Evidence map›Paper›PMID 35321928›Full record

ArticleNeurology2022

Association of Statins With Cerebral Atherosclerosis and Incident Parkinsonism in Older Adults.

Shahram Oveisgharan, Lei Yu, Lisa L Barnes, Sonal Agrawal, Julie A Schneider, David A Bennett, Aron S Buchman

Open access · greenAbstract read
In one paragraph

Article in Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Shahram OveisgharanFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.ORCID 0000-0001-6841-4830
Lei YuFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.ORCID 0000-0002-7176-1152
Lisa L BarnesFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.
Sonal AgrawalFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.
Julie A SchneiderFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.
David A BennettFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.ORCID 0000-0003-3689-554X
Aron S BuchmanFrom the Rush Alzheimer's Disease Center (S.O., L.Y., L.L.B., S.A., J.A.S., D.A.B., A.S.B.), Department of Neurological Sciences (S.O., L.Y., L.L.B., J.A.S., D.A.B., A.S.B.), Department of Behavioral Sciences (L.L.B.), and Department of Pathology (S.A., J.A.S.), Rush University Medical Center, Chicago, IL.ORCID 0000-0002-6426-2742
Rush University Medical Center · US

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI LEURGANS, SUE E. · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Risk Factors for Cognitive Decline in African-AmericansR01AG022018 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 2004 to 2025
$18.2M
Racial Differences in Late-Life Cognitive Decline and Risk of Alzheimer's DiseaseRF1AG022018 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 2016 to 2019
$6.6M
Impaired Gait in Older Adults: Pathologies of Alzheimer's disease and Related DisordersR01AG056352 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2017 to 2021
$3.5M
Spinal cord and brainstem pathology contributions to late-life gait impairmentR01AG047976 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2015 to 2019
$2.6M
The Clinical Profile of Parkinson's Disease (PD) PathologyR01NS078009 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2012 to 2016
$2.4M
Brain and Spinal Cord Microvascular Pathology in Late-Life Motor ImpairmentR01AG043379 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2012 to 2016
$1.7M
NIA NIH HHS P30 AG010161NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG022018NIA NIH HHS R01 AG043379NIA NIH HHS R01 AG047976NIA NIH HHS R01 AG056352NIA NIH HHS RF1 AG022018NINDS NIH HHS R01 NS078009
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe burden of cerebrovascular disease pathologies is associated with progressive parkinsonism in older adults. We tested the hypothesis that older adults using statins have a lower risk of developing parkinsonism.

methodsWe studied older adults with annual clinical testing of 4 parkinsonian signs and assessment of statin use based on inspection of all medications. Parkinsonism was present if there was clinical evidence of ≥2 parkinsonian signs. Postmortem brain examination collected indices of pathologies, including atherosclerosis of the large vessels of the circle of Willis. We examined whether baseline statin use was related to incident parkinsonism. Then in decedents, we examined whether statin use before death was related to pathologies and whether pathologies linked the association of statin use to parkinsonism.

resultsMean age of the participants (n = 2,841) at study baseline was 76.3 years (SD 7.4 years), and 75% were women. During an average follow-up of 6 years (mean 5.6 years, SD 4.9 years), 50% (n = 1,432) of participants developed parkinsonism. Statin use at baseline (n = 936) was associated with a lower risk of parkinsonism (hazard ratio 0.84, 95% CI 0.74-0.96, DISCUSSION: Adults using statins have a lower risk of parkinsonism that may be partially mediated by a lower odds of brain atherosclerosis. These findings highlight the role of cerebrovascular pathologies in late-life parkinsonism and suggest a potential role for statins in decreasing its magnitude. CLASSIFICATION OF EVIDENCE: This study provides Class I evidence that statin use is associated with a lower risk of parkinsonism in older adults.

Indexed as

AtherosclerosisHydroxymethylglutaryl-CoA Reductase InhibitorsIntracranial ArteriosclerosisParkinsonian DisordersAgedBrainFemaleHumansMaleHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID35321928
PMCPMC9141626
OpenAlexW4220893135

What OpenQuestion holds

Texttitle and abstract
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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.