Evidence map›Paper›PMID 41981149›Full record

ArticleScientific reports2026

Impaired lung function is associated with elevated blood biomarkers of AD/ADRD: unraveling the interplay with risk of dementia.

Sithara Vivek, Eileen M Crimmins, Jung Ki Kim, Jessica Faul, David R Jacobs, Weihua Guan, Bharat Thyagarajan

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sithara VivekDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA. svivek@umn.edu.
Eileen M CrimminsLeonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Jung Ki KimLeonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Jessica FaulSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
David R JacobsDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Weihua GuanDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Bharat ThyagarajanDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
USC/UCLA Center on Biodemography &Population HealthP30AG017265 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE · 1999 to 2026
$17.9M
NIA NIH HHS P30 AG017265NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

Background and Objectives: Impaired lung function (ILF) has been associated with cognitive decline and dementia risk in multiple cohorts, yet the role of circulating Alzheimer disease (AD) biomarkers in this relationship is not well understood. We aimed to assess the associations of ILF with AD-related blood biomarkers and to evaluate whether these biomarkers statistically accounted for part of the observed association between ILF and incident dementia. Methods: Serum p-Tau181 and plasma Aβ42/40, NfL, and GFAP were measured in 4,072 participants (mean age 66 ± 10 years; 59% women) in the 2016 Health and Retirement Study. Peak Expiratory Flow (PEF) was assessed in 2012/2014, and cognitive function was measured at four time points between 2014 and 2020 (every two years) to determine dementia status. ILF was defined as predicted PEF < 80%. Multivariable regression examined associations between ILF and AD biomarkers. Mediation models were used to evaluate the extent to which biomarkers statistically accounted for the association between ILF and incident dementia. Results: In total, 881 (21.6%) participants had ILF and 272 (6.8%) participants developed dementia. After adjusting for demographics, education, BMI, smoking, comorbidities, inflammation, eGFR and APOE e4, ILF was associated with a higher risk of dementia (HR = 1.74; 95% CI (1.34, 2.25)). Individuals with ILF had 0.10 SD higher NfL (SE = 0.03; p = 0.004) and 0.09 SD higher p-Tau 181 (SE = 0.03; p = 0.002) compared to those without ILF. In mediation models, higher NfL and p Tau181 accounted for modest proportions of the observed association between ILF and incident dementia, with estimated mediated proportions of 7.3% for NfL and 4.9% for p Tau181. Discussion: ILF was associated with higher levels of blood biomarkers reflecting neurodegeneration and with increased risk of dementia. NfL and p-Tau181 accounted for modest proportions of this association in mediation analyses, suggesting a limited and exploratory contribution. These findings support further investigation into biological pathways linking lung function and cognitive decline.

Indexed as

Alzheimer DiseaseBiomarkersDementiaAgedAmyloid beta-PeptidesFemaleHumansMaleMiddle AgedRespiratory Function TestsRisk Factorstau ProteinsAmyloid beta-PeptidesBiomarkerstau ProteinsAD biomarkersDementiaLung functionMechanismOlder adults

Identifiers

PMID41981149
PMCPMC13237003

What Socratic holds

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LicenceCC BY-NC-ND
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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.