Evidence map›Paper›PMID 40791028›Full record

ArticleBrain and behavior2025

Development of a Predictive Model for the Progression of Subjective Cognitive Decline: A Longitudinal Study.

Wenyi Li, Jiwei Jiang, Qiwei Ren, Min Zhao, Linlin Wang, Shiyi Yang, Shirui Jiang, Tianlin Jiang, Huiying Zhang, Jun Xu

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Wenyi LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jiwei JiangChina National Clinical Research Center For Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-5775-2754
Qiwei RenDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Min ZhaoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Linlin WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Shiyi YangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Shirui JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tianlin JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Huiying ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jun XuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7432-6781

Funding

Beijing Municipal Natural Science Foundation 7254343Key Project of Yunnan Provincial Department of Science and Technology 202301AS070037Key Project of Yunnan Provincial Department of Science and Technology 202305AK340001National key R&D Program of China 2024YFF0507503National Natural Science Foundation of China 81870821National Natural Science Foundation of China 82071187National Natural Science Foundation of China 82360387National Natural Science Foundation of China 82471212Noncommunicable Chronic Diseases-National Science and Technology Major project 2023ZD0505804
6 · The paper itself

Abstract

backgroundSubjective cognitive decline (SCD) is a preclinical stage of Alzheimer's disease (AD). However, the factors influencing SCD progression remain unclear. It is necessary to develop a model for predicting cognitive progression in SCD.

methods96 participants with SCD and 36 healthy controls (HCs) were enrolled from the Chinese Imaging, Biomarkers, and Lifestyle study between January 1 and June 30, 2022. Of these, 70 completed approximately 12 months of follow-up visits. Clinical, cognitive assessment, and neuroimaging data were collected. Cox proportional-hazard regression models were used to investigate the risk factors and construct a nomogram.

resultsCompared to HCs, participants with SCD had higher Pittsburgh Sleep Quality Index (PSQI) scores, indicating they had poorer sleep quality, and had higher cerebral blood flow (CBF) in bilateral hippocampus, thalamus, and left precuneus (all p < 0.05). Poorer sleep quality and left precuneus CBF were independently associated with SCD progression (all p < 0.05). The nomogram constructed with these factors achieved good discriminative ability, with an AUC of 0.785 (95% CI: 0.609-0.960) and a coherence index of 0.840 (95% CI: 0.733-0.948). The calibration curves showed significant agreement between the model and actual observations, and the decision curve analysis of the model showed clinical benefit.

conclusionsA predictive model for SCD progression constructed based on risk factors including PSQI scores and left precuneus CBF showed good accuracy and discrimination ability, and it may provide valuable insights for early stage screening of AD.

Indexed as

Cognitive DysfunctionAgedAlzheimer DiseaseCerebrovascular CirculationDisease ProgressionFemaleHumansLongitudinal StudiesMaleMiddle AgedNomogramsRisk FactorsSleep QualityAlzheimer's diseaseneuroimagingprediction modelrisk factorssubjective cognitive decline

Identifiers

PMID40791028
PMCPMC12340233

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.