Evidence map›Paper›PMID 31510903›Full record

Trial reportStroke2019

Cardiometabolic Health and Longitudinal Progression of White Matter Hyperintensity: The Mayo Clinic Study of Aging.

Eugene L Scharf, Jonathan Graff-Radford, Scott A Przybelski, Timothy G Lesnick, Michelle M Mielke, David S Knopman, Gregory M Preboske, Christopher G Schwarz, Matthew L Senjem, Jeffrey L Gunter and 5 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06836141 (Silent Brain Infarcts in Spontaneous Intracerebral Hemorrhage as a Prognostic Biomarker for Vascular Contributions to Cognitive Impairment and Dementia), which is not on this map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT06836141 recruitingnot on this mapstarted 2025, after this paper: background citation

Silent Brain Infarcts in Spontaneous Intracerebral Hemorrhage as a Prognostic Biomarker for Vascular Contributions to Cognitive Impairment and Dementia (VCID)

Typeobservational_patient_registrySponsorRush University Medical CenterRan2025 to 2029Enrolled118ConditionsPrimary Intracerebral HemorrhageArmsMRI, Blood Draw, Cognitive Test
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  4. Eligibility for donanemab trial in a population-based study of cognitive aging.The journal of prevention of Alzheimer's disease · 2025
    Trial
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  19. Sex and gender differences in cognitive resilience to aging and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Review
  20. Effect of the duration of hypertension on white matter structure and its link with cognition.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    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

15 authors at 1 institution in 1 country.

Eugene L ScharfFrom the Department of Neurology (E.L.S., J.G.-R., M.M.M., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN.
Jonathan Graff-RadfordFrom the Department of Neurology (E.L.S., J.G.-R., M.M.M., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN.
Scott A PrzybelskiDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics (S.A.P., T.G.L.), Mayo Clinic, Rochester, MN.
Timothy G LesnickDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics (S.A.P., T.G.L.), Mayo Clinic, Rochester, MN.
Michelle M MielkeFrom the Department of Neurology (E.L.S., J.G.-R., M.M.M., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN.
David S KnopmanFrom the Department of Neurology (E.L.S., J.G.-R., M.M.M., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN.
Gregory M PreboskeDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Christopher G SchwarzDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Matthew L SenjemDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Jeffrey L GunterDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Mary MachuldaDepartment of Psychology (M.M.), Mayo Clinic, Rochester, MN.
Kejal KantarciDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Ronald C PetersenFrom the Department of Neurology (E.L.S., J.G.-R., M.M.M., D.S.K., R.C.P.), Mayo Clinic, Rochester, MN.
Clifford R JackDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
Prashanthi VemuriDepartment of Radiology (G.M.P., C.G.S., M.L.S., J.L.G., K.K., C.R.J., P.V.), Mayo Clinic, Rochester, MN.
University of Minnesota Rochester · US

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI VEMURI, PRASHANTHI · 1999 to 2018
$36.9M
PREDICTING ALZHEIMERS DISEASE WITH MAGNETIC RESONANCER01AG011378 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R. · 1993 to 2017
$12.1M
Prevention of Alzheimer's disease in women: risks and benefits of hormone therapyRF1AG057547 · NIA · MAYO CLINIC ROCHESTER · PI GLEASON, CAREY E, KANTARCI, KEJAL · 2017 to 2020
$11.1M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Investigating Resistance and Resilience Mechanisms in Alzheimer’s DiseaseR01AG056366 · NIA · MAYO CLINIC ROCHESTER · PI PRASHANTHI VEMURI · 2017 to 2026
$7.0M
Disease pathways in the population determined by amyloid, tau, and neurodegeneration imaging biomarkersR37AG011378 · NIA · MAYO CLINIC ROCHESTER · PI CLIFFORD R. JACK · 2018 to 2026
$6.8M
Validating the New Criteria for Preclinical Alzheimer's diseaseR01AG041851 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R., KNOPMAN, DAVID S · 2012 to 2021
$6.3M
Development, Validation, and Application of an Imaging based CVD ScaleR01NS097495 · NINDS · MAYO CLINIC ROCHESTER · PI VEMURI, PRASHANTHI · 2016 to 2020
$2.9M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
EXTRAMURAL RES FACIL IMPROVEMENT PROG: POLYCYSTIC KIDNEY DISEASE, RENAL STUDIES,C06RR018898 · NCRR · MAYO CLINIC · PI BURNETT, JOHN C · 2004 to 2004
$2.3M
Cerebral Microbleeds in the Aging PopulationK76AG057015 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN · 2017 to 2021
$1.2M
NCRR NIH HHS C06 RR018898NIA NIH HHS K76 AG057015NIA NIH HHS P50 AG016574NIA NIH HHS R01 AG011378NIA NIH HHS R01 AG034676NIA NIH HHS R01 AG041851NIA NIH HHS R01 AG056366NIA NIH HHS R33 AG058738NIA NIH HHS R37 AG011378NIA NIH HHS RF1 AG057547NIA NIH HHS U01 AG006786NINDS NIH HHS R01 NS097495
6 · The paper itself

Abstract

Background and Purpose- White matter hyperintensity (WMH) burden is associated with stroke and cognitive decline. Risk factors associated with the longitudinal progression of WMH in the general population have not been systematically investigated. To investigate the primary midlife and current cardiometabolic risk factors associated with changes in WMH over time in a population cohort. Methods- This cohort study included participants enrolled in the Mayo Clinic Study of Aging, a longitudinal population-based study in Olmsted County, Minnesota with at least 2 consecutive WMH assessments on fluid-attenuated inversion recovery-magnetic resonance images (n=554, ≥60 years with midlife assessments) with relevant baseline laboratory measures of interest. Linear mixed model regression was used to determine the important components of cardiometabolic risk profile at baseline that were associated with future progression of WMH. These analyses were controlled for age and sex. Sensitivity analyses were conducted using stratification by sex. The main outcome measure was percent change in WMH normalized to total intracranial volume. Three sets of models were constructed to evaluate individual (1) midlife risk factors, (2) current risk factors including the presence of metabolic syndrome and its constituents, and (3) baseline measurements of continuous laboratory measures of cardiometabolic risk. Results- Age was the strongest predictor of progression in WMH (

Indexed as

Cognitive DysfunctionHypertensionMagnetic Resonance ImagingModels, CardiovascularStrokeWhite MatterAgedAged, 80 and overAgingBlood GlucoseFemaleHumansMaleMiddle AgedProspective StudiesSex FactorsBlood Glucoseblood pressurehypertensionmagnetic resonance imagingmetabolic syndromewhite matter

Identifiers

PMID31510903
PMCPMC6817406
OpenAlexW2977362309

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Registered trials

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.