Evidence map›Paper›PMID 25091517›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014

History of alcohol use disorders and risk of severe cognitive impairment: a 19-year prospective cohort study.

Elżbieta Kuźma, David J Llewellyn, Kenneth M Langa, Robert B Wallace, Iain A Lang

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Elevated alcohol consumption among geriatric psychiatric in-patients.Nordisk alkohol- & narkotikatidskrift : NAT · 2020
    Article
  8. Demographic and Lifestyle Factors and Memory in European Older People.International journal of environmental research and public health · 2019
    Article
  9. Article
  10. Article
  11. Making DEEP Sense of Lifestyle Risk and Resilience.Frontiers in aging neuroscience · 2019
    Article
  12. Review
  13. Article
  14. Effects of drinking on late-life brain and cognition.Evidence-based mental health · 2018
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Elżbieta KuźmaUniversity of Exeter Medical School, Exeter, United Kingdom; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for the South West Peninsula (NIHR PenCLAHRC), Leeds, United Kingdom.
David J LlewellynUniversity of Exeter Medical School, Exeter, United Kingdom; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for the South West Peninsula (NIHR PenCLAHRC), Leeds, United Kingdom.
Kenneth M LangaUniversity of Michigan and Veterans Affairs Center for Clinical Management Research, Ann Arbor, MI.
Robert B WallaceCollege of Public Health, University of Iowa, Iowa City, IA.
Iain A LangUniversity of Exeter Medical School, Exeter, United Kingdom; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for the South West Peninsula (NIHR PenCLAHRC), Leeds, United Kingdom; University of Michigan and Veterans Affairs Center for Clinical Management Research, Ann Arbor, MI. Electronic address: I.Lang@exeter.ac.uk.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
Department of Health KMRF-2013-02-02NIA NIH HHS U01 AG009740NIA NIH HHS U01AG09740
6 · The paper itself

Abstract

objectiveTo assess the effects of a history of alcohol use disorders (AUDs) on risk of severe cognitive and memory impairment in later life.

methodsWe studied the association between history of AUDs and the onset of severe cognitive and memory impairment in 6,542 middle-aged adults born 1931 through 1941 who participated in the Health and Retirement Study, a prospective nationally representative U.S. cohort. Participants were assessed at 1992 baseline and follow-up cognitive assessments were conducted biannually from 1996 through 2010. History of AUDs was identified using the three-item modified CAGE questionnaire. Cognitive outcomes were assessed using the 35-item modified Telephone Interview for Cognitive Status at last follow-up with incident severe cognitive impairment defined as a score ≤ 8, and incident severe memory impairment defined as a score ≤ 1 on a 20-item memory subscale.

resultsDuring up to 19 years of follow-up (mean: 16.7 years, standard deviation: 3.0, range: 3.5-19.1 years), 90 participants experienced severe cognitive impairment and 74 participants experienced severe memory impairment. History of AUDs more than doubled the odds of severe memory impairment (odds ratio [OR] = 2.21, 95% confidence interval [CI] = 1.27-3.85, t = 2.88, df = 52, p = 0.01). The association with severe cognitive impairment was statistically non-significant but in the same direction (OR = 1.80, 95% CI = 0.97-3.33, t = 1.92, df = 52, p = 0.06).

conclusionMiddle-aged adults with a history of AUDs have increased odds of developing severe memory impairment later in life. These results reinforce the need to consider the relationship between alcohol consumption and cognition from a multifactorial lifespan perspective.

Indexed as

Alcohol-Related DisordersCognition DisordersDiagnosis, Dual (Psychiatry)FemaleHumansIncidenceMaleMemory DisordersMiddle AgedProspective StudiesRisk FactorsUnited StatesAlcohol use disordersCAGEcognitive impairmentmemory impairment

Identifiers

PMID25091517
PMCPMC4165640

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.