Evidence map›Paper›PMID 23681754›Full record

ArticleInternational journal of geriatric psychiatry2014

Vascular risk factors and neuropsychiatric symptoms in Alzheimer's disease: the Cache County Study.

Martin Steinberg, Kyle Hess, Chris Corcoran, Michelle M Mielke, Maria Norton, John Breitner, Robert Green, Jeannie Leoutsakos, Kathleen Welsh-Bohmer, Constantine Lyketsos and 1 more

Open access · greenAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 24% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Vascular Dementia and Underlying Sex Differences.Frontiers in aging neuroscience · 2021
    Review
  11. Article
  12. Article
  13. Caregiver-Care Recipient Relationship Closeness is Associated With Neuropsychiatric Symptoms in Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Article
  14. Neuropsychiatric Profile in Early Versus Late Onset Alzheimer's Disease.American journal of Alzheimer's disease and other dementias · 2018
    Article
  15. Article
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  18. Article
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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

11 authors at 7 institutions in 2 countries.

Martin SteinbergDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Kyle Hess
Chris Corcoran
Michelle M Mielke
Maria Norton
John Breitner
Robert Green
Jeannie Leoutsakos
Kathleen Welsh-Bohmer
Constantine Lyketsos
Joann Tschanz
Utah State University · USJohns Hopkins Bayview Medical Center · USBrigham and Women's Hospital · USDuke University · USJohns Hopkins University · USMayo Clinic in Florida · USMcGill University · CA

Funding

EPIDEMIOLOGY OF DEMENTIA IN CACHE COUNTY, UTAHR01AG011380 · NIA · JOHNS HOPKINS UNIVERSITY · PI WELSH-BOHMER, KATHLEEN ANNE · 1994 to 2009
$12.2M
Progression of Dementia: A Population StudyR01AG021136 · NIA · UTAH STATE UNIVERSITY · PI LYKETSOS, CONSTANTINE G, TSCHANZ, JOANN T · 2002 to 2010
$6.0M
Characterizing Communicating Genetic Risk Alzheimer'sK24AG027841 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2006 to 2010
$914k
NIA NIH HHS K24 AG027841NIA NIH HHS K24AG027841NIA NIH HHS R01 AG011380NIA NIH HHS R01 AG021136NIA NIH HHS R01AG11380NIA NIH HHS R01AG21136
6 · The paper itself

Abstract

objectiveKnowledge of potentially modifiable risk factors for neuropsychiatric symptoms (NPS) in Alzheimer's disease (AD) is important. This study longitudinally explores modifiable vascular risk factors for NPS in AD.

methodsParticipants enrolled in the Cache County Study on Memory in Aging with no dementia at baseline were subsequently assessed over three additional waves, and those with incident (new onset) dementia were invited to join the Dementia Progression Study for longitudinal follow-up. A total of 327 participants with incident AD were identified and assessed for the following vascular factors: atrial fibrillation, hypertension, diabetes mellitus, angina, coronary artery bypass surgery, myocardial infarction, cerebrovascular accident, and use of antihypertensive or diabetes medicines. A vascular index (VI) was also calculated. NPS were assessed over time using the Neuropsychiatric Inventory (NPI). Affective and Psychotic symptom clusters were assessed separately. The association between vascular factors and change in NPI total score was analyzed using linear mixed model and in symptom clusters using a random effects model.

resultsNo individual vascular risk factors or the VI significantly predicted change in any individual NPS. The use of antihypertensive medications more than four times per week was associated with higher total NPI and Affective cluster scores.

conclusionsUse of antihypertensive medication was associated with higher total NPI and Affective cluster scores. The results of this study do not otherwise support vascular risk factors as modifiers of longitudinal change in NPS in AD.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAntihypertensive AgentsCardiovascular DiseasesDisease ProgressionFemaleHumansLongitudinal StudiesMaleMental DisordersNeuropsychological TestsRisk FactorsAntihypertensive AgentsAlzheimer's diseasedementianeuropsychiatricvascular

Identifiers

PMID23681754
PMCPMC3883945
OpenAlexW1496470611

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.