Evidence map›Paper›PMID 29393657›Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2018

A population neuroscience approach to the study of cerebral small vessel disease in midlife and late life: an invited review.

Dana R Jorgensen, C Elizabeth Shaaban, Clayton A Wiley, Peter J Gianaros, Joseph Mettenburg, Caterina Rosano

Abstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

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

  1. Pooled it
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  11. Advancements in investigating the role of cerebral small vein loss in Alzheimer's disease-related pathological changes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  12. Article
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  15. Racial, Ethnic, and Geographic Diversity in Population Neuroscience.Current topics in behavioral neurosciences · 2024
    Review
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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

6 authors.

Dana R JorgensenDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh , Pittsburgh, Pennsylvania.
C Elizabeth ShaabanDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh , Pittsburgh, Pennsylvania.
Clayton A WileyDepartment of Pathology, University of Pittsburgh , Pittsburgh, Pennsylvania.
Peter J GianarosDepartments of Psychology and Psychiatry, University of Pittsburgh , Pittsburgh, Pennsylvania.ORCID 0000-0003-2313-5277
Joseph MettenburgDepartment of Radiology, University of Pittsburgh, University of Pittsburgh , Pittsburgh, Pennsylvania.
Caterina RosanoDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh , Pittsburgh, Pennsylvania.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Cardiovascular Epidemiology Training ProgramT32HL083825 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AKIRA SEKIKAWA · 2008 to 2026
$6.1M
Ultra-high-field neuroimaging in elderly after a two-year exercise interventionR01AG044474 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, ROSANO, CATERINA · 2014 to 2016
$931k
Pathways of beneficial effects of a physical activity intervention on hippocampal atrophy among older adultsF31AG054084 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SHAABAN, C. ELIZABETH · 2016 to 2017
$79k
NHLBI NIH HHS T32 HL083825NIA NIH HHS F31 AG054084NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG044474
6 · The paper itself

Abstract

Aging in later life engenders numerous changes to the cerebral microvasculature. Such changes can remain clinically silent but are associated with greater risk for negative health outcomes over time. Knowledge is limited about the pathogenesis, prevention, and treatment of potentially detrimental changes in the cerebral microvasculature that occur with advancing age. In this review, we summarize literature on aging of the cerebral microvasculature, and we propose a conceptual framework to fill existing research gaps and advance future work on this heterogeneous phenomenon. We propose that the major gaps in this area are attributable to an incomplete characterization of cerebrovascular pathology, the populations being studied, and the temporality of exposure to risk factors. Specifically, currently available measures of age-related cerebral microvasculature changes are indirect, primarily related to parenchymal damage rather than direct quantification of small vessel damage, limiting the understanding of cerebral small vessel disease (cSVD) itself. Moreover, studies seldom account for variability in the health-related conditions or interactions with risk factors, which are likely determinants of cSVD pathogenesis. Finally, study designs are predominantly cross-sectional and/or have relied on single time point measures, leaving no clear evidence of time trajectories of risk factors or of change in cerebral microvasculature. We argue that more resources should be invested in 1) developing methodological approaches and basic science models to better understand the pathogenic and etiological nature of age-related brain microvascular diseases and 2) implementing state-of-the-science population study designs that account for the temporal evolution of cerebral microvascular changes in diverse populations across the lifespan.

Indexed as

AgingCerebral ArteriesCerebral Small Vessel DiseasesMicrovesselsAge FactorsAnimalsBiomarkersBiomedical ResearchCerebrovascular CirculationHumansMicrocirculationNeurosciencesPopulation SurveillancePrognosisRisk FactorsBiomarkers

Identifiers

PMID29393657
PMCPMC6032084

What OpenQuestion holds

Textmetadata
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.