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These counts and lists are worked out from the library itself each time the page loads. A score rates how much weight a study can bear — its design, journal, evidence and recency — not whether its result is good news. How we score a study.

Data analysis

From MCI to Alzheimer's: what 2,430 participants show — conversion rates and baseline-marker rankings from one cohort, as charts.

The 20 highest-scoring studies

  1. Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial Lancet (London, England) · 2016-08-11 · · Peer-reviewed

    In older adults at high risk of falls, treadmill training combined with a non-immersive virtual reality component reduced fall rates more than treadmill training alone. This is about preventing falls, not about treating, curing, or preventing Alzheimer's disease.

  2. Amyloid and tau PET-positive cognitively unimpaired individuals are at high risk for future cognitive decline Nature medicine · 2022-11-10 · · Peer-reviewed

    In this large multicenter PET study, cognitively unimpaired people who were positive for both amyloid and tau had a substantially increased risk of progressing to mild cognitive impairment compared with those negative for both. This shows these PET markers can identify high-risk individuals, but it does not test any treatment or prevention.

  3. Serial PIB and MRI in normal, mild cognitive impairment and Alzheimer's disease: implications for sequence of pathological events in Alzheimer's disease Brain : a journal of neurology · 2009-03-31 · · Peer-reviewed

    This 2009 study repeated PIB and MRI imaging in people who were cognitively normal, had mild cognitive impairment or had Alzheimer's disease, to learn the order in which disease changes happen. PIB retention rose by a small amount each year in all participants (median 0.042 ratio units/year, P < 0.001), and the yearly rise did not differ between the three groups (P = 0.90); the authors concluded that "significant plaque deposition occurs prior to clinical decline." It is an observational imaging study: it tested no treatment, our record does not include its MRI results, and timing alone does not show that plaque causes the decline.

  4. Longitudinal plasma p-tau217 is increased in early stages of Alzheimer's disease Brain : a journal of neurology · 2020-12-01 · · Peer-reviewed

    In the Swedish BioFINDER study, plasma p-tau217 increased over time in people with preclinical and prodromal Alzheimer's disease and in those with mild cognitive impairment who later converted to dementia, but it did not change in amyloid-negative participants or non-converters. This suggests p-tau217 could be used to monitor disease progression, but it is not a treatment, cure, or prevention.

  5. Risk factors for predicting progression from mild cognitive impairment to Alzheimer's disease: a systematic review and meta-analysis of cohort studies Journal of neurology, neurosurgery, and psychiatry · 2015-05-22 · · Peer-reviewed

    This review of 60 studies found that several factors, including abnormal cerebrospinal fluid proteins, brain shrinkage in certain regions, and the APOEε4 gene, were linked to a higher risk of progressing from mild cognitive impairment to Alzheimer's disease. These markers may help predict who will develop the disease, but the review does not show that any treatment targeting them can prevent it.

  6. Preventing Alzheimer's disease-related gray matter atrophy by B-vitamin treatment Proceedings of the National Academy of Sciences of the United States of America · 2013-05-20 · · Peer-reviewed

    In elderly people with mild cognitive impairment, high-dose B-vitamin treatment slowed shrinkage of brain regions vulnerable to Alzheimer's disease, and this benefit was confined to those with high homocysteine levels. This suggests that lowering homocysteine with B vitamins may slow brain atrophy and cognitive decline in this specific group, though it does not show the disease can be cured or prevented.

  7. Effects of intensive lifestyle changes on the progression of mild cognitive impairment or early dementia due to Alzheimer's disease: a randomized, controlled clinical trial Alzheimer's research & therapy · 2024-06-07 · · Peer-reviewed

    In this randomized controlled trial of 51 people with mild cognitive impairment or early Alzheimer's dementia, an intensive multidomain lifestyle intervention was compared with usual care over 20 weeks. The summary states that comprehensive lifestyle changes may significantly improve cognition and function, but this is a single small trial and does not establish a cure or prevention.

  8. Effect of rivastigmine on delay to diagnosis of Alzheimer's disease from mild cognitive impairment: the InDDEx study The Lancet. Neurology · 2007-06-01 · · Peer-reviewed

    In a double-blind trial of 1,018 people with mild cognitive impairment followed for up to four years, 17.3% of those on rivastigmine and 21.4% on placebo were diagnosed with Alzheimer's disease. The difference was not statistically significant (hazard ratio 0.85, 95% CI 0.64–1.12), and cognitive test scores did not differ either. The authors found no significant safety concerns. They also noted that far fewer participants progressed to Alzheimer's than predicted.

  9. Vitamin and mineral supplementation for preventing dementia or delaying cognitive decline in people with mild cognitive impairment The Cochrane database of systematic reviews · 2018-11-01 · · Peer-reviewed

    This review of five trials with 879 participants found no significant effect of three years of vitamin E supplementation on overall cognitive function or other outcomes, and none of the trials reported dementia incidence. The evidence on overall cognitive function was of very low quality.

  10. Cholinesterase inhibitors for mild cognitive impairment The Cochrane database of systematic reviews · 2012-09-12 · · Peer-reviewed

    This review of nine studies found cholinesterase inhibitors had essentially no effect on cognitive test scores in people with mild cognitive impairment and were linked to significantly more adverse events. The weak evidence of reduced conversion was outweighed by the increased risk of side effects.

  11. Prediction of future Alzheimer's disease dementia using plasma phospho-tau combined with other accessible measures Nature medicine · 2021-05-24 · · Peer-reviewed

    A combination of plasma phospho-tau, brief cognitive tests and APOE genotype predicted progression to Alzheimer's dementia more accurately than memory clinic physicians' clinical predictions. This suggests a blood-based tool could improve prediction of who will develop dementia, though it is a prediction model and not a treatment.

