Evidence map›Paper›PMID 34526343›Full record

ArticleBMJ open2021

Falls: a marker of preclinical Alzheimer disease: a cohort study protocol.

Rebecca M Bollinger, Audrey Keleman, Regina Thompson, Elizabeth Westerhaus, Anne M Fagan, Tammie Ls Benzinger, Suzanne E Schindler, Chengjie Xiong, David Balota, John C Morris and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04949529 (Falls), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.7field-weighted citation impact, top 4% 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.

NCT04949529 completednot on this map

Falls: A Marker of Preclinical Alzheimer Disease

TypeobservationalSponsorWashington University School of MedicineRan2019 to 2025Enrolled355ConditionsFall, Alzheimer Disease
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Falls predict faster progression to Alzheimer's dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Article
  3. Review
  4. Exploring the Remote Administration of a Performance-Based Functional Assessment.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  5. Article
  6. The Association Between Postural Sway and Preclinical Alzheimer Disease Among Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  7. Observational
  8. Article
  9. Precipitating Mechanisms of Falls in Preclinical Alzheimer's Disease.Journal of Alzheimer's disease reports · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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 at 1 institution in 1 country.

Rebecca M BollingerProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-1931-8372
Audrey KelemanProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-1025-3100
Regina ThompsonDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Elizabeth WesterhausDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
Anne M FaganDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-5383-0214
Tammie Ls BenzingerDepartment of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-8114-0552
Suzanne E SchindlerDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-1680-1465
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine, St. Louis, Missouri, USA.
David BalotaDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
John C MorrisDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-9820-5618
Beau M AncesDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-3862-7397
Susan L StarkProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri, USA sstark@wustl.edu.ORCID 0000-0002-2816-7158
Washington University in St. Louis · US

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI DAVID M. HOLTZMAN · 2020 to 2026
$28.7M
FALLS: A MARKER OF PRECLINICAL ALZHEIMERS DISEASER01AG057680 · NIA · WASHINGTON UNIVERSITY · PI ANCES, BEAU M, STARK, SUSAN LYNN · 2018 to 2022
$3.4M
PURCHASE OF A SIEMENS NEXT GENERATION PET/CTS10OD025214 · OD · WASHINGTON UNIVERSITY · PI WOODARD, PAMELA K · 2018 to 2018
$2.0M
NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS R01 AG057680NIH HHS S10 OD025214
6 · The paper itself

Abstract

introductionProgression to symptomatic Alzheimer disease (AD) occurs slowly over a series of preclinical stages. Declining functional mobility may be an early indicator of loss of brain network integration and may lead to an increased risk of experiencing falls. It is unknown whether measures of functional mobility and falls are preclinical markers of AD. The purpose of this study is to examine (1) the relationship between falls and functional mobility with AD biomarkers to determine when falls occur within the temporal progression to symptomatic Alzheimer disease, and (2) the attentional compared with perceptual/motor systems that underlie falls and functional mobility changes seen with AD. METHODS AND ANALYSIS: This longitudinal cohort study will be conducted at the Knight Alzheimer Disease Research Center. Approximately 350 cognitively normal participants (with and without preclinical AD) will complete an in-home visit every year for 4 years. During each yearly assessment, functional mobility will be assessed using the Performance Oriented Mobility Assessment, Timed Up and Go, and Timed Up and Go dual task. Data regarding falls (including number and severity) will be collected monthly by self-report and confirmed through interviews. This study will leverage ongoing neuropsychological assessments and neuroimaging (including molecular imaging using positron emission tomography and MRI) performed by the Knight Alzheimer Disease Research Center. Relationships between falls and biomarkers of amyloid, tau and neurodegeneration will be evaluated. ETHICS AND DISSEMINATION: This study was approved by the Washington University in St. Louis Institutional Review Board (reference number 201807135). Written informed consent will be obtained in the home prior to the collection of any study data. Results will be published in peer-reviewed publications and presented at national and international conferences. TRIAL REGISTRATION NUMBER: NCT04949529; Pre-results.

Indexed as

Alzheimer DiseaseAccidental FallsAmyloid beta-PeptidesBiomarkersCohort StudiesHumansLongitudinal StudiesPositron-Emission Tomographytau ProteinsAmyloid beta-PeptidesBiomarkerstau Proteinsadult neurologydementianeurological injuryneuropathologyneurophysiology

Identifiers

PMID34526343
PMCPMC8444237
OpenAlexW3201432265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.