Evidence map›Paper›PMID 34633318›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Investigating Predictors of Preserved Cognitive Function in Older Women Using Machine Learning: Women's Health Initiative Memory Study.

Ramon Casanova, Sarah A Gaussoin, Robert Wallace, Laura D Baker, Jiu-Chiuan Chen, JoAnn E Manson, Victor W Henderson, Bonnie C Sachs, Jamie N Justice, Eric A Whitsel and 2 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Ramon CasanovaDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Sarah A GaussoinDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Robert WallaceCollege of Public Health, University of Iowa, Iowa City, IA, USA.
Laura D BakerDepartment of Gerontology and Geriatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jiu-Chiuan ChenDepartment of Preventive Medicine and Neurology, University of Southern California, Los Angeles, CA, USA.
JoAnn E MansonDepartment of Medicine, Brigham and Women's Hospital, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Victor W HendersonDepartment of Epidemiology and Population Health and of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA.
Bonnie C SachsDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jamie N JusticeDepartment of Gerontology and Geriatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Eric A WhitselDepartment of Epidemiology, Gillings School of Global Public Health and Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Kathleen M HaydenDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Stephen R RappDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Stanford Alzheimer's Disease Research CenterAdmin Supp: Developing iPSC models for AD and PDP30AG066515 · NIA · STANFORD UNIVERSITY · PI ELIZABETH MORMINO · 2020 to 2026
$29.0M
Wake Forest Alzheimer's Disease Core CenterP30AG049638 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ESPELAND, MARK ANDREW · 2016 to 2020
$12.2M
Stanford Medicine Center for Longevity and Healthy Aging Research Education CoreP30AG059307 · NIA · STANFORD UNIVERSITY · PI PERIYAKOIL, VYJEYANTHI S, YESAVAGE, JEROME A · 2018 to 2025
$4.9M
Senescent Cell Burden in Human Aging and Obesity: Functional Consequences and Reduction by Caloric RestrictionK01AG059837 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI JUSTICE, JAMIE NICOLE · 2018 to 2022
$519k
NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100003INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100046CNIA NIH HHS HHSN271201100004CNIA NIH HHS K01 AG059837NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG049638NIA NIH HHS P30 AG059307NIA NIH HHS P30 AG066515NIDA NIH HHS HHSN271201700002CNIEHS NIH HHS P30 ES010126WHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundIdentification of factors that may help to preserve cognitive function in late life could elucidate mechanisms and facilitate interventions to improve the lives of millions of people. However, the large number of potential factors associated with cognitive function poses an analytical challenge.

objectiveWe used data from the longitudinal Women's Health Initiative Memory Study (WHIMS) and machine learning to investigate 50 demographic, biomedical, behavioral, social, and psychological predictors of preserved cognitive function in later life.

methodsParticipants in WHIMS and two consecutive follow up studies who were at least 80 years old and had at least one cognitive assessment following their 80th birthday were classified as cognitively preserved. Preserved cognitive function was defined as having a score ≥39 on the most recent administration of the modified Telephone Interview for Cognitive Status (TICSm) and a mean score across all assessments ≥39. Cognitively impaired participants were those adjudicated by experts to have probable dementia or at least two adjudications of mild cognitive impairment within the 14 years of follow-up and a last TICSm score < 31. Random Forests was used to rank the predictors of preserved cognitive function.

resultsDiscrimination between groups based on area under the curve was 0.80 (95%-CI-0.76-0.85). Women with preserved cognitive function were younger, better educated, and less forgetful, less depressed, and more optimistic at study enrollment. They also reported better physical function and less sleep disturbance, and had lower systolic blood pressure, hemoglobin, and blood glucose levels.

conclusionThe predictors of preserved cognitive function include demographic, psychological, physical, metabolic, and vascular factors suggesting a complex mix of potential contributors.

Indexed as

Machine LearningWomen's HealthAgedCognitionCognitive DysfunctionDementiaFemaleHumansLongitudinal StudiesCognitive preservationmachine learningrandom forestsWHIMSwomen

Identifiers

PMID34633318
PMCPMC8934040

What OpenQuestion holds

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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.