Evidence map›Paper›PMID 40687743›Full record

ArticleEClinicalMedicine2025

Temporal dynamics in the association between depression and dementia: an umbrella review and meta-analysis.

Jacob Brain, Maha Alshahrani, Aysegul Humeyra Kafadar, Eugene Yh Tang, Elissa Burton, Leanne Greene, Deborah Turnbull, Bronwyn Myers, Aliya Naheed, Mario Siervo and 2 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Plasma GFAP modifies the association of depressive symptoms with cognitive function: A population-based study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Considerations in Alzheimer's Disease in Women.Current neurology and neuroscience reports · 2026
    Review
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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

12 authors.

Jacob BrainInstitute of Mental Health, The University of Nottingham Medical School, Nottingham, NG7 2UH, UK.
Maha AlshahraniDementia Centre of Excellence, Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
Aysegul Humeyra KafadarInstitute of Mental Health, The University of Nottingham Medical School, Nottingham, NG7 2UH, UK.
Eugene Yh TangPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
Elissa BurtonDementia Centre of Excellence, Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
Leanne GreeneDepartment of Health and Community Sciences, University of Exeter Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, EX1 2LU, UK.
Deborah TurnbullFreemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Psychology, The University of Adelaide, Adelaide, SA, Australia.
Bronwyn MyersDementia Centre of Excellence, Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
Aliya NaheedNon-Communicable Diseases, Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh.
Mario SiervoDementia Centre of Excellence, Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
Phillip J TullyFreemasons Foundation Centre for Men's Health, Discipline of Medicine, School of Psychology, The University of Adelaide, Adelaide, SA, Australia.
Blossom Cm StephanInstitute of Mental Health, The University of Nottingham Medical School, Nottingham, NG7 2UH, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Identifying modifiable risk factors is crucial for dementia prevention, a global health concern. Depression is considered a risk factor for dementia, but the temporal dynamics across the life course remain inconclusive. Therefore, we aimed to systematically assess the relationship between the timing of depression assessment and risk of all-cause late-life dementia. Methods: We conducted an umbrella review and meta-analysis to assess incident dementia in individuals with non-current history of depression. PubMed and Ovid Embase, MEDLINE, and PsycInfo were searched from inception up to February 17, 2025. Systematic reviews with meta-analyses investigating the association between depression and incident late-life dementia were included. From eligible reviews, we also extracted data from studies reporting dementia risk as hazard ratios (HRs), analysing the timing of depression measurement using random-effects models for meta-analysis. This study is registered with PROSPERO, CRD42021249706. Findings: Of the 7763 records identified, nine reviews were eligible for inclusion of the umbrella review. One review was judged to be of moderate quality, while the others were either low ( Interpretation: The findings suggest that depression across the life course may increase dementia risk; however, substantial heterogeneity and review quality should be considered when interpreting the strength of this evidence. A life course approach to the treatment and prevention of depression may help reduce the burden of dementia, but this will require scaling up access to effective mental health care for vulnerable populations. Further research is needed to clarify if the stronger late-life association reflects depression as an immediate risk factor or an early manifestation of neurodegenerative processes. Funding: National Institute for Health and Care Research, UK Research and Innovation, and Saudi Arabian Cultural Mission.

Indexed as

DementiaDepressionMeta-analysisReviewRisk factors

Identifiers

PMID40687743
PMCPMC12273843

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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.