Evidence map›Paper›PMID 40270712›Full record

ArticleEClinicalMedicine2025

Qualitative and quantitative educational disparities and brain signatures in healthy aging and dementia across global settings.

Raul Gonzalez-Gomez, Josephine Cruzat, Hernán Hernández, Joaquín Migeot, Agustina Legaz, Hernando Santamaria-García, Sol Fittipaldi, Marcelo Adrián Maito, Vicente Medel, Enzo Tagliazucchi and 25 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. The landscape of dementia research, diagnosis, treatment, and care in Latin America.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Creative experiences and brain clocks.Nature communications · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Biological imprint of education and rights-based brain capital.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  15. Article
  16. Observational
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

35 authors.

Raul Gonzalez-GomezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Josephine CruzatLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Hernán HernándezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Joaquín MigeotLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Agustina LegazLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Hernando Santamaria-GarcíaPontificia Universidad Javeriana, Bogotá D.C., Colombia.
Sol FittipaldiLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Marcelo Adrián MaitoCognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina.
Vicente MedelLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Enzo TagliazucchiLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Pablo BarttfeldInstituto de Investigaciones Psicológicas, Córdoba, Argentina.
Daniel Franco-O'ByrneLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Ana María Castro LaguardiaLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Patricio A BorquezColegio Suizo de Santiago, Santiago, Chile.
José Alberto Avila-FunesDirección de Enseñanza, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Ciudad de México, México.
María I BehrensFaculty of Medicine, University of Chile, Santiago, Chile.
Nilton CustodioUnit Cognitive Impairment and Dementia Prevention, Peruvian Institute of Neurosciences, Lima, Peru.
Temitope FarombiGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Adolfo M GarcíaGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Indira Garcia-CorderoCognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina.
Maria E GodoyLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Cecilia Gonzalez CampoCognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina.
Kun HuDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Brian LawlorGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Diana L MatallanaInstituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.
Bruce MillerGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Maira Okada de OliveiraGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Stefanie D Pina-EscuderoGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Elisa de Paula França ResendeGlobal Brain Health Institute (GBHI), University of California, San Francisco, San Francisco, CA, USA.
Pablo ReyesInstituto de Envejecimiento, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.
Andrea SlachevskyServicio de Neurología, Departamento de Medicina, Clínica Alemana-Universidad del Desarrollo, Santiago de Chile, Chile.
Leonel T TakadaUniversidade de São Paulo, São Paulo, Brazil.
Görsev G YenerFaculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Carlos Coronel-OliverosLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.
Agustin IbañezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While education is crucial for brain health, evidence mainly relies on individual measures of years of education (YoE), neglecting education quality (EQ). The effect of YoE and EQ on aging and dementia has not been compared. Methods: We conducted a cross-sectional assessment of the effect of EQ and YoE on brain health in 7533 subjects from 20 countries, including healthy controls (HCs), Alzheimer's disease (AD), and frontotemporal lobar degeneration (FTLD). EQ was based on country-level quality indicators provided by the programme for international student assessment (PISA). After applying neuroimage harmonization, we examined its effect, along with YoE, on gray matter volume and functional connectivity. Regression models were adjusted for age, sex, and cognition, controlling for multiple comparisons. The influence of image quality was assessed through sensitivity analysis. Data collection was conducted between June 1 and October 30, 2024. Findings: Less EQ and YoE were associated with brain alterations across groups. However, EQ had a stronger influence, mainly targeting the critical areas of each condition. At the whole-brain level, EQ influenced volume (HCs: Δmean = 2·0 [1·9-2·0] × 10 Interpretation: The results support the need to incorporate education quality into studying and improving brain health, underscoring the importance of country-level measures. Funding: Multi-partner consortium to expand dementia research in Latin America (ReDLat).

Indexed as

Aging and dementiaBrain healthEducational disparitiesEducation qualityYears of education

Identifiers

PMID40270712
PMCPMC12018025

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.