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  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Combined physical and cognitive training for older adults with and without cognitive impairment: A systematic review and network meta-analysis of randomized controlled trials

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Ageing research reviews 2020-11-26 Prevention trials

    Combining physical exercise with cognitive training is a popular intervention in dementia prevention trials and guidelines.

  2. A critical review of the epidemiological evidence of effects of air pollution on dementia, cognitive function and cognitive decline in adult population

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. The Science of the total environment 2020-11-25 Caregiving

    Cognitive decline and dementia incidence have also been consistently associated with exposure to air pollution.

    Why it matters

    This review reports that cognitive decline and dementia incidence have been consistently associated with exposure to air pollution. It does not describe any treatment or prevention effect.

  3. A comparison of machine learning methods for survival analysis of high-dimensional clinical data for dementia prediction

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Scientific reports 2020-11-23 Digital health tools

    Data collected from clinical trials and cohort studies, such as dementia studies, are often high-dimensional, censored, heterogeneous and contain missing information, presenting challenges to traditional statistical analysis.

    Why it matters

    This study compared machine learning methods for survival analysis to predict time until dementia using clinical data. It notes there is no cure for dementia and no treatment that can change its course, and the work is about prediction models, not treatment or prevention.

  4. A ketogenic drink improves cognition in mild cognitive impairment: Results of a 6-month RCT

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Alzheimer's & dementia : the journal of the Alzheimer's Association 2020-10-26 Mild cognitive impairment

    This kMCT drink improved cognitive outcomes in MCI, at least in part by increasing blood ketone level.

    Why it matters

    In this 6-month randomized controlled trial, a ketogenic drink improved several cognitive outcomes in people with mild cognitive impairment compared with placebo, and some outcomes correlated positively with plasma ketones. The authors say the data support further assessment of mild cognitive impairment progression to Alzheimer's disease.

  5. Deconstructing the Complexities of Advance Care Planning Outcomes: What Do We Know and Where Do We Go? A Scoping Review

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Journal of the American Geriatrics Society 2020-09-07 End-of-life care

    ACP is complex, and trial characteristics were heterogeneous.

  6. Higher risk of dementia in English older individuals who are overweight or obese

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. International journal of epidemiology 2020-08-01 Prevention and risk

    Our results suggest that having an increased body weight or abdominal obesity are associated with increased dementia incidence.

    Why it matters

    This study of older English adults investigated whether increased body weight or central obesity were associated with a higher risk of developing dementia over a mean follow-up of 11 years. It examines obesity as a risk factor and does not report a treatment, cure, or prevention.

  7. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. The Lancet 2020-07-30 Prevention and risk

    Why it matters

    The 2020 report of the Lancet Commission on preventing dementia, intervening once it is present, and caring for people who have it. It gathers and weighs existing evidence across those areas rather than testing a treatment of its own.

  8. Antihypertensive Deprescribing in Older Adult Veterans at End of Life Admitted to Veteran Affairs Nursing Homes

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Journal of the American Medical Directors Association 2020-07-25 End-of-life care

    Real-world deprescribing patterns of antihypertensives among NH residents with HTN and LLE/AD appear to reflect variation in recommendations for HTN treatment intensity and individualization of patient care in a population with potential overtreatment.

  9. Association Between Blood Pressure and Later-Life Cognition Among Black and White Individuals

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. JAMA neurology 2020-07-01 Disparities

    Among 34 349 participants, 19 378 individuals who were free of stroke and dementia and had longitudinal BP, cognitive, and covariate data were included in the analysis.

    Why it matters

    Black individuals had faster declines in global cognition and memory than white individuals, and the study examined whether cumulative blood pressure levels explained this difference. It addresses racial differences in cognitive decline and does not test a treatment, cure, or prevention for Alzheimer's disease.

  10. FastSurfer - A fast and accurate deep learning based neuroimaging pipeline

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. NeuroImage 2020-06-08 How common it is

    Traditional neuroimage analysis pipelines involve computationally intensive, time-consuming optimization steps, and thus, do not scale well to large cohort studies with thousands or tens of thousands of individuals.

    Why it matters

    This paper describes a fast deep learning pipeline for automatically processing structural brain MRI scans, replicating FreeSurfer's anatomical segmentation, surface reconstruction, and cortical parcellation. It is a neuroimaging analysis tool and does not test any treatment, cure, or prevention for Alzheimer's disease.

  11. Autonomic flexibility reflects learning and associated neuroplasticity in old age

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Human brain mapping 2020-06-08 Prevention trials

    Effective learning in old age, particularly in those at risk for dementia, is essential for prolonging independent living.

  12. The Effect of a Virtual Reality-Based Intervention Program on Cognition in Older Adults with Mild Cognitive Impairment: A Randomized Control Trial

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Journal of clinical medicine 2020-04-29 Cognitive tests and assessment

    This study aimed to investigate the association between a virtual reality (VR) intervention program and cognitive, brain and physical functions in high-risk older adults.

    Why it matters

    This randomized controlled trial gave a virtual reality-based intervention to 68 older adults with mild cognitive impairment and measured cognition, brain activity and physical function. It is a small, single trial, so it cannot yet show whether such programs prevent or treat Alzheimer's disease.

  13. The consistent burden in published estimates of delirium occurrence in medical inpatients over four decades: a systematic review and meta-analysis study

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Age and ageing 2020-04-01 Caregiving

    The incidence and prevalence of delirium in hospitals appears to be stable, though publication bias may have masked true changes.

    Why it matters

    This systematic review found that delirium occurred in 23% of adult medical inpatients overall, with no change in occurrence from 1980 to 2019. Delirium remains consistently under-diagnosed despite being associated with a wide range of adverse patient safety outcomes.

