Evidence map›Paper›PMID 19171833›Full record

ArticleNeurology2009

Factors associated with resistance to dementia despite high Alzheimer disease pathology.

D Erten-Lyons, R L Woltjer, H Dodge, R Nixon, R Vorobik, J F Calvert, M Leahy, T Montine, J Kaye

Abstract readComparative Study
In one paragraph

Article in Neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed.

  1. Article
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  10. Connectome-based biophysics models of Alzheimer's disease diagnosis and prognosis.Translational research : the journal of laboratory and clinical medicine · 2023
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
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  19. Article
  20. Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

D Erten-LyonsVeterans Affairs Medical Center, Portland, OR, USA. ertenlyo@ohsu.edu
R L Woltjer
H Dodge
R Nixon
R Vorobik
J F Calvert
M Leahy
T Montine
J Kaye

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI JAYADEY, SUMAN · 1985 to 2019
$57.2M
YOUTH, Osteoporosis, and Understanding Total Health (YOUTH)M01RR000334 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI DORSA, DANIEL MICHAEL · 1985 to 2006
$30.6M
Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI DODGE, HIROKO HAYAMA · 1990 to 2019
$27.7M
Patterns and Predictors of Normal Cognitive AgingK01AG023014 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DODGE, HIROKO HAYAMA · 2004 to 2009
$583k
NCRR NIH HHS M01 RR000334NIA NIH HHS AG08017NIA NIH HHS K01 AG023014NIA NIH HHS P30 AG008017NIA NIH HHS P50 AG005136
6 · The paper itself

Abstract

backgroundAutopsy series have shown that some elderly people remain with normal cognitive function during life despite having high burdens of pathologic lesions associated with Alzheimer disease (AD) at death. Understanding why these individuals show no cognitive decline, despite high AD pathologic burdens, may be key to discovery of neuroprotective mechanisms.

methodsA total of 36 subjects who on autopsy had Braak stage V or VI and moderate or frequent neuritic plaque scores based on Consortium to Establish a Registry for Alzheimer's Disease (CERAD) standards were included. Twelve had normal cognitive function and 24 a diagnosis of AD before death. Demographic characteristics, clinical and pathologic data, as well as antemortem brain volumes were compared between the groups.

resultsIn multiple regression analysis, antemortem hippocampal and total brain volumes were significantly larger in the group with normal cognitive function after adjusting for gender, age at MRI, time from MRI to death, Braak stage, CERAD neuritic plaque score, and overall presence of vascular disease.

conclusionLarger brain and hippocampal volumes were associated with preserved cognitive function during life despite a high burden of Alzheimer disease (AD) pathologic lesions at death. A better understanding of processes that lead to preservation of brain volume may provide important clues for the discovery of mechanisms that protect the elderly from AD.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseBrainCase-Control StudiesCognitionCohort StudiesDementiaFemaleHippocampusHumansLongitudinal StudiesMaleOregonOrgan SizePlaque, Amyloid

Identifiers

PMID19171833
PMCPMC2677499

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.