Evidence map›Paper›PMID 26185004›Full record

ArticleNeuroepidemiology2015

Relationships between Cognitive Performance, Neuroimaging and Vascular Disease: The DHS-MIND Study.

Fang-Chi Hsu, Laura M Raffield, Christina E Hugenschmidt, Amanda Cox, Jianzhao Xu, J Jeffery Carr, Barry I Freedman, Joseph A Maldjian, Jeff D Williamson, Donald W Bowden

Abstract read
In one paragraph

Article in Neuroepidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Pooled it
  3. Reproductive health history and later life cognition in African Caribbean women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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.

Fang-Chi HsuDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, N.C., USA.
Laura M Raffield
Christina E Hugenschmidt
Amanda Cox
Jianzhao Xu
J Jeffery Carr
Barry I Freedman
Joseph A Maldjian
Jeff D Williamson
Donald W Bowden

Funding

WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 1992 to 2010
$35.2M
Epidemiology of cardiovascular disease in diabetesR01HL067348 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 2001 to 2004
$4.3M
Genetic Epidemiology of Cerebrovascular Disease and Cognition in DiabetesR01NS058700 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 2008 to 2012
$3.0M
Cerebrovascular Disease and Cognitive Performance in African AmericansR01NS075107 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DIVERS, JASMIN, FREEDMAN, BARRY IRA · 2011 to 2015
$2.8M
Whole Genome Association Analysis of the Diabetes Heart StudyR01HL092301 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 2010 to 2013
$2.7M
Cognitive/Brain Effects of Adding Weight Loss to Exercise in Obese Older AdultsK01AG043547 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUGENSCHMIDT, CHRISTINA E · 2013 to 2017
$609k
Genetic and imaging analysis of cerebrovascular disease and cognition in diabetesF32DK083214 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUGENSCHMIDT, CHRISTINA E · 2008 to 2011
$157k
Analysis of Coding Variants Associated with Age-Related PhenotypesF31AG044879 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI RAFFIELD, LAURA M · 2013 to 2015
$86k
Genetic Epidemiology of Vascular Calcified PlaqueF32HL085989 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LEHTINEN, ALLISON · 2006 to 2008
$69k
NCRR NIH HHS M01 RR007122NCRR NIH HHS M01 RR07122NHLBI NIH HHS F32 HL085989NHLBI NIH HHS R01 HL067348NHLBI NIH HHS R01 HL092301NHLBI NIH HHS R01 HL67348NIA NIH HHS F31 AG044879NIA NIH HHS K01 AG043547NIDDK NIH HHS F32 DK083214NIDDK NIH HHS F32 DK083214-01NINDS NIH HHS R01 NS058700NINDS NIH HHS R01 NS075107
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus increases the risk of cognitive decline and dementia, and elevated burdens of vascular disease are hypothesized to contribute to this risk. These relationships were examined in the Diabetes Heart Study-MIND using a battery of cognitive tests, neuroimaging measures and subclinical cardiovascular disease (CVD) burden assessed by coronary artery calcified (CAC) plaque. We hypothesized that CAC would attenuate the association between neuroimaging measures and cognition performance.

methodsAssociations were examined using marginal models in this family-based cohort of 572 European Americans from 263 families. All models were adjusted for age, gender, education, type 2 diabetes and hypertension, with some neuroimaging measures additionally adjusted for intracranial volume.

resultsHigher total brain volume was associated with better performance on the Digit Symbol Substitution Task and Semantic Fluency (both p ≤ 7.0 × 10(-4)). Higher gray matter volume was associated with better performance on the Modified Mini-Mental State Examination and Semantic Fluency (both p ≤ 9.0 × 10(-4)). Adjusting for CAC caused minimal changes to the results.

conclusionsRelationships exist between neuroimaging measures and cognitive performance in a type 2 diabetes-enriched European American cohort. Associations were minimally attenuated after adjusting for subclinical CVD. Additional work is needed to understand how subclinical CVD burden interacts with other factors and impacts relationships between neuroimaging and cognitive testing measures.

Indexed as

AdultAgedAged, 80 and overBrainCognition DisordersCohort StudiesDiabetes Mellitus, Type 2FemaleHumansHypertensionMaleMiddle AgedNeuroimagingNeuropsychological TestsPlaque, AtheroscleroticRisk Factors

Identifiers

PMID26185004
PMCPMC4543571

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.