Evidence map›Paper›PMID 40851413›Full record

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

Cardiovascular contributions to dementia: Examining sex differences and female-specific factors.

Madeline Wood Alexander, Jane Paterson, Zoe Arvanitakis, Sandra E Black, Kaitlin B Casaletto, Marie K Christakis, Gillian Einstein, Liisa A M Galea, Leila Harwood, Amy Kirkham and 7 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Considerations in Alzheimer's Disease in Women.Current neurology and neuroscience reports · 2026
    Review
  3. Age at menopause,Research square · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Associations between joint air pollution exposure, mental health, and physical health and dementia incidence in an aging U.S. cohort.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Cardiovascular contributions to dementia: Examining sex differences and female-specific factors.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  13. Article
  14. 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

17 authors.

Madeline Wood AlexanderHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.ORCID 0000-0003-4598-0201
Jane PatersonHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Zoe ArvanitakisRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Sandra E BlackHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Kaitlin B CasalettoMemory and Aging Center, Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, California, USA.
Marie K ChristakisDepartment of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario, Canada.
Gillian EinsteinRotman Research Institute, Baycrest Hospital, University of Toronto, Toronto, Ontario, Canada.
Liisa A M GaleaDepartment of Pharmacology & Toxicology, University of Toronto, Toronto, Ontario, Canada.
Leila HarwoodHarquail Centre for Neuromodulation, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Amy KirkhamFaculty of Kinesiology & Physical Education, University of Toronto, Toronto, Ontario, Canada.
Sara MitchellHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Judy PaAlzheimer's Disease Cooperative Study (ADCS), Department of Neurosciences, University of California San Diego, La Jolla, California, USA.
Lucas PerriHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Tallinn F L SplinterHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Walter SwardfagerHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Anna M VandeBunteMemory and Aging Center, Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, California, USA.
Jennifer S RabinHurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Funding

Alzheimer's Association AARG-23-1144933Alzheimer Society of Canada Research ProgramCIHR
6 · The paper itself

Abstract

Growing evidence underscores the importance of cardiovascular contributions to Alzheimer's disease and related dementias (AD/ADRD). While sex differences in cardiovascular disease (CVD) risk factors and outcomes are well established, the question of whether vascular contributions to AD/ADRD vary by sex has only recently garnered attention. In this narrative review, we discuss sex differences in conventional CVD risk factors (e.g., hypertension, dyslipidemia, diabetes), as well as underrecognized female-specific (e.g., menopause history, polycystic ovary syndrome, adverse pregnancy outcomes) and female-predominant (e.g., autoimmune conditions, breast cancer) CVD risk factors. Despite their relevance, these sex-specific considerations are rarely incorporated into current approaches to quantify CVD risk in AD/ADRD research. We offer recommendations to address these gaps and promote the use of sex-informed methods for studying cardiovascular contributions to AD/ADRD in women, which is essential for developing precision strategies to improve outcomes for all individuals at risk of dementia. HIGHLIGHTS: There are extensive sex differences in cardiovascular risk, dementia risk, and their interrelationships. Many cardiovascular risk factors confer greater risk for dementia in women than men. Existing approaches to quantifying cardiovascular risk often overlook sex differences and female-specific factors. Sex-informed approaches are essential for an accurate understanding of cardiovascular contributions to dementia.

Indexed as

Alzheimer DiseaseCardiovascular DiseasesDementiaSex CharacteristicsFemaleHeart Disease Risk FactorsHumansMaleRisk FactorsSex FactorsAlzheimer's diseasecardiovasculardementiasex differenceswomen's health

Identifiers

PMID40851413
PMCPMC12375877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.