Associations between plasma beta amyloid and cognitive decline: A systematic review and meta-analysis

Sep 15, 2025Narra J

Links between blood beta amyloid levels and mental decline: A review and combined analysis

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Abstract

A total of 25 studies were included in the systematic review, with four contributing to the meta-analysis.

  • The lower plasma Aβ-42/Aβ-40 ratio was not significantly associated with Alzheimer's disease risk (pooled HR=0.8; 95% CI: 0.62-1.04).
  • Substantial heterogeneity was observed among the studies (I²=70%, p=0.02).
  • Individual studies showed conflicting results: some indicated that a lower Aβ-42/Aβ-40 ratio predicted increased Alzheimer's disease risk, while others reported no association or opposing trends.
  • Methodological differences, including sample handling and measurement techniques, may have contributed to the variability in findings.
  • The review suggests that the plasma Aβ-42/Aβ-40 ratio is not a reliable predictor for the onset of Alzheimer's disease or dementia.

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Key numbers

0.8
Pooled for
Pooled from four studies included in the .
25
Study Count
Total studies evaluated for plasma Aβ and cognitive decline.

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