Evidence map›Paper›PMID 30949817›Full record

ArticleJournal of neurology2019

Mapping the neuroanatomy of functional decline in Alzheimer's disease from basic to advanced activities of daily living.

Andrea Slachevsky, Gonzalo Forno, Paulo Barraza, Eneida Mioshi, Carolina Delgado, Patricia Lillo, Fernando Henriquez, Eduardo Bravo, Mauricio Farias, Carlos Muñoz-Neira and 3 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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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

13 authors.

Andrea SlachevskyGeroscience Center for Brain Health and Metabolism (GERO), Faculty of Medicine, University of Chile, Avenida Salvador 486, Providencia, Santiago, Chile. andrea.slachevsky@uhile.cl.
Gonzalo FornoGeroscience Center for Brain Health and Metabolism (GERO), Faculty of Medicine, University of Chile, Avenida Salvador 486, Providencia, Santiago, Chile.
Paulo BarrazaCenter for Advanced Research in Education (CIAE), University of Chile, 8330014, Santiago, Chile.
Eneida MioshiSchool of Health Sciences, University of East Anglia, Norwich, UK.
Carolina DelgadoNeurology and Neurosurgery Department, Clinical Hospital, University of Chile, Santiago, Chile.
Patricia LilloGeroscience Center for Brain Health and Metabolism (GERO), Faculty of Medicine, University of Chile, Avenida Salvador 486, Providencia, Santiago, Chile.
Fernando HenriquezGeroscience Center for Brain Health and Metabolism (GERO), Faculty of Medicine, University of Chile, Avenida Salvador 486, Providencia, Santiago, Chile.
Eduardo BravoNeuroradiologic Department, Institute of Neurosurgery Asenjo, Santiago, Chile.
Mauricio FariasNeuroradiologic Department, Institute of Neurosurgery Asenjo, Santiago, Chile.
Carlos Muñoz-NeiraMemory and Neuropsychiatric Clinic (CMYN) Neurology Department, Hospital del Salvador and Faculty of Medicine, University of Chile, Av. Salvador 364, Providencia, Santiago, Chile.
Agustin IbañezUniversidad Autonoma del Caribe, Barranquilla, Colombia.
Mario A ParraPsychology Department, School of Psychological Sciences & Health, University of Strathclyde, Glasgow, UK.
Michael HornbergerSchool of Health Sciences, University of East Anglia, Norwich, UK.

Funding

Alzheimer's Society Grant AS-SF-14-008FONDAP 15150012FONDECYT 11404223PIA-CONICYT FB0003
6 · The paper itself

Abstract

backgroundImpairments in activities of daily living (ADL) are a criterion for Alzheimer's disease (AD) dementia. However, ADL gradually decline in AD, impacting on advanced (a-ADL, complex interpersonal or social functioning), instrumental (IADL, maintaining life in community), and finally basic functions (BADL, activities related to physiological and self-maintenance needs). Information and communication technologies (ICT) have become an increasingly important aspect of daily functioning. Yet, the links of ADL, ICT, and neuropathology of AD dementia are poorly understood. Such knowledge is critical as it can provide biomarker evidence of functional decline in AD.

methodsADL were evaluated with the Technology-Activities of Daily Living Questionnaire (T-ADLQ) in 33 patients with AD and 30 controls. ADL were divided in BADL, IADL, and a-ADL. The three domain subscores were covaried against gray matter atrophy via voxel-based morphometry.

resultsOur results showed that three domain subscores of ADL correlate with several brain structures, with a varying degree of overlap between them. BADL score correlated mostly with frontal atrophy, IADL with more widespread frontal, temporal and occipital atrophy and a-ADL with occipital and temporal atrophy. Finally, ICT subscale was associated with atrophy in the precuneus.

conclusionsThe association between ADL domains and neurodegeneration in AD follows a traceable neuropathological pathway which involves different neural networks. This the first evidence of ADL phenotypes in AD characterised by specific patterns of functional decline and well-defined neuropathological changes. The identification of such phenotypes can yield functional biomarkers for dementias such as AD.

Indexed as

Activities of Daily LivingDisease ProgressionAgedAged, 80 and overAlzheimer DiseaseAtrophyCerebral CortexCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleActivities of daily livingAlzheimer’s diseaseFunctional impairmentTechnology–activities of daily living questionnaire

Identifiers

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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.