Evidence map›Paper›PMID 30608188›Full record

ArticleJournal of the American Heart Association2018

Association of Blood Pressure and Arterial Stiffness With Cognition in 2 Population-Based Child and Adult Cohorts.

Sander Lamballais, Ayesha Sajjad, Maarten J G Leening, Romy Gaillard, Oscar H Franco, Francesco U S Mattace-Raso, Vincent W V Jaddoe, Sabine J Roza, Henning Tiemeier, M Arfan Ikram

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  19. Vascular Aging and Disease of the Small Vessels.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Sander Lamballais1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Ayesha Sajjad1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Maarten J G Leening1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Romy Gaillard1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Oscar H Franco1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Francesco U S Mattace-Raso1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Vincent W V Jaddoe1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Sabine J Roza7 Department of Psychiatry Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Henning Tiemeier1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
M Arfan Ikram1 Department of Epidemiology Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands.
Erasmus MC · NLHarvard University · US

Funding

European Research Council 648916
6 · The paper itself

Abstract

Background High blood pressure levels and higher arterial stiffness have been shown to be associated with lower cognition during adulthood, possibly by accumulative changes over time. However, vascular factors may already affect the brain during early life. Methods and Results We examined the relation between cognition and vascular factors within 5853 children from the Generation R Study (mean age 6.2 years) and 5187 adults from the Rotterdam Study (mean age 61.8 years). Diastolic and systolic blood pressure and arterial stiffness were assessed, the latter by measuring pulse-wave velocity and pulse pressure. For cognition, the Generation R Study relied on nonverbal intelligence, whereas the Rotterdam Study relied on a cognitive test battery to calculate the g-factor, a measure of global cognition. In the Generation R Study, standardized diastolic blood pressure showed a significant association with standardized nonverbal intelligence (β=-0.030, 95% confidence interval=[-0.054; -0.005]) after full adjustment. This association held up after excluding the top diastolic blood pressure decile (β=-0.042 [-0.075; -0.009]), suggesting that the relation holds in normotensives. Within the Rotterdam Study, standardized cognition associated linearly with standardized systolic blood pressure (β=-0.036 [-0.060; -0.012]), standardized pulse-wave velocity (β=-0.064 [-0.095; -0.033]), and standardized pulse pressure (β=-0.044 [-0.069; -0.020], and nonlinearly with standardized diastolic blood pressure (quadratic term β=-0.032 [-0.049; -0.015]) after full adjustment. Conclusions Blood pressure and cognition may already be related in the general population during early childhood, albeit differently than during adulthood.

Indexed as

AdultAge FactorsBlood PressureChildCognitionCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedVascular Stiffnessadulthoodarterial stiffnessblood pressurecognitionpediatric

Identifiers

PMID30608188
PMCPMC6404174
OpenAlexW2897729617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.