Evidence map›Paper›PMID 24000778›Full record

ArticleJournal of the American Geriatrics Society2013

Statins and cognitive decline in older adults with normal cognition or mild cognitive impairment.

Kyle Steenland, Liping Zhao, Felicia C Goldstein, Allan I Levey

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  19. Statins and brain integrity in older adults: secondary analysis of the Health ABC study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2015
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Kyle SteenlandDepartment of Environmental and Occupational Health, School of Public Health, Atlanta, Georgia.
Liping Zhao
Felicia C Goldstein
Allan I Levey
Emory University · USGeorgia Department of Public Health · US

Funding

NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI WALKER, LARY C · 2005 to 2019
$25.7M
NIA NIH HHS 5 P50 AG025688NIA NIH HHS P50 AG025688NIA NIH HHS U01 AG016976
6 · The paper itself

Abstract

objectivesTo determine the effect of statins on cognitive decline in healthy elderly adults.

designLongitudinal.

settingNational Institute of Aging network of Alzheimer's Disease Centers.

participantsResearch volunteers with normal cognition at baseline evaluated an average 4.1 times over 3.4 years (1,244 statin users, 2,363 nonusers) and with mild cognitive impairment (MCI) at baseline evaluated an average 3.9 times over 2.8 years (763 users, 917 nonusers). MEASUREMENTS: Cognitive performance was assessed according to 10 neuropsychological indices and the Clinical Dementia Rating Sum of Boxes (CDR-SOB). Repeated-measures analyses adjusted for age, sex, education, comorbidities, and family history of dementia were conducted.

resultsOf participants with normal cognition at baseline, statin users performed significantly better across all visits in attention (Trails A) and had significantly slower annual worsening in CDR-SOB scores (P = .006) and slower worsening in Mini-Mental State Examination scores than nonusers (which was not significant after adjusting for multiple comparisons, P = .05). For participants with MCI, statin users performed significantly better across all visits on attention measures (Trail-Making Test Part A), verbal skills (Category Fluency), and executive functioning (Trail-Making Test Part B, Digit Symbol, and Digits Backward), but there were no differences in cognitive decline between users and nonusers.

conclusionElderly adults with normal cognition at baseline who used statins had a slower rate of annual worsening in CDR-SOB than nonusers.

Indexed as

AgedAged, 80 and overAgingAttentionCognitionCognitive DysfunctionFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleNeuropsychological TestsRetrospective StudiesHydroxymethylglutaryl-CoA Reductase Inhibitorscognitive declinestatins

Identifiers

PMID24000778
PMCPMC3773248
OpenAlexW2089642410

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.