Evidence map›Paper›PMID 41222037›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Efficacy of a multidomain intervention in older adults with vascular risks: The Japan-Multimodal Intervention Trial for the Prevention of Dementia (J-MINT).

Taiki Sugimoto, Kazuaki Uchida, Yoko Yokoyama, Ayaka Onoyama, Hisashi Noma, Hidenori Arai, Takashi Sakurai, J‐MINT study group

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 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. Trial
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

8 authors.

Taiki SugimotoDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.ORCID 0000-0002-6418-0755
Kazuaki UchidaDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.ORCID 0009-0004-4860-6754
Yoko YokoyamaDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.ORCID 0009-0005-5675-368X
Ayaka OnoyamaDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.
Hisashi NomaDepartment of Interdisciplinary Statistical Mathematics, The Institute of Statistical Mathematics, Tokyo, Japan.
Hidenori AraiNational Center for Geriatrics and Gerontology, Obu, Japan.ORCID 0000-0001-6747-8680
Takashi SakuraiDepartment of Prevention and Care Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.ORCID 0000-0002-2369-3095
J‐MINT study group

Funding

Japan Agency for Medical Research and Development JP22de0107002National Center for Geriatrics and Gerontology 22-2National Center for Geriatrics and Gerontology 22-23National Center for Geriatrics and Gerontology 25-12National Center for Geriatrics and Gerontology 25-4
6 · The paper itself

Abstract

introductionWhether untreated or uncontrolled vascular risk factors (VRFs), such as blood pressure, glycated hemoglobin, and high-density lipoprotein (HDL) and non-HDL cholesterol levels, modify the effects of multidomain interventions on cognitive decline in mild cognitive impairment (MCI) was examined.

methodsParticipants aged 65 to 85 years with MCI were randomized into intervention or control groups. The outcome was the change in the average Z score of the neuropsychological tests over 18 months. Interaction effects between the intervention and the presence of untreated or uncontrolled VRFs were assessed using a mixed-effects model for repeated measures.

resultsAmong the participants, 298 had at least one untreated or uncontrolled VRF. Significant intervention and VRF interaction (p = 0.032) indicated significant cognitive benefits in individuals with VRFs (Z score difference: 0.11; 95% confidence interval: 0.02-0.20), unlike in those without VRFs. DISCUSSION: Individuals with untreated or uncontrolled VRFs may derive greater cognitive benefits from multidomain interventions. CLINICAL TRIAL REGISTRATION NUMBER: This trial was registered with the UMIN-CTR (UMIN000038671). HIGHLIGHTS: We examined whether untreated or uncontrolled vascular risk factors (VRFs) modified the intervention effect. A significant interaction was found between the multidomain intervention and VRFs. The intervention was effective in individuals with untreated or uncontrolled VRFs. Beneficial effects on systolic blood pressure and pulse pressure were observed. Beneficial effects on high-density lipoprotein cholesterol and triglycerides were noted.

Indexed as

Cognitive DysfunctionDementiaAgedAged, 80 and overBlood PressureFemaleHumansJapanMaleNeuropsychological TestsRisk Factorscognitive declinecognitive trainingdementiadietmild cognitive impairmentmultidomain interventionnutritionphysical exerciserandomized controlled trialvascular risk

Identifiers

PMID41222037
PMCPMC12606444

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.