The Epidemiology of Alzheimer's Disease Modifiable Risk Factors and Prevention
Open accessAbstract
Mild Alzheimer's disease is the leading cause of dementia, accounting for 50-70% of cases. Alzheimer's disease is an irreversible neurodegenerative disease, which affects daily life activities and social functioning. As life expectancy increases and demographic ageing occurs, the global prevalence of Alzheimer's disease is expected to continue to rise especially in developing countries, leading to a costly burden of disease. Alzheimer's disease is a complex and multifactorial disorder that is determined by the interaction of genetic susceptibility and environmental factors across the life course. Epidemiological studies have identified potential modifiable risk and protective factors for Alzheimer's disease prevention. Moreover, Alzheimer's disease is considered to start decades earlier before clinical symptoms occur, thus interventions targeting several risk factors in non-demented elderly people even middle-aged population might prevent or delay Alzheimer's disease onset. Here, we provide an overview of current epidemiological advances related to Alzheimer's disease modifiable risk factors, highlighting the concept of early prevention.
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.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
About one-third of AD cases worldwide are closely linked to modifiable risk factors.
“Evidence suggests that about one-third of AD cases worldwide are closely linked to modifiable risk factors.23”
From Recent advances in Alzheimer's disease: Mechanisms, clinical trials and new drug development strategies. (2024) · cites this paper as [23]
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
1 retracted
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30367-6 · Cited by 10,430 · cited 1× · see citing works
“Though AD is indicated by Aβ and tau biomarkers, some cognitively normal individuals having only these biomarkers never develop AD (9), it means that the pre-symptomatic diagnosis is more difficult to obtain.”
BackgroundRetractedNeurovascular pathways to neurodegeneration in Alzheimer’s disease and other disorders
Zlokovic, B. V. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3114 · Cited by 2,969 · see citing works
2019 Alzheimer’s disease facts and figures.
Alzheimer's Association (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2019.01.010 · Cited by 2,461 · see citing works
Nichols, E., Szoeke, C. E. I., Vollset, S. E., Abbasi, N., Abd-Allah, F., Abdela, J., Aichour, M. T. E., Akinyemi, R. O., Alahdab, F., Asgedom, S. W., et al. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(18)30403-4 · Cited by 2,412 · cited 1× · see citing works
“Particularly, age-specific global prevalence in women was 1.17 times larger than in men and the age-standardized mortality rate of women was also higher than men, suggesting the longer lifespan was not the only determinant of the women dominance (8).”
InfluentialCumulative Use of Strong Anticholinergics and Incident Dementia: A Prospective Cohort Study
Gray, S. L., Anderson, M. L., Dublin, S., Hanlon, J. T., Hubbard, R., Walker, R., Yu, O., Crane, P. K., & Larson, E. B. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.7663 · Cited by 1,111 · see citing works
Sleep disturbances increase the risk of dementia: a systematic review and meta-analysis
Shi, L., Chen, S.-J., Ma, M.-Y., Bao, Y.-P., Han, Y., Wang, Y.-M., Shi, J., Vitiello, M. V., & Lu, L. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.06.010 · Cited by 1,009 · see citing works
Xue, M., Xu, W., Ou, Y.-N., Cao, X.-P., Tan, M.-S., Tan, L., & Yu, J.-T. (2019) · Ageing Research Reviews · doi:10.1016/j.arr.2019.100944 · Cited by 715 · cited 1× · see citing works
“Evidence supporting the higher risk of affecting with AD among the diabetics [relative risks (RR) 1.43, 95% CI 1.25-1.62] was based on 24 longitudinal studies (32).”
