Evidence map›Paper›PMID 25869993›Full record

Trial reportJournal of the American Medical Directors Association2015

Associations Between Ankle-Brachial Index and Cognitive Function: Results From the Lifestyle Interventions and Independence for Elders Trial.

Mark A Espeland, Anne B Newman, Kaycee Sink, Thomas M Gill, Abby C King, Michael E Miller, Jack Guralnik, Jeff Katula, Timothy Church, Todd Manini and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Medical Directors Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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

13 authors.

Mark A EspelandDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC. Electronic address: mespelan@wakehealth.edu.
Anne B NewmanHealthy Aging Research Program, University of Pittsburgh, Pittsburgh, PA.
Kaycee SinkJ. Paul Sticht Center on Aging, Wake Forest School of Medicine, Winston-Salem, NC.
Thomas M GillDepartment of Medicine, Yale School of Medicine, New Haven, CT.
Abby C KingDepartment of Health and Research Policy and Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Michael E MillerDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC.
Jack GuralnikDepartment of Epidemiology and Public Health, University of Maryland, Baltimore, MD.
Jeff KatulaDepartment of Health and Exercise Sciences, Wake Forest University, Winston-Salem, NC.
Timothy ChurchPennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA.
Todd ManiniDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL.
Kieran F ReidNutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging, Tufts University, Boston, MA.
Mary M McDermottDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
LIFE Study Group

Funding

UF FIELD CENTERU01AG022376 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PAHOR, MARCO · 2003 to 2015
$83.3M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Xiaoyan Leng · 2002 to 2026
$36.4M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI LEWIS LIPSITZ · 2008 to 2026
$23.9M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1RR025744 · NCRR · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2008 to 2011
$22.4M
MtDNA variant modifiers of cardiopulmonary responsiveness to physical activityR01HL121023 · NHLBI · UNIVERSITY OF FLORIDA · PI FRAGOSO, CARLOS A. VAZ, MANINI, TODD · 2014 to 2017
$1.3M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
HYPOTHALAMIC CATECHOL-LHRH AXIS REGULATING LH SECRETIONF32HD006568 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI PETERSEN, SANDRA L · 1985 to 1986
–
Respiratory Impairment in Aging PopulationsI01CX000927 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI FRAGOSO, CARLOS A. VAZ · 2014 to 2016
–
CSRD VA 1I01CX000927-01A1Intramural NIH HHSNCATS NIH HHS UL1 TR001085NCRR NIH HHS UL1 RR025744NHLBI NIH HHS R01 HL121023NIA NIH HHS 1 P30 AG028740NIA NIH HHS 1P30AG031679NIA NIH HHS 1 P30 AG21332NIA NIH HHS 3U01AG022376E05A2SNIA NIH HHS K07 AG043587NIA NIH HHS K07AG3587NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG021342NIA NIH HHS P30AG021342NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG028740NIA NIH HHS U01 AG022376NIA NIH HHS U01 AG22376NICHD NIH HHS 1R24HD065688E01A1
6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.

designRandomized clinical trial (Lifestyle Interventions and Independence for Elders Trial).

settingEight US academic centers.

participantsA total of 1601 adults ages 70-89 years, sedentary, without dementia, and with functional limitations. MEASUREMENTS: Baseline ABI and interviewer- and computer-administered cognitive function assessments were obtained. These assessments were used to compare a physical activity intervention with a health education control. Cognitive function was reassessed 24 months later (interviewer-administered) and 18 or 30 months later (computer-administered) and central adjudication was used to classify individuals as having mild cognitive impairment, probable dementia, or neither.

resultsLower ABI had a modest independent association with poorer cognitive functioning at baseline (partial r = 0.09; P < .001). Although lower baseline ABI was not associated with overall changes in cognitive function test scores, it was associated with higher odds for 2-year progression to a composite of either mild cognitive impairment or probable dementia (odds ratio 2.60 per unit lower ABI; 95% confidence interval 1.06-6.37). Across 2 years, changes in ABI were not associated with changes in cognitive function.

conclusionIn an older cohort sedentary individuals with dementia and with functional limitations, lower baseline ABI was independently correlated with cognitive function and associated with greater 2-year risk for progression to mild cognitive impairment or probable dementia.

Indexed as

Ankle Brachial IndexCognitionDisability EvaluationGeriatric AssessmentAgedAged, 80 and overCross-Sectional StudiesExerciseFemaleHealth EducationHumansMaleSedentary BehaviorUnited Statesankle-brachial indexCognitive functiondementiaperipheral artery disease

Identifiers

PMID25869993
PMCPMC4516564

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.