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Thirty-seven-year trends in the prevalence, incidence, and prognosis of dementia in a Japanese community: the Hisayama study
Tomoyuki Ohara, Toshifumi Minohara, Taro Nakazawa, Emi Oishi, Yoshihiko Furuta, Satoko Sakata, Takanori Honda, MAO SHIBATA et al.. Alzheimer s Research & Therapy, 2025-12-29
Topic: Risk, prevention and care in population studies
The crude prevalence of dementia significantly increased from 1985 to 2012 (6.7% in 1985, 5.7% in 1992, 7.1% in 1998, 12.5% in 2005, and 17.9% in 2012, p for trend < 0.01), but then decreased significantly from 2012 to 2022 (15.8% in 2017 and 12.1% in 2022; p for trend < 0.01). A similar trend was observed after adjusting for age and sex. Moreover, the age- and sex-adjusted incidence of dementia increased significantly from the 1988 to the 2002 cohort (adjusted hazard ratio [aHR] 1.68, 95% confidence intervals [CI] = 1.38-2.06), but decreased significantly from the 2002 to the 2012 cohort (aHR = 0.60, 95% CI = 0.51-0.70). The age- and sex-adjusted 5-year survival rate after dementia onset increased significantly from the 1988 to the 2002 cohort (47.3% to 65.2%; p < 0.01), while no significant change was observed from the 2002 to the 2012 cohort (65.2% to 58.9%; p = 0.42). Decreasing trends in the prevalence and incidence of dementia were observed since 2012 in a Japanese community. The decline in the incidence of dementia may be due to the prevention and improved management of lifestyle-related diseases, such as hypertension and diabetes, as well as increased awareness and promotion of healthy lifestyle behaviors.
Key findings
- The crude prevalence of dementia significantly increased from 1985 to 2012 (6.7% in 1985, 5.7% in 1992, 7.1% in 1998, 12.5% in 2005, and 17.9% in 2012, p for trend < 0.01), but then decreased significantly from 2012 to 2022 (15.8% in 2017 and 12.1% in 2022; p for trend < 0.01).
- A similar trend was observed after adjusting for age and sex.
- Moreover, the age- and sex-adjusted incidence of dementia increased significantly from the 1988 to the 2002 cohort (adjusted hazard ratio [aHR] 1.68, 95% confidence intervals [CI] = 1.38-2.06), but decreased significantly from the 2002 to the 2012 cohort (aHR = 0.60, 95% CI = 0.51-0.70).
- The age- and sex-adjusted 5-year survival rate after dementia onset increased significantly from the 1988 to the 2002 cohort (47.3% to 65.2%; p < 0.01), while no significant change was observed from the 2002 to the 2012 cohort (65.2% to 58.9%; p = 0.42).
- Decreasing trends in the prevalence and incidence of dementia were observed since 2012 in a Japanese community.
Why it matters
In a Japanese community, dementia prevalence and incidence rose until around 2012 and then declined significantly through 2022, while five-year survival after dementia onset improved from the 1988 to the 2002 cohort but showed no significant change afterward. The authors suggest the decline in incidence may be due to prevention and improved management of lifestyle-related diseases such as hypertension and diabetes.
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Study details
- Study designcross-sectional
- Participants803
- Effect size6.7%; 5.7%; 7.1%
- Evidence strengthModerate
How this study scored 49/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it.
| 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 | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 3 / 5 | Rated “moderate” 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 | 803 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation 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 | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 7 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Toshiharu Ninomiya: h-index 7 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Kyushu University: institution h-index 721 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41466306) |
| Free to read | 2 / 2 | Free to read |
| Total | 49 / 100 | — |
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Read the original
- DOI: 10.1186/s13195-025-01909-1
- PubMed: 41466306
- 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).
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
Ohara, T., Minohara, T., Nakazawa, T., Oishi, E., Furuta, Y., Sakata, S., et al. (2025). Thirty-seven-year trends in the prevalence, incidence, and prognosis of dementia in a Japanese community: the Hisayama study. Alzheimer s Research & Therapy. https://doi.org/10.1186/s13195-025-01909-1
Vancouver
Ohara T, Minohara T, Nakazawa T, Oishi E, Furuta Y, Sakata S, et al. Thirty-seven-year trends in the prevalence, incidence, and prognosis of dementia in a Japanese community: the Hisayama study. Alzheimer s Research & Therapy. 2025. doi:10.1186/s13195-025-01909-1. PMID: 41466306.
BibTeX
@article{ohara2025-41466306,
author = {Ohara, Tomoyuki and Minohara, Toshifumi and Nakazawa, Taro and Oishi, Emi and Furuta, Yoshihiko and Sakata, Satoko and Honda, Takanori and SHIBATA, MAO and others},
title = {{Thirty-seven-year trends in the prevalence, incidence, and prognosis of dementia in a Japanese community: the Hisayama study}},
journal = {Alzheimer s Research \& Therapy},
year = {2025},
doi = {10.1186/s13195-025-01909-1},
pmid = {41466306},
url = {https://doi.org/10.1186/s13195-025-01909-1}
}
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