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Population intervention models of racial ethnic disparities in cognitive outcomes from cardiometabolic risk factors – HABS-HD
Cellas A. Hayes, Lubnaa Badriyyah Abdullah, Joshua L. Gills, Michelle C. Odden, The Health and Aging Brain Study (HABS-HD) Study Team. Alzheimer s Research & Therapy, 2025-10-01
Topic: Risk, prevention and care in population studies
NHB Hispanic, and NHW participants prevalences were APOE ε4 (32.2%, 27.4%, 17.6%), diabetes (26.1%, 35.0%, 13.9%), hypertension (79.0%, 63.6%, 58.2%), obesity (56.8%, 50.3%, 38.5%), and tobacco dependence (12.9%, 7.5%, 3.9%). In adjusted models, NHB and Hispanic ethnicity, APOE ε4, diabetes, hypertension, and tobacco dependence each independently predicted lower performance across all four cognitive domains (adjusted p < .001), whereas obesity showed domain-specific positive associations. No race × risk-factor interactions remained significant after correction. In intervention models, hypothetically eliminating diabetes and hypertension yielded the largest predicted improvements, especially in executive function and language, with the greatest gains projected among NHB and Hispanic racial ethnic group. Cardiometabolic health markedly contributes to racial ethnic differences in cognitive aging beyond APOE ε4 effects. Population-level interventions targeting diabetes and hypertension could narrow NHB and Hispanic cognitive deficits, informing precision public-health strategies for dementia prevention.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Hayes, C. A., Abdullah, L. B., Gills, J. L., & Odden, M. C. (2025). Population intervention models of racial ethnic disparities in cognitive outcomes from cardiometabolic risk factors – HABS-HD. Alzheimer s Research & Therapy. https://doi.org/10.1186/s13195-025-01866-9
Vancouver
Hayes CA, Abdullah LB, Gills JL, Odden MC. Population intervention models of racial ethnic disparities in cognitive outcomes from cardiometabolic risk factors – HABS-HD. Alzheimer s Research & Therapy. 2025. doi:10.1186/s13195-025-01866-9. PMID: 41035086.
BibTeX
@article{hayes2025-41035086,
author = {Hayes, Cellas A. and Abdullah, Lubnaa Badriyyah and Gills, Joshua L. and Odden, Michelle C.},
title = {{Population intervention models of racial ethnic disparities in cognitive outcomes from cardiometabolic risk factors – HABS-HD}},
journal = {Alzheimer s Research \& Therapy},
year = {2025},
doi = {10.1186/s13195-025-01866-9},
pmid = {41035086},
url = {https://doi.org/10.1186/s13195-025-01866-9}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- NHB Hispanic, and NHW participants prevalences were APOE ε4 (32.2%, 27.4%, 17.6%), diabetes (26.1%, 35.0%, 13.9%), hypertension (79.0%, 63.6%, 58.2%), obesity (56.8%, 50.3%, 38.5%), and tobacco dependence (12.9%, 7.5%, 3.9%).
- In adjusted models, NHB and Hispanic ethnicity, APOE ε4, diabetes, hypertension, and tobacco dependence each independently predicted lower performance across all four cognitive domains (adjusted p < .001), whereas obesity showed domain-specific positive associations.
- No race × risk-factor interactions remained significant after correction.
- In intervention models, hypothetically eliminating diabetes and hypertension yielded the largest predicted improvements, especially in executive function and language, with the greatest gains projected among NHB and Hispanic racial ethnic group.
- Cardiometabolic health markedly contributes to racial ethnic differences in cognitive aging beyond APOE ε4 effects.
Why it matters
This study found that diabetes, hypertension, APOE ε4, and tobacco dependence each independently predicted lower cognitive performance, and that hypothetically eliminating diabetes and hypertension yielded the largest predicted improvements, especially among non-Hispanic Black and Hispanic participants. The authors suggest population-level interventions targeting diabetes and hypertension could narrow cognitive deficits, but these are modeled projections, not tested treatments.
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Study details
- Effect size62.0%; 32.2%; 27.4%
- Evidence strengthLow
How this study scored 44/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 42 of the 96 points we could judge it on, which is 44 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s Research & Therapy) |
| Journal's citation record | 1 / 4 | Alzheimer s Research & Therapy: journal h-index 146 (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 | 1 / 5 | Rated “low” 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 | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 4.4× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 1 / 6 | Cited by 1 other studies in this library |
| Still being cited | 1 / 4 | Cited 7 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | 3 / 3 | Stanford University: institution h-index 2,684 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41035086) |
| Free to read | 2 / 2 | Free to read |
| Points | 42 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 42 of the 96 points we could judge it on is 44 out of 100. |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1186/s13195-025-01866-9
- PubMed: 41035086
- Original source →
- Free full text: Alzheimer s Research & Therapy →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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