Evidence map›Paper›PMID 40556311›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Baseline characteristics of the U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk (U.S. POINTER): Successful enrollment of a diverse clinical trial cohort at risk for cognitive decline.

Rachel A Whitmer, Laura D Baker, Maria C Carrillo, Heather M Snyder, MaryJo L Cleveland, Darren R Gitelman, Miia Kivipelto, Xiaoyan I Leng, Laura Lovato, Kathryn V Papp and 10 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00017953 (Look AHEAD), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT00017953 nacompletednot on this map

Look AHEAD: Action for Health in Diabetes

TypeinterventionalSponsorWake Forest University Health SciencesRan2001 to 2020Enrolled5,145ConditionsDiabetes, Myocardial Infarction, Stroke, Kidney DiseasesArmsLifestyle Intervention, Diabetes Support and Education
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Relative impact of multidomain lifestyle interventions on deficit accumulation frailty over 24 months in the U.S. POINTER trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Trial
  3. Trial
  4. Review
  5. Elevated AD biomarkers do not explain cognitive performance in a community-recruited clinical trial cohort.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Review
  7. Article
  8. Unraveling the Effects ofInternational journal of molecular sciences · 2025
    Review
  9. Review
  10. Review
  11. What the U.S. POINTER results mean for public health initiatives and the Alzheimer's Association.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. The U.S. POINTER neurovascular ancillary study: Study design and methods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  13. 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

20 authors.

Rachel A WhitmerDepartment of Public Health Sciences, University of California Davis, Davis, California, USA.
Laura D BakerDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
Maria C CarrilloAlzheimer's Association, Medical and Scientific Relations, Alzheimer's Association, Chicago, Illinois, USA.
Heather M SnyderAlzheimer's Association, Medical and Scientific Relations, Alzheimer's Association, Chicago, Illinois, USA.
MaryJo L ClevelandDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
Darren R GitelmanDepartment of Neuropsychiatry, Advocate Health, Chicago, Illinois, USA.
Miia KivipeltoDivision of Clinical Geriatrics, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden.
Xiaoyan I LengDivision of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Laura LovatoDivision of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Kathryn V PappDepartment of Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Valory N PavlikDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Stephen P SallowayButler Hospital, Memory and Aging Program, and Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Christy C TangneyDepartments of Clinical Nutrition, and Family and Preventive Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Sarah Tomaszewski FariasDepartment of Neurology, University of California Davis, Sacramento, California, USA.
Jeff D WilliamsonDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
Sharon WilmothDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
Nancy WoolardDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
Melissa YuDepartment of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Mark Andrew EspelandDepartment of Internal Medicine, Wake Forest University School of Medicine, The Sticht Center for Healthy Aging and Alzheimer's Prevention, -Salem, Winston, North Carolina, USA.
U.S. POINTER Study Group

Funding

Project 4 - Mechanistic studies on the role of the gut microbiome in models for Alzheimer's diseaseU19AG063744 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Rima F Kaddurah-Daouk · 2019 to 2026
$54.1M
US POINTER Neuroimaging Ancillary StudyR01AG062689 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI LANDAU, SUSAN M · 2019 to 2025
$47.3M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUZANNE CRAFT · 2021 to 2026
$24.3M
The POINTER Neurovascular Ancillary StudyR01AG066910 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRINKLEY, TINA E, SHALTOUT, HOSSAM · 2020 to 2024
$10.2M
POINTER-zzz: Sleep Ancillary to U.S. Study to Protect Brain Health through Lifestyle Intervention to Reduce Risk of Alzheimer's Disease - AdminR01AG064440 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Laura D. Baker · 2019 to 2026
$7.1M
NIA NIH HHS P30 AG072947NIA NIH HHS R01 AG062689NIA NIH HHS R01 AG064440NIA NIH HHS R01 AG066910NIA NIH HHS U19 AG063744U.S. POINTER AG062689U.S. POINTER AG063744U.S. POINTER AG064440U.S. POINTER AG066910
6 · The paper itself

Abstract

introductionThe U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk (U.S. POINTER) is a 2-year randomized controlled trial of two lifestyle interventions in 2111 older adults at increased risk for cognitive decline.

methodsSociodemographic and clinical characteristics and rates of ancillary study participation were described with means and frequencies.

resultsU.S. POINTER successfully enrolled a cohort, ages 60-79 years, which was ethno-racially inclusive (>30% individuals from groups often under-represented in clinical trials with cognitive outcomes) and 18% residing in neighborhoods with moderate or high levels of socioeconomic deprivation. Enrollees were cognitively intact but at increased risk for cognitive decline. Participation in ancillary studies (overall 73%) was uniformly high across sociodemographic groups. DISCUSSION: The trial cohort meets study goals and provides a basis for assessing multidomain lifestyle intervention effects on cognitive function and other health outcomes that will generalize to large portions of the at-risk US populations. CLINICALTRIALS: GOV IDENTIFIER: NCT00017953. HIGHLIGHTS: The U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk (U.S. POINTER) enrolled individuals at enhanced risk for cognitive decline. Efforts to engage socio-demographically representative individuals were successful. Four ancillary studies with high rate of recruitment extend scientific impact.

Indexed as

Cognitive DysfunctionLife StyleRisk Reduction BehaviorAgedCohort StudiesFemaleHumansMaleMiddle AgedRisk FactorsUnited StatesAlzheimer's diseaseancillary studiescognitive functionmultidomain lifestyle interventionsrandomized controlled clinical trialrecruitmentrisk factors

Identifiers

PMID40556311
PMCPMC12187955

What OpenQuestion holds

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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.