Evidence map›Paper›PMID 31806426›Full record

Observational studyThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2020

Statin Use and Risk of Cognitive Decline in the ADNI Cohort.

Emily C Kemp, Megan K Ebner, Srinath Ramanan, Tyler A Godek, Erika A Pugh, Hugh H Bartlett, Julia W McDonald, Marcia C Mecca, Christopher H van Dyck, Adam P Mecca and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Medication Exposure and Risk of Dementia and Alzheimer's Disease.International journal of molecular sciences · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Observational
  14. Adherence to Statins Use and Risk of Dementia among Patients with Diabetes and Comorbid Hyperlipidemia.Inquiry : a journal of medical care organization, provision and financing
    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

11 authors.

Emily C KempAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT. Electronic address: emilyclairekemp@gmail.com.
Megan K EbnerAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Srinath RamananAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Tyler A GodekAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Erika A PughAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Hugh H BartlettAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Julia W McDonaldAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Marcia C MeccaVeterans Affairs Connecticut Healthcare System (MCM), West Haven, CT; Department of Internal Medicine, Geriatrics Section, and the Program on Aging, Yale University School of Medicine (MCM), New Haven, CT.
Christopher H van DyckAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Neuroscience, Yale University School of Medicine (CHvD), New Haven, CT; Department of Neurology, Yale University School of Medicine (CHvD), New Haven, CT.
Adam P MeccaAlzheimer's Disease Research Unit, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT; Department of Psychiatry, Yale University School of Medicine (ECK, MKE, SR, TAG, EAP, HHB, JWM, CHvD, APM), New Haven, CT.
Alzheimer's Disease Neuroimaging Initiative

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI Anita Juliane Huttner · 2020 to 2026
$30.2M
Yale Alzheimer Disease Research CenterP50AG047270 · NIA · YALE UNIVERSITY · PI MAROTTOLI, RICHARD · 2015 to 2019
$8.3M
Investigation of molecular changes in mGluR5 and SV2A to study synaptic alterations in Alzheimer's disease using PET.K23AG057794 · NIA · YALE UNIVERSITY · PI MECCA, ADAM PETER · 2018 to 2022
$977k
NCATS NIH HHS UL1 TR001863NIA NIH HHS K23 AG057794NIA NIH HHS P30 AG066508NIA NIH HHS P50 AG047270NIA NIH HHS U01 AG024904
6 · The paper itself

Abstract

objectiveTo investigate associations between statin use and cognitive change, as well as diagnostic conversion, in individuals with cognitively normal (CN) status, mild cognitive impairment (MCI), and dementia due to Alzheimer disease (AD-dementia).

methodsA multicenter cohort study with 1629 adults 48 to 91 years old with CN status, early MCI (EMCI), late MCI (LMCI), or AD-dementia at baseline followed prospectively for 24 months. Statin use was assessed at baseline, and cognition was measured over time with a composite memory score, a composite executive function score, and a global cognition score (Alzheimer's Disease Assessment Scale). Conversion to a more impaired diagnostic category was determined by clinician assessment. Repeated measures linear mixed-effects models were used to evaluate associations between statin use and change in cognition over time. Cox proportional hazards models were used to evaluate associations between statin use and time to diagnostic conversion. All models were stratified by baseline diagnostic group.

resultsStatin use was not associated with change in cognitive measures for CN, LMCI, or AD-dementia participants. Among EMCI participants, statin use was associated with a significantly slower rate of decline on the memory composite, but no other cognitive measure. Statin use was not associated with time to conversion for any diagnostic group.

conclusionsThis study did not support an association between statin use and diagnostic conversion but suggested a possible association between statin use and cognitive change in EMCI. Additional randomized clinical trials of statins may be warranted in the prodromal EMCI stage of AD.

Indexed as

CognitionExecutive FunctionAgedAged, 80 and overAlzheimer DiseaseCognitive DysfunctionCohort StudiesDisease ProgressionFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLinear ModelsMaleMemoryMiddle AgedUnited StatesHydroxymethylglutaryl-CoA Reductase InhibitorsADNIAlzheimer's Diseaseexecutive functionmemorystatin

Identifiers

PMID31806426
PMCPMC7170771

What OpenQuestion holds

Textmetadata
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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.