InfluentialSelf-citationNeurodegenerative disease mortality among former professional soccer players
Mackay, D. F., Russell, E. R., Stewart, K., MacLean, J. A., Pell, J. P., & Stewart, W. (2019) · New England Journal of Medicine · doi:10.1056/nejmoa1908483 · Cited by 483 · see citing works
Association of Cerebral Microbleeds With Cognitive Decline and Dementia
Akoudad, S., Wolters, F. J., Viswanathan, A., de Bruijn, R. F., van der Lugt, A., Hofman, A., Koudstaal, P. J., Ikram, M. A., & Vernooij, M. W. (2016) · JAMA Neurology · doi:10.1001/jamaneurol.2016.1017 · Cited by 403 · see citing works
Zhong, G., Wang, Y., Zhang, Y., Guo, J. J., & Zhao, Y. (2015) · PLOS ONE · doi:10.1371/journal.pone.0118333 · Cited by 362 · see citing works
Traffic-related air pollution and dementia incidence in northern Sweden: a longitudinal study
Oudin, A., Forsberg, B., Adolfsson, A. N., Lind, N., Modig, L., Nordin, M., Nordin, S., Adolfsson, R., & Nilsson, L.-G. (2016) · Environmental Health Perspectives · doi:10.1289/ehp.1408322 · Cited by 358 · see citing works
Blood pressure from mid- to late life and risk of incident dementia
McGrath, E. R., Beiser, A. S., DeCarli, C., Plourde, K. L., Vasan, R. S., Greenberg, S. M., & Seshadri, S. (2017) · Neurology · doi:10.1212/wnl.0000000000004741 · Cited by 289 · see citing works
Grande, G., Ljungman, P. L. S., Eneroth, K., Bellander, T., & Rizzuto, D. (2020) · JAMA Neurology · doi:10.1001/jamaneurol.2019.4914 · Cited by 282 · see citing works
Sommerlad, A., Sabia, S., Singh-Manoux, A., Lewis, G., & Livingston, G. (2019) · PLOS Medicine · doi:10.1371/journal.pmed.1002862 · Cited by 201 · see citing works
Effect of smoking cessation on the risk of dementia: a longitudinal study
Choi, D., Choi, S., & Park, S. M. (2018) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.633 · Cited by 134 · see citing works
Qin, B., Xun, P., Jacobs, D. R., Zhu, N., Daviglus, M. L., Reis, J. P., Steffen, L. M., Van Horn, L., Sidney, S., & He, K. (2017) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.117.157834 · Cited by 77 · see citing works
Flagged first, then by citations
Research works printed but not linked: 103
- [1]Scheltens P Blennow K Breteler MM Alzheimer's disease Lancet (London, England) 388 2016 505 517 10.1016/S0140-6736(15)01124-1 26921134 · DOI · Paper page
- [2]Winblad B Amouyel P Andrieu S Defeating Alzheimer's disease and other dementias: a priority for European science and society. The Lancet Neurology 15 2016 455 532 PubMed PMID: 26987701 26987701
- [4]Norton S Matthews FE Barnes DE Yaffe K Brayne C Potential for primary prevention of Alzheimer's disease: an analysis of population-based data The Lancet. Neurology 13 2014 788 794 PubMed PMID: 25030513 10.1016/S1474-4422(14)70136-X 25030513 · DOI · Paper page
- [6]Ohara T Hata J Yoshida D Trends in dementia prevalence, incidence, and survival rate in a Japanese community Neurology 88 2017 1925 1932 PubMed PMID: 28424272 10.1212/WNL.0000000000003932 28424272 · DOI
- [7]Chan KY Wang W Wu JJ Epidemiology of Alzheimer's disease and other forms of dementia in China, 1990–2010: a systematic review and analysis Lancet (London, England) 381 2013 2016 2023 10.1016/S0140-6736(13)60221-4 23746902 · DOI
- [10]Matyas N Keser Aschenberger F Wagner G Continuing education for the prevention of mild cognitive impairment and Alzheimer's-type dementia: a systematic review and overview of systematic reviews BMJ open 9 2019 e027719 PubMed PMID: 31270114, PMCID 6609120 10.1136/bmjopen-2018-027719 PMC6609120 31270114 · DOI
- [11]Wada M Noda Y Shinagawa S Effect of Education on Alzheimer's Disease-Related Neuroimaging Biomarkers in Healthy Controls, and Participants with Mild Cognitive Impairment and Alzheimer's Disease: A Cross-Sectional Study Journal of Alzheimer's disease: JAD 63 2018 861 869 PubMed PMID: 29689728 10.3233/JAD-171168 29689728 · DOI
- [12]Andrews SJ Fulton-Howard B O'Reilly P Marcora E Goate AM Causal Associations Between Modifiable Risk Factors and the Alzheimer's Phenome Annals of neurology 2020 PMC8088901 32996171
- [13]Anderson EL Howe LD Wade KH Education, intelligence and Alzheimer's disease: evidence from a multivariable two-sample Mendelian randomization study International journal of epidemiology 2020 PMC7660137 32003800
- [14]Najar J Östling S Gudmundsson P Cognitive and physical activity and dementia: A 44-year longitudinal population study of women Neurology 92 2019 e1322 e1330 PubMed PMID: 30787164, PMCID 6511097 10.1212/WNL.0000000000007021 30787164 PMC6511097 · DOI · Paper page
