Evidence map›Paper›PMID 42876948›Full record

ReviewJournal of Alzheimer's disease reports

Blood lipids as accessible biomarkers for early dementia risk screening: Bridging diagnostic gaps in resource-limited settings.

Foster Appiah, David Larbi Simpong, George Nkrumah Osei, John Dogah, Esther Marfo, Maxwell Hubert Antwi, David Mawutor Donkor, Kwaku Sarfo Manu, Ansumana Bockarie

Abstract readReview
In one paragraph

Review in Journal of Alzheimer's disease reports. 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
–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

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

9 authors.

Foster AppiahDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.ORCID https://orcid.org/0009-0000-6365-5213
David Larbi SimpongDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
George Nkrumah OseiDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
John DogahDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
Esther MarfoDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
Maxwell Hubert AntwiDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
David Mawutor DonkorDepartment of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana.
Kwaku Sarfo ManuAlzheimer's and Related Association of Ghana, Accra, Ghana.
Ansumana BockarieDepartment of Internal Medicine and Therapeutics, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.ORCID https://orcid.org/0000-0003-1173-1493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dementia prevalence is rising globally, with the greatest increase occurring in low- and middle-income countries where access to advanced diagnostic tools remains limited. Circulating lipid parameters have been increasingly investigated as accessible biomarkers for dementia risk and cognitive decline. Objective: To systematically review and synthesize existing evidence on the relationship between circulating lipid parameters and dementia risk, Alzheimer's disease, and cognitive decline, with particular consideration of their potential utility in resource-limited settings. Methods: A systematic literature review was conducted in accordance with PRISMA guidelines. Studies published between 2000 and May 2025 evaluating associations between lipid profiles and cognitive outcomes, dementia, or neurodegenerative disease were included and narratively synthesized. Results: Evidence across studies suggests that lipid dysregulation is associated with dementia-related outcomes, although findings remain heterogeneous. Elevated total cholesterol, low-density lipoprotein cholesterol, and triglycerides were frequently associated with increased risk of dementia, Alzheimer's disease, or cognitive decline, whereas high-density lipoprotein cholesterol generally showed protective associations. Several studies also identified prognostic value in composite lipid ratios and lipid variability measures. However, the strength and direction of associations varied according to age, sex, timing of lipid assessment, and study population. Conclusions: Circulating lipid parameters alone are insufficient as definitive diagnostic biomarkers. However, when interpreted in a population-specific and life-course context, they may contribute to early risk stratification and complement neuropsychological screening, particularly in resource-limited settings where access to advanced neuroimaging and cerebrospinal fluid testing is restricted.

Indexed as

Alzheimer's diseasebiomarkersblood lipidsdementiaHDL-CLDL-Ctotal cholesteroltriglycerides

Identifiers

PMID42876948
PMCPMC13662361

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.