Evidence map›Paper›PMID 42881367›Full record

Trial reportBMC geriatrics2026

Body weight following a multidomain lifestyle intervention in older adults at risk of dementia - A post-hoc analysis of the AgeWell.de-trial.

Andrea E Zülke, Adrian Schultz, Melanie Luppa, Solveig Weise, Alexander Bauer, Juliane Döhring, Carmen Wolf, Robert Philipp Kosilek, Jan Ziegler, Christian Brettschneider and 9 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in BMC geriatrics, 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
–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

19 authors.

Andrea E Zülke *Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Philipp Rosenthal Str. 55, 04103, Leipzig, Germany. andrea.zuelke@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-6026-8573
Adrian Schultz *Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Philipp Rosenthal Str. 55, 04103, Leipzig, Germany.
Melanie LuppaInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Philipp Rosenthal Str. 55, 04103, Leipzig, Germany.
Solveig WeiseInstitute of General Practice and Family Medicine, Martin-Luther- University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle, Saale, Germany.
Alexander BauerInstitute of General Practice and Family Medicine, Martin-Luther- University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle, Saale, Germany.
Juliane DöhringInstitute of General Practice, University of Kiel, Michaelisstr. 5, 24105, Kiel, Germany.
Carmen WolfInstitute of General Practice, University of Kiel, Michaelisstr. 5, 24105, Kiel, Germany.
Robert Philipp KosilekInstitute of General Practice and Family Medicine, LMU University Hospital, LMU Munich, Nußbaumstr. 5, 80336, Munich, Germany.
Jan ZieglerInstitute of General Practice and Family Medicine, LMU University Hospital, LMU Munich, Nußbaumstr. 5, 80336, Munich, Germany.
Christian BrettschneiderDepartment of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Thomas FreseInstitute of General Practice and Family Medicine, Martin-Luther- University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle, Saale, Germany.
Hanna KaduszkiewiczInstitute of General Practice, University of Kiel, Michaelisstr. 5, 24105, Kiel, Germany.
Jochen GensichenInstitute of General Practice and Family Medicine, LMU University Hospital, LMU Munich, Nußbaumstr. 5, 80336, Munich, Germany.
Wolfgang HoffmannGerman Center for Neurodegenerative Diseases (DZNE), site Rostock/Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany.
Hans-Helmut KönigDepartment of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Birgitt WieseMHH Information Technology - Science & Laboratory, Hannover Medical School, Carl-Neuberg Str. 1, 30625, Hannover, Germany.
David CzockInternal Medicine IX, Department of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Jochen René ThyrianGerman Center for Neurodegenerative Diseases (DZNE), site Rostock/Greifswald, Ellernholzstr. 1-2, 17489, Greifswald, Germany.
Steffi G Riedel-HellerInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Philipp Rosenthal Str. 55, 04103, Leipzig, Germany.

Funding

Bundesministerium für Bildung und Forschung 01GL1704A-01GL1704F
6 · The paper itself

Abstract

backgroundLifestyle interventions provide a promising approach to address higher body weight as a risk factor for dementia.

objectiveThe AgeWell.de-trial was primarily designed to preserve cognitive function and reduce dementia risk. In this post-hoc analysis, we investigated body weight following the multidomain intervention among older adults with overweight or obesity, as well as the role of motivation and confidence regarding weight loss.

methodsAnalyses used data from the cluster-randomized AgeWell.de-trial, testing a multidomain intervention (dietary counselling, enhancement of physical, social and cognitive activity, medication review, intervention for cardiovascular risk factors, depressive symptoms/grief, if applicable) over 24 months in adults aged 60 to 77 years at risk for dementia. Associations between intervention allocation and body weight at follow-up were analyzed using linear regression, controlling for covariates, based on multiply imputed data.

resultsThe sample included n = 678 participants with a BMI ≥ 25 kg/m², mean age (SD): 68.9 (4.8), 52.1% female. Group allocation was not associated with body weight at 24-month follow-up (b (unstandardized regression coefficient) = -0.30, 95% CI: -0.51; 1.11). Older age (b = -0.14, 95% CI: -0.25; -0.03) and a high level of education (b = -1.28, 95% CI: -2.55; 0.00) were linked to lower body weight at follow-up, while higher baseline body weight predicted higher body weight at follow-up (b = 0.95, 95% CI: 0.91; 0.98). Levels of motivation and confidence regarding weight loss remained high but stable in both groups, regardless of group allocation.

conclusionsIn this post-hoc analysis, group allocation was not associated with lower body weight at follow-up. Despite high levels of motivation and confidence regarding weight loss and favorable changes in diet and physical activity in the intervention group, these changes did not translate into measurable weight loss.

trial registrationAgeWell.de was prospectively registered in the German Clinical Trials Register on December 7th, 2017 (DRKS trial identifier DRKS00013555).

Indexed as

Body WeightDementiaLife StyleObesityOverweightRisk Reduction BehaviorWeight LossAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRisk FactorsHealthy agingLifestyleObesityPrimary preventionRandomized controlled trialWeight loss

Identifiers

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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.