- [15]Altschul DM Deary IJ Playing Analog Games Is Associated With Reduced Declines in Cognitive Function: A 68-Year Longitudinal Cohort Study The journals of gerontology. Series B, Psychological sciences and social sciences 75 2020 474 482 PubMed PMID: 31738418 10.1093/geronb/gbz149 31738418 PMC7021446 · DOI
- [16]Suo C Singh MF Gates N Therapeutically relevant structural and functional mechanisms triggered by physical and cognitive exercise Molecular psychiatry 21 2016 1633 1642 PubMed PMID: 27001615, PMCID 5078857 10.1038/mp.2016.19 27001615 PMC5078857 · DOI · Paper page
- [17]Grady CL Luk G Craik FIM Bialystok E Brain network activity in monolingual and bilingual older adults Neuropsychologia 66 2015 170 181 PubMed PMID: 25445783 10.1016/j.neuropsychologia.2014.10.042 25445783 PMC4898959 · DOI
- [18]Estanga A Ecay-Torres M Ibañez A Beneficial effect of bilingualism on Alzheimer's disease CSF biomarkers and cognition Neurobiology of aging 50 2017 144 151 PubMed PMID: 27916386 10.1016/j.neurobiolaging.2016.10.013 27916386 · DOI
- [19]Zheng Y Wu Q Su F The Protective Effect of Cantonese/Mandarin Bilingualism on the Onset of Alzheimer Disease Dementia and geriatric cognitive disorders 45 2018 210 219 PubMed PMID: 29886485 10.1159/000488485 29886485 · DOI
- [21]Fancourt D Steptoe A Cadar D Community engagement and dementia risk: time-to-event analyses from a national cohort study Journal of epidemiology and community health 74 2020 71 77 PubMed PMID: 31662344 10.1136/jech-2019-213029 31662344 PMC6929705 · DOI
- [22]Håkansson K Rovio S Helkala E-L Association between mid-life marital status and cognitive function in later life: population based cohort study BMJ (Clinical research ed.) 339 2009 b2462 10.1136/bmj.b2462 PMC2714683 19574312 · DOI
- [23]Biddle KD Jacobs HIL d'Oleire Uquillas F Associations of Widowhood and beta-Amyloid With Cognitive Decline in Cognitively Unimpaired Older Adults JAMA network open 3 2020 e200121 PubMed PMID: 32101313, PMCID 7099624 10.1001/jamanetworkopen.2020.0121 32101313 PMC7099624 · DOI
- [24]Diniz BS Butters MA Albert SM Dew MA Reynolds CF Late-life depression and risk of vascular dementia and Alzheimer's disease: systematic review and meta-analysis of community-based cohort studies The British journal of psychiatry: the journal of mental science 202 2013 329 335 10.1192/bjp.bp.112.118307 23637108 PMC3640214 · DOI · Paper page
- [25]Bartels C Wagner M Wolfsgruber S Ehrenreich H Schneider A Impact of SSRI Therapy on Risk of Conversion From Mild Cognitive Impairment to Alzheimer's Dementia in Individuals With Previous Depression The American journal of psychiatry 175 2018 232 241 PubMed PMID: 29179578 10.1176/appi.ajp.2017.17040404 29179578 · DOI · Paper page
- [26]Sheline YI West T Yarasheski K An antidepressant decreases CSF Aβ production in healthy individuals and in transgenic AD mice Science translational medicine 6 2014 236re234 PMC4269372 24828079
- [27]Setiawan E Attwells S Wilson AA Association of translocator protein total distribution volume with duration of untreated major depressive disorder: a cross-sectional study. The lancet Psychiatry 5 2018 339 347 PubMed PMID: 29496589 29496589
- [28]Singh-Manoux A Dugravot A Fournier A Trajectories of Depressive Symptoms Before Diagnosis of Dementia: A 28-Year Follow-up Study JAMA psychiatry 74 2017 712 718 PubMed PMID: 28514478, PMCID 5710246 10.1001/jamapsychiatry.2017.0660 28514478 PMC5710246 · DOI · Paper page
- [29]Song H Sieurin J Wirdefeldt K Association of Stress-Related Disorders With Subsequent Neurodegenerative Diseases JAMA neurology 2020 PMC7063561 32150226
- [30]Sindi S Hagman G Hakansson K Midlife Work-Related Stress Increases Dementia Risk in Later Life: The CAIDE 30-Year Study The journals of gerontology. Series B, Psychological sciences and social sciences 72 2017 1044 1053 PubMed PMID: 27059705 27059705
- [31]Greenberg MS Tanev K Marin M-F Pitman RK Stress, PTSD, and dementia Alzheimer's & dementia: the journal of the Alzheimer's Association 10 2014 S155 S165 24924667
- [33]Marseglia A Dahl Aslan AK Fratiglioni L Cognitive Trajectories of Older Adults With Prediabetes and Diabetes: A Population-Based Cohort Study The journals of gerontology. Series A, Biological sciences and medical sciences 73 2018 400 406 PubMed PMID: 28633303 10.1093/gerona/glx112 28633303 PMC5861913 · DOI
