The metabolic syndrome and cognitive decline in the Atherosclerosis Risk in Communities Study (ARIC).
Open accessAbstract
Background: Midlife metabolic syndrome (MetS) may impact cognitive health as a construct independently of hypertension, hyperlipidemia and other components. Methods: 10,866 participants aged 45-64 years at baseline were assessed for MetS and completed cognitive testing at two later time points (3 and 9 years from the baseline visit). Results: MetS is associated with increased odds of low cognitive performance in the domains of executive function and word fluency, but not with 6-year cognitive decline. Individual MetS components explained this association (hypertension, diabetes, low HDL, elevated triglycerides and increased waist circumference). Conclusions: A focus on the individual risk factors as opposed to MetS during midlife is important to reduce the incidence of cognitive impairment in later life.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., Gordon, D. J., Krauss, R. M., Savage, P. J., Smith, S. C., et al. (2005) · Circulation · doi:10.1161/circulationaha.105.169404 · Cited by 11,961 · see citing works
(1989) · PubMed · Cited by 3,139 · see citing works
Risk of dementia in diabetes mellitus: a systematic review
Biessels, G. J., Staekenborg, S., Brunner, E., Brayne, C., & Scheltens, P. (2006) · The Lancet Neurology · doi:10.1016/s1474-4422(05)70284-2 · Cited by 2,187 · see citing works
Warnick, G. R., Benderson, J., & Albers, J. J. (1982) · Clinical Chemistry · doi:10.1093/clinchem/28.6.1379 · Cited by 2,171 · see citing works
Metabolic Syndrome and Risk of Incident Cardiovascular Events and Death
Gami, A. S., Witt, B. J., Howard, D. E., Erwin, P. J., Gami, L. A., Somers, V. K., & Montori, V. M. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2006.09.032 · Cited by 1,888 · see citing works
Obesity and Vascular Risk Factors at Midlife and the Risk of Dementia and Alzheimer Disease
Kivipelto, M., Ngandu, T., Fratiglioni, L., Viitanen, M., Kåreholt, I., Winblad, B., Helkala, E.-L., Tuomilehto, J., Soininen, H., & Nissinen, A. (2005) · Archives of Neurology · doi:10.1001/archneur.62.10.1556 · Cited by 1,291 · see citing works
Midlife cardiovascular risk factors and risk of dementia in late life
Whitmer, R. A., Sidney, S., Selby, J., Johnston, S. C., & Yaffe, K. (2005) · Neurology · doi:10.1212/01.wnl.0000149519.47454.f2 · Cited by 1,238 · see citing works
McNeill, A. M., Rosamond, W. D., Girman, C. J., Golden, S. H., Schmidt, M. I., East, H. E., Ballantyne, C. M., & HEISS, G. M. (2005) · Diabetes Care · doi:10.2337/diacare.28.2.385 · Cited by 1,051 · see citing works
Cognitive decline and dementia in diabetes—systematic overview of prospective observational studies
Cukierman, T., Gerstein, H. C., & Williamson, J. D. (2005) · Diabetologia · doi:10.1007/s00125-005-0023-4 · Cited by 1,049 · see citing works
The metabolic syndrome, inflammation, and risk of cognitive decline
Yaffe, K. (2004) · JAMA · doi:10.1001/jama.292.18.2237 · Cited by 1,025 · see citing works
Cardiovascular risk factors and cognitive decline in middle-aged adults
Knopman, D., Boland, L. L., Mosley, T., Howard, G., Liao, D., Szklo, M., McGovern, P., & Folsom, A. R. (2001) · Neurology · doi:10.1212/wnl.56.1.42 · Cited by 883 · see citing works
Self-citationFolsom, A. R., Yatsuya, H., Nettleton, J. A., Lutsey, P. L., Cushman, M., & Rosamond, W. D. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.11.041 · Cited by 713 · see citing works
Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study
