Evidence map›Paper›PMID 27292543›Full record

Trial reportScientific reports2016

Progression of Dementia Assessed by Temporal Correlations of Physical Activity: Results From a 3.5-Year, Longitudinal Randomized Controlled Trial.

Kun Hu, Rixt F Riemersma-van der Lek, Melissa Patxot, Peng Li, Steven A Shea, Frank A J L Scheer, Eus J W Van Someren

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Prediction of Incident Dementia Using Patient Temporal Health Status.Studies in health technology and informatics · 2022
    Article
  15. Detection of Dementia Signals from Longitudinal Clinical Visits Using One-Class Classification.Proceedings. IEEE International Conference on Healthcare Informatics · 2022
    Article
  16. Article
  17. Article
  18. Early Alert of Elderly Cognitive Impairment using Temporal Streaming Clustering.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2021
    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.

Kun HuDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital; and Division of Sleep Medicine, Harvard Medical School, Boston, MA 02215, United States.
Rixt F Riemersma-van der LekNetherlands Institute for Neuroscience, Amsterdam, The Netherlands.
Melissa PatxotDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital; and Division of Sleep Medicine, Harvard Medical School, Boston, MA 02215, United States.
Peng LiDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital; and Division of Sleep Medicine, Harvard Medical School, Boston, MA 02215, United States.
Steven A SheaDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital; and Division of Sleep Medicine, Harvard Medical School, Boston, MA 02215, United States.
Frank A J L ScheerDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital; and Division of Sleep Medicine, Harvard Medical School, Boston, MA 02215, United States.
Eus J W Van SomerenNetherlands Institute for Neuroscience, Amsterdam, The Netherlands.

Funding

TRANSPLANTATION ANALYSIS OF CIRCADIAN RHYTHMS AND AGINGP01AG009975 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI CZEISLER, CHARLES A · 1991 to 2018
$23.1M
Development of countermeasures against adverse metabolic effects of shift workR01HL118601 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHEER, FRANK A · 2014 to 2017
$2.6M
Neuropathology for disrupted multiscale activity control in Alzheimer's diseaseR01AG048108 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2015 to 2018
$1.6M
Chronobiology of cardiovascular and pulmonary diseaseK24HL076446 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHEA, STEVEN A · 2004 to 2013
$1.5M
Fractal Regulatory Function of the Circadian SystemR00HL102241 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2012 to 2014
$720k
NHLBI NIH HHS K24 HL076446NHLBI NIH HHS R00 HL102241NHLBI NIH HHS R01 HL118601NIA NIH HHS P01 AG009975NIA NIH HHS R01 AG048108
6 · The paper itself

Abstract

Cross-sectional studies show that activity fluctuations in healthy young adults possess robust temporal correlations that become altered with aging, and in dementia and depression. This study was designed to test whether or not within-subject changes of activity correlations (i) track the clinical progression of dementia, (ii) reflect the alterations of depression symptoms in patients with dementia, and (iii) can be manipulated by clinical interventions aimed at stabilizing circadian rhythmicity and improving sleep in dementia, namely timed bright light therapy and melatonin supplementation. We examined 144 patients with dementia (70-96 years old) who were assigned to daily treatment with bright light, bedtime melatonin, both or placebos only in a 3.5-year double-blinded randomized clinical trial. We found that activity correlations at temporal scales <~2 hours significantly decreased over time and that light treatment attenuated the decrease by ~73%. Moreover, the decrease of temporal activity correlations positively correlated with the degrees of cognitive decline and worsening of mood though the associations were relatively weak. These results suggest a mechanistic link between multiscale activity regulation and circadian/sleep function in dementia patients. Whether temporal activity patterns allow unobtrusive, long-term monitoring of dementia progression and mood changes is worth further investigation.

Indexed as

AgedAged, 80 and overCircadian RhythmDementiaDisease ProgressionDouble-Blind MethodExerciseFemaleHumansLongitudinal StudiesMaleMelatoninPhototherapyMelatonin

Identifiers

PMID27292543
PMCPMC4904193

What OpenQuestion holds

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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.