Evidence map›Paper›PMID 42415907›Full record

SynthesisFrontiers in nutrition2026

Efficacy of antioxidants as a therapy for Alzheimer's disease: a meta-analysis.

Jianwei Li, Binghui Chen, Jiajun Jiang, Yingqi Feng, Runze Zhang, Dan Li, Rutong Wang, Zifan Long, Linfeng Ge, Yujia Guo and 4 more

Abstract readSystematic Review
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Jianwei Li *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Binghui Chen *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Jiajun Jiang *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Yingqi Feng *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Runze Zhang *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Dan Li *Clinical Anatomy and Reproductive Medicine Application Institute, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Rutong Wang *Department of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Zifan LongClinical Anatomy and Reproductive Medicine Application Institute, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Linfeng GeClinical Anatomy and Reproductive Medicine Application Institute, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Yujia GuoClinical Anatomy and Reproductive Medicine Application Institute, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
Ziyu ZhouDepartment of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Wenhui ZouDepartment of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Chi ZhongDepartment of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.
Liang LiaoDepartment of General Practice, Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Yuhu District, Xiangtan, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oxidative stress plays a central role in the pathogenesis of Alzheimer's disease (AD), contributing to neuronal damage, amyloid-beta aggregation, tau hyperphosphorylation, and neuroinflammation. Although antioxidants have been proposed as potential therapeutic agents, clinical trials have yielded inconsistent results. Objective: To systematically evaluate the efficacy of various antioxidants-including vitamins, polyphenols, and other antioxidant preparations-on cognitive function, oxidative stress biomarkers, neuropsychiatric symptoms, and disease progression in patients with AD. Methods: We conducted a systematic search of PubMed, Embase, and Web of Science from inception to October 2, 2025, for randomized controlled trials (RCTs) evaluating antioxidant interventions in AD patients. Study selection, data extraction, and quality assessment were performed independently by multiple reviewers. Meta-analyses were conducted using random-effects models where significant heterogeneity was present (I Results: A total of 23 RCTs comprising 10,537 participants were included. Antioxidants showed mixed effects across outcomes. While certain oxidative stress markers (urinary 8-iso-prostaglandin F2α: SMD 0.75, 95% CI 0.12-1.38) and neuropsychiatric symptoms (NPI: SMD -0.85, 95% CI -1.13 to -0.57) improved significantly, core cognitive endpoints such as ADAS-Cog (SMD 0.01, 95% CI -0.21 to 0.23) and MMSE (SMD 0.19, 95% CI -0.17 to 0.56) showed no significant benefit. Fluid biomarkers including Aβ42, p-tau, and t-tau remained unchanged. High heterogeneity was observed across multiple outcomes, reflecting variability in antioxidant types, dosages, and patient populations. Conclusion: Antioxidants may improve certain oxidative stress markers and neuropsychiatric symptoms in AD patients but do not consistently enhance core cognitive function or alter AD-specific pathology. Current evidence does not support antioxidants as disease-modifying therapies, though they may serve as adjunctive interventions to improve quality of life and behavioral symptoms. Well-designed RCTs with longer follow-up and standardized protocols are warranted. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420261321660, identifier: CRD420261321660.

Indexed as

Alzheimer's diseaseantioxidantscognitive functionneuropsychiatric symptomsoxidative stressrandomized controlled trial

Identifiers

PMID42415907
PMCPMC13337380

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.