Elias, M. F., Elias, P. K., SULLIVAN, L. M., Wolf, P. A., & D’Agostino, R. B. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.802225 · Cited by 691 · see citing works
Impact of Metabolic Syndrome on Cognition and Brain: A Selected Review of the Literature
Yates, K. F., Sweat, V., Yau, P. L., Turchiano, M. M., & Convit, A. (2012) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/atvbaha.112.252759 · Cited by 444 · see citing works
Association of Plasma Leptin Levels With Incident Alzheimer Disease and MRI Measures of Brain Aging
Lieb, W. (2009) · JAMA · doi:10.1001/jama.2009.1836 · Cited by 428 · see citing works
Kalmijn, S., Foley, D., White, L., Burchfiel, C. M., Curb, J. D., Petrovitch, H., Ross, G. W., Havlik, R. J., & Launer, L. J. (2000) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/01.atv.20.10.2255 · Cited by 417 · see citing works
Obesity, diabetes and cognitive deficit: The Framingham Heart Study
Elias, M. F., Elias, P. K., Sullivan, L. M., Wolf, P. A., & D’Agostino, R. B. (2005) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2005.08.019 · Cited by 395 · see citing works
A Verbal Memory Test With High Predictive Accuracy for Dementia of the Alzheimer Type
Knopman, D. S., & Ryberg, S. (1989) · Archives of Neurology · doi:10.1001/archneur.1989.00520380041011 · Cited by 313 · see citing works
Self-citationNägele, U., Hägele, E., Sauer, G., Wiedemann, E., Lehmann, P., Wahlefeld, A. W., & Gruber, W. (1984) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.1984.22.2.165 · Cited by 313 · see citing works
Fat as an Endocrine Organ: Relationship to the Metabolic Syndrome
Hutley, L. J., & Prins, J. B. (2005) · The American Journal of the Medical Sciences · doi:10.1097/00000441-200512000-00005 · Cited by 258 · see citing works
Wolf, P., Beiser, A., Elias, M., Au, R., Vasan, R., & Seshadri, S. (2007) · Current Alzheimer Research · doi:10.2174/156720507780362263 · Cited by 254 · see citing works
Knopman, D. S., Mosley, T. H., Catellier, D., Coker, L. H., & Study, A. R. I. C. S. B. M. (2009) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2009.01.027 · Cited by 229 · see citing works
Self-citationPapp, A. C., Hatzakis, H., Bracey, A., & Wu, K. K. (1989) · Thrombosis and Haemostasis · doi:10.1055/s-0038-1646519 · Cited by 182 · see citing works
Metabolic syndrome and dementia risk in a multiethnic elderly cohort
Muller, M., Tang, M.-X., Schupf, N., Manly, J. J., Mayeux, R., & Luchsinger, J. A. (2007) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000105927 · Cited by 175 · see citing works
Cardiovascular health through young adulthood and cognitive functioning in midlife
Reis, J. P., Loria, C. M., Launer, L. J., Sidney, S., Liu, K., Jacobs, D. R., Zhu, N., Lloyd‐Jones, D. M., He, K., & Yaffe, K. (2013) · Annals of Neurology · doi:10.1002/ana.23836 · Cited by 168 · see citing works
Metabolic syndrome and cognitive decline in French elders
Raffaitin, C., Féart, C., Goff, M. L., Amieva, H., Helmer, C., Akbaraly, T. N., Tzourio, C., Gin, H., & Barberger‐Gateau, P. (2011) · Neurology · doi:10.1212/wnl.0b013e31820b7656 · Cited by 125 · see citing works
Inflammation, the metabolic syndrome, and risk of coronary heart disease in women and men
Pischon, T., Hu, F. B., Rexrode, K. M., Girman, C. J., Manson, J. E., & Rimm, E. B. (2007) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2007.06.022 · Cited by 122 · see citing works
Presence and Treatment of Vascular Risk Factors in Patients With Vascular Cognitive Impairment
Rockwood, K. J., Ebly, E. M., Hachinski, V., & Hogan, D. B. (1997) · Archives of Neurology · doi:10.1001/archneur.1997.00550130019010 · Cited by 116 · see citing works