- [34]Moreno-Gonzalez I Edwards G III Salvadores N Molecular interaction between type 2 diabetes and Alzheimer's disease through cross-seeding of protein misfolding Molecular psychiatry 22 2017 1327 1334 PubMed PMID: 28044060, PMCID 5495631 10.1038/mp.2016.230 28044060 PMC5495631 · DOI
- [35]McIntosh EC Nation DA Importance of Treatment Status in Links Between Type 2 Diabetes and Alzheimer's Disease Diabetes care 42 2019 972 979 PubMed PMID: 30833374, PMCID 6489115 10.2337/dc18-1399 30833374 PMC6489115 · DOI
- [36]Samaras K Makkar S Crawford JD Metformin Use Is Associated With Slowed Cognitive Decline and Reduced Incident Dementia in Older Adults With Type 2 Diabetes: The Sydney Memory and Ageing Study Diabetes care 2020 32967921
- [37]Wium-Andersen IK Osler M Jørgensen MB Rungby J Wium-Andersen MK Antidiabetic medication and risk of dementia in patients with type 2 diabetes: a nested case-control study Eur J Endocrinol 181 2019 499 507 PubMed PMID: 31437816 10.1530/EJE-19-0259 31437816 · DOI
- [39]Oishi E Ohara T Sakata S Day-to-Day Blood Pressure Variability and Risk of Dementia in a General Japanese Elderly Population: The Hisayama Study Circulation 136 2017 516 525 PubMed PMID: 28784822, PMCID 5548511 10.1161/CIRCULATIONAHA.116.025667 28784822 PMC5548511 · DOI · Paper page
- [40]Larsson SC Markus HS Does Treating Vascular Risk Factors Prevent Dementia and Alzheimer's Disease? A Systematic Review and Meta-Analysis Journal of Alzheimer's disease: JAD 64 2018 657 668 PubMed PMID: 29914039 10.3233/JAD-180288 29914039 · DOI
- [41]Schilling S Tzourio C Soumare A Differential associations of plasma lipids with incident dementia and dementia subtypes in the 3C Study: A longitudinal, population-based prospective cohort study PLoS medicine 14 2017 e1002265 PubMed PMID: 28350817, PMCID 5369688 10.1371/journal.pmed.1002265 28350817 PMC5369688 · DOI
- [42]Marcum ZA Walker R Bobb JF Serum Cholesterol and Incident Alzheimer's Disease: Findings from the Adult Changes in Thought Study Journal of the American Geriatrics Society 66 2018 2344 2352 PubMed PMID: 30289959, PMCID 6289681 10.1111/jgs.15581 30289959 PMC6289681 · DOI
- [43]Chew H Solomon VA Fonteh AN Involvement of Lipids in Alzheimer's Disease Pathology and Potential Therapies Front Physiol 11 2020 598 PubMed PMID: 32581851, PMCID 7296164 10.3389/fphys.2020.00598 32581851 PMC7296164 · DOI · Paper page
- [44]Svensson T Sawada N Mimura M The association between midlife serum high-density lipoprotein and mild cognitive impairment and dementia after 19 years of follow-up Translational psychiatry 9 2019 26 PubMed PMID: 30659169, PMCID 6338778 10.1038/s41398-018-0336-y 30659169 PMC6338778 · DOI
- [45]Redelmeier DA Manzoor F Thiruchelvam D Association Between Statin Use and Risk of Dementia After a Concussion JAMA neurology 2019 PMC6537780 31107515
- [46]Tolppanen AM Ngandu T Kareholt I Midlife and late-life body mass index and late-life dementia: results from a prospective population-based cohort Journal of Alzheimer's disease: JAD 38 2014 201 209 PubMed PMID: 23948937 10.3233/JAD-130698 23948937 · DOI
- [47]Sun Z Wang Z-T Sun F-R Late-life obesity is a protective factor for prodromal Alzheimer's disease: a longitudinal study Aging 12 2020 2005 2017 PubMed PMID: 31986486, PMCID 7053604 10.18632/aging.102738 31986486 PMC7053604 · DOI
- [48]Pérez-González R Antequera D Vargas T Leptin induces proliferation of neuronal progenitors and neuroprotection in a mouse model of Alzheimer's disease Journal of Alzheimer's disease: JAD 24 Suppl2 2011 17 25 PubMed PMID: 21335656 10.3233/JAD-2011-102070 21335656 · DOI
- [49]Kim D Yang P-S Yu HT Risk of dementia in stroke-free patients diagnosed with atrial fibrillation: data from a population-based cohort European heart journal 40 2019 2313 2323 PubMed PMID: 31212315 10.1093/eurheartj/ehz386 31212315 · DOI
- [50]Jefferson AL Beiser AS Himali JJ Low cardiac index is associated with incident dementia and Alzheimer disease: the Framingham Heart Study Circulation 131 2015 1333 1339 PubMed PMID: 25700178, PMCID 4398627 10.1161/CIRCULATIONAHA.114.012438 25700178 PMC4398627 · DOI · Paper page
- [51]Austin BP Nair VA Meier TB Effects of hypoperfusion in Alzheimer's disease Journal of Alzheimer's disease: JAD 26 Suppl3 2011 123 133 PubMed PMID: 21971457 10.3233/JAD-2011-0010 21971457 PMC3303148 · DOI
