Evidence map›Paper›PMID 40366507›Full record

Trial reportAging clinical and experimental research2025

Targeting brain health in subjective cognitive decline: insights from a multidomain randomized controlled trial.

Elena Rolandi, Alessandra Dodich, Sara Mandelli, Nicola Canessa, Clarissa Ferrari, Federica Ribaldi, Giulio Munaretto, Claudia Ambrosi, Roberto Gasparotti, Davide Violi and 7 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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.

NCT03382353 nacompletednot on this map

Efficacy of Multiple Nonpharmacological Interventions in Individuals With Subjective Memory Complaints

TypeinterventionalSponsorIRCCS Centro San Giovanni di Dio FatebenefratelliRan2016 to 2018Enrolled120ConditionsLifestyle Risk ReductionArmsNutritional supplementation, Educational training, Counselling on a brain-healthy diet, Physical exercise training, Computerized cognitive training
NCT04744922 nacompletednot on this map

Clinical and Biological Effects of Citrus-phytochemicals in Subjective Cognitive Decline: a Pilot Randomized Controlled Trial.

TypeinterventionalSponsorIRCCS Centro San Giovanni di Dio FatebenefratelliRan2021 to 2023Enrolled80ConditionsSubjective Cognitive DeclineArmsExtracts of citrus peels standardized in AUR and NAR (phytocomplex).
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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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

17 authors.

Elena RolandiGolgi Cenci Foundation, 20081, Abbiategrasso, Italy.
Alessandra DodichCenter for Mind/Brain Sciences - CIMeC, University of Trento, Rovereto, TN, Italy.
Sara MandelliLaboratory of Pharmacoepidemiology and Human Nutrition, Department of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri, 2, 20156, Milan, Italy.
Nicola CanessaIUSS Cognitive Neuroscience (ICoN) Center, Scuola Universitaria Superiore IUSS, 27100, Pavia, Italy.
Clarissa FerrariFondazione Poliambulanza Istituto Ospedaliero, 25124, Brescia, Italy.
Federica RibaldiGeneva Memory Center, Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland.
Giulio MunarettoLaboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni 4, 25125, Brescia, Italy.
Claudia AmbrosiDepartment of Diagnostic Imaging, Neuroradiology Unit, University of Brescia, Brescia, Italy.
Roberto GasparottiDepartment of Diagnostic Imaging, Neuroradiology Unit, University of Brescia, Brescia, Italy.
Davide VioliMillennium Sport & Fitness, 25124, Brescia, Italy.
Sandro IannacconeSan Raffaele Hospital and Scientific Institute, 20132, Milan, Italy.
Alessandra MarconeSan Raffaele Hospital and Scientific Institute, 20132, Milan, Italy.
Andrea FaliniSan Raffaele Hospital and Scientific Institute, 20132, Milan, Italy.
Giovanni B FrisoniGeneva Memory Center, Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland.
Samantha GalluzziLaboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni 4, 25125, Brescia, Italy. sgalluzzi@fatebenefratelli.eu.
Chiara CeramiIUSS Cognitive Neuroscience (ICoN) Center, Scuola Universitaria Superiore IUSS, 27100, Pavia, Italy.
Enrica CavedoLaboratory of Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni 4, 25125, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidomain lifestyle interventions are a promising approach to prevent cognitive decline, but their effects in subjective cognitive decline (SCD) remain controversial. We investigated the effects of lifestyle interventions on cognition and brain integrity in these at-risk individuals.

methodsOne-hundred twenty-eight older adults with SCD were randomly assigned to either Active Control Intervention (ACI), i.e. health education; Partial Intervention (PI), i.e. tramiprosate supplementation (100 mg/die) and dietary advice; or Multilevel Intervention (MI), i.e. PI plus computerized cognitive training and physical exercise, for one year. Neuropsychological assessment and MRI were performed at baseline and at 1-year follow-up. Analyses of covariance were used to measure the effects of interventions on predefined outcomes.

resultsThe MI group significantly improved in attention-executive functioning (p = 0.003) compared to ACI (Cohen's d: 0.47, 95% CI 0.13-0.79). In addition, depressive symptoms (Cohen's d: - 0.48, 95% C.I. - 0.81 to - 0.14) and memory concerns (Cohen's d: - 0.77, 95% C.I. - 1.12 to - 0.41) decreased in the MI and PI respectively, relative to the ACI. The MI group also showed increased resting-state (i.e., intrinsic) brain activity in the right fronto-parietal executive network. No significant intervention effects on brain structural or vascular outcomes were found.

conclusionThe study shows that a multidomain lifestyle intervention can enhance attention-executive function, ameliorate depressive symptoms and increase functional connectivity in SCD. These findings support the role of lifestyle interventions in public health strategies to mitigate cognitive decline risk.

trial registrationThe trial has been registered at the United States National Library of Medicine at the National Institutes of Health Registry of Clinical Trials under the code NCT04744922 on December 9th, 2017 ( https://www. CLINICALTRIALS: gov/ct2/show/NCT03382353 ).

Indexed as

BrainCognitive DysfunctionAgedCognitionExecutive FunctionExerciseFemaleHumansLife StyleMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsDementia preventionfMRILifestyleMultidomain interventionsSubjective cognitive decline

Identifiers

PMID40366507
PMCPMC12078420

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.