Evidence map›Paper›PMID 20408259›Full record

ArticleJournal of hypertension2010

Reduced cerebral blood flow in older men with higher levels of blood pressure.

Shari R Waldstein, David M Lefkowitz, Eliot L Siegel, William F Rosenberger, Robert J Spencer, Carol F Tankard, Zorayr Manukyan, Evie J Gerber, Leslie Katzel

Open access · greenAbstract read
In one paragraph

Article in Journal of hypertension, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Variability of physiological brain perfusion in healthy subjects - A systematic review of modifiers. Considerations for multi-center ASL studies.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Immune system activation and cognitive impairment in arterial hypertension.American journal of physiology. Cell physiology · 2024
    Review
  6. Review
  7. Article
  8. Uncoupling of CaProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  9. Article
  10. Review
  11. Cerebral hemodynamic effects of early blood pressure lowering after TIA and stroke in patients with carotid stenosis.International journal of stroke : official journal of the International Stroke Society · 2022
    Article
  12. Article
  13. Longitudinal relation between blood pressure, antihypertensive use and cerebral blood flow, using arterial spin labelling MRI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Shari R WaldsteinDepartment of Psychology, University of Maryland, Baltimore County, Baltimore, MD 21250, USA. waldstei@umbc.edu
David M Lefkowitz
Eliot L Siegel
William F Rosenberger
Robert J Spencer
Carol F Tankard
Zorayr Manukyan
Evie J Gerber
Leslie Katzel
University of Maryland, Baltimore County · USGeorge Mason University · USBaltimore VA Medical Center · USGeriatric Research Education and Clinical Center · USKennedy Krieger Institute · USUniversity of Maryland, Baltimore · US

Funding

Hypertension, Cognition, and the Brain in Older AdultsR01AG015112 · NIA · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI WALDSTEIN, SHARI · 2004 to 2008
$1.3M
STATISTICAL METHODOLOGY FOR CANCER CLINICAL TRIALSR01CA087746 · NCI · UNIVERSITY OF MARYLAND BALT CO CAMPUS · PI ROSENBERGER, WILLIAM F. · 2000 to 2004
$631k
GENETICS, EXERCISE AND BLOOD PRESSURE IN HYPERTENSIVESK24AG000930 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI KATZEL, LESLIE I. · 1999 to 2003
$467k
HYPERTENSION, COGNITION, AND THE BRAIN IN OLDER ADULTSR29AG015112 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI WALDSTEIN, SHARI · 1998 to 2002
$305k
NCI NIH HHS R01 CA087746NIA NIH HHS 2R01 AG015112NIA NIH HHS 2R01 AG015112,NIA NIH HHS K24 AG00930NIA NIH HHS R01 AG015112NIA NIH HHS R29 AG015112NIA NIH HHS R29 AG15112
6 · The paper itself

Abstract

objectiveTo examine relations of blood pressure (BP) with single photon emission computed tomography (SPECT)-derived estimates of cerebral blood flow in older men and women.

methodsSeventy-four stroke and dementia-free, community-dwelling older adults (ages 54-83 years; 68% men; 91% white) free of major medical, neurological, or psychiatric disease, engaged in clinical assessment of resting SBP and DBP, MRI rated for brain atrophy, and brain single photon emission computed tomography (SPECT) studies with computerized coding of cortical and select subcortical regions of interest.

resultsGiven significant interactions of BP and sex with respect to multiple SPECT outcomes, sex-stratified multiple regression models were computed. Models were adjusted for age, fasting glucose levels, antihypertensive medication, BMI, and MRI ratings of brain atrophy. In men (n = 50), higher levels of SBP and/or DBP were associated significantly with lower estimates of cerebral perfusion in the right and left frontal, temporal, parietal, and occipital cortex, thalamus, head of caudate, and cingulate cortex accounting for up to 28% of the variance in these measures (P < 0.05). In women (n = 24), higher DBP was related marginally to higher levels of perfusion in the right temporal cortex (P = 0.05).

conclusionHigher resting SBP or DBP was associated with lower levels of cerebral perfusion in otherwise healthy older men, but not women, in the present sample. Reduced cerebral blood flow may play a pathogenic role in increasing risk for stroke, dementia, and/or cognitive decline, particularly among older men with high BP.

Indexed as

AgedAged, 80 and overAtrophyBlood Flow VelocityBlood PressureBrainCerebrovascular CirculationDiastoleFemaleHumansHypertensionMagnetic Resonance ImagingMaleMiddle AgedSex CharacteristicsSystole

Identifiers

PMID20408259
PMCPMC2878614
OpenAlexW1994313897

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.