Evidence map›Paper›PMID 40755143›Full record

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

Multimorbidity in dementia: Current perspectives and future challenges.

Lucy E Stirland, Radmila Choate, Preeti Pushpalata Zanwar, Panpan Zhang, Tamlyn J Watermeyer, Martina Valletta, Mario Torso, Stefano Tamburin, Usman Saeed, Gerard R Ridgway and 13 more

Abstract readReview
In one paragraph

Review 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 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Clinical Group Assignment in Home Health Care for Medicare Beneficiaries With ADRD: A 2019 Pre-PDGM Simulation.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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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

23 authors.

Lucy E StirlandDivision of Psychiatry, Institute of Neuroscience and Cardiovascular Research, University of Edinburgh, Edinburgh, UK.
Radmila ChoateDepartment of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Preeti Pushpalata ZanwarIrma Lerma Rangel College of Pharmacy, Texas A&M University, Kingsville, Texas, USA.
Panpan ZhangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Tamlyn J WatermeyerDepartment of Psychology, Faculty of Health & Life Sciences, Northumbria University, Newcastle-Upon-Tyne, UK.
Martina VallettaAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Mario TorsoOxford Brain Diagnostics Ltd, Oxford, UK.
Stefano TamburinDepartment of Neurosciences, Biomedicine and Movement Sciences, GB Rossi Hospital, University of Verona, Verona, Italy.
Usman SaeedInstitute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Gerard R RidgwayOxford Brain Diagnostics Ltd, Oxford, UK.
Shirine MoukaledDepartment of Epidemiology, Tulane University, New Orleans, Louisiana, USA.
Jay B LuskDepartment of Family Medicine, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.
Samantha M LoiDepartment of Psychiatry and Neuropsychiatry Centre, University of Melbourne and Royal Melbourne Hospital, Parkville, Victoria, Australia.
Thomas J LittlejohnsNuffield Department of Population Health, Big Data Institute, University of Oxford, Oxford, UK.
Elżbieta KuźmaAlbertinen Krankenhaus/Albertinen Haus gGmbH, Academic Teaching Hospital of the Faculty of Medicine, University of Hamburg, Hamburg, Germany.
Sarah-Naomi JamesMRC Unit for Lifelong Health and Ageing, University College London, London, UK.
Giulia GrandeAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Solna, Sweden.
Isabelle F FooteInstitute for Behavioral Genetics, University of Colorado Boulder, Boulder, Colorado, USA.
Katheryn A Q CousinsDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joe ButlerSchool of Psychology, University of Sunderland, Sunderland, UK.
Abrar AbuHamdiaDivision of Genomics and Precision Medicine, College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar.
Thiago J Avelino-SilvaGlobal Brain Health Institute, University of California San Francisco Memory and Aging Center, San Francisco, California, USA.
Vidyani SuryadevaraDepartment of Radiology, Molecular Imaging Program at Stanford (MIPS), Stanford University School of Medicine, Stanford, California, USA.

Funding

The Health & Aging Brain Study - Health Disparities (HABS-HD)U19AG078109 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI Sid E O'Bryant · 2022 to 2026
$181.1M
Resources and DisseminationP30AG066619 · NIA · UNIVERSITY OF CHICAGO · PI DAVID O MELTZER · 2020 to 2026
$6.8M
Large-Scale Genomic Analysis of Aging-Related Cognitive Change Prior to Dementia OnsetR01AG073593 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI TUCKER-DROB, ELLIOT MAX · 2024 to 2025
$1.3M
National Center on Advancing Translational Sciences Training Program 3OT2OD032581-01S1-713National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria (NENC) NIHR200173NIA NIH HHS P30AG066619NIA NIH HHS R01AG073593NIA NIH HHS R01-AG087258NIA NIH HHS U19AG078109Nicolaus and Margrit Langbehn FoundationNIH HHSOntario Graduate ScholarshipQueen Elizabeth II/Paul and Adelle DEACON Graduate Scholarships in Science and TechnologyUniversity of Toronto Fellowship
6 · The paper itself

Abstract

Multimorbidity-the co-occurrence of two or more chronic health conditions-affects > 86% of people with dementia. It is associated with cognitive and functional decline, reduced health-related quality of life, increased health-care use, and higher mortality. The relationship between multimorbidity and dementia is potentially bidirectional; conditions such as hypertension and diabetes increase the risk of developing dementia, and cognitive impairment can complicate their management. This complexity presents challenges in health care and research, affecting treatment decisions and often leading to the exclusion of these individuals from clinical trials. Understanding multimorbidity through long-term prospective studies is crucial to clarify its relationship with dementia. Investigating specific disease combinations, environmental and genetic factors, and their impacts on cognitive health will guide the development of effective prediction models and inclusive intervention strategies for diverse global populations across the life course. HIGHLIGHTS: Multimorbidity affects > 86% of individuals with dementia, worsening outcomes. The relationship between multimorbidity and dementia is potentially bidirectional. Chronic conditions hinder dementia management and clinical trial inclusion. Life-course multimorbidity research is key to dementia risk reduction strategies. Prospective studies are needed to improve prediction models and interventions.

Indexed as

DementiaMultimorbidityComorbidityHumansQuality of Lifeall‐cause dementiacomorbiditymultimorbiditymultiple long‐term conditions

Identifiers

PMID40755143
PMCPMC12319240

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.