Evidence map›Paper›PMID 38775256›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Association of LIfestyle for BRAin health risk score (LIBRA) and genetic susceptibility with incident dementia and cognitive decline.

Jeanne Neuffer, Maude Wagner, Elisa Moreno, Quentin Le Grand, Aniket Mishra, David-Alexandre Trégouët, Karen Leffondre, Cécile Proust-Lima, Alexandra Foubert-Samier, Claudine Berr and 4 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Lifestyle, genetic risk, plasma pTau217, and incident cognitive impairment in WRAP.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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

14 authors.

Jeanne NeufferBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Maude WagnerBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Elisa MorenoBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Quentin Le GrandBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Aniket MishraBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
David-Alexandre TrégouëtBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Karen LeffondreBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Cécile Proust-LimaBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Alexandra Foubert-SamierInstitut des Maladies Neurodégénératives, Bordeaux University Hospital, Bordeaux, France.
Claudine BerrUniversity of Montpellier, INSERM, Institute for Neurosciences of Montpellier (INM), Montpellier, France.
Christophe TzourioBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Catherine HelmerBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Stéphanie DebetteBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.
Cécilia SamieriBordeaux Population Health Research Center, INSERM, University of Bordeaux, Bordeaux, France.

Funding

BPI France, "FutureInvestmentprogram", "Competitivenessclusterstructuringprojects"Caisse Nationale Maladie des Travailleurs SalariésFondation de FranceFondation Plan Alzheimer FCS 2009-2012Fondation pour la Recherche AlzheimerFondation pour la Recherche MédicaleFrench National Research Agency COGINUT ANR-06-PNRA-005French National Research Agency COGINUT ANR 2007LVIE 003Institut de la LongévitéMinistry of Research-INSERM Programme "Cohortes et collections de données biologiques"Mutuelle Générale de l'Education NationaleRegional Governments of Aquitaine and Bourgogne
6 · The paper itself

Abstract

introductionEvaluating whether genetic susceptibility modifies the impact of lifestyle-related factors on dementia is critical for prevention.

methodsWe studied 5170 participants from a French cohort of older persons free of dementia at baseline and followed for up to 17 years. The LIfestyle for BRAin health risk score (LIBRA) including 12 modifiable factors was constructed at baseline (higher score indicating greater risk) and was related to both subsequent cognitive decline and dementia incidence, according to genetic susceptibility to dementia (reflected by the apolipoprotein E [APOE] ε4 allele and a genetic risk score [GRS]).

resultsThe LIBRA was associated with higher dementia incidence, with no significant effect modification by genetics (hazard ratio for one point score = 1.09 [95% confidence interval, 1.05; 1.13]) in APOE ε4 non-carriers and = 1.15 [1.08; 1.22] in carriers; P = 0.15 for interaction). Similar findings were obtained with the GRS and with cognitive decline. DISCUSSION: Lifestyle-based prevention may be effective whatever the genetic susceptibility to dementia.

Indexed as

Cognitive DysfunctionDementiaGenetic Predisposition to DiseaseLife StyleAgedApolipoprotein E4Cohort StudiesFemaleFranceHumansIncidenceMaleRisk FactorsApolipoprotein E4apolipoprotein Ecognitive declinedementiagenetic risk scoremodifiable risk factors

Identifiers

PMID38775256
PMCPMC11180843

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.