Evidence map›Paper›PMID 41066678›Full record

SynthesisAge and ageing2025

Life satisfaction and risk of dementia in older adults: findings from 15 European countries and meta-analysis.

Selin Karakose, Amanda A Miller, Martina Luchetti, Yannick Stephan, Angelina R Sutin, Antonio Terracciano

Abstract readMeta-Analysis
In one paragraph

Synthesis in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Review
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

6 authors.

Selin KarakoseGeriatrics, Florida State University College of Medicine, Tallahassee, FL 32306, USA.ORCID 0000-0001-8629-4422
Amanda A MillerBehavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA.ORCID 0000-0003-1247-6463
Martina LuchettiBehavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA.ORCID 0000-0002-7370-8443
Yannick StephanEuromov, University of Montpellier, Montpellier 34090, France.ORCID 0000-0002-8029-8809
Angelina R SutinBehavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA.ORCID 0000-0002-1824-8974
Antonio TerraccianoGeriatrics, Florida State University College of Medicine, Tallahassee, FL 32306, USA.ORCID 0000-0001-5799-8885

Funding

Purpose in life: Mechanisms to support healthier cognitive aging and reduce risk of Alzheimer's diseaseR01AG074573 · NIA · FLORIDA STATE UNIVERSITY · PI SUTIN, ANGELINA R · 2021 to 2025
$3.5M
Personality and Dementia: Mechanisms and TrajectoriesR01AG068093 · NIA · FLORIDA STATE UNIVERSITY · PI TERRACCIANO, ANTONIO · 2020 to 2024
$3.0M
National Institute on Ageing of the National Institutes of Health R01AG068093 and R01AG074573NIA NIH HHS R01 AG068093NIA NIH HHS R01 AG074573
6 · The paper itself

Abstract

backgroundLife satisfaction (LS) is associated with lower morbidity and mortality. However, the evidence linking LS to dementia remains limited, with no studies from Europe. Prior studies also differ in the measurement of LS, dementia ascertainment and follow-up length. This study examined the prospective association between LS and dementia risk in samples of older adults from 15 European countries and combined the findings with the published literature in a meta-analysis.

methodsParticipants from the English Longitudinal Study of Ageing (ELSA; N = 6979; 56.1% female; Meanage = 65.35) and the Survey of Health, Ageing and Retirement in Europe (SHARE; N = 24,098; 55.8% female; Meanage = 64.50) reported their LS at baseline (2004-05 for ELSA; 2006-10 for SHARE). Dementia was ascertained through self-reported diagnosis or the Informant Questionnaire on Cognitive Decline in the Elderly up to 2023 for ELSA and with self and/or proxy-reported doctor diagnosis up to 2022 for SHARE.

resultsIn both samples, accounting for age and sex, greater LS was associated with a lower risk of dementia (ELSA; hazard ratio [HR] = 0.80, 95% CI = 0.73-0.87; SHARE; HR = 0.82, 95% CI = 0.79-0.86). The association persisted, accounting for other dementia risk factors (physical inactivity, smoking, obesity, diabetes, hypertension and depression), and was similar across sociodemographic groups and European regions. The random-effects meta-analysis (k = 7; total N = 74 392) supported the association between LS and lower dementia risk (HR = 0.76, 95% CI = 0.67-0.84).

conclusionsAcross Europe and other world regions, the findings are consistent that LS is related to a lower risk of dementia. LS could be a valuable target for promoting healthier cognitive outcomes in older adults.

Indexed as

AgingDementiaPersonal SatisfactionAgedAged, 80 and overAge FactorsEuropeFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk AssessmentRisk FactorsdementiaEuropelife satisfactionmeta-analysisolder adultspsychosocial risk factors

Identifiers

PMID41066678
PMCPMC13092288

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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.