Evidence map›Paper›PMID 40951465›Full record

SynthesisNarra J2025

Associations between plasma beta amyloid and cognitive decline: A systematic review and meta-analysis.

Cynthia Cynthia, Jusak Nugraha, Muhammad Hamdan, Rahajuningsih Dharma, Silvia F Limempouw

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Narra J, 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. 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.

Cynthia CynthiaDoctoral Program in Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Jusak NugrahaDepartment of Clinical Pathology, Dr. Soetomo General Academic Hospital, Universitas Airlangga, Surabaya, Indonesia.
Muhammad HamdanDepartment of Neurology, Dr. Soetomo General Academic Hospital, Universitas Airlangga, Surabaya, Indonesia.
Rahajuningsih DharmaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Tarumanagara, Jakarta, Indonesia.
Silvia F LimempouwDepartment of Neurobehaviour, Movement Disorder, and Neurogeriatry, Prof. DR. dr. Mahar Mardjono National Brain Center Hospital, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alzheimer's disease is a leading neurodegenerative disorder characterized by progressive cognitive decline. Early prediction is crucial for enabling timely interventions. Plasma amyloid β-peptides (Aβ), particularly the Aβ-42/Aβ-40 ratio, have been proposed as potential non-invasive biomarkers for cognitive decline and Alzheimer's disease risk. However, conflicting findings and methodological variability have hindered consensus regarding their clinical utility. The aim of this study was to evaluate whether the plasma Aβ levels predict dementia, Alzheimer's disease, and cognitive decline. Studies were eligible for inclusion if they measured at least one plasma Aβ species (Aβ-40, Aβ-42, or the Aβ-42/Aβ-40 ratio) and reported outcomes related to dementia, Alzheimer's disease, or cognitive change. Only human studies published in peer-reviewed journals were included. A comprehensive search of six databases (PubMed, PMC, SSRN, Scopus, BioRxiv, and MedRxiv) was conducted up to December 1, 2024. Risk of bias was assessed using the ROBINS-E tool, and pooled hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated using a random-effects meta-analysis. A total of 25 studies were included in the systematic review, with four contributing to the meta-analysis. Lower plasma Aβ-42/Aβ-40 ratio was not significantly associated with Alzheimer's disease risk (pooled HR=0.8; 95%CI: 0.62-1.04), and substantial heterogeneity was observed (

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCognitive DysfunctionPeptide FragmentsBiomarkersHumansAmyloid beta-PeptidesBiomarkersPeptide FragmentsAlzheimer’s diseasebiomarkerscognitive declinemeta-analysisplasma amyloid beta

Identifiers

PMID40951465
PMCPMC12425541

What OpenQuestion holds

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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.