Evidence map›Paper›PMID 27045845›Full record

ArticleTranslational psychiatry2016

Advanced brain aging: relationship with epidemiologic and genetic risk factors, and overlap with Alzheimer disease atrophy patterns.

M Habes, D Janowitz, G Erus, J B Toledo, S M Resnick, J Doshi, S Van der Auwera, K Wittfeld, K Hegenscheid, N Hosten and 6 more

Abstract read
In one paragraph

Article in Translational psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing 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

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

  1. Pooled it
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  10. Cardiovascular Health at Midlife and Alzheimer Disease Biomarkers.medRxiv : the preprint server for health sciences · 2026
    Article
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  12. Midlife sleep characteristics and Alzheimer's disease biomarkers 20 years later.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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38 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

16 authors.

M HabesInstitute for Community Medicine, University of Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0001-9447-5805
D JanowitzDepartment of Psychiatry, University of Greifswald, Greifswald, Germany.ORCID http://orcid.org/0000-0003-4324-9298
G ErusDepartment of Radiology, Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA.
J B ToledoDepartment of Pathology & Laboratory Medicine, Institute on Aging, Center for Neurodegenerative Disease Research, University of Pennsylvania, Philadelphia, PA, USA.
S M ResnickLaboratory of Behavioral Neuroscience, Biomedical Research Center, National Institute on Aging, Baltimore, MD, USA.
J DoshiDepartment of Radiology, Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA.
S Van der AuweraDepartment of Psychiatry, University of Greifswald, Greifswald, Germany.
K WittfeldGerman Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Greifswald, Germany.
K HegenscheidDepartment of Radiology, University of Greifswald, Greifswald, Germany.
N HostenDepartment of Radiology, University of Greifswald, Greifswald, Germany.
R BiffarDepartment of Dentistry, University of Greifswald, Greifswald, Germany.
G HomuthInstitute for Genetics and Functional Genomics, University of Greifswald, Greifswald, Germany.
H VölzkeInstitute for Community Medicine, University of Greifswald, Greifswald, Germany.
H J GrabeDepartment of Psychiatry, University of Greifswald, Greifswald, Germany.
W HoffmannInstitute for Community Medicine, University of Greifswald, Greifswald, Germany.
C DavatzikosDepartment of Radiology, Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA.

Funding

'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
Neuroimaging Predictors of Cognitive Decline, Impairment, and ResilienceZIAAG000191 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 2009 to 2025
$26.4M
COMPUTATIONAL NEUROANATOMY OF AGING USING SHAPE ANALYSISR01AG014971 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 1999 to 2015
$3.5M
NIA NIH HHS P50 AG005146NIA NIH HHS R01 AG014971NIA NIH HHS R01-AG014971
6 · The paper itself

Abstract

We systematically compared structural imaging patterns of advanced brain aging (ABA) in the general-population, herein defined as significant deviation from typical BA to those found in Alzheimer disease (AD). The hypothesis that ABA would show different patterns of structural change compared with those found in AD was tested via advanced pattern analysis methods. In particular, magnetic resonance images of 2705 participants from the Study of Health in Pomerania (aged 20-90 years) were analyzed using an index that captures aging atrophy patterns (Spatial Pattern of Atrophy for Recognition of BA (SPARE-BA)), and an index previously shown to capture atrophy patterns found in clinical AD (Spatial Patterns of Abnormality for Recognition of Early Alzheimer's Disease (SPARE-AD)). We studied the association between these indices and risk factors, including an AD polygenic risk score. Finally, we compared the ABA-associated atrophy with typical AD-like patterns. We observed that SPARE-BA had significant association with: smoking (P<0.05), anti-hypertensive (P<0.05), anti-diabetic drug use (men P<0.05, women P=0.06) and waist circumference for the male cohort (P<0.05), after adjusting for age. Subjects with ABA had spatially extensive gray matter loss in the frontal, parietal and temporal lobes (false-discovery-rate-corrected q<0.001). ABA patterns of atrophy were partially overlapping with, but notably deviating from those typically found in AD. Subjects with ABA had higher SPARE-AD values; largely due to the partial spatial overlap of associated patterns in temporal regions. The AD polygenic risk score was significantly associated with SPARE-AD but not with SPARE-BA. Our findings suggest that ABA is likely characterized by pathophysiologic mechanisms that are distinct from, or only partially overlapping with those of AD.

Indexed as

AdultAgedAged, 80 and overAgingAlzheimer DiseaseAtrophyBrainBrain MappingCohort StudiesFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedPrevalence

Identifiers

PMID27045845
PMCPMC4872397

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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.