Evidence map›Paper›PMID 30408573›Full record

ArticlePharmacological research2019

The effect of polypharmacy on prefrontal cortex activation during single and dual task walking in community dwelling older adults.

Claudene J George, Joe Verghese, Meltem Izzetoglu, Cuiling Wang, Roee Holtzer

Abstract read
In one paragraph

Article in Pharmacological research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Deep Learning Based Walking Tasks Classification in Older Adults Using fNIRS.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023
    Article
  8. Article
  9. Review
  10. Effects of Processing Methods on fNIRS Signals Assessed During Active Walking Tasks in Older Adults.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2020
    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

5 authors at 2 institutions in 1 country.

Claudene J GeorgeMontefiore Medical Center, Division of Geriatrics, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA. Electronic address: clgeorge@montefiore.org.
Joe VergheseDivision of Cognitive & Motor Aging and Geriatrics, Albert Einstein College of Medicine, 1225 Morris Park Avenue, Van Etten Building 308, Bronx, NY 10461, USA. Electronic address: Joe.verghese@einstein.yu.edu.
Meltem IzzetogluDepartment of Electrical and Computer Engineering, Villanova University, 800 E. Lancaster Avenue, Villanova, PA 19085, USA. Electronic address: meltem.izzetoglu@villanova.edu.
Cuiling WangDepartment of Epidemiology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Block Room 314, Bronx, NY 10461, USA. Electronic address: cuiling.wang@einstein.yu.edu.
Roee HoltzerFerkauf Graduate School of Psychology and Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, NY 1046, USA. Electronic address: roee.holtzer@einstein.yu.edu.
Albert Einstein College of Medicine · USVillanova University · US

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Biological and neural mechanisms of fallsR01AG044007 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI VERGHESE, JOE · 2013 to 2017
$3.5M
Central Control of Mobility in AgingR01AG036921 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI HOLTZER, ROEE · 2011 to 2015
$3.3M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
NCATS NIH HHS KL2 TR001071NCATS NIH HHS UL1 TR002556NIA NIH HHS R01 AG036921NIA NIH HHS R01 AG044007
6 · The paper itself

Abstract

introductionPolypharmacy, defined as the use of 5 or more medications is associated with multiple adverse outcomes in older adults, including falls and slow gait velocity. However, the relationship between polypharmacy and cortical control of locomotion has not been reported. The purpose of this study was to examine the relationship between polypharmacy and activation patterns in the prefrontal cortex (PFC), a brain region involved in higher order control of locomotion during attention-demanding conditions.

methodsUsing Functional Near Infrared Spectroscopy (fNIRS) to quantify PFC oxygenated hemoglobin (HbO

resultsThe prevalence of polypharmacy was 33% (n = 104) amongst the 325 participants (mean age 76.4 ± 6.7 years, 56% women). Among the 221 participants with no polypharmacy there was an increase in HbO

conclusionThe results of this study further support the need for clinicians to reduce polypharmacy in older adults, given its significant association with the PFC hemodynamic response during attention-demanding locomotion.

Indexed as

PolypharmacyAgedAged, 80 and overFemaleHumansIndependent LivingMaleOxyhemoglobinsPrefrontal CortexWalkingOxyhemoglobinsDual taskElderlyPolypharmacyPrefrontal cortex

Identifiers

PMID30408573
PMCPMC6360102
OpenAlexW2900048968

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.