Evidence map›Paper›PMID 30618216›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2019

White-Matter Hyperintensities and Lacunar Infarcts Are Associated with an Increased Risk of Alzheimer's Disease in the Elderly in China.

Shuai Ye, Shuyang Dong, Jun Tan, Le Chen, Hai Yang, Yang Chen, Zeyan Peng, Yingchao Huo, Juan Liu, Mingshan Tang and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Bioactive Compounds of Aboveground OrgansMolecules (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Contributions of amyloid beta and cerebral small vessel disease in clinical decline.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Higher Comorbidity Burden Predicts Worsening Neurocognitive Trajectories in People with Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  11. Article
  12. Review
  13. Electrochemically inducedFrontiers in cell and developmental biology · 2022
    Article
  14. Article
  15. Cerebral Small Vessel Disease and Alzheimer's Disease: A Review.Frontiers in neurology · 2020 · on this map
    Review
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

13 authors at 2 institutions in 1 country.

Shuai YeBattalion 3 of Cadet Brigade, Third Military Medical University (Army Medical University), Chongqing, China.
Shuyang DongDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Jun TanRashid Laboratory for Developmental Neurobiology, Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Le ChenDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Hai YangDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yang ChenDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Zeyan PengDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yingchao HuoDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Juan LiuDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Mingshan TangDepartment of Neurology, the People's Hospital of Banan District, Chongqing, China.
Yafei LiDepartment of Epidemiology, College of Preventive Medicine, Third Military Medical University (Army Medical University), Chongqing, China.
Huadong ZhouDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yong TaoDepartment of Neurology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China. taoyong8987@sina.com.
Bengbu Medical College · CNArmy Medical University · CN

Funding

National Natural Science Foundation of China 81571258
6 · The paper itself

Abstract

background and purposeThis study investigated the contribution of white-matter hyperintensities (WMH) and lacunar infarcts (LI) to the risk of Alzheimer's disease (AD) in an elderly cohort in China.

methodsOlder adults who were initially cognitively normal were examined with MRI at baseline, and followed for 5 years. WMH were classified as mild, moderate, or severe, and LI were classified into a few LI (1 to 3) or many LI (≥4). Cognitive function was assessed using the Mini Mental State Examination and the Activities of Daily Living scale.

resultsAmong the 2,626 subjects, 357 developed AD by the end of the 5-year follow-up period. After adjusting for age and other potential confounders, having only WMH, having only LI, and having both WMH and LI were associated with an increased risk of developing AD compared with having neither WMH nor LI. Moderate and severe WMH were associated with an increased risk of developing AD compared with no WMH. Furthermore, patients with many LI had an increased risk of developing AD compared with no LI.

conclusionsHaving moderate or severe WMH and many LI were associated with an increased risk of developing AD, with this being particularly striking when both WMH and LI were present.

Indexed as

Alzheimer's diseasesmall-vessel diseaseswhite-matter hyperintensities

Identifiers

PMID30618216
PMCPMC6325371
OpenAlexW2908820541

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.