Evidence map›Paper›PMID 33719523›Full record

ReviewStroke2021

A Primary Care Agenda for Brain Health: A Scientific Statement From the American Heart Association.

Ronald M Lazar, Virginia J Howard, Walter N Kernan, Hugo J Aparicio, Deborah A Levine, Anthony J Viera, Lori C Jordan, David L Nyenhuis, Katherine L Possin, Farzaneh A Sorond and 2 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Stroke, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07547319 (Clinical and Neurophysiological Effects of Accelerated rTMS on Cognitive Function), which is not on this map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing 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.

NCT07547319 narecruitingnot on this mapstarted 2026, after this paper: background citation

Clinical and Neurophysiological Effects of Accelerated rTMS on Cognitive Function: A Prospective Pilot Study

TypeinterventionalSponsorSan Francisco Neurology and Sleep CenterRan2026 to 2027Enrolled80ConditionsCognitive Decline, Cognitive ImpairmentArmsTMS
3 · Its place in the literature

Who cites it

55 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. The path to treating multiple-etiology dementia: Combining vascular risk control and disease-modifying neurodegenerative therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  6. Impaired Intracranial Compliance: A New Hypertension-Mediated Brain Organ Damage?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  7. LifeZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Obesity, Hypertension and Brain Health.Current hypertension reports · 2025
    Review
  18. Article
  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

12 authors.

Ronald M Lazar
Virginia J Howard
Walter N Kernan
Hugo J Aparicio
Deborah A Levine
Anthony J Viera
Lori C Jordan
David L Nyenhuis
Katherine L Possin
Farzaneh A Sorond
Carole L White
American Heart Association Stroke Council

Funding

The UCSF Brain Health Assessment for the Detection of Cognitive Impairment Among Diverse Populations in Primary CareUH3NS105557 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2019 to 2021
$4.9M
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
StrokeBelt StrokeNetU24NS107223 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Toby Gropen, Mark Robert Harrigan · 2018 to 2026
$2.6M
New York Stroke Trials Network of Columbia and Cornell (NYCCSTN)U10NS086728 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARSHALL, RANDOLPH S · 2013 to 2017
$2.0M
NINDS NIH HHS L30 NS093634NINDS NIH HHS U10 NS086728NINDS NIH HHS U24 NS107223NINDS NIH HHS UH3 NS105557
6 · The paper itself

Abstract

A healthy brain is critical for living a longer and fuller life. The projected aging of the population, however, raises new challenges in maintaining quality of life. As we age, there is increasing compromise of neuronal activity that affects functions such as cognition, also making the brain vulnerable to disease. Once pathology-induced decline begins, few therapeutic options are available. Prevention is therefore paramount, and primary care can play a critical role. The purpose of this American Heart Association scientific statement is to provide an up-to-date summary for primary care providers in the assessment and modification of risk factors at the individual level that maintain brain health and prevent cognitive impairment. Building on the 2017 American Heart Association/American Stroke Association presidential advisory on defining brain health that included "Life's Simple 7," we describe here modifiable risk factors for cognitive decline, including depression, hypertension, physical inactivity, diabetes, obesity, hyperlipidemia, poor diet, smoking, social isolation, excessive alcohol use, sleep disorders, and hearing loss. These risk factors include behaviors, conditions, and lifestyles that can emerge before adulthood and can be routinely identified and managed by primary care clinicians.

Indexed as

American Heart AssociationHealth StatusRisk Reduction BehaviorBrainCognitive DysfunctionHumansHypertensionPractice Guidelines as TopicPrimary Health CareQuality of LifeRisk FactorsSocial IsolationStrokeUnited StatesagingAHA Scientific Statementsbraincognitive dysfunctionprimary health careprimary preventionrisk factors

Identifiers

PMID33719523
PMCPMC8995075

What OpenQuestion holds

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Read underepoch 390

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.