Evidence map›Paper›PMID 41241725›Full record

SynthesisBMC geriatrics2025

Neighbourhood-built environment and cognitive or social health in older adults with mild cognitive impairment or dementia: an umbrella review.

Janissa Altona, Henrik Wiegelmann, Emily Mena, Benjamin Schüz, Karin Wolf-Ostermann

Abstract readSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 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. Review
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

5 authors.

Janissa AltonaInstitute for Public Health and Nursing Research (IPP), Bremen, Germany. jaltona@uni-bremen.de.
Henrik WiegelmannInstitute for Public Health and Nursing Research (IPP), Bremen, Germany.
Emily MenaInstitute for Public Health and Nursing Research (IPP), Bremen, Germany.
Benjamin SchüzInstitute for Public Health and Nursing Research (IPP), Bremen, Germany.
Karin Wolf-OstermannInstitute for Public Health and Nursing Research (IPP), Bremen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies underscore the importance of the neighbourhood-built environment (NBE) for the cognitive and social health of older people with mild cognitive impairment (MCI) or people living with dementia (PlwD). While previous overview reviews have provided valuable insights, they often focus narrowly on either objective environmental features or subjective experiences and typically lack an integrated perspective. This umbrella review addresses this gap by systematically examining how specific NBE aspects (a) influence the cognitive and social health of older people with MCI or PlwD, and (b) subjective experiences by PlwD and their caregivers. By combining these perspectives, the review aims to support the development of dementia-friendly neighbourhood design and planning.

methodsTo answer these questions, an umbrella review was performed. Scopus, MEDLINE (Pubmed), APA PsychINFO (Ebesco), CINAHL Complete (Ebesco), Cochrane Library, and Epistemonikos databases were used for the systematic literature research. We included peer-reviewed reviews or meta-analyses (quantitative, qualitative, or mixed-method studies) in German or English.

resultsTen reviews with 364 primary studies were identified. Reviews predominantly included quantitative studies, but also qualitative studies. The primary focus of the reviews was on the positive and negative influences of the NBE on MCI and/or dementia. Subjective experiences on social health targets were also addressed, but received less attention.

conclusionsThe results of the reviews, although heterogeneous, highlight potential relationships between various NBE aspects and the cognitive and social health of older people with MCI or PlwD. Clear associations were identified for certain NBE features-such as green spaces and transportation infrastructure-which demonstrate positive influences on both cognitive functioning and social participation. These findings emphasise the importance of considering both objective environmental characteristics and the subjective perceptions of PlwD and their caregivers when designing dementia-friendly neighbourhoods. By doing so, this umbrella review contributes evidence-based guidance to support autonomy and independent living for people with MCI or dementia. Further research is needed to explore the specific influence of individual NBE aspects on social health and the lived experiences of PlwD and their caregivers.

Indexed as

Built EnvironmentCognitionCognitive DysfunctionDementiaNeighborhood CharacteristicsAgedHumansAlzheimer’s diseaseCognitive and social healthDementiaMild cognitive impairmentNeighbourhood-built environment

Identifiers

PMID41241725
PMCPMC12619174

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.