- [52]Kim D Yang P-S Sung J-H Less dementia after catheter ablation for atrial fibrillation: a nationwide cohort study European heart journal 2020 33022705
- [53]Zhou J Yu JT Wang HF Association between stroke and Alzheimer's disease: systematic review and meta-analysis Journal of Alzheimer's disease: JAD 43 2015 479 489 PubMed PMID: 25096624 10.3233/JAD-140666 25096624 · DOI
- [55]Arvanitakis Z Capuano AW Leurgans SE Bennett DA Schneider JA Relation of cerebral vessel disease to Alzheimer's disease dementia and cognitive function in elderly people: a cross-sectional study The Lancet. Neurology 15 2016 934 943 PubMed PMID: 27312738, PMCID 4969105 10.1016/S1474-4422(16)30029-1 27312738 PMC4969105 · DOI · Paper page
- [57]Fann JR Ribe AR Pedersen HS Long-term risk of dementia among people with traumatic brain injury in Denmark: a population-based observational cohort study. The lancet Psychiatry 5 2018 424 431 PubMed PMID: 29653873 29653873
- [58]Nordström A Nordström P Traumatic brain injury and the risk of dementia diagnosis: A nationwide cohort study PLoS medicine 15 2018 e1002496 PubMed PMID: 29381704, PMCID 5790223 10.1371/journal.pmed.1002496 29381704 PMC5790223 · DOI · Paper page
- [60]Yaffe K Lwi SJ Hoang TD Military-related risk factors in female veterans and risk of dementia Neurology 92 2019 e205 e211 PubMed PMID: 30541865, PMCID 6340384 10.1212/WNL.0000000000006778 30541865 PMC6340384 · DOI · Paper page
- [61]Zhou F Chen S Hyperhomocysteinemia and risk of incident cognitive outcomes: An updated dose-response meta-analysis of prospective cohort studies Ageing research reviews 51 2019 55 66 PubMed PMID: 30826501 10.1016/j.arr.2019.02.006 30826501 · DOI
- [62]Chen S Honda T Ohara T Serum homocysteine and risk of dementia in Japan Journal of neurology, neurosurgery, and psychiatry 91 2020 540 546 PubMed PMID: 32234968 10.1136/jnnp-2019-322366 32234968 PMC7231445 · DOI
- [63]Li J-G Chu J Barrero C Merali S Praticò D Homocysteine exacerbates β-amyloid pathology, tau pathology, and cognitive deficit in a mouse model of Alzheimer disease with plaques and tangles Annals of neurology 75 2014 851 863 PubMed PMID: 24644038, PMCID 4362695 10.1002/ana.24145 24644038 PMC4362695 · DOI
- [64]Kaye AD Jeha GM Pham AD Folic Acid Supplementation in Patients with Elevated Homocysteine Levels Adv Ther 37 2020 4149 4164 PubMed PMID: 32845472, PMCID 7497502 10.1007/s12325-020-01474-z 32845472 PMC7497502 · DOI
- [65]Hung S-C Liao K-F Muo C-H Hearing Loss is Associated With Risk of Alzheimer's Disease: A Case-Control Study in Older People Journal of epidemiology 25 2015 517 521 PubMed PMID: 25986155, PMCID 4517989 10.2188/jea.JE20140147 25986155 PMC4517989 · DOI
- [66]Griffiths TD Lad M Kumar S How Can Hearing Loss Cause Dementia? Neuron 2020 PMC7664986 32871106
- [67]Armstrong NM An Y Doshi J Association of Midlife Hearing Impairment With Late-Life Temporal Lobe Volume Loss JAMA Otolaryngol Head Neck Surg 2019 PMC6613307 31268512
- [68]Maharani A Dawes P Nazroo J Tampubolon G Pendleton N Longitudinal Relationship Between Hearing Aid Use and Cognitive Function in Older Americans Journal of the American Geriatrics Society 66 2018 1130 1136 PubMed PMID: 29637544 10.1111/jgs.15363 29637544 · DOI · Paper page
- [69]Takeuchi K Ohara T Furuta M Tooth Loss and Risk of Dementia in the Community: the Hisayama Study Journal of the American Geriatrics Society 65 2017 e95 e100 PubMed PMID: 28272750 10.1111/jgs.14791 28272750 · DOI
- [70]Chen C-K Wu Y-T Chang Y-C Association between chronic periodontitis and the risk of Alzheimer's disease: a retrospective, population-based, matched-cohort study Alzheimer's research & therapy 9 2017 56 10.1186/s13195-017-0282-6 PMC5547465 28784164 · DOI · Paper page
- [71]Pritchard AB Crean S Olsen I Singhrao SK Periodontitis, Microbiomes and their Role in Alzheimer's Disease Frontiers in aging neuroscience 9 2017 336 PubMed PMID: 29114218, PMCID 5660720 10.3389/fnagi.2017.00336 29114218 PMC5660720 · DOI
- [72]Kishimoto H Ohara T Hata J The long-term association between physical activity and risk of dementia in the community: the Hisayama Study European journal of epidemiology 31 2016 267 274 PubMed PMID: 26857126 10.1007/s10654-016-0125-y 26857126 · DOI
- [73]Broadhouse KM Singh MF Suo C Hippocampal plasticity underpins long-term cognitive gains from resistance exercise in MCI. NeuroImage Clinical 25 2020 102182 PMC6974789 31978826
