Evidence map›Paper›PMID 42809041›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Dementia risk factors and biomarkers in subjective cognitive decline: real world evidence from the monza brain health service.

Federico Emanuele Pozzi, Francesca Solivani, Ilaria Vitagliano, Giovanni Isgrò, Giulia Remoli, Fatima Gabriela Macias Ortiz, Luca Cuffaro, Elisa Conti, Gessica Sala, Simona Andreoni and 6 more

Abstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Federico Emanuele PozziNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy. f.pozzi26@campus.unimib.it.ORCID http://orcid.org/0000-0003-2982-9165
Francesca SolivaniSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Italy.
Ilaria VitaglianoSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Italy.
Giovanni IsgròNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.
Giulia RemoliNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.
Fatima Gabriela Macias OrtizSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Italy.
Luca CuffaroNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.
Elisa ContiMilan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan, 20126, Italy.
Gessica SalaMilan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan, 20126, Italy.
Simona AndreoniMilan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan, 20126, Italy.
Chiara Paola ZoiaMilan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan, 20126, Italy.
Valeria CerinaSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Italy.
Gianpaolo BassoMilan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan, 20126, Italy.
Lucio TremolizzoNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.
Ildebrando AppollonioNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.
Carlo FerrareseNeurology Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33b, Monza, 20900, Italy.

Funding

European Union PE00000015European Union PNRR-MCNT2-2023-12377968
6 · The paper itself

Abstract

aimsUp to 45% of dementia can be prevented by addressing modifiable risk factors. Brain Health Services (BHS) are emerging across Europe, targeting individuals with subjective cognitive decline (SCD) to assess, communicate and reduce their risk of dementia. Our aim is to characterize our BHS cohort, and assess differences in clinical, biological, neuroimaging, and impact of biomarker disclosure based on plasma Lumipulse p-Tau217.

methodsWe analyzed baseline data from 186 consecutive individuals seen at our BHS (132 SCD). Cumulative dementia risk was calculated using the total Lancet relative risk (RR). Participants were grouped in plasma Lumipulse p-Tau217 above and below 0.15 pg/mL (A + and A-). Cluster analysis was performed with k-means.

resultsThe most prevalent potentially modifiable factors among participants with SCD were sleep impairment, smoking, physical inactivity, and hypertension. A + SCD subjects (32%) were older and showed worse performance on cognitive screening tests (P DISCUSSION: Our findings showed a high prevalence of modifiable risk factors in SCD. A+ individuals demonstrated biological and structural hallmarks of early neurodegeneration. Biomarker disclosure was feasible, reflecting the potential benefits of transparent risk communication. These findings support incorporating plasma biomarkers and structured disclosure protocols in BHS, complementing multimodal prevention strategies to delay dementia onset.

Indexed as

Cognitive DysfunctionDementiatau ProteinsAgedAged, 80 and overBiomarkersFemaleHumansMaleNeuropsychological TestsRisk FactorsBiomarkerstau ProteinsAlzheimer’s diseaseBlood based biomarkersBrain Health ServicesPreventionSubjective Cognitive Decline

Identifiers

PMID42809041
PMCPMC13624042

What OpenQuestion holds

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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.