Evidence map›Paper›PMID 33283978›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2021

Vascular health across young adulthood and midlife cerebral autoregulation, gait, and cognition.

Simin Mahinrad, Meghana Shownkeen, Sanaz Sedaghat, Kristine Yaffe, Jeffrey M Hausdorff, Donald M Lloyd-Jones, Philip B Gorelick, Farzaneh A Sorond

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Association of change in cardiovascular risk factors with incident dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    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 at 3 institutions in 2 countries.

Simin MahinradDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-5927-7130
Meghana ShownkeenDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sanaz SedaghatDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Kristine YaffeDepartment of Psychiatry, Neurology and Epidemiology, University of California San Francisco, San Francisco, California, USA.
Jeffrey M HausdorffCenter for the Study of Movement Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Donald M Lloyd-JonesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Philip B GorelickDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Farzaneh A SorondDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Northwestern University · USTel Aviv University · ILUniversity of California, San Francisco · US

Funding

Cerebral Small Vessels in Motor and Cognitive Decline: Neuroimaging Signatures of Vulnerability & ResilienceR01NS085002 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FARZANEH A SOROND · 2014 to 2026
$3.8M
NHLBI NIH HHS HHSN268201800003INHLBI NIH HHS HHSN268201800004INHLBI NIH HHS HHSN268201800005INHLBI NIH HHS HHSN268201800006INHLBI NIH HHS HHSN268201800007ININDS NIH HHS R01 NS085002
6 · The paper itself

Abstract

introductionTo test the association of vascular health (VH) across young adulthood with midlife dynamic cerebral autoregulation (dCA), gait, and cognition; and to test whether dCA is a modifying factor.

methodsWe studied 196 participants from the Coronary Artery Risk Development in Young Adults cohort who were followed over 30 years. VH was assessed at each visit according to American Heart Association recommendations. At year 30, dCA was measured using transcranial Doppler ultrasound and several gait and cognitive domains were assessed.

resultsWorse VH from baseline through year 7, but not at year 30, was associated with less efficient dCA (all P < .05). Worse VH at all visits was associated with slower gait speed, and at year 7 with worse executive and global cognition (all P < .05). The association of baseline VH and midlife gait, but not cognition, was moderated by dCA (interaction P < .05).

conclusionsVH as early as young adulthood may influence midlife brain health, and dCA may modify this relationship.

Indexed as

Heart Disease Risk FactorsAdultBlood Flow VelocityBrainCognitionFemaleGaitHomeostasisHumansLongitudinal StudiesMaleMiddle AgedNeuropsychological TestsUltrasonography, Doppler, TranscranialUnited Statescerebral autoregulationcognitive functiongaitmidlifevascular risk factors

Identifiers

PMID33283978
PMCPMC11932044
OpenAlexW3112990329

What OpenQuestion holds

Textmetadata
LicenceTDM
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.