Evidence map›Paper›PMID 21832223›Full record

ArticleNeurology2011

Distinct profiles of brain and cognitive changes in the very old with Alzheimer disease.

N H Stricker, Y-L Chang, C Fennema-Notestine, L Delano-Wood, D P Salmon, M W Bondi, A M Dale, Alzheimer's Disease Neuroimaging Initiative

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Neuroimaging in the Oldest-Old: A Review of the Literature.Journal of Alzheimer's disease : JAD · 2021
    Review
  5. [Not Available].Canadian geriatrics journal : CGJ · 2016
    Article
  6. Article
  7. Review
  8. Article
  9. Magnetic resonance imaging in Alzheimer's Disease Neuroimaging Initiative 2.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2015
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. APOE interacts with age to modify rate of decline in cognitive and brain changes in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2014
    Article
  16. Article
  17. The Alzheimer's Disease Neuroimaging Initiative: a review of papers published since its inception.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2013
    Review
  18. Article
  19. Article
  20. Age, Alzheimer's disease, and the big picture.International psychogeriatrics · 2011
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

N H StrickerVeterans Affairs Boston Healthcare System, Boston, MA, USA.
Y-L Chang
C Fennema-Notestine
L Delano-Wood
D P Salmon
M W Bondi
A M Dale
Alzheimer's Disease Neuroimaging Initiative
National Taiwan University · TW

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
RECRUITMENT COREU19AG010483 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FELDMAN, HOWARD · 2013 to 2020
$80.6M
VIRUS-INDUCED BRAIN PATHOLOGYP50AG005131 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BREWER, JAMES B · 1985 to 2018
$55.4M
UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI MEYER, OANH L · 1991 to 2020
$28.3M
Cognitive Abilities of At-Risk Elderly for DementiaR01AG012674 · NIA · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI BONDI, MARK W · 2001 to 2012
$2.7M
Structural & Metabolic Neuroimaging Biomarkers in Early Alzheimer's DiseaseR01AG031224 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DALE, ANDERS M · 2008 to 2012
$1.9M
Neuroimaging and Risk Factor Correlates in Aging and MCIK24AG026431 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BONDI, MARK W · 2007 to 2016
$1.7M
"MR Morphometrics and Cognitive Decline Rate in Large-Scale Aging Studies"K01AG030514 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CARMICHAEL, OWEN T. · 2008 to 2012
$495k
NIA NIH HHS K01 AG030514NIA NIH HHS K01-AG030514NIA NIH HHS K24 AG026431NIA NIH HHS K24-AG026431NIA NIH HHS P30 AG010129NIA NIH HHS P30-AG010129NIA NIH HHS P50 AG005131NIA NIH HHS P50-AG05131NIA NIH HHS R01 AG012674NIA NIH HHS R01-AG012674NIA NIH HHS R01 AG031224NIA NIH HHS R01-AG031224NIA NIH HHS U01 AG024904NIA NIH HHS U01-AG024904NIA NIH HHS U19 AG010483
6 · The paper itself

Abstract

objectiveTo determine whether age-standardized brain morphometric and cognitive profiles differ in young-old (aged 60-75 years) and very-old (aged 80-91 years) patients with Alzheimer disease (AD).

methodsUsing a case-control retrospective design, we compared hippocampal volume and cortical gray matter thickness in areas known to be affected by AD in 105 patients with AD and 125 healthy control (HC) participants divided into young-old and very-old subgroups. Brain morphometric and cognitive scores of the AD groups were standardized to their respective age-appropriate HC subgroup and then compared.

resultsSeveral cognitive domains (executive function, immediate memory, and attention/processing speed) were less abnormal in the very old with AD than in the young old with AD. Similarly, the very old with AD showed less severe cortical thinning than the young old with AD in the left posterior cingulate cortex, right lateral temporal cortex, and bilateral parietal cortex and in overall cortical thickness. This effect is partially explained by an age-related decrease in cortical thickness in these brain regions in the HC participants.

conclusionsThe typical pattern of AD-related cognitive and morphometric changes seen in the young old appear to be less salient in the very old. Thus, mild cases of AD in the very old may go undetected if one expects to see the prototypical pattern and severity of cognitive or brain changes that occur in the young old with AD. These results underscore the importance of interpreting neuropsychological test performance and morphometric brain measures in reference to the individual's age.

Indexed as

AgedAged, 80 and overAge FactorsAlzheimer DiseaseBrainCase-Control StudiesCognition DisordersFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMultivariate AnalysisNeuropsychological TestsRetrospective Studies

Identifiers

PMID21832223
PMCPMC3164395
OpenAlexW1977023463

What OpenQuestion holds

Textmetadata
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.