Evidence map›Paper›PMID 26757037›Full record

ArticleJournal of Alzheimer's disease : JAD2016

Cerebral Small Vessel Disease and Motoric Cognitive Risk Syndrome: Results from the Kerala-Einstein Study.

Nan Wang, Gilles Allali, Chandrasekharan Kesavadas, Mohan L Noone, Vayyattu G Pradeep, Helena M Blumen, Joe Verghese

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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.

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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Gait in cerebral small vessel disease, pre-dementia, and dementia: A systematic review.International journal of stroke : official journal of the International Stroke Society · 2023
    Pooled it
  3. Pooled it
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  7. Motoric Cognitive Risk Syndrome and Risk of Cardiovascular Disease: A Population-Based Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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  16. Potential Imaging Biomarkers of Cognitive Frailty.Annals of geriatric medicine and research · 2023
    Article
  17. Observational
  18. Cognitive impairment and microvascular function in end-stage renal disease.International journal of methods in psychiatric research · 2022
    Article
  19. Article
  20. 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

7 authors at 3 institutions in 2 countries.

Nan WangDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Gilles AllaliDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Chandrasekharan KesavadasDepartment of Imaging Science and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Mohan L NooneDepartment of Neurology, Baby Memorial Hospital, Kozhikode, Kerala, India.
Vayyattu G PradeepDepartment of Neurology, Baby Memorial Hospital, Kozhikode, Kerala, India.
Helena M BlumenDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Joe VergheseDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert Einstein College of Medicine · USBaby Memorial Hospital · INSree Chitra Thirunal Institute for Medical Sciences and Technology · IN

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Kerala-Einstein Study: Healthy lifestyle, vascular disease, and cognitive declineR01AG039330 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MATHURANATH, PAVAGADA S, VERGHESE, JOE · 2011 to 2023
$5.0M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
Kerala-Einstein study: Risk factors for cognitive declineR21AG029799 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI VERGHESE, JOE · 2008 to 2009
$245k
NCATS NIH HHS KL2 TR001071NCATS NIH HHS UL1 TR001073NIA NIH HHS R01 AG039330NIA NIH HHS R01 AG039330-01NIA NIH HHS R21 AG029799NIA NIH HHS R21AG029799
6 · The paper itself

Abstract

backgroundThe contribution of cerebral small vessel disease to cognitive decline, especially in non-Caucasian populations, is not well established.

objectiveWe examined the relationship between cerebral small vessel disease and motoric cognitive risk syndrome (MCR), a recently described pre-dementia syndrome, in Indian seniors.

methods139 participants (mean age 66.6 ± 5.4 y, 33.1% female) participating in the Kerala-Einstein study in Southern India were examined in a cross-sectional study. The presence of cerebral small vessel disease (lacunar infarcts and cerebral microbleeds (CMB)) and white matter hyperintensities on MRI was ascertained by raters blinded to clinical information. MCR was defined by the presence of cognitive complaints and slow gait in older adults without dementia or mobility disability.

resultsThirty-eight (27.3%) participants met MCR criteria. The overall prevalence of lacunar infarcts and CMB was 49.6% and 9.4% , respectively. Lacunar infarcts in the frontal lobe, but no other brain regions, were associated with MCR even after adjusting for vascular risk factors and presence of white matter hyperintensities (adjusted Odds Ratio (aOR): 4.67, 95% CI: 1.69-12.94). Frontal lacunar infarcts were associated with slow gait (aOR: 3.98, 95% CI: 1.46-10.79) and poor performance on memory test (β: -1.24, 95% CI: -2.42 to -0.05), but not with cognitive complaints or non-memory tests. No association of CMB was found with MCR, individual MCR criterion or cognitive tests.

conclusionsFrontal lacunar infarcts are associated with MCR in Indian seniors, perhaps, by contributing to slow gait and poor memory function.

Indexed as

AgedBrainCerebral Small Vessel DiseasesCognition DisordersFemaleHumansImage Processing, Computer-AssistedIndiaMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsPsychiatric Status Rating ScalesRisk FactorsStroke, LacunarWhite MatterAgingcerebral small vessel diseasescognitionfrontal lobegaitlacunar infarctmagnetic resonance imagingmemory

Identifiers

PMID26757037
PMCPMC5292924
OpenAlexW2235459572

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.