Evidence map›Paper›PMID 23709640›Full record

ArticleStroke2013

Ambient fine particulate matter alters cerebral hemodynamics in the elderly.

Gregory A Wellenius, Luke D Boyle, Elissa H Wilker, Farzaneh A Sorond, Brent A Coull, Petros Koutrakis, Murray A Mittleman, Lewis A Lipsitz

Abstract read
In one paragraph

Article in Stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Association Between PMEuropean journal of neurology · 2026
    Article
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  15. Review
  16. Article
  17. High-normal blood pressure (prehypertension) is associated with PMEnvironmental science and pollution research international · 2022
    Article
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  19. Review
  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

8 authors.

Gregory A WelleniusDepartment of Epidemiology, Brown University, Providence, RI 02912, USA. Gregory_wellenius@brown.edu
Luke D Boyle
Elissa H Wilker
Farzaneh A Sorond
Brent A Coull
Petros Koutrakis
Murray A Mittleman
Lewis A Lipsitz

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
Effect of Ambient Particles on Acute Stroke OnsetP01ES009825 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GOLD, DIANE R · 1999 to 2009
$17.4M
VITAMIN D NUTRITION IN THE INSTITUTIONALIZED ELDERLYP01AG004390 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 1985 to 2008
$13.2M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Health Outcomes of Tai Chi in Subsidized Senior HousingR01AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS, WAYNE, PETER MICHAEL · 2015 to 2019
$3.5M
Nonlinear Dynamics of Frailty in AgingR37AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2006 to 2013
$1.6M
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureR00ES015774 · NIEHS · BROWN UNIVERSITY · PI WELLENIUS, GREGORY A · 2009 to 2011
$747k
Hypoxia-inducible Transcription Factor 1 (HIF-1) in Vascular AgingK23AG030967 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SOROND, FARZANEH A · 2008 to 2010
$323k
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureK99ES015774 · NIEHS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WELLENIUS, GREGORY A · 2007 to 2008
$175k
NIA NIH HHS AG004390NIA NIH HHS AG025037NIA NIH HHS AG030967NIA NIH HHS K23 AG030967NIA NIH HHS P01 AG004390NIA NIH HHS R01 AG025037NIA NIH HHS R37 AG025037NIA NIH HHS T32 AG023480NIEHS NIH HHS ES000002NIEHS NIH HHS ES009825NIEHS NIH HHS ES015774NIEHS NIH HHS K99 ES015774NIEHS NIH HHS P01 ES009825NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R00 ES015774
6 · The paper itself

Abstract

background and purposeShort-term elevations in fine particulate matter air pollution (PM2.5) are associated with increased risk of acute cerebrovascular events. Evidence from the peripheral circulation suggests that vascular dysfunction may be a central mechanism. However, the effects of PM2.5 on cerebrovascular function and hemodynamics are unknown.

methodsWe used transcranial Doppler ultrasound to measure beat-to-beat blood flow velocity in the middle cerebral artery at rest and in response to changes in end-tidal CO2 (cerebral vasoreactivity) and arterial blood pressure (cerebral autoregulation) in 482 participants from the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) of Boston study. We used linear mixed effects models with random subject intercepts to evaluate the association between cerebrovascular hemodynamic parameters and mean PM2.5 levels 1 to 28 days earlier adjusting for age, race, medical history, meteorologic covariates, day of week, temporal trends, and season.

resultsAn interquartile range increase (3.0 µg/m(3)) in mean PM2.5 levels during the previous 28 days was associated with an 8.6% (95% confidence interval, 3.7%-13.8%; P<0.001) higher cerebral vascular resistance and a 7.5% (95% confidence interval, 4.2%-10.6%; P<0.001) lower blood flow velocity at rest. Measures of cerebral vasoreactivity and autoregulation were not associated with PM2.5 levels.

conclusionsIn this cohort of community-dwelling seniors, exposure to PM2.5 was associated with higher resting cerebrovascular resistance and lower cerebral blood flow velocity. If replicated, these findings suggest that alterations in cerebrovascular hemodynamics may underlie the increased risk of particle-related acute cerebrovascular events.

Indexed as

AgedAged, 80 and overAgingCerebrovascular CirculationCohort StudiesFemaleHemodynamicsHumansMaleMiddle Cerebral ArteryParticulate MatterProspective StudiesRegional Blood FlowRisk FactorsStrokeUltrasonography, DopplerParticulate Matterair pollutioncerebrovascularelderlyepidemiologytranscranial Doppler

Identifiers

PMID23709640
PMCPMC3722046

What OpenQuestion holds

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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.