Evidence map›Paper›PMID 25812012›Full record

ArticlePloS one2015

Vascular factors and multiple measures of early brain health: CARDIA brain MRI study.

Lenore J Launer, Cora E Lewis, Pamela J Schreiner, Steve Sidney, Harsha Battapady, David R Jacobs, Kelvin O Lim, Mark D'Esposito, Qian Zhang, Jared Reis and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04962061 (Impacts of Aerobic, Resistance and Cognitive Training Interventions on Neurocognitive Functions in Older Adults With Cardiovascular Risk Factors.), which is not on this map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT04962061 nacompletednot on this mapstarted 2021, after this paper: background citation

Impacts of Aerobic, Resistance and Cognitive Training Interventions on Neurocognitive Functions in Older Adults With Cardiovascular Risk Factors.

TypeinterventionalSponsorLouis BhererRan2021 to 2026Enrolled159ConditionsAging, Cardiovascular Risk FactorArmsCognitive Training, Aerobic and resistance exercises, Stretching and Toning
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Cognitive Function and Kidney Disease: Baseline Data From the Systolic Blood Pressure Intervention Trial (SPRINT).American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017
    Trial
  3. Article
  4. Article
  5. Cardiovascular Health at Midlife and Alzheimer Disease Biomarkers.medRxiv : the preprint server for health sciences · 2026
    Article
  6. Midlife sleep characteristics and Alzheimer's disease biomarkers 20 years later.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  7. Predicting Breath Hold Task Compliance From Head Motion.Journal of magnetic resonance imaging : JMRI · 2026
    Article
  8. Article
  9. Multivariate White Matter Microstructure Alterations in Older Adults with Coronary Artery Disease.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  10. 24-hour activity cycle behaviors and gray matter volume in mild cognitive impairment.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Life's Essential 8 and midlife trajectories in cognition and brain health: The CARDIA study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

34 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

12 authors at 7 institutions in 1 country.

Lenore J LaunerLaboratory of Epidemiology and Population Sciences, National Institute on Aging, Bethesda, MD, United States of America.
Cora E LewisUniversity of Alabama, Birmingham, AL, United States of America.
Pamela J SchreinerDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, United States of America.
Steve SidneyDivision of Research, Kaiser Permanente Northern California, Oakland, CA, United States of America.
Harsha BattapadyDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States of America.
David R JacobsDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, United States of America.
Kelvin O LimDepartment of Radiology, University of Minnesota, Minneapolis, MN, United States of America.
Mark D'EspositoDepartment of Radiology, University of California, Berkeley, Berkeley, CA, United States of America.
Qian ZhangLaboratory of Epidemiology and Population Sciences, National Institute on Aging, Bethesda, MD, United States of America.
Jared ReisDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD, United States of America.
Christos DavatzikosDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States of America.
R Nick BryanDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States of America.
University of Minnesota · USUniversity of Pennsylvania · USNational Institute on Aging · USKaiser Permanente · USNational Heart Lung and Blood Institute · USUniversity of Alabama at Birmingham · USUniversity of California, Berkeley · US

Funding

COMPUTATIONAL NEUROANATOMY OF AGING USING SHAPE ANALYSISR01AG014971 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 1999 to 2015
$3.5M
Determinants of Midlife & Longitudinal Change in Cognitive Function: CARDIA StudyR01HL122658 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIDNEY, STEPHEN, YAFFE, KRISTINE · 2015 to 2018
$3.0M
Intramural NIH HHSNHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNHLBI NIH HHS R01 HL122658NIA NIH HHS AG0005NIA NIH HHS R01 AG014971
6 · The paper itself

Abstract

objectiveTo identify early changes in brain structure and function that are associated with cardiovascular risk factors (CVRF).

designCross-sectional brain Magnetic Resonance I (MRI) study.

settingCommunity based cohort in three U.S. sites.

participantsA Caucasian and African-American sub-sample (n= 680; mean age 50.3 yrs) attending the 25 year follow-up exam of the Coronary Artery Risk Development in Young Adults Study. PRIMARY AND SECONDARY OUTCOMES: 3T brain MR images processed for quantitative estimates of: total brain (TBV) and abnormal white matter (AWM) volume; white matter fractional anisotropy (WM-FA); and gray matter cerebral blood flow (GM-CBF). Total intracranial volume is TBV plus cerebral spinal fluid (TICV). A Global Cognitive Function (GCF) score was derived from tests of speed, memory and executive function.

resultsAdjusting for TICV and demographic factors, current smoking was significantly associated with lower GM-CBF and TBV, and more AWM (all <0.05); SA with lower GM-CBF, WM-FA and TBV (p=0.01); increasing BMI with decreasing GM-CBF (p<0003); hypertension with lower GM-CBF, WM-FA, and TBV and higher AWM (all <0.05); and diabetes with lower TBV (p=0.007). The GCS was lower as TBV decreased, AWM increased, and WM-FA (all p<0.01).

conclusionIn middle age adults, CVRF are associated with brain health, reflected in MRI measures of structure and perfusion, and cognitive functioning. These findings suggest markers of mid-life cardiovascular and brain health should be considered as indication for early intervention and future risk of late-life cerebrovascular disease and dementia.

Indexed as

Magnetic Resonance ImagingAdolescentAdultBrainCardiovascular DiseasesCognitionCohort StudiesCross-Sectional StudiesFemaleFollow-Up StudiesHumansImage Processing, Computer-AssistedMaleMiddle AgedRisk FactorsUnited States

Identifiers

PMID25812012
PMCPMC4374951
OpenAlexW1988082450

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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.