Evidence map›Paper›PMID 40660754›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Cognitive impairment and dementia in Latin American individuals with parkinsonism and Parkinson's disease: A 10/66 Dementia Research Group study.

Nusrat Khan, Micaela María Arruabarrena, Dani J Kim, Miao Jiang, Juan J Llibre-Rodriguez, Ana M Rodriguez-Salgado, Issac Acosta, Ana Luisa Sosa, Daisy Acosta, Ivonne Z Jimenez-Velasquez and 10 more

Erratum issuedAbstract read
In one paragraph

Article 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. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Nusrat KhanPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Micaela María ArruabarrenaDepartment of Cognitive Neurology, Fleni, Buenos Aires, Argentina.
Dani J KimHealth Service and Population Research Department, Institute of Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Miao JiangInstitute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland.
Juan J Llibre-RodriguezDementia Research Unit, Medical University of Havana, Havana, Cuba.
Ana M Rodriguez-SalgadoGlobal Brain Health Institute, University of San Francisco California, San Francisco, California, USA.
Issac AcostaLaboratory of the Dementias, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Ana Luisa SosaLaboratory of the Dementias, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Daisy AcostaInternal Medicine Department, Geriatric Section, Universidad Nacional Pedro Henriquez Ureña (UNPHU), Santo Domingo, Dominican Republic.
Ivonne Z Jimenez-VelasquezInternal Medicine Department, Geriatrics Program, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
Mariella GuerraInstituto de la Memoria Depresion y Enfermedades de Riesgo IMEDER, Lima, Perú.
Aquiles SalasMedicine Department, Caracas University Hospital, Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela.
Ricardo López-ContrerasMemory Clinic, Neurology Service, Salvadoran Social Security Institute, San Salvador, El Salvador.
Dhara SantanaDepartment of Neurology, Hospital Félix María Goico, Santo Domingo, Dominican Republic.
Joel SolorzanoDepartment of Medicine, Hospital Antonio LuacesIralola, Ciegode Avila, Cuba.
Christine JeyachandranFaculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Heike HesseInstituto de Investigaciones One Health, Universidad Tecnológica Centroamericana, Tegucigalpa, Honduras.
Caroline TannerDepartment of Neurology, Weill Institute for Neurosciences, University of California-San Francisco, San Francisco, California, USA.
Matthew PrinaPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Jorge J Llibre-GuerraDepartment of Neurology, Washington University in Saint Louis, Saint Louis, Missouri, USA.

Funding

Alzheimer's Association 24HPE-1287320Alzheimer's Association ALZSI-25-1464205Michael J. Fox Foundation for Parkinson's Research MJFF-020770Wellcome Trust
6 · The paper itself

Abstract

introductionThis study aimed to determine the associations between parkinsonism and Parkinson's disease (PD) with cognitive impairment and dementia in a multi-country cohort in Latin America, using data from the 10/66 Dementia Research Group.

methodsThis population-based prospective cohort study was conducted in six Latin American countries, including 11,321 participants 65 years of age or older living in urban and rural areas.

resultsAt baseline, the prevalence of cognitive impairment in people with parkinsonism and PD was 33% and 26%, respectively. Parkinsonism (odds ratio [OR] 2.2 [95% confidence interval [CI] 1.9-2.6] and PD (OR 1.9 [95% CI 1.4-2.4]) were individually associated with baseline cognitive impairment and incident dementia. The pooled sub-hazard ratios for dementia in fixed-effect meta-analysis were 1.5 (95% CI 1.2-1.9) for parkinsonism and 1.5 (95% CI 1.0-2.2) for PD. DISCUSSION: Parkinsonism and PD were cross-sectionally associated with cognitive impairment and prospectively associated with incident dementia. These findings underscore the importance of routine screening for cognitive impairment in individuals with parkinsonism and PD, to facilitate early detection and intervention strategies that mitigate adverse outcomes. HIGHLIGHTS: The present study is one of the first longitudinal investigations into the association of parkinsonism and Parkinson's disease (PD) with cognitive impairment and dementia incidence in Latin America. Parkinsonism and PD showed strong cross-sectional associations with cognitive impairment, with consistent estimates across countries, independent of demographic factors. Parkinsonism and PD were linked to a significantly higher incidence of dementia over a 4-year follow-up period. Findings emphasize the need for routine cognitive screening in Parkinsonism and PD.

Indexed as

Cognitive DysfunctionDementiaParkinson DiseaseParkinsonian DisordersAgedAged, 80 and overCohort StudiesCross-Sectional StudiesFemaleHumansLatin AmericaMalePrevalenceProspective Studiescognitive impairmentdementiaLatin AmericaparkinsonismParkinson's disease

Identifiers

PMID40660754
PMCPMC12260215

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LicenceCC BY-NC
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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.