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Multidomain interventions for preventing cognitive decline in older adults with type 2 diabetes and mild cognitive impairment: Secondary analysis of the J-MINT
Taiki Sugimoto, Paul K. Crane, Seo‐Eun Choi, Kosuke Fujita, Jeanne Gallée, Yujiro Kuroda, Michael K. Lee, Nanae Matsumoto et al.. Journal of Aging Research and Lifestyle, 2025-01-01
Topic: Risk, prevention and care in population studies
Aims To identify subgroups who may be more likely to respond well to a multidomain intervention among older adults with type 2 diabetes. Materials and methods This study was a secondary analysis of the Japan Multimodal Intervention Trial for Prevention of Dementia. A total 531 participants aged 65–85 years with mild cognitive impairment were randomized into intervention (vascular risk management, exercise, nutritional counseling, and cognitive training) and control (health-related information) groups. The outcome was the change in average Z scores of neuropsychological tests from baseline to 18 months. Interactions between intervention and age (65–74, 75–85 years), memory impairment (amnestic, nonamnestic), HbA1c levels (within, outside target range), or APOE genotype (0, ≥1 APOE ε4 alleles) among participants with diabetes were evaluated using the mixed‐effects model for repeated measures. Results Among 76 participants with diabetes, a significant age × intervention interaction ( P = 0.007) was found, which was driven by benefits in the younger age group (Z score difference: 0.33, 95% CI: 0.09 to 0.55) that were not observed in the older age group. Intervention benefits were also detected in those with HbA1c levels outside the target range (Z score difference: 0.31, 95% CI: 0.06 to 0.56), with HbA1c levels × intervention interaction ( P = 0.021). No significant interactions were detected between intervention and memory impairment or APOE genotype. Conclusions Multidomain interventions may benefit younger older adults or those with overly strict or lenient HbA1c control; however, these findings need confirmation in future studies.
Key findings
- Results Among 76 participants with diabetes, a significant age × intervention interaction ( P = 0.007) was found, which was driven by benefits in the younger age group (Z score difference: 0.33, 95% CI: 0.09 to 0.55) that were not observed in the older age group.
- No significant interactions were detected between intervention and memory impairment or APOE genotype.
- Conclusions Multidomain interventions may benefit younger older adults or those with overly strict or lenient HbA1c control; however, these findings need confirmation in future studies.
Why it matters
In this secondary analysis of 76 participants with type 2 diabetes and mild cognitive impairment, multidomain intervention benefits were seen in the younger age group and in those with HbA1c outside the target range, but not in the older group. No significant interactions were found for memory impairment or APOE genotype, and the authors call for further study.
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Study details
- Participants531
- Evidence strengthHigh
How this study scored 48/100
Published in a peer-reviewed journal. Scored zero for study design and effect reported because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Aging Research and Lifestyle) |
| Journal's citation record | 0 / 4 | Journal of Aging Research and Lifestyle: journal h-index 13 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 531 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | 1 / 7 | Cited 3 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.9× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 3 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Takashi Sakurai: h-index 45 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | University of Washington: institution h-index 3,540 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 7 institution(s) in 3 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40546712) |
| Free to read | 2 / 2 | Free to read |
| Total | 48 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1016/j.jarlif.2025.100016
- PubMed: 40546712
- Original source →
- Free full text: Journal of Aging Research and Lifestyle →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Sugimoto, T., Crane, P. K., Choi, S., Fujita, K., Gallée, J., Kuroda, Y., et al. (2025). Multidomain interventions for preventing cognitive decline in older adults with type 2 diabetes and mild cognitive impairment: Secondary analysis of the J-MINT. Journal of Aging Research and Lifestyle. https://doi.org/10.1016/j.jarlif.2025.100016
Vancouver
Sugimoto T, Crane PK, Choi S, Fujita K, Gallée J, Kuroda Y, et al. Multidomain interventions for preventing cognitive decline in older adults with type 2 diabetes and mild cognitive impairment: Secondary analysis of the J-MINT. Journal of Aging Research and Lifestyle. 2025. doi:10.1016/j.jarlif.2025.100016. PMID: 40546712.
BibTeX
@article{sugimoto2025-40546712,
author = {Sugimoto, Taiki and Crane, Paul K. and Choi, Seo‐Eun and Fujita, Kosuke and Gallée, Jeanne and Kuroda, Yujiro and Lee, Michael K. and Matsumoto, Nanae and others},
title = {{Multidomain interventions for preventing cognitive decline in older adults with type 2 diabetes and mild cognitive impairment: Secondary analysis of the J-MINT}},
journal = {Journal of Aging Research and Lifestyle},
year = {2025},
doi = {10.1016/j.jarlif.2025.100016},
pmid = {40546712},
url = {https://doi.org/10.1016/j.jarlif.2025.100016}
}
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