Evidence map›Paper›PMID 27131225›Full record

ArticleJournal of the American Geriatrics Society2016

Association Between Accelerated Multimorbidity and Age-Related Cognitive Decline in Older Baltimore Longitudinal Study of Aging Participants without Dementia.

Elisa Fabbri, Yang An, Marco Zoli, Toshiko Tanaka, Eleanor M Simonsick, Melissa H Kitner-Triolo, Stephanie A Studenski, Susan M Resnick, Luigi Ferrucci

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
7.4field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

4 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

9 authors at 3 institutions in 2 countries.

Elisa FabbriTranslational Gerontology Branch, Longitudinal Study Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health Baltimore, Baltimore, Maryland.
Yang AnLaboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Marco ZoliDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Toshiko TanakaTranslational Gerontology Branch, Longitudinal Study Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health Baltimore, Baltimore, Maryland.
Eleanor M SimonsickTranslational Gerontology Branch, Longitudinal Study Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health Baltimore, Baltimore, Maryland.
Melissa H Kitner-TrioloLaboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Stephanie A StudenskiTranslational Gerontology Branch, Longitudinal Study Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health Baltimore, Baltimore, Maryland.
Susan M ResnickLaboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Luigi FerrucciTranslational Gerontology Branch, Longitudinal Study Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health Baltimore, Baltimore, Maryland.
National Institute on Aging · USNational Institutes of Health · USUniversity of Bologna · IT

Funding

The Baltimore Longitudinal Study Of AgingZIAAG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI SIMONSICK, ELEANOR MARIE · 2009 to 2025
$116.9M
'T V ASSESSMENT - MEMORY DISORDERED PATIENTS'P50AG005146 · NIA · JOHNS HOPKINS UNIVERSITY · PI HUGANIR, RICHARD L · 1985 to 2019
$37.6M
Early Markers of Alzheimer DiseaseZIAAG000185 · NIA · NATIONAL INSTITUTE ON AGING · PI WALKER, KEENAN · 2009 to 2025
$20.4M
Intramural NIH HHS Z99 AG999999NIA NIH HHS P50 AG005146
6 · The paper itself

Abstract

objectivesTo explore the association between rate of physical health deterioration, operationalized as rising multimorbidity overtime, and longitudinal decline in cognitive function in older adults without dementia.

designLongitudinal (Baltimore Longitudinal Study of Aging (BLSA)).

settingCommunity.

participantsBLSA participants aged 65 and older followed for an average of 3 years and free of dementia or mild cognitive impairment (MCI) at baseline and follow-up (N = 756). MEASUREMENTS: Standardized neurocognitive tests evaluating mental status, memory, executive function, processing speed, and verbal fluency were administered. Multimorbidity was assessed at each visit as number of diagnosed chronic diseases from a predefined list. Faster accumulation of chronic diseases was defined as upper quartile of rate of change in number of diseases over time (≥0.25 diseases/year).

resultsFaster accumulation of chronic diseases was significantly associated with greater rate of decline on the Category (P = .01) and Letter (P = .01) Fluency Tests. Similar trends were also found for the Trail-Making Test Parts A (P = .08) and B (P = .07); no association was found with rate of change in visual and verbal memory.

conclusionAlthough further investigations are required to validate the results and fully understand the underlying mechanisms, these findings suggest that accelerated deterioration of physical health is associated with accelerated decline with aging in specific cognitive domains in older adults without dementia.

Indexed as

AgedAgingBaltimoreChronic DiseaseCognitive DysfunctionComorbidityFemaleHealth Status IndicatorsHumansLongitudinal StudiesMaleNeuropsychological Testsagingcognitioncognitive declinemultimorbidityolder adults

Identifiers

PMID27131225
PMCPMC4882249
OpenAlexW2342455979

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.