Evidence map›Paper›PMID 35339632›Full record

Observational studyExperimental gerontology2022

Brain health correlates of mobility-related confidence.

C Elizabeth Shaaban, Erica Fan, Brooke N Klatt, Ann D Cohen, Beth E Snitz, Zheming Yu, Brian J Lopresti, Victor L Villemagne, William E Klunk, Howard J Aizenstein and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Experimental gerontology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

11 authors.

C Elizabeth ShaabanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: Beth.Shaaban@pitt.edu.
Erica FanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Brooke N KlattDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Ann D CohenDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Beth E SnitzDepartment of Neurology, University of Pittsburgh, Pittsburgh, PA, USA.
Zheming YuDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Brian J LoprestiDepartment of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Victor L VillemagneDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
William E KlunkDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Howard J AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Andrea L RossoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

Roles of Gray Matter Brain Aging and Small Vessel Disease in AD PathophysiologyRF1AG025516 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, VILLEMAGNE, VICTOR LUIS · 2014 to 2021
$9.0M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
Population Neuroscience of Aging and Alzheimer's Disease (PNA)T32AG055381 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano, Andrea L Rosso · 2018 to 2026
$2.7M
Environmental Challenges and the Aging Brain: Implications for Community MobilityK01AG053431 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROSSO, ANDREA L · 2016 to 2020
$509k
NIA NIH HHS K01 AG053431NIA NIH HHS RF1 AG025516NIA NIH HHS T32 AG055381NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

backgroundMobility is important for independence in older age. While brain health correlates of objectively measured mobility-related features like gait and balance have been reported, we aimed to test neuroimaging and cognitive correlates of subjective measures of mobility-related confidence.

methodsWe carried out a cross-sectional observational study comprised of N = 29 cognitively unimpaired older adult participants, mean age 75.8 ± 5.8, 52% female, 24% non-white. We measured cognition, hippocampal volume, white matter hyperintensities, cerebral amyloid-β (Aβ), and gait and balance confidence. We tested associations using unadjusted Spearman correlations and correlations partialling out covariates of interest one at a time.

resultsGreater gait confidence was associated with better attention (unadjusted ρ = 0.37, p = 0.05; partially attenuated by adjustment for age, APOE4, anxiety, motivation, gait speed, or Aβ); executive performance (unadjusted ρ = 0.35, p = 0.06; partially attenuated by adjustment for age, APOE4, gait speed, or Aβ); and lower Aβ levels (unadjusted ρ = -0.40, p = 0.04; partially attenuated by adjustment for age, depressive symptoms, motivation, or gait speed). Greater balance confidence was associated with better global cognition (unadjusted ρ = 0.41, p = 0.03; partially attenuated by adjustment for APOE4, gait speed, or Aβ); attention (unadjusted ρ = 0.46, p = 0.01; robust to adjustment); and lower Aβ levels (unadjusted ρ = -0.35, p = 0.07; partially attenuated by adjustment for age, education, APOE4, depressive symptoms, anxiety, motivation, or gait speed).

conclusionsSelf-reported mobility-related confidence is associated with neuroimaging and cognitive measures and would be easy for providers to use in clinical evaluations. These associations should be further evaluated in larger samples, and longitudinal studies can help determine temporality of declines.

Indexed as

Apolipoprotein E4BrainAgedAged, 80 and overAmyloid beta-PeptidesCross-Sectional StudiesFemaleGaitHumansMaleRisk FactorsAmyloid beta-PeptidesApolipoprotein E4Amyloid-βCognitionHippocampal volumeMobilityWhite matter hyperintensities

Identifiers

PMID35339632
PMCPMC9109136

What OpenQuestion holds

Textmetadata
LicenceTDM
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.