- [74]Bisbe M Fuente-Vidal A López E Comparative Cognitive Effects of Choreographed Exercise and Multimodal Physical Therapy in Older Adults with Amnestic Mild Cognitive Impairment: Randomized Clinical Trial Journal of Alzheimer's disease: JAD 73 2020 769 783 PubMed PMID: 31868666 10.3233/JAD-190552 31868666 PMC7029368 · DOI
- [75]Guadagni V Drogos LL Tyndall AV Aerobic exercise improves cognition and cerebrovascular regulation in older adults Neurology 94 2020 e2245 e2257 PubMed PMID: 32404355, PMCID 7357295 10.1212/WNL.0000000000009478 32404355 PMC7357295 · DOI
- [76]Firth J Stubbs B Vancampfort D Effect of aerobic exercise on hippocampal volume in humans: A systematic review and meta-analysis Neuroimage 166 2018 230 238 PubMed PMID: 29113943 10.1016/j.neuroimage.2017.11.007 29113943 · DOI · Paper page
- [77]Thomas BP Tarumi T Sheng M Brain Perfusion Change in Patients with Mild Cognitive Impairment After 12 Months of Aerobic Exercise Training Journal of Alzheimer's disease: JAD 75 2020 617 631 PubMed PMID: 32310162 10.3233/JAD-190977 32310162 PMC8062932 · DOI
- [78]Sabia S Dugravot A Dartigues JF Physical activity, cognitive decline, and risk of dementia: 28 year follow-up of Whitehall II cohort study BMJ (Clinical research ed.) 357 2017 j2709 10.1136/bmj.j2709 PMC5480222 28642251 · DOI
- [80]Lutsey PL Misialek JR Mosley TH Sleep characteristics and risk of dementia and Alzheimer's disease: The Atherosclerosis Risk in Communities Study Alzheimer's & dementia: the journal of the Alzheimer's Association 14 2018 157 166 10.1016/j.jalz.2017.06.2269 PMC5776061 28738188 · DOI · Paper page
- [81]Westwood AJ Beiser A Jain N Prolonged sleep duration as a marker of early neurodegeneration predicting incident dementia Neurology 88 2017 1172 1179 PubMed PMID: 28228567, PMCID 5373785 10.1212/WNL.0000000000003732 28228567 PMC5373785 · DOI
- [82]Chen J-C Espeland MA Brunner RL Sleep duration, cognitive decline, and dementia risk in older women Alzheimer's & dementia: the journal of the Alzheimer's Association 12 2016 21 33 10.1016/j.jalz.2015.03.004 PMC4679723 26086180 · DOI
- [83]Xu W Tan L Su B-J Sleep characteristics and cerebrospinal fluid biomarkers of Alzheimer's disease pathology in cognitively intact older adults: The CABLE study Alzheimer's & dementia: the journal of the Alzheimer's Association 2020 32657026
- [84]Wang C Holtzman DM Bidirectional relationship between sleep and Alzheimer's disease: role of amyloid, tau, and other factors Neuropsychopharmacology 45 2020 104 120 PubMed PMID: 31408876 10.1038/s41386-019-0478-5 31408876 PMC6879647 · DOI
- [86]Durazzo TC Mattsson N Weiner MW Smoking and increased Alzheimer's disease risk: a review of potential mechanisms Alzheimer's & dementia: the journal of the Alzheimer's Association 10 2014 S122 S145 10.1016/j.jalz.2014.04.009 PMC4098701 24924665 · DOI
- [88]Langballe EM Ask H Holmen J Alcohol consumption and risk of dementia up to 27 years later in a large, population-based sample: the HUNT study, Norway European journal of epidemiology 30 2015 1049 1056 PubMed PMID: 25968174, PMCID 4584101 10.1007/s10654-015-0029-2 25968174 PMC4584101 · DOI
- [89]Xu W Wang H Wan Y Alcohol consumption and dementia risk: a dose-response meta-analysis of prospective studies European journal of epidemiology 32 2017 31 42 PubMed PMID: 28097521 10.1007/s10654-017-0225-3 28097521 · DOI · Paper page
- [90]Handing EP Andel R Kadlecova P Gatz M Pedersen NL Midlife Alcohol Consumption and Risk of Dementia Over 43 Years of Follow-Up: A Population-Based Study From the Swedish Twin Registry The journals of gerontology. Series A, Biological sciences and medical sciences 70 2015 1248 1254 PubMed PMID: 25881581 10.1093/gerona/glv038 25881581 · DOI
- [91]Sharma A Brenner M Wang P Potential Role of Extracellular CIRP in Alcohol-Induced Alzheimer's Disease Molecular neurobiology 57 2020 5000 5010 PubMed PMID: 32827106, PMCID 7544648 10.1007/s12035-020-02075-1 32827106 PMC7544648 · DOI
- [92]Fukuda T Ohnuma T Obara K Supplementation with Matured Hop Bitter Acids Improves Cognitive Performance and Mood State in Healthy Older Adults with Subjective Cognitive Decline Journal of Alzheimer's disease: JAD 2020 PMC7369117 32474473
- [93]Reale M Costantini E Jagarlapoodi S Relationship of Wine Consumption with Alzheimer's Disease Nutrients 12 2020 PMC7019227 31941117
