed, Embase, MEDLINE, and the Cochrane Library to identify MR studies investigating the associations between any factor and AD and related cognitive status. The risk of bias in MR studies was evaluated using nine signaling questions tailored to identify potential biases based on the STROBE-MR guidelines.

resultsA total of 125 eligible publications were examined, including 106 AD-related MR studies reporting 674 records and 28 cognition-related MR studies reporting 141 records. We identified 185 unique causal risk factors for AD and 49 for cognitive status. More than half of the MR studies reporting AD or cognitive status outcomes exhibited poor methodological quality, with a high risk of bias observed in 59% of the AD-related studies and 64% of the cognitive-related studies.

conclusionsThis systematic review summarized modifiable factors and omics signatures, providing a database of MR studies on AD and related cognitive status. The evaluation of bias risk in MR studies serves to raise awareness and improve overall quality. A critical appraisal checklist for assessing the risk of bias may pave the way for the development of a standardized tool. SYSTEMATIC REVIEW REGISTRATION: The review protocol was registered with the Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42023213990.

Indexed as

Alzheimer DiseaseCognitionCognitive DysfunctionMendelian Randomization AnalysisBiasHumansRisk FactorsAlzheimer’s dementiaCognitive statusMendelian randomizationModifiable factorsRisk of biasSystemic review

Identifiers

PMID40082927
PMCPMC11905674

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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.