Evidence map›Paper›PMID 30168099›Full record

ArticleAging clinical and experimental research2019

Neuroimaging correlates of lateral postural control in older ambulatory adults.

Robyn E Massa, Andrea Rosso, Andrea L Metti, Patrick J Sparto, Howard Aizenstein, Luigi Ferrucci, Ayushi Divecha, Caterina Rosano, Health ABC Study

Open access · greenAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Robyn E MassaDepartment of Neurology, University of Pittsburgh Medical Center, 811 Kaufmann Medical Building, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA. nadelre@upmc.edu.
Andrea RossoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Andrea L MettiDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Patrick J SpartoDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Howard AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Luigi FerrucciIntramural Research Program, National Institute on Aging, Baltimore, MD, USA.
Ayushi DivechaDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Caterina RosanoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Health ABC Study
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
DYNAMICS OF HEALTH .AGING . AND BODY COMPOSITION /Pittsburgh/-260962101N01AG062101 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 1996 to 2004
$996k
DYNAMICS OF HEALTH . AGING . AND BODY COMPOSITION /Memphis/-26062103N01AG062103 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · 1996 to 2004
$793k
HEALTH ABC--COORDINATING UNIT /California/-260062106N01AG062106 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · 1996 to 2004
$109k
Intramural NIH HHS Z99 AG999999NIA NIH HHS Contracts N01-AG-6-2101NIA NIH HHS N01-AG-6-2103NIA NIH HHS N01-AG-6-2106NIA NIH HHS NIA grant R01-AG028050NIA NIH HHS NINR grant R01-NR012459NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG028050NINR NIH HHS R01 NR012459University of Pittsburgh Older Americans Independence Center NIH P30 AG024827
6 · The paper itself

Abstract

backgroundIn older adults, impaired postural control contributes to falls, a major source of morbidity. Understanding central mechanisms may help identify individuals at risk for impaired postural control.

aimsTo determine the relationship between gray matter volume (GMV), white matter hyperintensities (WMH), mean diffusivity (MD), and fractional anisotropy (FA) with lateral postural control.

methodsNeuroimaging and postural control were assessed in 193 community-dwelling older adults (mean age 82, 55.4% female, 44.6% black). GMV, WMH, and diffusion tensor-derived markers of microstructure (MD and FA) were quantified for total brain and regions of interest. Lateral postural control was defined as the root mean square error (RMSE) of lateral sway during a visual feedback test. Associations were assessed with linear regression, adjusted for total brain atrophy and risk factors for impaired postural control.

resultsRMSE was higher for women than men (p < 0.001) and inversely correlated with gait speed (r = - 0.20, p = 0.01), modified mini-mental state (r = - 0.27, p < 0.001), digit symbol substitution test (r = - 0.20, p = 0.01) and quadriceps strength (r = - 0.18, p = 0.01). RMSE was inversely associated with GMV of bilateral precuneus (r = - 0.26, p = 0.01) and FA of corpus callosum and selected tracts in the right hemisphere (anterior thalamic radiation, cingulum, inferior longitudinal and fronto-occipital fasciculi), independent of covariates (r = - 0.34 to - 0.18, p ≤ 0.04). DISCUSSION: Lower GMV and microstructural white matter integrity in selected networks can explain worse lateral postural control in older ambulatory adults without neurologic diseases.

conclusionNeuroimaging markers of poor postural control in healthy aging may help identify increased fall risk and design preventative fall strategies.

Indexed as

Accidental FallsAged, 80 and overAnisotropyDiffusion Tensor ImagingFemaleHumansLinear ModelsMalePostural BalanceWalking SpeedWhite MatterAgingBalanceDiffusion tensor imagingNeuroimagingPostural control

Identifiers

PMID30168099
PMCPMC6573008
OpenAlexW2889443589

What OpenQuestion holds

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Registered trials

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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.