Evidence map›Paper›PMID 40754890›Full record

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

Sex-specific association of depressive symptom trajectories with cognitive decline and clinical progression in mild cognitive impairment.

Xiwu Wang, Teng Ye, Alzheimer's Disease Neuroimaging Initiative, Wenjun Zhou, Jie Zhang

Abstract 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. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Considerations in Alzheimer's Disease in Women.Current neurology and neuroscience reports · 2026
    Review
  3. Article
  4. 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

5 authors.

Xiwu WangDepartment of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, China.
Teng YeDepartment of Ultrasound, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Alzheimer's Disease Neuroimaging Initiative
Wenjun ZhouResearch and Development, Hangzhou Shansier Medical Technologies Co., Ltd, Hangzhou, China.
Jie ZhangDepartment of Statistical Science, Hangzhou Shansier Medical Technologies Co., Ltd, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSex differences in the association between depressive symptoms and cognitive decline or dementia risk among older adults remain controversial. Reliance on single time point assessments of depressive symptoms, which fail to capture their dynamic course, may contribute to the inconsistencies.

methodsWe investigated the sex-specific associations of longitudinal trajectories of depressive symptoms with cognitive decline and progression from mild cognitive impairment (MCI) to Alzheimer's disease (AD) dementia among 811 individuals with MCI.

resultsIn men, increasing depressive symptoms were associated with significantly steeper rates of cognitive decline, as measured by global cognitive and functional outcomes, and with an increased risk of dementia compared to consistently low depressive symptoms. In women, however, these associations were absent. Exploratory analyses using multiple specific cognitive domains as outcomes were also generally consistent with our main findings. DISCUSSION: These findings have critical implications for developing sex-specific, depression-targeted dementia prevention strategies. HIGHLIGHTS: We examined the sex-specific effects of depressive symptom trajectories on cognition and dementia risk in the Alzheimer's Disease Neuroimaging Initiative cohort. Increasing depressive symptoms were associated with cognitive and functional decline in men. Increasing depressive symptoms contributed to conversion to dementia in men. These associations were absent in women.

Indexed as

Cognitive DysfunctionDepressionSex CharacteristicsAgedAged, 80 and overAlzheimer DiseaseDisease ProgressionFemaleHumansLongitudinal StudiesMaleNeuropsychological TestsSex Factorscognitive declineconversiondepressive symptomslongitudinal k‐meansmild cognitive impairmentsex differences

Identifiers

PMID40754890
PMCPMC12319156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.