Evidence map›Paper›PMID 41478822›Full record

ArticleThe journal of prevention of Alzheimer's disease2026

Association of life's simple 7 with cognitive function in a multi-ethnic cohort.

Xiangyuan Huang, Muhammad Haiman Bin Samad, Gerald Choon Huat Koh, Andre Matthias Müller, Falk Müller-Riemenschneider, Xueling Sim, Saima Hilal

Abstract read
In one paragraph

Article in The journal of prevention of Alzheimer's disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Xiangyuan HuangSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Muhammad Haiman Bin SamadSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Gerald Choon Huat KohSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Andre Matthias MüllerSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Falk Müller-RiemenschneiderSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Digital Health Centre, Berlin Institute of Health, Charité-Universitäts Medizin Berlin, 10117 Berlin, Germany.
Xueling SimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Saima HilalSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Department of Pharmacology, National University of Singapore, Singapore. Electronic address: saimahilal@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMultiple lifestyle and health factors could contribute to cognitive health, while not many studies examined the factors in a combined way, especially in Asian population. This study aims to examine the association of Life's Simple 7 (LS7) with cognitive function and its change in a multi-ethnic Asian population.

methodsLongitudinal data were drawn from the Singapore Multi-Ethnic Cohort, involving 2601 participants (45-86 years). LS7 at baseline was calculated by summing seven metrics, and a higher LS7 (range: 0-7) score indicates a healthier lifestyle. Cognitive function was measured at two revisits with Mini-Mental State Examination (MMSE). Association of baseline LS7 with MMSE percentiles (10th, 30th and 50th) and its change over time were examined using linear quantile mixed model. Interactions between LS7 and age group, sex, ethnicity, education level and marital status were also explored.

resultsHigher LS7 was significantly associated with higher MMSE scores at 10th (β = 0.11, 95% CI 0.01, 0.20), 30th (β = 0.12, 95% CI 0.05, 0.19), and 50th (β = 0.07, 95% CI 0.03, 0.11) percentiles. These associations were particularly pronounced among currently unmarried individuals, participants aged 60 and above, those with education above primary school and Chinese ethnicity. No significant association was found between LS7 and MMSE change over time. DISCUSSION: Higher LS7 was significantly associated with better cognition particularly among older, unmarried individuals and participants with higher education or of Chinese ethnicity. These findings highlight the value of composite lifestyle scores for cognitive impairment risk modification in Asian populations.

Indexed as

CognitionCognitive DysfunctionLife StyleAgedAged, 80 and overAsian PeopleCohort StudiesEthnicityFemaleHumansLongitudinal StudiesMaleMental Status and Dementia TestsMiddle AgedSingaporeCognitive functionDietary patternLife’s simple 7Linear quantile mixed modelMini mental status examinationPhysical activity

Identifiers

PMID41478822
PMCPMC12869037

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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.