Evidence mapPaperPMID 41041908Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Generational effects in Down syndrome: Enriched environment enhances functionality without reducing Alzheimer's disease risk.

Lídia Vaqué-Alcázar, Laura Videla, Bessy Benejam, Laura Del Hoyo Soriano, Isabel Barroeta, Susana Fernandez, Íñigo Rodríguez-Baz, José Enrique Arriola-Infante, Javier Arranz, Lucía Maure Blesa and 8 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

Lídia Vaqué-AlcázarSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Laura VidelaSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Bessy BenejamBarcelona Down Medical Center, Fundació Catalana de Síndrome de Down, Barcelona, Spain.
Laura Del Hoyo SorianoSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Isabel BarroetaSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Susana FernandezBarcelona Down Medical Center, Fundació Catalana de Síndrome de Down, Barcelona, Spain.
Íñigo Rodríguez-BazSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
José Enrique Arriola-InfanteSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Javier ArranzSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Lucía Maure BlesaSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Aida Sanjuan-HernándezSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Alejandra O Morcillo-NietoSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Alexandre BejaninSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Eider M Arenaza-UrquijoBarcelona Institute for Global Health (ISGlobal), Environment and Health Over the Lifecourse Program, Barcelona, Spain.
Alberto LleóSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
David Bartrés-FazDepartment of Medicine, Faculty of Medicine and Health Sciences, Institute of Neurosciences, University of Barcelona, Barcelona, Spain.
Maria Carmona-IraguiSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Juan ForteaSant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.

Funding

Alzheimer's Association AARG-22-923680Alzheimer's Association AARG-22-973966BrightFocus FoundationEuropean Union PI14/1561European Union PI18/00335European Union PI20/01330European Union PI20/01473European Union PI22/00307European Union PI22/00785European Union PI23/01786Fondation Jérôme Lejeune #1913Cycle2019BFondation Jérôme Lejeune 2326 - GRT-2024AFoundation for the National Institutes of Health 1R01AG056850-01A1Foundation for the National Institutes of Health 3RF1AG056850-01S1Foundation for the National Institutes of Health AG056850Foundation for the National Institutes of Health and R01AG061566Foundation for the National Institutes of Health R21AG056974Fundación Tatiana Pérez de Guzmán el Bueno IIBSP-DOW-2020-151Generalitat de CatalunyaGlobal Brain Health Institute GBHI_ALZ-18-543740Horizon 2020 Framework Programme H2020-SC1-BHC-2018-2020/GA 965422ICREA AcademiaInstituto de Salud Carlos III CD23/00235Instituto de Salud Carlos III CM22/00052Instituto de Salud Carlos III CM22/00219Instituto de Salud Carlos III CM23/00291Instituto de Salud Carlos III CP20/00038Instituto de Salud Carlos III CP24/00112Life Molecular Imaging (LMI)
6 · The paper itself

Abstract

introductionDown syndrome (DS) is the leading cause of intellectual disability (ID) and a genetic form of Alzheimer's disease (AD). We wanted to assess whether generational changes have induced (1) milder ID with greater independence and (2) delayed AD diagnosis.

methodsWe analyzed 681 asymptomatic DS to test generational effects on ID, functionality, and cognition. In 353 DS individuals with AD, we compared clinical diagnosis age by ID using analysis of variance. In addition, dementia diagnosis age was examined through a published meta-analysis.

resultsOur results indicate a generational shift toward a higher proportion of individuals with mild/moderate ID, greater intelligence, and autonomy. However, it was not paralleled by an ID-related delay in the age at AD onset in our cohort, or by generational delays reported over the past 35 years. DISCUSSION: The findings highlight notable generational improvements in DS, but no effects on the age at AD dementia diagnosis. HIGHLIGHTS: A generational effect has reduced the severity of intellectual disability in Down syndrome (DS). Individuals with DS have increased autonomy and improved intellectual milestones. The enriched environment has not delayed the age at Alzheimer's disease (AD) dementia in DS. Further studies should confirm if cognitive reserve might delay AD in DS.

Indexed as

Alzheimer DiseaseDown SyndromeIntellectual DisabilityAdultAgedFemaleHumansMaleMiddle AgedAlzheimer's disease (AD)Down syndrome (DS)functionalityintellectual disability (ID)intelligence

Identifiers

PMID41041908
PMCPMC12492072

What Socratic holds

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LicenceCC BY-NC
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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.