Evidence map›Paper›PMID 35179392›Full record

SynthesisJournal of the American Heart Association2022

Intima Media Thickness and Cognitive Function Among Adults: Meta-Analysis of Observational and Longitudinal Studies.

Celia Álvarez-Bueno, Iván Cavero-Redondo, Rosa Maria Bruno, Alicia Saz-Lara, Irene Sequí-Dominguez, Blanca Notario-Pacheco, Vicente Martinez-Vizcaino

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  5. Article
  6. Article
  7. 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

7 authors at 5 institutions in 5 countries.

Celia Álvarez-BuenoHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0002-6176-1618
Iván Cavero-RedondoHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0003-2617-0430
Rosa Maria BrunoDepartment of Clinical and Experimental Medicine University of Pisa Italy.ORCID 0000-0002-6107-3356
Alicia Saz-LaraHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0003-0669-8625
Irene Sequí-DominguezHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0001-8981-4331
Blanca Notario-PachecoHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0001-8406-6952
Vicente Martinez-VizcainoHealth and Social Research Center Universidad de Castilla-La Mancha Cuenca Spain.ORCID 0000-0001-6121-7893
University of Castilla-La Mancha · ESUniversidad Autónoma de Chile · CLUniversidad Politécnica y Artística del Paraguay · PYUniversity of Pisa · ITUniversity of the Americas · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Carotid structural changes measured by intima media thickness (IMT) have been related to cognitive complaints during aging. Therefore, the aims of this meta-analysis were (1) to elucidate the relationship between vascular status, measured as IMT, and cognitive domains distinguishing between global cognition, executive functions, memory and attention; and (2) to explore whether demographic (ie, age and sex), clinical (ie, body mass index and IMT baseline values), and procedure characteristics influence this association. Methods and Results We performed a systematic review of MEDLINE (via PubMed), Scopus, and Web of Science databases from their inception to June 2021. Studies meeting the following inclusion criteria were included: (1) the participants were adults; (2) the exposure was carotid IMT; (3) the outcome was cognitive function, including global cognition, executive function, memory, and attention measured using standardized tests; and (4) the study design was cross-sectional or longitudinal including unadjusted and adjusted analyses. A total of 19 cross-sectional and 15 longitudinal studies were included and demographic (age and sex), clinical (body mass index and baseline IMT values), and procedure characteristics were analyzed as potential mediator or moderators of the association. Conclusions Our data support negative associations between IMT and cognitive function in cross-sectional studies. The association between IMT and cognition lost significance in longitudinal studies and when controlling for covariates in cross-sectional studies. Finally, the strength of these associations seems not to be modified by age, sex, body mass index, and baseline IMT values. This systematic review and meta-analysis adds to the evidence supporting the use of IMT as a measure for identifying patients at risk of cognitive decline.

Indexed as

Carotid Intima-Media ThicknessCognitionAdultCarotid ArteriesCross-Sectional StudiesHumansLongitudinal StudiesObservational Studies as TopicRisk Factorsagingcarotid intima‐media thicknesscognitioncognitive impairment

Identifiers

PMID35179392
PMCPMC9075078
OpenAlexW4212768502

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.