Mediation of modifiable risk factors in two multidomain dementia prevention trials

There is no mediating role of risk factor change in the effects of multidomain interventions on dementia incidence in two large dementia prevention randomized controlled trials. The lack of effect of the interventions on risk factors explains the absence of impact on dementia. Counteracting mediators do not explain the lack of effect of the interventions on dementia. A small effect of the interventions on blood pressure did not translate into a lower dementia incidence.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-01-27
DOI
https://doi.org/10.1002/alz.14557
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Mediation of modifiable risk factors in two multidomain dementia prevention trials

Nicola Coley, Edo Richard, Jason Shourik, Jan Willem van Dalen et al.
Alzheimer s & Dementia
Dementia and Cognitive Impairment Research
article

Mediation of modifiable risk factors in two multidomain dementia prevention trials

Nicola Coley, Edo Richard, Jason Shourik, Jan Willem van Dalen, Marieke P. Hoevenaar‐Blom, Willem A. van Gool, Eric Moll van Charante, Sandrine Andrieu
article en

Abstract

There is no mediating role of risk factor change in the effects of multidomain interventions on dementia incidence in two large dementia prevention randomized controlled trials. The lack of effect of the interventions on risk factors explains the absence of impact on dementia. Counteracting mediators do not explain the lack of effect of the interventions on dementia. A small effect of the interventions on blood pressure did not translate into a lower dementia incidence.

Alzheimer s & DementiaVol. 21(2)
Université Toulouse III - Paul Sabatier (FR), Radboud University Nijmegen (NL), Inserm (FR), Université Fédérale de Toulouse Midi-Pyrénées (FR), Radboud University Medical Center (NL), Centre de recherche en Epidémiologie et Santé des Populations (FR), GGD Amsterdam (NL), Amsterdam University Medical Centers (NL), University of Amsterdam (NL)
Les Laboratories Pierre Fabre, Fondation Vaincre Alzheimer, Agence Nationale de la Recherche, Institut National de la Santé et de la Recherche Médicale, ZonMw, Centre Hospitalier Universitaire de Toulouse, Alzheimer Nederland, Avid Radiopharmaceuticals
Good health and well-being
Openalex Percentile: Top 98%
Dementia and Cognitive Impairment Research
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Mediation of modifiable risk factors in two multidomain dementia prevention trials — Nicola Coley, Edo Richard, et al. · Alzheimer s & Dementia (2025) | TGRS Research Map | TGRS