- [94]Andrews SJ Goate A Anstey KJ Association between alcohol consumption and Alzheimer's disease: A Mendelian randomization study Alzheimer's & dementia: the journal of the Alzheimer's Association 16 2020 345 353 10.1016/j.jalz.2019.09.086 PMC7057166 31786126 · DOI · Paper page
- [95]Wu L Sun D He Y Coffee intake and the incident risk of cognitive disorders: A dose-response meta-analysis of nine prospective cohort studies Clinical nutrition (Edinburgh, Scotland) 36 2017 730 736 10.1016/j.clnu.2016.05.015 27288328 · DOI
- [96]Sugiyama K Tomata Y Kaiho Y Association between Coffee Consumption and Incident Risk of Disabling Dementia in Elderly Japanese: The Ohsaki Cohort 2006 Study Journal of Alzheimer's disease: JAD 50 2016 491 500 PubMed PMID: 26682686 10.3233/JAD-150693 26682686 · DOI
- [97]Xu H Wang Y Yuan Y Gender differences in the protective effects of green tea against amnestic mild cognitive impairment in the elderly Han population Neuropsychiatric disease and treatment 14 2018 1795 1801 PubMed PMID: 30022828, PMCID 6044798 10.2147/NDT.S165618 30022828 PMC6044798 · DOI
- [98]Ma Y-H Wu J-H Xu W Associations of Green Tea Consumption and Cerebrospinal Fluid Biomarkers of Alzheimer's Disease Pathology in Cognitively Intact Older Adults: The CABLE Study Journal of Alzheimer's disease: JAD 77 2020 411 421 PubMed PMID: 32804140 10.3233/JAD-200410 32804140 · DOI
- [99]Mancini E Beglinger C Drewe J Green tea effects on cognition, mood and human brain function: A systematic review Phytomedicine: international journal of phytotherapy and phytopharmacology 34 2017 26 37 10.1016/j.phymed.2017.07.008 28899506 · DOI
- [100]Polito CA Cai ZY Shi YL Association of Tea Consumption with Risk of Alzheimer's Disease and Anti-Beta-Amyloid Effects of Tea Nutrients 10 2018 PMC5986534 29789466
- [101]Morris MC Tangney CC Wang Y MIND diet associated with reduced incidence of Alzheimer's disease Alzheimer's & dementia: the journal of the Alzheimer's Association 11 2015 1007 1014 10.1016/j.jalz.2014.11.009 PMC4532650 25681666 · DOI · Paper page
- [102]Chen X Maguire B Brodaty H O'Leary F Dietary Patterns and Cognitive Health in Older Adults: A Systematic Review Journal of Alzheimer's disease: JAD 67 2019 583 619 PubMed PMID: 30689586 10.3233/JAD-180468 30689586 · DOI
- [103]Samieri C Rajendra Sonawane A Lefèvre-Arbogast S Using network science tools to identify novel diet patterns in prodromal dementia Neurology 2020 10.1212/WNL.0000000000009399 PMC11399075 32321763 · DOI
- [104]Nagpal R Neth BJ Wang S Gut mycobiome and its interaction with diet, gut bacteria and alzheimer's disease markers in subjects with mild cognitive impairment: A pilot study EBioMedicine 59 2020 102950 PubMed PMID: 32861197, PMCID 7475073 10.1016/j.ebiom.2020.102950 32861197 PMC7475073 · DOI
- [105]Gentreau M Chuy V Féart C Refined carbohydrate-rich diet is associated with long-term risk of dementia and Alzheimer's disease in apolipoprotein E ε4 allele carriers Alzheimer's & dementia: the journal of the Alzheimer's Association 2020 32506713
- [106]Zhang Y Chen J Qiu J Intakes of fish and polyunsaturated fatty acids and mild-to-severe cognitive impairment risks: a dose-response meta-analysis of 21 cohort studies The American journal of clinical nutrition 103 2016 330 340 PubMed PMID: 26718417 10.3945/ajcn.115.124081 26718417 · DOI · Paper page
- [107]Morris MC Brockman J Schneider JA Association of Seafood Consumption, Brain Mercury Level, and APOE epsilon4 Status With Brain Neuropathology in Older Adults Jama 315 2016 489 497 PubMed PMID: 26836731, PMCID 5460535 10.1001/jama.2015.19451 26836731 PMC5460535 · DOI
- [108]Littlejohns TJ Henley WE Lang IA Vitamin D and the risk of dementia and Alzheimer disease Neurology 83 2014 920 928 PubMed PMID: 25098535, PMCID 4153851 10.1212/WNL.0000000000000755 25098535 PMC4153851 · DOI
- [110]Noguchi-Shinohara M Abe C Yuki-Nozaki S Higher Blood Vitamin C Levels are Associated with Reduction of Apolipoprotein E E4-related Risks of Cognitive Decline in Women: The Nakajima Study Journal of Alzheimer's disease: JAD 63 2018 1289 1297 PubMed PMID: 29758939 10.3233/JAD-170971 29758939 · DOI
- [111]Holland TM Agarwal P Wang Y Dietary flavonols and risk of Alzheimer dementia Neurology 2020 PMC7282875 31996451
- [112]Zhang C Wang Y Wang D Zhang J Zhang F NSAID Exposure and Risk of Alzheimer's Disease: An Updated Meta-Analysis From Cohort Studies Frontiers in aging neuroscience 10 2018 83 PubMed PMID: 29643804, PMCID 5882872 10.3389/fnagi.2018.00083 29643804 PMC5882872 · DOI