  14. Associations Between Vascular Risk Across Adulthood and Brain Pathology in Late Life: Evidence From a British Birth Cohort

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. JAMA neurology 2020-02-01 Long-term cohort studies

    Midlife vascular risk burden is associated with late-life dementia.

    Why it matters

    This British birth cohort study examined whether vascular risk in early adulthood, midlife and late life is associated with late-life brain structure and pathology. It reports associations with brain measures, so it does not show that modifying vascular risk prevents or treats Alzheimer's disease.

  15. Hospice Utilization in the United States: A Prospective Cohort Study Comparing Cancer and Noncancer Deaths

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Journal of the American Geriatrics Society 2019-12-27 End-of-life care

    Extrapolating results to the US population, we estimate that annually nearly a million individuals who are likely eligible for hospice die without its services.

  16. As there is currently no cure for dementia, there is an urgent need for preventive strategies.

    Why it matters

    This review of 56 articles found that eating closer to a Mediterranean diet was linked to better thinking scores in 17 of 25 long-term studies and to lower Alzheimer's risk in 6 of 8 long-term studies, but only 1 of 3 trials showed better thinking scores. Far fewer studies looked at the DASH and MIND diets, though some found similar links. These are associations rather than proof that a diet prevents Alzheimer's, and the authors found little evidence for dementia in general.

  17. Effects of computerised cognitive training on cognitive impairment: a meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Journal of neurology 2019-10-24 Prevention trials

    CCT was most effective in cognitive rehabilitation, particularly in the subdomain of memory.

  18. Neurodegenerative Disease Mortality among Former Professional Soccer Players

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. The New England journal of medicine 2019-10-21 How common it is

    Over a median of 18 years, 1180 former soccer players (15.4%) and 3807 controls (16.5%) died.

    Why it matters

    Former professional soccer players had higher mortality from neurodegenerative disease than matched controls, though all-cause mortality was lower before age 70. This is an observational comparison of death records and does not show that soccer causes dementia or how to prevent it.

  19. Association of Midlife Hearing Impairment With Late-Life Temporal Lobe Volume Loss

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. JAMA otolaryngology-- head & neck surgery 2019-09-01 Brain scans and imaging

    The findings suggest that midlife HI is a risk factor for temporal lobe volume loss.

    Why it matters

    In 194 adults whose hearing was tested at an average age of 54.5, poorer hearing (measured in the better ear, and also in the right ear) was associated with faster later-life shrinkage of the right temporal gray matter, right hippocampus and left entorhinal cortex, regions the authors describe as an early Alzheimer's biomarker. Left-ear hearing showed no association. This is an observational study of brain volume, not dementia; it does not show that hearing loss causes Alzheimer's or that treating it would protect the brain.

  20. Sleep Duration and Sleep Quality in Caregivers of Patients With Dementia: A Systematic Review and Meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. JAMA network open 2019-08-02 Caregiving

    Thirty-five studies were analyzed with data from 3268 caregivers (pooled mean age [SD of sample means], 63.48 [5.99] years; 76.7% female) were analyzed.

    Why it matters

    This meta-analysis of 35 studies found that sleep quality was significantly lower in dementia caregivers than in comparison groups. It is about caregiver sleep and does not test any treatment or cure for Alzheimer's disease.

  21. Risk of dementia in stroke-free patients diagnosed with atrial fibrillation: data from a population-based cohort

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. European heart journal 2019-07-01 Vascular contributions

    Incident AF was associated with an increased risk of dementia, independent of clinical stroke in an elderly population.

  22. Association of Accelerometer-Measured Light-Intensity Physical Activity With Brain Volume: The Framingham Heart Study

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. JAMA network open 2019-04-05 Long-term cohort studies

    Dementia risk may be attenuated by physical activity (PA); however, the specific activity levels optimal for dementia prevention are unclear.

    Why it matters

    This study examined whether daily steps and light-intensity physical activity relate to brain volumes on MRI in Framingham Heart Study participants. It is cross-sectional, so it cannot show that physical activity prevents dementia.

  23. Update on treatments for nonmotor symptoms of Parkinson's disease-an evidence-based medicine review

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Movement disorders : official journal of the Movement Disorder Society 2019-01-17 How common it is

    The evidence base for treating a range of nonmotor symptoms in PD has grown substantially in recent years.

    Why it matters

    This review of treatments for non-motor symptoms in Parkinson's disease found no randomized controlled trials meeting criteria for several conditions, including anxiety, REM sleep behavior disorder, and impaired olfaction. Overall treatment options remain limited, and developing and testing new treatments for these symptoms is stated as a top priority.

  24. Uncovering the heterogeneity and temporal complexity of neurodegenerative diseases with Subtype and Stage Inference

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Nature communications 2018-10-15 Digital health tools

    The heterogeneity of neurodegenerative diseases is a key confound to disease understanding and treatment development, as study cohorts typically include multiple phenotypes on distinct disease trajectories.

    Why it matters

    This machine-learning technique uncovered subgroups with distinct trajectories of regional neurodegeneration in genetic frontotemporal dementia and three subtypes in Alzheimer's disease, and improved prediction of conversion between diagnostic categories. It is a data analysis method for stratifying patients and does not itself test any treatment, cure, or prevention.

  25. Prediabetes and diabetes accelerate cognitive decline and predict microvascular lesions: A population-based cohort study

    ✓ Peer-reviewed alzhub usefulness score 67 out of 100. Alzheimer's & dementia : the journal of the Alzheimer's Association 2018-08-13 Hippocampus size on brain scans

    Diabetes and prediabetes accelerate cognitive decline and might predict microvascular lesions among dementia-free older adults.

From across this topic

10 of the 7,967 studies in this topic, picked by a fixed rule (a hash of each study's address), not by score or date; each page of this list shows a different 10. The same 10 appear here every time.

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