Metabolic Syndrome, Brain Magnetic Resonance Imaging, and Cognition
Cavalieri, M., Ropele, S., Petrovic, K., Pluta-Fuerst, A., Homayoon, N., Enzinger, C., Grazer, A., Katschnig, P., Schwingenschuh, P., Berghold, A., et al. (2010) · Diabetes Care · doi:10.2337/dc10-0851 · Cited by 92 · see citing works
Schuur, M., Henneman, P., Swieten, J. C. V., Zillikens, M. C., de Koning, I., Janssens, A. C. J. W., Witteman, J. C. M., Aulchenko, Y. S., Frants, R. R., Oostra, B. A., et al. (2010) · European Journal of Epidemiology · doi:10.1007/s10654-010-9476-y · Cited by 83 · see citing works
Magnetic Resonance Imaging Predictors of Cognition in Mild Cognitive Impairment
van de Pol, L. A., Korf, E. S. C., van der Flier, W. M., Brashear, H. R., Fox, N. C., Barkhof, F., & Scheltens, P. (2007) · Archives of Neurology · doi:10.1001/archneur.64.7.1023 · Cited by 82 · see citing works
Glycated haemoglobin and cognitive decline: the Atherosclerosis Risk in Communities (ARIC) study
Christman, A. L., Matsushita, K., Gottesman, R. F., Mosley, T. H., Alonso, Á., Coresh, J., Hill‐Briggs, F., Sharrett, A. R., & Selvin, E. (2011) · Diabetologia · doi:10.1007/s00125-011-2095-7 · Cited by 77 · see citing works
Self-citationMetabolic Syndrome and 16-Year Cognitive Decline in Community-Dwelling Older Adults
McEvoy, L. K., Laughlin, G. A., Barrett-Connor, E. L., Bergstrom, J., Kritz‐Silverstein, D. C., Der‐Martirosian, C., & von Mühlen, D. G. (2012) · Annals of Epidemiology · doi:10.1016/j.annepidem.2011.12.003 · Cited by 50 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Solfrizzi, V., Custodero, C., Lozupone, M., Imbimbo, B. P., Valiani, V., Agosti, P., Schilardi, A., D’Introno, A., Montagna, M. L., Calvani, M., et al. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-170248 · Cited by 351 · see citing works
Malek, N., Lawton, M., Swallow, D. M. A., Grosset, K. A., Marrinan, S. L., Bajaj, N. P. S., Barker, R. A., Burn, D. J., Hardy, J., Morris, H. R., et al. (2016) · Movement Disorders · doi:10.1002/mds.26698 · Cited by 158 · see citing works
Obesity, Insulin Resistance, and Incident Small Vessel Disease on Magnetic Resonance Imaging
Dearborn, J. L., Schneider, A. L. C., Sharrett, A. R., Mosley, T. H., Bezerra, D. C., Knopman, D. S., Selvin, E., Jack, C. R., Coker, L. H., Alonso, Á., et al. (2015) · Stroke · doi:10.1161/strokeaha.115.010060 · Cited by 87 · see citing works
Self-citationWang, M., Norman, J., Srinivasan, V. J., & Rutledge, J. C. (2016) · PubMed Central · Cited by 60 · see citing works
Impact of Worsened Metabolic Syndrome on the Risk of Dementia: A Nationwide Cohort Study
Fan, Y., Chou, C., You, S., Sun, C., Chen, C., & Bai, C. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.116.004749 · Cited by 52 · see citing works
Neurodegeneration and Stroke After Semaglutide and Tirzepatide in Patients With Diabetes and Obesity
Lin, H.-T., Tsai, Y.-F., Liao, P.-L., & Wei, J. C.-C. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.21016 · Cited by 43 · see citing works
Diabetes, but Not Hypertension and Obesity, Is Associated with Postoperative Cognitive Dysfunction
Lachmann, G., Feinkohl, I., Borchers, F., Ottens, T. H., Nathoe, H. M., Sauër, A.-M. C., Dieleman, J. M., Radtke, F. M., van Dijk, D., Spies, C., et al. (2018) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000492962 · Cited by 40 · see citing works
Frisbee, J. C., Goodwill, A. G., Frisbee, S. J., Butcher, J. T., Wu, F., & Chantler, P. D. (2014) · The Journal of Physiology · doi:10.1113/jphysiol.2014.285247 · Cited by 40 · see citing works
