Evidence map›Paper›PMID 40748448›Full record

Trial reportEuropean geriatric medicine2025

Sex differences in health-related quality of life among individuals at high risk of dementia.

Ana Sofia Oliveira, Sílvia Lopes, Lara Noronha Ferreira, Vítor Tedim Cruz, Ana Rute Costa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. 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

5 authors.

Ana Sofia OliveiraLocal Health Unit Between Douro and Vouga, Santa Maria da Feira, Portugal.
Sílvia LopesNOVA National School of Public Health, CHRC, REAL, CCAL, NOVA University Lisbon, Lisbon, Portugal.
Lara Noronha FerreiraUniversidade do Algarve - ESGHT, Faro, Portugal.
Vítor Tedim CruzEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto, Porto, Portugal.
Ana Rute CostaEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Universidade do Porto, Porto, Portugal. arcosta@ispup.up.pt.ORCID http://orcid.org/0000-0002-8388-2226

Funding

Fundação para a Ciência e a Tecnologia 2022.03483.CEECIND/CP1732/CT0002Fundação para a Ciência e a Tecnologia LA/P/0064/2020Fundação para a Ciência e a Tecnologia UIDB/04750/2020Portugal Social Innovation, Social Inclusion and Employment Operational Program, Portugal 2020 and the European Union through the European Social Fund, Matosinhos City Council POISE-03-4639-FSE-000793
6 · The paper itself

Abstract

purposeDementia represents an increasing challenge to health systems globally, with a notable impact on health-related quality of life (HRQoL). Nevertheless, the potential effect of sex on the relation between individuals' characteristics and HRQoL, particularly in the early stages of this disease, remains unclear. Therefore, the present study aims to evaluate the association between sociodemographic, lifestyle and health-related factors with HRQoL among individuals at high risk of dementia, according to sex.

methodsThis cross-sectional study was based on baseline data from the MIND-Matosinhos randomized controlled trial, targeting Portuguese adults at high risk of dementia [n = 207; 59.9% female; median age = 70.0 (interquartile range: 11)]. HRQoL was measured using the EQ-5D-5L. The associations between explanatory variables and HRQoL scores (dichotomized by the median) were quantified through odds ratios (OR) and 95% confidence intervals (CI), stratified by sex.

resultsOverall, females reported lower HRQoL when compared with males [median (interquartile range): 0.875 (0.190) vs. 0.923 (0.129); p = 0.004]. Problems in mobility (43.6% vs. 27.7%; p = 0.021), pain/discomfort (71.8% vs. 44.6%; p < 0.001) and anxiety/depression (66.9% vs. 45.8%; p = 0.002), as well as the existence of any problem in five dimensions (7.3% vs. 3.6%; p = 0.004), were more frequently referred by females than males. A stronger association between poorer self-perceived health status and lower HRQoL was observed among females (OR = 8.75, 95% CI:3.64-21.03) compared to males (OR = 1.88, 95% CI:0.72-4.89; p for interaction = 0.020).

conclusionHealth status is associated with HRQoL, distinctively amongst males and females. These findings emphasize the need for sex-specific public health strategies to improve HRQoL in a vulnerable population of individuals at high risk of dementia.

Indexed as

DementiaHealth StatusQuality of LifeAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLife StyleMaleMiddle AgedPortugalRisk FactorsSex FactorsCognitive declineDementiaGenderQuality of lifeRisk factors

Identifiers

PMID40748448
PMCPMC12743678

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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.