Evidence map›Paper›PMID 27761943›Full record

Trial reportAnnals of neurology2017

Adaptive working memory training improved brain function in human immunodeficiency virus-seropositive patients.

Linda Chang, Gro C Løhaugen, Tamara Andres, Caroline S Jiang, Vanessa Douet, Naomi Tanizaki, Christina Walker, Deborrah Castillo, Ahnate Lim, Jon Skranes and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05948930 (Adaptive Working Memory and Physical Exercise Training to Improve Brain and Mitochondrial Function in MCI), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 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.

NCT05948930 narecruitingnot on this mapstarted 2024, after this paper: background citation

Adaptive Working Memory and Physical Exercise Training to Improve Brain and Mitochondrial Function in MCI

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2024 to 2027Enrolled90ConditionsMild Cognitive ImpairmentArmsProgressive aerobic exercise, Adaptive cognitive training, Combined
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Neurology(R) neuroimmunology & neuroinflammation · 2026
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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

13 authors.

Linda ChangDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Gro C LøhaugenDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Tamara AndresDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Caroline S JiangDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Vanessa DouetDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Naomi TanizakiDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Christina WalkerDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Deborrah CastilloDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Ahnate LimDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Jon SkranesDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Chad OtoshiDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.
Eric N MillerDepartment of Psychiatry, University of California, Los Angeles, CA.
Thomas M ErnstDepartment of Medicine, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI.

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Lee Ellen Buenconsejo-Lum, Jerris Robert Hedges · 2017 to 2026
$59.5M
WORLDWIDE EPIDEMIOLOGY &EPIZOOTIOLOGY OF HANTAVIRUSG12RR003061 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI ALLEN, JOHN A · 1986 to 2011
$32.3M
RESEARCH DESIGN, BIOSTATISTICS AND RESEARCH ETHICS COREG12MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI BERRY, MARLA J · 2012 to 2016
$13.0M
Imaging Studies in Neurotoxicity and NeurodevelopmentU54NS056883 · NINDS · UNIVERSITY OF HAWAII AT MANOA · PI CHANG, LINDA · 2007 to 2011
$8.4M
Neural Correlates of Working Memory Training For HIV PatientsR01DA035659 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI CHANG, LINDA · 2012 to 2017
$2.8M
Neuroimaging and Mentoring in Drug Abuse ResearchK24DA016170 · NIDA · UNIVERSITY OF HAWAII AT MANOA · PI CHANG, LINDA · 2003 to 2013
$1.8M
MR Techniques for Drug Abuse and HIV Brain ResearchK02DA016991 · NIDA · UNIVERSITY OF HAWAII AT MANOA · PI ERNST, THOMAS M · 2003 to 2007
$657k
NCRR NIH HHS G12 RR003061NIDA NIH HHS K02 DA016991NIDA NIH HHS K24 DA016170NIDA NIH HHS R01 DA035659NIMHD NIH HHS G12 MD007601NIMHD NIH HHS U54 MD007601NINDS NIH HHS U54 NS056883
6 · The paper itself

Abstract

objectiveWe aimed to evaluate the effectiveness of an adaptive working memory (WM) training (WMT) program, the corresponding neural correlates, and LMX1A-rs4657412 polymorphism on the adaptive WMT, in human immunodeficiency virus (HIV) participants compared to seronegative (SN) controls.

methodsA total of 201 of 206 qualified participants completed baseline assessments before randomization to 25 sessions of adaptive WMT or nonadaptive WMT. A total of 74 of 76 (34 HIV, 42 SN) completed adaptive WMT and all 40 completed nonadaptive WMT (20 HIV, 20 SN) and were assessed after 1 month, and 55 adaptive WMT participants were also assessed after 6 months. Nontrained near-transfer WM tests (Digit-Span, Spatial-Span), self-reported executive functioning, and functional magnetic resonance images during 1-back and 2-back tasks were performed at baseline and each follow-up visit, and LMX1A-rs4657412 was genotyped in all participants.

resultsAlthough HIV participants had slightly lower cognitive performance and start index than SN at baseline, both groups improved on improvement index (>30%; false discovery rate [FDR] corrected p < 0.0008) and nontrained WM tests after adaptive WMT (FDR corrected, p ≤ 0.001), but not after nonadaptive WMT (training by training type corrected, p = 0.01 to p = 0.05) 1 month later. HIV participants (especially LMX1A-G carriers) also had poorer self-reported executive functioning than SN, but both groups reported improvements after adaptive WMT (Global: training FDR corrected, p = 0.004), and only HIV participants improved after nonadaptive WMT. HIV participants also had greater frontal activation than SN at baseline, but brain activation decreased in both groups at 1 and 6 months after adaptive WMT (FDR corrected, p < 0.0001), with normalization of brain activation in HIV participants, especially the LMX1A-AA carriers (LMX1A genotype by HIV status, cluster-corrected-p < 0.0001).

interpretationAdaptive WMT, but not nonadaptive WMT, improved WM performance in both SN and HIV participants, and the accompanied decreased or normalized brain activation suggest improved neural efficiency, especially in HIV-LMX1A-AA carriers who might have greater dopaminergic reserve. These findings suggest that adaptive WMT may be an effective adjunctive therapy for WM deficits in HIV participants. ANN NEUROL 2017;81:17-34.

Indexed as

Executive FunctionFemaleFrontal LobeGenotypeHIV SeropositivityHumansLearningLIM-Homeodomain ProteinsMagnetic Resonance ImagingMaleMemory, Short-TermMiddle AgedNeuropsychological TestsTranscription FactorsLIM-Homeodomain ProteinsLMX1A protein, humanTranscription Factors

Identifiers

PMID27761943
PMCPMC5299494

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Registered trials

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.