  12. Neural correlates of Alzheimer's disease and mild cognitive impairment: a systematic and quantitative meta-analysis involving 1351 patients NeuroImage · 2009-05-20 · · Peer-reviewed

    This meta-analysis found that shrinkage in the entorhinal area and hippocampus, and reduced metabolism in certain parietal regions, were the most reliable imaging signs for predicting progression from mild cognitive impairment to Alzheimer's disease. These markers may aid early diagnosis, but the study does not provide a treatment.

  13. Structural magnetic resonance imaging for the early diagnosis of dementia due to Alzheimer's disease in people with mild cognitive impairment The Cochrane database of systematic reviews · 2020-03-02 · · Peer-reviewed

    This review of 33 studies with 3,935 participants assessed the accuracy of structural MRI for early diagnosis of Alzheimer's disease dementia in people with mild cognitive impairment, finding no difference in total hippocampal volume accuracy by follow-up duration or age. It addresses diagnostic accuracy only, not treatment, cure, or prevention.

  14. Cognitive reserve and clinical progression in Alzheimer disease: A paradoxical relationship Neurology · 2019-07-02 · · Peer-reviewed

    In amyloid-positive participants, greater cognitive reserve based on gray matter volume was linked to lower risk of progressing to mild cognitive impairment or Alzheimer's dementia. However, once symptoms appeared, higher cognitive reserve was also associated with faster subsequent decline, so its role in progression is complex.

  15. The accumulation rate of tau aggregates is higher in females and younger amyloid-positive subjects Brain : a journal of neurology · 2020-12-01 · · Peer-reviewed

    This longitudinal PET study found that the rate of tau accumulation was greater in females and younger amyloid-positive individuals, while amyloid accumulation was greater in APOE ε4 carriers and older individuals. The authors say these findings are important for designing clinical trials and understanding factors linked to faster tau aggregation.

  16. Computerised cognitive training for preventing dementia in people with mild cognitive impairment The Cochrane database of systematic reviews · 2019-03-13 · · Peer-reviewed

    This review of eight randomized trials with 660 participants found very low-quality evidence, and no trial reported data on incident dementia, so no conclusions could be drawn about whether computerized cognitive training prevents dementia. There was low-quality evidence suggesting probably no effect on speed of processing, verbal fluency or quality of life, so this review does not support computerized cognitive training as a way to prevent dementia.

  17. Pharmacological and non-pharmacological interventions to enhance sleep in mild cognitive impairment and mild Alzheimer's disease: A systematic review Journal of sleep research · 2020-12-02 · · Peer-reviewed

    This systematic review of 16 studies with 1,056 participants found that adapted cognitive behavioural therapy for insomnia and a structured limbs exercise programme each significantly improved sleep quality, and that suvorexant and melatonin improved certain sleep measures in small studies. The review addresses sleep interventions in mild cognitive impairment and mild dementia, but does not show that improving sleep prevents or slows Alzheimer's disease.

  18. Longitudinal pattern of regional brain volume change differentiates normal aging from MCI Neurology · 2009-06-01 · · Peer-reviewed

    In this longitudinal study, all brain volumes declined with normal aging, but mild cognitive impairment was associated with a distinct pattern of greater volume loss in specific regions. This suggests imaging can help distinguish MCI from normal aging, but it is an observational finding with no treatment tested.

  19. Late-life depression, mild cognitive impairment, and dementia JAMA neurology · 2013-03-01 · · Peer-reviewed

    In a multiethnic community cohort, baseline depression was associated with a higher risk of incident dementia but not incident mild cognitive impairment, and people with both mild cognitive impairment and depression had a higher risk of progressing to dementia, especially vascular dementia but not Alzheimer's disease. This identifies depression as a risk marker, but it does not show that treating depression prevents or cures Alzheimer's disease.

  20. Maintenance treatment of depression in old age: a randomized, double-blind, placebo-controlled evaluation of the efficacy and safety of donepezil combined with antidepressant pharmacotherapy Archives of general psychiatry · 2011-01-01 · · Peer-reviewed

    Donepezil plus antidepressant therapy temporarily improved global cognition in older adults with depression, but the effect sizes were small. In a post hoc subgroup of 57 participants with mild cognitive impairment, fewer on donepezil converted to dementia than on placebo, but this was a secondary analysis of a small group and needs confirmation.

See all 701 studies in Mild cognitive impairment, with filters →

Newest additions on this subject

All 701 studies in Mild cognitive impairment, newest first →

What the library holds on this subject

By review status

StatusStudies
Peer-reviewed685
Preprint — not yet peer-reviewed16

By usefulness score

Score bandStudies
70+20
50–69330
30–49333
Under 3018

By strength of evidence

Rated in our summaryStudies
low414
moderate232
high51
not rated4

Most frequent journals

JournalStudies
Neurology32
Brain : a journal of neurology31
Alzheimer's & dementia : the journal of the Alzheimer's Association28
Journal of Alzheimer's disease : JAD26
Alzheimer s & Dementia24
NeuroImage22
Neurobiology of aging19
Journal of Alzheimer s Disease14
Alzheimer's research & therapy11
Archives of neurology11

Studies by year published

Mild cognitive impairment studies in the library by year published
YearStudiesBar
202652
2025146
20241
20235
20229
202117
202023
201926
201823
201725
201632
201542
201423
201328
201231
201129
201034
200930
200825
200731
200623
200513
20047
20037
200210
20015
20001
19993

Counts the 701 studies with a usable publication date. The library is a large sample of published work, not a complete index, so these counts describe the library, not the whole field.

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