Evidence map›Paper›PMID 25632094›Full record

ArticleNeurology2015

Smoking and white matter hyperintensity progression: the ARIC-MRI Study.

Melinda C Power, Jennifer A Deal, A Richey Sharrett, Clifford R Jack, David Knopman, Thomas H Mosley, Rebecca F Gottesman

Registry-linked trialAbstract read
In one paragraph

Article in Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06836141 (Silent Brain Infarcts in Spontaneous Intracerebral Hemorrhage as a Prognostic Biomarker for Vascular Contributions to Cognitive Impairment and Dementia), which is not on this map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 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.

NCT06836141 recruitingnot on this mapstarted 2025, after this paper: background citation

Silent Brain Infarcts in Spontaneous Intracerebral Hemorrhage as a Prognostic Biomarker for Vascular Contributions to Cognitive Impairment and Dementia (VCID)

Typeobservational_patient_registrySponsorRush University Medical CenterRan2025 to 2029Enrolled118ConditionsPrimary Intracerebral HemorrhageArmsMRI, Blood Draw, Cognitive Test
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Linking cortical atrophy to white matter hyperintensities of presumed vascular origin.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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4 more citing papers are in PubMed but not listed here.

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

7 authors.

Melinda C PowerFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson. melindacpower@gmail.com.
Jennifer A DealFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.
A Richey SharrettFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.
Clifford R JackFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.
David KnopmanFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.
Thomas H MosleyFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.
Rebecca F GottesmanFrom the Department of Neurology, Johns Hopkins University School of Medicine (R.F.G.), and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (M.C.P., J.A.D., A.R.S., R.F.G.), Baltimore, MD; Departments of Radiology (C.R.J.) and Neurology (D.K.), Mayo Clinic, Rochester, MN; and Department of Medicine (T.H.M.), University of Mississippi Medical Center, Jackson.

Funding

ARIC Neurocognitive Study (ARIC-NCS) Renewal 2023-2028U01HL096812 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI JOSEF CORESH, THOMAS H MOSLEY · 2010 to 2026
$65.7M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 2 of 5U01HL096917 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI MOSLEY, THOMAS H · 2010 to 2018
$11.9M
ARIC Neurocognitive Study (ARIC-NCS) Renewal UNC 4 of 5U01HL096899 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID J · 2010 to 2018
$7.5M
ARIC Neurocognitive Study (ARIC-NCS)U01HL096902 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA L. · 2010 to 2018
$7.4M
ARIC Neurocognitive Study (ARIC-NCS) Renewal 4 of 5U01HL096814 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUGHES, TIMOTHY M., WAGENKNECHT, LYNNE E · 2010 to 2018
$6.5M
Research Training in Age-Related Cognitive DisordersT32AG027668 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2007 to 2026
$6.3M
The ARIC and Neurocognitive Longitudinal StudyR01HL070825 · NHLBI · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI MOSLEY, THOMAS H · 2002 to 2004
$5.1M
NHLBI NIH HHS R01-HL70825NHLBI NIH HHS U01 HL096812NHLBI NIH HHS U01 HL096814NHLBI NIH HHS U01 HL096899NHLBI NIH HHS U01 HL096902NHLBI NIH HHS U01 HL096917NIA NIH HHS T32 AG027668
6 · The paper itself

Abstract

objectiveOur objective was to examine the link between smoking and smoking history, including smoking intensity and cessation, overall and by race, in a biracial prospective cohort study.

methodsA subset of Atherosclerosis Risk in Communities Study participants (n = 972, 49% black) completed brain MRI scans twice (1993-1995 and 2004-2006). We defined white matter hyperintensity (WMH) progression as an increase of ≥2 points on the 9-point Cardiovascular Health Study scale across scans. Participants reported information on smoking behavior at the baseline MRI and at 2 prior study visits, approximately 3 and 6 years before baseline. We used adjusted logistic regression to evaluate the association between smoking variables and WMH progression in the total sample and separately by race (black and white).

resultsWe found WMH progression in 23% of participants (30% of black participants, 17% of white participants). Overall, being a current smoker 6 years before baseline was associated with WMH progression. In race-stratified analyses, we found adverse associations with smoking status at multiple time points and persistent smoking in white but not in black participants. However, we found no statistical support for effect modification by race for most of these analyses. Increasing pack-years of smoking was associated with greater risk of WMH progression, while time since quitting and age at smoking initiation were not associated with WMH progression, with little indication of differences in these associations by race.

conclusionsOur findings concur with previous studies suggesting a relationship between smoking and WMH progression, and further demonstrate a dose-dependent association.

Indexed as

Disease ProgressionMagnetic Resonance ImagingAgedBlack PeopleCohort StudiesFemaleHumansIntracranial ArteriosclerosisMaleMiddle AgedPopulation SurveillanceProspective StudiesRisk FactorsSmokingWhite MatterWhite People

Identifiers

PMID25632094
PMCPMC4345648

What OpenQuestion holds

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Registered trials

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.