Evidence map›Paper›PMID 34189248›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021

Fractal motor activity regulation and sex differences in preclinical Alzheimer's disease pathology.

Lei Gao, Peng Li, Arlen Gaba, Erik Musiek, Yo-El S Ju, Kun Hu

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  4. Characterizing circadian rest-activity rhythm patterns across Alzheimer's disease continuum in Down syndrome.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

6 authors at 2 institutions in 2 countries.

Lei GaoDepartment of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0003-1476-1460
Peng LiMedical Biodynamics Program Brigham and Women's Hospital Boston Massachusetts USA.
Arlen GabaMedical Biodynamics Program Brigham and Women's Hospital Boston Massachusetts USA.
Erik MusiekDepartment of Neurology Washington University School of Medicine St. Louis Missouri USA.
Yo-El S JuDepartment of Neurology Washington University School of Medicine St. Louis Missouri USA.
Kun HuMedical Biodynamics Program Brigham and Women's Hospital Boston Massachusetts USA.
Brigham and Women's Hospital · USWashington University in St. Louis · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI CHENGJIE XIONG · 1985 to 2026
$69.5M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Research Training for AnesthetistsT32GM007592 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI STUART A FORMAN · 1985 to 2026
$11.8M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Integrative Motor Activity Biomarker for the Risk of Alzheimer's RiskRF1AG064312 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2019 to 2019
$3.6M
Fractal motor activity regulation and the risk for Alzheimers disease in middle-to-old aged adultsRF1AG059867 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2018 to 2018
$2.7M
Neuropathology for disrupted multiscale activity control in Alzheimer's diseaseR01AG048108 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, KUN · 2015 to 2018
$1.6M
TARGETING SLOW WAVE SLEEP TO CONTROL NEURONAL ACTIVITY AND AMYLOID-BETA DYNAMICSK23NS089922 · NINDS · WASHINGTON UNIVERSITY · PI JU, YO-EL S · 2015 to 2019
$889k
CIRCADIAN CLOCK DYSFUNCTION AS A MEDIATOR OF NEURODEGENERATIONK08NS079405 · NINDS · WASHINGTON UNIVERSITY · PI MUSIEK, ERIK STEVEN · 2012 to 2016
$844k
Circadian Multiscale Activity Regulation and the Risk for Delirium in Elderly Hospitalized PatientsR03AG067985 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI GAO, LEI · 2020 to 2021
$268k
NCATS NIH HHS KL2 TR000450NCRR NIH HHS UL1 RR024992NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P50 AG005681NIA NIH HHS R01 AG048108NIA NIH HHS R03 AG067985NIA NIH HHS RF1 AG059867NIA NIH HHS RF1 AG064312NIGMS NIH HHS T32 GM007592NINDS NIH HHS K08 NS079405NINDS NIH HHS K23 NS089922
6 · The paper itself

Abstract

introductionDegradation in fractal motor activity regulation (FMAR), a measure of multiscale self-similarity of motor control, occurs in aging and accelerates with clinical progression to Alzheimer's disease (AD). Whether FMAR changes occur during the pre-symptomatic phase of the disease in women and men remains unknown.

methodsFMAR was assessed in cognitively normal participants (n = 178) who underwent 7 to 14 days of home actigraphy. Preclinical AD pathology was determined by amyloid imaging-Pittsburgh compound B (PiB) and cerebrospinal fluid (CSF) phosphorylated-tau181 (p-tau) to amyloid beta 42 (Aβ42) ratio.

resultsDegradation in daytime FMAR was overall significantly associated with preclinical amyloid plaque pathology via PiB+ imaging (beta coefficient DISCUSSION: Changes in daytime FMAR from actigraphy appear to be present in women early in preclinical AD. This may be a combination of earlier pathology changes in females reflected in daytime FMAR, and a relatively underpowered male group. Further studies are warranted to test FMAR as an early noncognitive physiological biomarker that precedes the onset of cognitive symptoms.

Indexed as

actigraphyamyloid beta 42amyloid plaque pathologyamyloid positron emission tomography imagingfractal regulationinterdaily stabilityintradaily variabilityphosphorylated tauPittsburgh compound Bpreclinical Alzheimer's diseasesex differences

Identifiers

PMID34189248
PMCPMC8220856
OpenAlexW3173820950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.