Evidence map›Paper›PMID 30029715›Full record

ArticleApplied nursing research : ANR2018

Multiple chronic conditions: Implications for cognition - Findings from the Wisconsin Registry for Alzheimer's Prevention (WRAP).

Lisa C Bratzke, Beverly A Carlson, Chooza Moon, Roger L Brown, Rebecca L Koscik, Sterling C Johnson

Abstract read
In one paragraph

Article in Applied nursing research : ANR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Multicenter validation of plasma p-tau217/ amyloid beta 1-42 ratio in symptomatic Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Multimorbidity measures associated with cognitive function among community-dwelling older Chinese adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  9. Article
  10. Article
  11. Multimorbidity Patterns and Memory Trajectories in Older Adults: Evidence From the English Longitudinal Study of Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  12. Article
  13. 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

6 authors at 3 institutions in 1 country.

Lisa C BratzkeUniversity of Wisconsin - Madison, School of Nursing, United States of America. Electronic address: bratzke@wisc.edu.
Beverly A CarlsonSan Diego State University, School of Nursing, United States of America.
Chooza MoonUniversity of Iowa, College of Nursing, United States of America.
Roger L BrownUniversity of Wisconsin - Madison, School of Nursing, United States of America.
Rebecca L KoscikWisconsin Alzheimer's Institute, University of Wisconsin-Madison School of Medicine and Public Health, United States of America.
Sterling C JohnsonGeriatric Research Education and Clinical Center, Wm. S. Middleton Memorial VA Hospital, Madison, WI 53705, United States of America; Wisconsin Alzheimer's Institute, University of Wisconsin-Madison School of Medicine and Public Health, United States of America; Wisconsin Alzheimer's Disease Research Center, University of Wisconsin-Madison School of Medicine and Public Health, United States of America.
University of Wisconsin–Madison · USSan Diego State University · USUniversity of Iowa · US

Funding

Wisconsin Registry for Alzheimer's Prevention: Sex Differences in DNA MethylationR01AG027161 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Nathaniel Ark Chin, Sterling C Johnson · 2007 to 2026
$35.6M
Wisconsin Registry for Alzheimer's PreventionRF1AG027161 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI JOHNSON, STERLING C · 2018 to 2018
$18.8M
Wisconsin Alzheimer's Disease Research CenterP50AG033514 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CHAPPELL, RICHARD J · 2009 to 2018
$16.2M
NIA NIH HHS P50 AG033514NIA NIH HHS R01 AG027161NIA NIH HHS RF1 AG027161
6 · The paper itself

Abstract

introductionSeveral chronic illnesses have demonstrated relationships to cognitive decline in the context of aging. However, researchers have largely ignored the effects of multi-morbidity in the context of Alzheimer's disease and related dementias (ADRD) risk. The purpose of this study is to examine the relationship between multiple chronic conditions (MCC) and cognitive decline.

methodsLatent class analysis (LCA) was completed to identify different subgroups of the 1285 participants from the Wisconsin Registry for Alzheimer's Prevention who were recognized based on their self-reported chronic illnesses. Differences between variables of interest (i.e., biomarkers and depressive symptom scores) and each of the individual classes were then explored. Chi-square tests were used to examine the association between MCC and cognitive status.

resultsLCA revealed a four-class model best fit solution. Participants in the sleep class had the highest incidence of new onset cognitive decline. DISCUSSION: Findings offer evidence of an association between specific MCC groups and the development of cognitive decline. Nurses should monitor and screen for cognitive decline in the presence of MCC in order to better target self-management interventions.

Indexed as

ComorbidityPredictive Value of TestsAdultAgedAlzheimer DiseaseBiomarkersChronic DiseaseCognitive DysfunctionFemaleHumansMaleMiddle AgedRegistriesWisconsinBiomarkersAlzheimer's preventionAlzheimer's riskCognitionLatent class analysisMultiple chronic conditions

Identifiers

PMID30029715
PMCPMC6110100
OpenAlexW2809329143

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.