Evidence map›Paper›PMID 34415491›Full record

ArticleBrain imaging and behavior2022

Intrusion errors moderate the relationship between blood glucose and regional cerebral blood flow in cognitively unimpaired older adults.

Kelsey R Thomas, Alexandra J Weigand, Isabel H Cota, Emily C Edmonds, Christina E Wierenga, Mark W Bondi, Katherine J Bangen, Alzheimer’s Disease Neuroimaging Initiative

Open access · hybridAbstract read
In one paragraph

Article in Brain imaging and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 25% 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, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Salient Cognitive Paradigms to Assess Preclinical Alzheimer's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  4. Article
  5. 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 4 institutions in 1 country.

Kelsey R ThomasResearch Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive (151), San Diego, CA, USA. kthomas@health.ucsd.edu.ORCID http://orcid.org/0000-0003-4277-8876
Alexandra J WeigandSan Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Isabel H CotaResearch Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive (151), San Diego, CA, USA.
Emily C EdmondsResearch Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive (151), San Diego, CA, USA.
Christina E WierengaResearch Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive (151), San Diego, CA, USA.
Mark W BondiDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Katherine J BangenResearch Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive (151), San Diego, CA, USA.
Alzheimer’s Disease Neuroimaging Initiative
University of California San Diego · USSan Diego State University · USUC San Diego Health System · USVA San Diego Healthcare System · US

Funding

UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jerome S. Mertens · 2019 to 2026
$34.9M
New Quantitative Neuroimaging Metrics of Structural and Functional Connectivity of the Locus Coeruleus as a Novel Biomarker of Alzheimer's Disease Pathogenesis and ProgressionR01AG054049 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BONDI, MARK W, FRANK, LAWRENCE R · 2017 to 2021
$4.1M
Intracranial arterial compliance, cerebral blood flow, and dementia risk in older adults with type 2 diabetesR01AG063782 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BANGEN, KATHERINE · 2020 to 2024
$3.7M
Re-visiting Methods for MCI Diagnosis to Improve Biomarker and Trial FindingsR01AG049810 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BONDI, MARK W, EDLAND, STEVEN DYAL · 2016 to 2020
$3.7M
Identifying best methods for the detection of subtle cognitive declineR03AG070435 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI THOMAS, KELSEY R · 2021 to 2022
$316k
Impact of Diabetes on Cognitive and Perfusion Inefficiencies in Preclinical ADIK2CX001865 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI Kelsey R Thomas · 2020 to 2026
–
Cognitive and Biomarker Profiles of Accurate and Inaccurate MCI DiagnosisIK2CX001415 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI EDMONDS, EMILY CHARLOTTE · 2017 to 2021
–
Cerebral arterial compliance, blood flow, and cognition in Veterans with diabetesI01CX001842 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI BANGEN, KATHERINE · 2020 to 2023
–
Cognitive and Brain Changes in Preclinical Alzheimer's DiseaseI01CX000565 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI WIERENGA, CHRISTINA E · 2013 to 2022
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Alzheimer's Association AARF-17-528918Alzheimer's Association AARG-17-500358Alzheimer's Association AARG-18-566254CSRD VA I01 CX000565CSRD VA I01 CX001842CSRD VA IK2 CX001415CSRD VA IK2 CX001865NIA NIH HHS P30 AG062429NIA NIH HHS R01 AG049810NIA NIH HHS R01AG049810NIA NIH HHS R01 AG054049NIA NIH HHS R01AG054049NIA NIH HHS R01 AG063782NIA NIH HHS R01AG063782NIA NIH HHS R03 AG070435NIA NIH HHS R03AG070435
6 · The paper itself

Abstract

Regional cerebral blood flow (CBF) has a complex relationship with cognitive functioning such that cognitively unimpaired individuals at risk for Alzheimer's disease (AD) may show regional hyperperfusion, while those with cognitive impairment typically show hypoperfusion. Diabetes and word-list intrusion errors are both linked to greater risk of cognitive decline and dementia. Our study examined associations between fasting blood glucose, word-list intrusion errors, and regional CBF. 113 cognitively unimpaired older adults had arterial spin labeling MRI to measure CBF in a priori AD vulnerable regions: medial temporal lobe (MTL), inferior parietal lobe (IPL), precuneus, medial orbitofrontal cortex (mOFC), and pericalcarine (control region). Hierarchical linear regressions, adjusting for demographics, vascular risk, and reference CBF region, examined the main effect of blood glucose on regional CBF as well as whether intrusions moderated this relationship. Higher glucose was associated with higher CBF in the precuneus (β = .134, 95% CI = .007 to .261, p = .039), IPL (β = .173, 95% CI = .072 to .276, p = .001), and mOFC (β = .182, 95% CI = .047 to .320, p = .009). There was no main effect of intrusions on CBF across regions. However, the glucose x intrusions interaction was significant such that having higher glucose levels and more intrusion errors was associated with reduced CBF in the MTL (β = -.186, 95% CI = -.334 to -.040, p = .013) and precuneus (β = -.146, 95% CI = -.273 to -.022, p = .022). These findings may reflect early neurovascular dysregulation, whereby higher CBF is needed to maintain unimpaired cognition in individuals with higher glucose levels. However, lower regional CBF in unimpaired participants with both higher glucose and more intrusions suggests a failure in this early compensatory mechanism that may signal a decrease in neural activity in AD vulnerable regions.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAgedBlood GlucoseCerebrovascular CirculationHumansMagnetic Resonance ImagingBlood GlucoseAlzheimer’s diseaseCerebral blood flowGlucoseIntrusion errorsNeuropsychologyProcess scores

Identifiers

PMID34415491
PMCPMC8825619
OpenAlexW3194744667

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.