Evidence map›Paper›PMID 32280088›Full record

ArticleJournal of Alzheimer's disease : JAD2020

Baseline Results: The Association Between Cardiovascular Risk and Preclinical Alzheimer's Disease Pathology (ASCEND) Study.

Veena V Kumar, Hanfeng Huang, Liping Zhao, Danielle D Verble, Alexandra Nutaitis, Sonum D Tharwani, Alexandra L Brown, Henrik Zetterberg, William Hu, Ryan Shin and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Plasma p-tau markers, vascular factors, and cognitive decline in the CIMA-Q cohort.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Advancements in Immunity and Dementia Research: Highlights from the 2023 AAIC Advancements: Immunity Conference.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. sPDGFRβ and neuroinflammation are associated with AD biomarkers and differ by race: The ASCEND Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. The effect of race and co-morbidities on Alzheimer's disease based on Medicare data.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  11. Article
  12. Alzheimer's disease biomarkers in Black and non-Hispanic White cohorts: A contextualized review of the evidence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Review
  13. Review
  14. Comparison of plasma and CSF biomarkers across ethnoracial groups in the ADNI.Alzheimer's & dementia (Amsterdam, Netherlands) · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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 2 institutions in 3 countries.

Veena V KumarDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Hanfeng HuangDepartment of Biostatistics and Bioinformatics, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Liping ZhaoDepartment of Biostatistics and Bioinformatics, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Danielle D VerbleDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Alexandra NutaitisDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Sonum D TharwaniDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Alexandra L BrownDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Henrik ZetterbergInstitute of Neuroscience and Physiology, Department Psychiatry and Neurochemistry, the Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
William HuDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Ryan ShinDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Patrick G KehoeDementia Research Group, Faculty of Health Sciences, University of Bristol, Learning and Research, Southmead Hospital, Bristol, UK.
Arshed QuyyumiDivision of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Joe NoceraDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Andrea KippelsDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Whitney WhartonDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Emory University · USSouthmead Hospital · GB

Funding

The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI WALKER, LARY C · 2005 to 2019
$25.7M
Role of estradiol and related hormones on inflammation, sleep, and risks for Alzheimer's diseaseR01AG066203 · NIA · EMORY UNIVERSITY · PI HU, WILLIAM TZU-LUNG, WHARTON, WHITNEY LEE · 2019 to 2023
$3.6M
Inflammation and Renin-Angiotensin System Dysfunction as risk factors for ADRF1AG051514 · NIA · EMORY UNIVERSITY · PI NORRIS, CHRISTOPHER MARK, WALKER, LARY C · 2015 to 2017
$3.6M
Preclinical Alzheimer's Disease Biomarkers: Effects of Midlife Vascular FactorsK01AG042498 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI WHARTON, WHITNEY LEE · 2013 to 2017
$617k
Medical Research Council MC_PC_13088NIA NIH HHS K01 AG042498NIA NIH HHS P50 AG025688NIA NIH HHS R01 AG066203NIA NIH HHS RF1 AG051514
6 · The paper itself

Abstract

backgroundThe rate of AD for African Americans (AAs) is 64% higher than for non-Hispanic White Americans (Whites). It is hypothesized that poor peripheral vascular function, in combination with genetics, stress, and inflammation may directly contribute to the accumulation of AD pathologic biomarkers. These risk factors may disproportionately affect AAs.

objectiveOur objective was to determine if in a healthy middle-aged cohort at risk for AD (1) AD biomarkers in CSF differ by race, (2) peripheral vascular dysfunction and cognition are related to a higher burden of CSF AD biomarkers, and (3) these relationships differ by race.

methodsWe enrolled 82 cognitively normal, middle-aged (45 and older) adults including AAs and Whites at high risk for AD due to parental history. Study procedures included lumbar puncture, vascular ultrasound, and cognitive testing.

resultsWhile participants were in overall good health, AAs exhibited poorer indices of preclinical vascular health, including higher central SBP, central MAP, and EndoPAT AI, a marker of arterial stiffness. AAs also had significantly less cerebrospinal fluid tau burden than Whites. After polynomial regression analysis, adjusted for age, gender, education, and ApoE4 status, race significantly modified the relationship between total tau, phospho-tau, and Trails B, a marker of executive function. Small differences in tau correlated with poorer cognition in AAs.

conclusionIn a healthy middle-aged cohort at risk for AD, AAs had worse peripheral vascular health and worse cognition than Whites. Despite lower tau burden overall, race modified the relationship between tau and cognition, such that small differences in tau between AAs was related to worse cognition when compared to Whites.

Indexed as

Heart Disease Risk FactorsAgedAlzheimer DiseaseAmyloid beta-PeptidesBiomarkersBlack or African AmericanCardiovascular DiseasesCognitionExecutive FunctionFemaleHumansMaleMiddle AgedNeuropsychological TestsRisk Assessmenttau ProteinsAmyloid beta-PeptidesBiomarkerstau ProteinsAlzheimer’s diseasecognitionhypertensionparental historypreventiontauvascular risk

Identifiers

PMID32280088
PMCPMC11380299
OpenAlexW3015842924

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.