Kazlauskaite, R., Janssen, İ., Wilson, R. S., Appelhans, B. M., Evans, D. A., Arvanitakis, Z., Khoudary, S. R. E., & Kravitz, H. M. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa067 · Cited by 40 · see citing works
Sundarakumar, J. S., Stezin, A., Abhishek, M. L., & Ravindranath, V. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2022.101395 · Cited by 39 · see citing works
Dearborn, J. L., Wu, A., Steffen, L. M., Anderson, C. A. M., Hu, E. A., Knopman, D. S., Mosley, T. H., & Gottesman, R. F. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.16641 · Cited by 38 · see citing works
Self-citationWaist circumference is correlated with poorer cognition in elderly type 2 diabetes women
West, R. K., Ravona‐Springer, R., Heymann, A. D., Schmeidler, J., LeRoith, D., Koifman, K., D’Arcy, R. C. N., Song, X., Guerrero‐Berroa, E., Preiss, R., et al. (2016) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2016.03.017 · Cited by 34 · see citing works
Dermody, S. S., Wright, A. G. C., Cheong, J., Miller, K., Muldoon, M. F., Flory, J. D., Gianaros, P. J., Marsland, A. L., & Manuck, S. B. (2015) · Journal of Personality · doi:10.1111/jopy.12216 · Cited by 31 · see citing works
Koutsonida, M., Markozannes, G., Bouras, E., Aretouli, E., & Tsilidis, K. K. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.981379 · Cited by 30 · see citing works
Impact of diet-induced obesity on the mouse brain phosphoproteome
Siino, V., Amato, A., Salvo, F. D., Caldara, G., Filogamo, M., James, P., & Vasto, S. (2018) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2018.04.015 · Cited by 24 · see citing works
Association of parathyroid hormone with 20-year cognitive decline
Kim, S. M., Zhao, D., Schneider, A. L. C., Korada, S. K. C., Lutsey, P. L., Güallar, E., Alonso, Á., Windham, B. G., Gottesman, R. F., & Michos, E. D. (2017) · Neurology · doi:10.1212/wnl.0000000000004290 · Cited by 23 · see citing works
Self-citationOverman, M. J., Pendleton, N., O’Neill, T. W., Bártfai, G., Casanueva, F. F., Forti, G., Rastrelli, G., Giwercman, A., Han, T. S., Huhtaniemi, I. T., et al. (2017) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2017.02.004 · Cited by 22 · see citing works
Hughes, T. M., Craft, S., Baker, L. D., Espeland, M. A., Rapp, S. R., Sink, K. M., Bertoni, A. G., Burke, G. L., Gottesman, R. F., Michos, E. D., et al. (2017) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1016/j.dadm.2017.03.003 · Cited by 22 · see citing works
Self-citationMetabolic Syndrome and Cognition: Follow-Up Study of Chinese Over-55-Year-Olds
Przybycien-Gaweda, P. M., Gwee, X., Gao, Q., Chua, D. Q. L., Fam, J., & Ng, T. P. (2020) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000509124 · Cited by 20 · see citing works
Lin, C.-I., Shen, C.-F., Hsu, T.-H., & Lin, S. (2017) · Nutrients · doi:10.3390/nu9060619 · Cited by 17 · see citing works
Gross, T. J., Araújo, R. B., Vale, F. A. C., Bessani, M., & Maciel, C. D. (2018) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2018.07.003 · Cited by 14 · see citing works
Qi, X., Zhu, Z., Luo, H., Schwartz, M. D., & Wu, B. (2024) · PLoS ONE · doi:10.1371/journal.pone.0310964 · Cited by 13 · see citing works
Executive Functioning and Health
Williams, P., Tinajero, R., & Suchy, Y. (2017) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199935291.013.75 · Cited by 13 · see citing works
Morrison, H. W., White, M. M., Rothers, J., & Taylor‐Piliae, R. E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013445 · Cited by 9 · see citing works
Desempeño cognitivo de los pacientes con trastorno afectivo bipolar y síndrome metabólico
