Evidence map›Paper›PMID 26908863›Full record

ArticleCirculation. Cardiovascular quality and outcomes2016

Impaired Cognition and Brain Atrophy Decades After Hypertensive Pregnancy Disorders.

Michelle M Mielke, Natasa M Milic, Tracey L Weissgerber, Wendy M White, Kejal Kantarci, Thomas H Mosley, B Gwen Windham, Brittany N Simpson, Stephen T Turner, Vesna D Garovic

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 7 pooled it
9.7field-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.

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

68 citing papers in PubMed, 7 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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  8. Exploring the Mechanism of Postpartum Cognitive Dysfunction in a Preeclampsia Rat Model via Multimodal Imaging.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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    Review
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8 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

10 authors at 1 institution in 1 country.

Michelle M MielkeFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Natasa M MilicFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Tracey L WeissgerberFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Wendy M WhiteFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Kejal KantarciFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Thomas H MosleyFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
B Gwen WindhamFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Brittany N SimpsonFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Stephen T TurnerFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.).
Vesna D GarovicFrom the Departments of Health Sciences Research and Neurology (M.M.M.), Division of Nephrology and Hypertension (N.M.M., T.L.W., S.T.T., V.D.G.), Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology (W.M.W.), and Department of Radiology (K.K.), Mayo Clinic, Rochester, MN; Department of Biostatistics, Medical Faculty, University of Belgrade, Belgrade, Serbia (N.M.M.); and Department of Medicine, University of Mississippi Medical Center, Jackson (T.H.M., B.G.W., B.N.S.). Garovic.vesna@mayo.edu.
University of Belgrade · RS

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Genetics of Microangiopathic Brain InjuryR01NS041558 · NINDS · MAYO CLINIC ROCHESTER · PI TURNER, STEPHEN T · 2001 to 2010
$5.8M
NHLBI FAMILY BLOOD PRESSURE PROGRAM (GENOA)U01HL054464 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI TURNER, STEPHEN T · 2000 to 2004
$2.6M
GENETIC DETERMINANTS OF HIGH BLOOD PRESSURE (GENOA)U01HL054463 · NHLBI · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI MOSLEY, THOMAS H · 2000 to 2004
$1.6M
NHLBI NIH HHS U01 HL054463NHLBI NIH HHS U01HL054463NHLBI NIH HHS U01 HL054464NHLBI NIH HHS U01HL054464NIA NIH HHS P50 AG044170NIA NIH HHS P-50 AG44170NICHD NIH HHS K12 HD065987NICHD NIH HHS K12HD065987NINDS NIH HHS R01 NS041558NINDS NIH HHS R01NS41558
6 · The paper itself

Abstract

backgroundHypertensive pregnancy disorders have been associated with subjective cognitive complaints or brain white-matter lesions 5 to 10 years after the hypertensive pregnancy. The long-term effects of hypertensive pregnancies on brain structure and cognitive function remain unknown. METHODS AND

resultsThis study included 1279 women who participated in the Family Blood Pressure Project Genetic Epidemiology Network of Arteriopathy (GENOA) study. As part of the ancillary Genetics of Microangiopathic Brain Injury (GMBI) study, a neurocognitive battery was administered; 1075 also had a brain magnetic resonance imaging. A history of a hypertensive pregnancy disorder was obtained by a self-report using a validated questionnaire. Linear models fit with generalized estimating equations were used to assess the association between hypertensive pregnancy disorders and cognition, adjusting for age, race, education, body mass index, smoking, current hypertension, hypertension duration, and family history of hypertension. Regression models for the brain magnetic resonance imaging outcomes also were adjusted for total intracranial volume. Women with histories of hypertensive pregnancy disorders performed worse on all measures of processing speed (Digital Symbol Substitution Test [mean score, 41.2 versus 43.4; P=0.005], Trail Making Test Part A [mean seconds, 45.1 versus 42.2; P=0.035], and Stroop [mean score, 173.9 versus 181.0; P=0.002]) and had smaller brain volumes compared with women with histories of normotensive pregnancies (286 versus 297; P=0.023).

conclusionsHypertensive pregnancy disorders are associated with worse performance on tests of processing speed and smaller brain volumes decades later. Population-based studies are needed to provide critical insight as to the contribution of hypertensive pregnancies to risk of cognitive decline and dementia.

Indexed as

AdultAgedAtrophyBrainCardiovascular DiseasesCognition DisordersFemaleHumansHypertension, Pregnancy-InducedMagnetic Resonance ImagingMiddle AgedPregnancyRegression Analysiscognitionepidemiologyhypertensionneuroimagingpreeclampsiapregnancy

Identifiers

PMID26908863
PMCPMC4770570
OpenAlexW2274095011

What OpenQuestion holds

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Read underepoch 390

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.