- [113]Ryan J Storey E Murray AM Randomized placebo-controlled trial of the effects of aspirin on dementia and cognitive decline Neurology 2020 PMC7455352 32213642
- [114]Veronese N Stubbs B Maggi S Low-Dose Aspirin Use and Cognitive Function in Older Age: A Systematic Review and Meta-analysis Journal of the American Geriatrics Society 65 2017 1763 1768 PubMed PMID: 28425093, PMCID 6810633 10.1111/jgs.14883 28425093 PMC6810633 · DOI
- [116]Calderón-Garcidueñas L González-Maciel A Reynoso-Robles R Quadruple abnormal protein aggregates in brainstem pathology and exogenous metal-rich magnetic nanoparticles. The substantia nigrae is a very early target in young urbanites and the gastrointestinal tract likely a key brainstem portal Environ Res 2020 110139 32888951
- [118]Younan D Wang X Casanova R PM(2.5) associated with gray matter atrophy reflecting increased Alzheimers risk in older women Neurology 2020 PMC8055348 33208540
- [119]Cacciottolo M Wang X Driscoll I Particulate air pollutants, APOE alleles and their contributions to cognitive impairment in older women and to amyloidogenesis in experimental models Translational psychiatry 7 2017 e1022 PubMed PMID: 28140404, PMCID 5299391 10.1038/tp.2016.280 28140404 PMC5299391 · DOI
Cited by
Sorted by citations
Zhang, J., Zhang, Y., Wang, J., Xia, Y., Zhang, J., & Chen, L. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-01911-3 · Cited by 1,138 · see citing works
“They may achieve this by altering biological pathways and genetic susceptibility, 23,84 – 86 making it challenging to pinpoint a direct cause of clinical pathology in AD.”
BackgroundPiccialli, I., Tedeschi, V., Caputo, L., D’Errico, S., Ciccone, R., De Feo, V., Secondo, A., & Pannaccione, A. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.876614 · Cited by 73 · see citing works
Cholesterol Dysmetabolism in Alzheimer’s Disease: A Starring Role for Astrocytes?
Staurenghi, E., Giannelli, S., Testa, G., Sottero, B., Leonarduzzi, G., & Gamba, P. (2021) · Antioxidants · doi:10.3390/antiox10121890 · Cited by 44 · see citing works
Hein, Z. M., Karikalan, B., Gopalakrishna, P. K., Dhevi, K., Alkatiri, A., Hussan, F., Mohd Moklas, M. A., Jagadeesan, S., Che Ramli, M. D., Che Mohd Nassir, C. M. N., et al. (2026) · Molecular Neurobiology · doi:10.1007/s12035-025-05602-0 · Cited by 43 · see citing works
Pramoda, G., Verma, R. K., Kesharwani, P., & Shukla, R. (2025) · Journal of Molecular Liquids · doi:10.1016/j.molliq.2025.127938 · Cited by 15 · see citing works
Khezri, M. R., & Ghasemnejad-Berenji, M. (2023) · Journal of Alzheimer s Disease · doi:10.3233/jad-220873 · Cited by 12 · see citing works
Go, M. J., Kim, J. M., Kang, J. Y., Park, S. K., Lee, C. J., Kim, M. J., Lee, H. R., Kim, T. Y., Joo, S. G., Kim, D.-O., et al. (2022) · Journal of Microbiology and Biotechnology · doi:10.4014/jmb.2207.07015 · Cited by 9 · see citing works
Decoding brain structure to stage Alzheimer's disease pathology in Down syndrome
Kennedy, J. T., Wisch, J. K., Dincer, A., Roman, J., Gordon, B. A., Handen, B., Benzinger, T. L. S., Head, E., Mapstone, M., Christian, B. T., et al. (2025) · Alzheimer's & Dementia · doi:10.1002/alz.14519 · Cited by 7 · see citing works
- Authors
- Zhang, X.-X., Tian, Y., Wang, Z.-T., Ma, Y.-H., Tan, L., & Yu, J.-T.
- Affiliations
- Qingdao University (CN)
- Shanghai Medical College of Fudan University (CN)
- Corresponding author
- Tan, Lan
- Yu, Jin-Tai
- ORCID
- Venue
- The Journal of Prevention of Alzheimer's Disease
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 8
- Issue
- 3
- Pages
- 313-321
- ISSN
- 2274-5807 (ISSN-L)
- PMC
- PMC12280729
- OpenAlex
- W3151714526
- Cited by
- 789
- References
- 16
- Citations by year
- 2026: 161 · 2025: 223 · 2024: 204 · 2023: 134 · 2022: 58 · 2021: 9
- FWCI
- 18.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Journal of Prevention of Alzheimer s Disease (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Fudan University (2018SHZDZX01)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- Alzheimer's disease, modifiable risk factors, dementia prevention, early prevention, neurodegeneration, genetic susceptibility, environmental factors, life course, disease burden, population aging, protective factors
- MeSH terms
- Alzheimer Disease, Cardiovascular Diseases, Humans, Life Style, Risk Factors, Exercise, Prevalence, Protective Factors
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