Evidence map›Paper›PMID 31889301›Full record

ArticleJournal of the American Geriatrics Society2020

Gray Matter Regions Associated With Functional Mobility in Community-Dwelling Older Adults.

Nikki L DiSalvio, Caterina Rosano, Howard J Aizenstein, Mark S Redfern, Joseph M Furman, J Richard Jennings, Susan L Whitney, Patrick J Sparto

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. Regional Gray Matter Density Associated With Fast-Paced Walking in Older Adults: A Voxel-Based Morphometry Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    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

8 authors.

Nikki L DiSalvioDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.
Caterina RosanoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Howard J AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Mark S RedfernDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania.
Joseph M FurmanDepartment of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania.
J Richard JenningsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Susan L WhitneyDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.
Patrick J SpartoDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-8351-3789

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
CORE--THE HUMAN VIRTUAL REALITY CORE (HVRC)P30DC005205 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FURMAN, JOSEPH M · 2001 to 2011
$2.3M
Influence of white matter damage on step initiationR01AG031118 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SPARTO, PATRICK J · 2008 to 2011
$1.2M
NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG031118NIA NIH HHS T32 AG021885NIDCD NIH HHS P30 DC005205
6 · The paper itself

Abstract

BACKGROUND/

objectivesNeuroimaging indicators of reduced brain health in the form of lower gray matter volume (GMV), lower fractional anisotropy (FA), and higher white matter hyperintensity volume (WMHV) have been related to global mobility measures, such as gait speed, in older adults. The purpose was to identify associations between brain regions and specific mobility functions to provide a greater understanding of the contribution of the central nervous system to independent living.

designCross-sectional study.

settingResearch laboratory.

participantsSeventy community-ambulating healthy older adults (mean age = 76 ± 5 years). MEASUREMENTS: Participants performed the following tests: gait speed, Five Times Sit to Stand, Four Square Step Test (FSST), and Dynamic Gait Index (DGI). Structural magnetic resonance imaging of each participant's brain was collected. Measures of regional GMV, tract-specific WMHV, and FA were extracted. Correlational analyses between the mobility measures and neuroimaging measures were conducted using whole brain and regional and tract-specific measures. This was followed by linear regression models relating the mobility measures to regions or tracts identified in the correlation analysis, and adjusting for age, sex, and body mass index.

resultsSignificant associations were found between higher GMV in multiple regions, primarily the parietal and temporal lobes, and better performance in gait speed, DGI, and FSST. After adjusting for personal factors, greater parahippocampus GMV was independently associated with greater gait speed. Greater inferior parietal lobe, supramarginal gyrus, and superior temporal gyrus GMVs were associated with gait function. Greater postcentral gyrus, parahippocampus, and superior temporal gyrus GMVs were associated with faster FSST performance. The WMHV and FA were not significantly correlated with the mobility measures.

conclusionsGray matter regions associated with higher performance in mobility measures serving gait function and multidirectional stepping were those structures related to vestibular sensation, spatial navigation, and somatosensation. J Am Geriatr Soc 68:1023-1028, 2020.

Indexed as

Physical Functional PerformanceAgedAged, 80 and overAgingCross-Sectional StudiesFemaleGray MatterHumansIndependent LivingMagnetic Resonance ImagingMaleNeuroimagingWalking SpeedWalk Testagingbalanceneurology

Identifiers

PMID31889301
PMCPMC7234898

What OpenQuestion holds

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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.