Evidence map›Paper›PMID 28306147›Full record

ArticleJournal of the American Geriatrics Society2017

Early Functional Limitations in Cognitively Normal Older Adults Predict Diagnostic Conversion to Mild Cognitive Impairment.

Sarah Tomaszewski Farias, Karen Lau, Danielle Harvey, Katherine G Denny, Cheyanne Barba, Anthony N Mefford

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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
–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.

NCT03549078 nacompletednot on this map

A Randomized Evaluation of a Multidimensional Behavioral Intervention for Those at Risk for Alzheimer's Dementia

TypeinterventionalSponsorUniversity of California, DavisRan2017 to 2019Enrolled69ConditionsFunctional Aging, Subjective Cognitive Concerns, Compensation Strategies, Brain Health ActivitiesArmsIntervention
NCT03717597 nacompletednot on this mapstarted 2018, after this paper: background citation

A Nonrandomized Evaluation of a Multidimensional Behavioral Intervention for Those at Risk for Alzheimer's Dementia

TypeinterventionalSponsorUniversity of California, DavisRan2018 to 2021Enrolled15ConditionsSubjective Cognitive Concerns (SCC)ArmsIntervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Item comprehension and content coverage of patient-reported outcome measures for long COVID: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  10. A Pilot Study of the Effect of Repeated Practice in Virtual Reality on Everyday Action Performance in Real Life.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  11. Article
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  13. Article
  14. Subjective cognitive complaints and future risk of dementia and cognitive impairment, which matters most.Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition · 2025
    Article
  15. Article
  16. Study partner characteristics moderate the prediction of cognitive decline in aging.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  17. Article
  18. Article
  19. Review
  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

6 authors.

Sarah Tomaszewski FariasDepartment of Neurology, School of Medicine, University of California, Davis, Sacramento, California.
Karen LauDepartment of Psychiatry, Marin/Sonoma Service Area, Kaiser Permanente Northern California, The Permanente Medical Group, San Rafael, California.
Danielle HarveyDivision of Biostatistics, Department of Public Health Sciences, School of Medicine, University of California, Davis, Davis, California.
Katherine G DennyDepartment of Neurology, School of Medicine, University of California, Davis, Sacramento, California.
Cheyanne BarbaDepartment of Neurology, School of Medicine, University of California, Davis, Sacramento, California.
Anthony N MeffordDepartment of Neurology, School of Medicine, University of California, Davis, Sacramento, California.

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
Understanding the Pathway to Functional Disability in Alzheimer's diseaseR01AG031252 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI TOMASZEWSKI-FARIAS, SARAH E · 2008 to 2012
$1.8M
NIA NIH HHS P30 AG010129NIA NIH HHS R01 AG031252
6 · The paper itself

Abstract

objectivesTo examine whether specific types of early functional limitations in cognitively normal older adults are associated with subsequent development of mild cognitive impairment (MCI), as well as the relative predictive value of self versus informant report in predicting diagnostic conversion to MCI.

designAs a part of a longitudinal study design, participants underwent baseline and annual multidisciplinary clinical evaluations, including a physical and neurological examination, imaging, laboratory work, and neuropsychological testing.

settingData used in this study were collected as part of longitudinal research at the University of California, Davis Alzheimer's Disease Center.

participantsIndividuals diagnosed as having normal cognition at study baseline who had an informant who could complete informant-based ratings and at least one follow-up visit (N = 324). MEASUREMENTS: Participants and informants each completed the Everyday Cognition Scale (ECog), an instrument designed to measure everyday function in six cognitively relevant domains.

resultsSelf- and informant-reported functional limitations on the ECog were associated with significantly greater risk of diagnostic conversion to MCI (informant: hazard ratio (HR) = 2.0, 95% confidence interval (CI) = 1.3-3.2, P = .002), with self-report having a slightly higher hazard (HR = 2.3, 95% CI = 1.4-3.6, P < .001). When controlling for baseline cognitive abilities, the effect remained significant for self- and informant-reported functional limitations.

conclusionDeficits in everyday memory and executive function domains were the strongest predictors of diagnostic conversion to MCI. Detection of early functional limitations may be clinically useful in assessing the future risk of developing cognitive impairment in cognitively normal older adults.

Indexed as

CognitionActivities of Daily LivingAgedAgingAlzheimer DiseaseCognitive DysfunctionFemaleHumansLongitudinal StudiesMaleNeuropsychological TestsSelf Reportfunctional abilityinformant reportmild cognitive impairmentnormal cognitionself-report

Identifiers

PMID28306147
PMCPMC5478464

What OpenQuestion holds

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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.