topicCholine Cognitive Performance Randomized Trial
claimIt is commonly defined as the presence of clinically relevant depressive symptoms that do not meet the full diagnostic criteria for major depressive disorder (MDD) yet are associated with measurable distress and functional impairment [,].
evidence level4
citationFleishhacker Filippo (2026)
sourceCholine Alfoscerate in the Treatment of Subthreshold Depression in the Elderly: A Pilot Study (CARTESIO)
topicCholine Cognitive Performance Randomized Trial
claimRecent meta-analytic evidence indicates that subthreshold depressive symptoms affect nearly 15–20% of older individuals, with higher prevalence rates observed in primary care and institutional settings [,].
evidence level4
citationFleishhacker Filippo (2026)
sourceCholine Alfoscerate in the Treatment of Subthreshold Depression in the Elderly: A Pilot Study (CARTESIO)
topicCholine Cognitive Performance Randomized Trial
claimImportantly, SD is not a benign condition; rather, it represents a clinically meaningful syndrome associated with increased morbidity and reduced quality of life [].
evidence level4
citationFleishhacker Filippo (2026)
sourceCholine Alfoscerate in the Treatment of Subthreshold Depression in the Elderly: A Pilot Study (CARTESIO)
topicCholine Cognitive Performance Randomized Trial
claim1 2 3 4 5 6 Subthreshold depression (SD) is a highly prevalent and clinically significant condition among older adults.
evidence level4
citationFleishhacker Filippo (2026)
sourceCholine Alfoscerate in the Treatment of Subthreshold Depression in the Elderly: A Pilot Study (CARTESIO)
topicCholine Cognitive Performance Randomized Trial
claimThis narrative review summarizes current preclinical and clinical evidence regarding the mechanistic and clinical relevance of L-α-GPC in neurodegenerative disorders associated with cognitive impairment.
evidence level4
citationPutri VA (2026)
sourceL-α-GPC in Cognitive Decline: Mechanisms and Clinical Evidence in Neurodegenerative Disorders.
topicCholine Cognitive Performance Randomized Trial
claimIn animal models, L-α-GPC has been associated with improved cognitive performance, reduced neuroinflammation, and attenuation of amyloid-β and tau-related pathological features.
evidence level4
citationPutri VA (2026)
sourceL-α-GPC in Cognitive Decline: Mechanisms and Clinical Evidence in Neurodegenerative Disorders.
topicCholine Cognitive Performance Randomized Trial
claimHowever, the interpretation of these findings should be cautious because the available evidence remains heterogeneous, with notable variability in study design, dosage regimens, treatment duration, and outcome measures.
evidence level4
citationPutri VA (2026)
sourceL-α-GPC in Cognitive Decline: Mechanisms and Clinical Evidence in Neurodegenerative Disorders.
topicCholine Cognitive Performance Randomized Trial
claimNeurodegenerative diseases such as Alzheimer's disease (AD), Parkinson's disease (PD), and vascular dementia are characterized by progressive neuronal loss, synaptic dysfunction, and cognitive decline.
evidence level4
citationPutri VA (2026)
sourceL-α-GPC in Cognitive Decline: Mechanisms and Clinical Evidence in Neurodegenerative Disorders.