Moreno, S. R., Valencia, J. G., Vargas, C., & López‐Jaramillo, C. (2017) · Revista Colombiana de Psiquiatría · doi:10.1016/j.rcp.2017.10.003 · Cited by 10 · see citing works
Gosalia, J., Montgomery, P. S., Zhang, S., Pomilla, W. A., Wang, M., Liang, M., Csiszár, A., Ungvari, Z. I., Yabluchanskiy, A., Proctor, D. N., et al. (2022) · GeroScience · doi:10.1007/s11357-022-00640-1 · Cited by 7 · see citing works
Sex Disparity in the Association of Metabolic Syndrome with Cognitive Impairment
Chang, Y.-M., Lee, C.-L., & Wang, J. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13092571 · Cited by 5 · see citing works
Abdominal obesity is a risk factor for dysexecutive function in chronic kidney disease
Zammit, A. R., Katz, M. J., Derby, C. A., Bitzer, M., & Lipton, R. B. (2016) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2016.06.007 · Cited by 4 · see citing works
Cognitive Profile and Cardiovascular Risk Factors in Older Adults with Mild Cognitive Impairment
Sebastián, J. V.-D., Ortiz-Zúñiga, Á., Ciudin, A., Ars, J., Inzitari, M., Simó, R., Hernández, C., Ariño‐Blasco, S., Barahona, M. J., Franco, M., et al. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21040500 · Cited by 4 · see citing works
Azami, M., Afraie, M., Mohammadzadeh, P., Moradkhani, A., Shanazari, M., Soltanian, D., & Moradi, Y. (2025) · Cognitive Neuropsychiatry · doi:10.1080/13546805.2025.2503445 · Cited by 5 · see citing works
Cognitive performance in patients with bipolar disorder and metabolic syndrome
Moreno, S. R., Valencia, J. G., Vargas, C., & López‐Jaramillo, C. (2019) · Revista Colombiana de Psiquiatría (English ed ) · doi:10.1016/j.rcpeng.2017.10.004 · Cited by 2 · see citing works
Maxmudova, D. (2026) · Central Asian Journal of Academic Research · doi:10.70413/cajar-v4-i9-57303
- Authors
- Dearborn, J. L., Knopman, D., Sharrett, A. R., Schneider, A. L. C., Jack Jr., C. R., Coker, L. H., Alonso, A., Selvin, E., Mosley, T. H., Wagenknecht, L. E., Windham, B. G., & Gottesman, R. F.
- Affiliations
- Johns Hopkins University (US)
- Mayo Clinic (US)
- Wake Forest University Health Sciences (US)
- University of Mississippi Medical Center (US)
- ORCID
- Venue
- Dementia and Geriatric Cognitive Disorders
- Publisher
- S. Karger AG
- Published
- 2014
- Volume
- 38
- Issue
- 5-6
- Pages
- 337-346
- ISSN
- 1420-8008 (ISSN-L)
- 1421-9824
- PMC
- PMC4201882
- OpenAlex
- W2145572375
- Cited by
- 32
- References
- 33
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2022: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 3.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Dementia and Geriatric Cognitive Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5u01hl096902-08)
- National Heart, Lung, and Blood Institute (HHSN268201 100012C, HHSN268201100007I, HHSN268201100007C, HHSN2682 01100008C, HH-SN-268201100006C, HHSN268201100011C, HHSN2682011-00005I, HHSN2682011-00009I, HHSN268201100005C, HHSN268201100005G, HHSN268201100010C, HHSN268201100011I, U01HL096814, HHSN26820 1100009C, U01-HL-096902, HHSN2682011-00008I, U01HL096917, U01HL096812)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- metabolic syndrome, cognitive decline, midlife, executive function, verbal fluency, hypertension, diabetes mellitus, low HDL cholesterol, triglyceride elevation, waist circumference, cognitive impairment, Atherosclerosis Risk in Communities Study
- MeSH terms
- Cognition Disorders, Female, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Risk Factors, Metabolic Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review