Evidence map›Paper›PMID 25251414›Full record

ArticlePloS one2014

Menopause Analytical Hormonal Correlate Outcome Study (MAHCOS) and the association to brain electrophysiology (P300) in a clinical setting.

Eric R Braverman, David Han, Marlene Oscar-Berman, Tatiana Karikh, Courtney Truesdell, Kristina Dushaj, Florian Kreuk, Mona Li, Danielle Stratton, Kenneth Blum

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

10 authors.

Eric R BravermanDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America; Department of Psychiatry, University of Florida, College of Medicine and McKnight Brain Institute, Gainesville, Florida, United States of America.
David HanDepartment of Management Science and Statistics, University of Texas at San Antonio, San Antonio, Texas, United States of America.
Marlene Oscar-BermanDepartments of Psychiatry, Neurology, and Anatomy & Neurobiology, Boston University School of Medicine, and Boston VA Healthcare System, Boston, Massachusetts, United States of America.
Tatiana KarikhDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Courtney TruesdellDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Kristina DushajDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Florian KreukDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Mona LiDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Danielle StrattonDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America.
Kenneth BlumDepartment of Clinical Neurology, PATH Foundation NY, New York, New York, United States of America; Department of Psychiatry, University of Florida, College of Medicine and McKnight Brain Institute, Gainesville, Florida, United States of America; Department of Psychiatry, Human Integrated Services Unit, University of Vermont, Center for Clinical and Translational Science, Burlington, Vermont, United States of America; Institute of Integrative Omics and Applied Biotechnology, Nonakuri, Purba Medinipur, West Bengal, India; Dominion Diagnostics, LLC., North Kingstown, Rhode Island, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Various studies have demonstrated that increased leptin levels and obesity are inversely related to cognitive decline in menopausal women. It is hypothesized that adiposity is inversely correlated with cognitive decline, as women with increased weight are less vulnerable to diminishing cognition. However, it is increasingly observed that menopausal women, even with increased adiposity, experience significant cognitive decline. Positron emission tomography (PET) has been used to analyze cognitive function and processing in menopausal women. Evoked potentials (P300) and neurophysiologic tests have validated brain metabolism in cognitively impaired patients. Post-hoc analyses of 796 female patients entering PATH Medical Clinic, between January 4, 2009 and February 24, 2013, were performed as part of the "Menopause Analytical Hormonal Correlate Outcome Study" (MAHCOS). Patient age range was 39-76 years (46.7 ± 0.2). P300 latency and amplitude correlated with a number of hormones: follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol, estrone, estriol, DHEA, pregnenolone, progesterone, free and total testosterone, thyroid stimulating hormone (TSH), Vitamins D 1.25 and D 25OH, leptin, and insulin-like growth factor-binding protein 3 (IGF-BP3). Corrected statistics did not reveal significant associations with P300 latency or amplitude for these hormones except for leptin plasma levels. However, factor analysis showed that FSH and LH clustered together with Vitamin D1.25 and Vitamin D25OH, P300 latency (not amplitude), and log leptin were found to be associated in the same cluster. Utilizing regression analysis, once age adjusted, leptin was the only significant predictor for latency or speed (p = 0.03) with an effect size of 0.23. Higher plasma leptin levels were associated with abnormal P300 speed (OR = 0.98). Our findings show a significant relationship of higher plasma leptin levels, potentially due to leptin resistance, and prolonged P300 latency. This suggests leptin resistance may delay electrophysiological processing of memory and attention, which appears to be the first of such an association.

Indexed as

AdultAgedAnalysis of VarianceBrainEstradiolEvent-Related Potentials, P300FemaleFollicle Stimulating HormoneHormonesHumansInsulin-Like Growth Factor Binding Protein 3LeptinLinear ModelsLuteinizing HormoneMenopauseMiddle AgedEstradiolFollicle Stimulating HormoneHormonesInsulin-Like Growth Factor Binding Protein 3LeptinLuteinizing HormoneProgesteroneTestosteroneVitamin D

Identifiers

PMID25251414
PMCPMC4174522

What OpenQuestion holds

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Registered trials

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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.