Evidence map›Paper›PMID 40416736›Full record

ArticleFrontiers in aging neuroscience2025

Obesity paradox in cognitive function: a longitudinal study of BMI and cognitive impairment in older adult Chinese population.

Jing Chen, Jun Zhang, Hao Wang, Hongliang Zhu, Jialin Fu, Chuanwei Li, Qingrong Zhang, Xingzhi Xia, He Ma, Junjun Liu and 1 more

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. The role of vascular risk factors in white matter tract microstructure: a multi-cohort study in older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
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

11 authors.

Jing Chen *Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Jun Zhang *Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Hao Wang *Suzhou Medical College of Soochow University, Suzhou, China.
Hongliang ZhuSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Jialin FuSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Chuanwei LiSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Qingrong ZhangSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Xingzhi XiaSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
He MaSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Junjun LiuSuzhou Medical College of Soochow University, Suzhou, China.
Xiangdong DuSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study endeavored to investigate the correlation between body mass index (BMI) and cognitive impairment in the demographic of Chinese individuals who are 60 years of age and above. Methods: We selected data from China Health and Retirement Longitudinal Study (CHARLS) 2015-2018 and 2,942 subjects aged ≥60 years were included. The Mini-Mental State Examination (MMSE) was used to assess cognitive impairment. BMI was examined in two forms: as a continuous variable and was stratified into tertiles. Analysis was conducted using both univariate and multivariate logistic regression. Non-linear relationships were analyzed using curve fitting and segmented logistic regression. Results: During the study, 600 out of 2,942 subjects (20.4%) experienced cognitive impairment. In fully adjusted models, each unit increase in BMI was related to a 4% decrease in the odds of cognitive impairment (OR: 0.96, 95% CI: 0.93-0.99, Conclusion: This study provides evidence supporting the "obesity paradox" in the cognitive function of older adult Chinese population. Higher BMI is linked to lower cognitive impairment risk, especially among overweight persons. These findings indicate a complex and non-linear link between BMI and cognitive health among older adult adults, emphasizing the importance of tailored strategies for weight management in this population.

Indexed as

body mass indexcognitive impairmentnon-linear associationobesity paradoxolder adult population

Identifiers

PMID40416736
PMCPMC12098600

What Socratic holds

Textmetadata
LicenceCC BY
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.