Evidence map›Paper›PMID 36195448›Full record

ArticleNeurology2022

Association of Midlife Inflammatory Markers With Cognitive Performance at 10-Year Follow-up.

Teemu Kipinoinen, Sini Toppala, Juha O Rinne, Matti H Viitanen, Antti M Jula, Laura L Ekblad

Open access · bronzeAbstract 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 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
4.9field-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.

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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  20. Olfactory Dysfunction and Cognitive Decline: Are They Related?Current allergy and asthma reports · 2025
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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

6 authors at 1 institution in 2 countries.

Teemu KipinoinenFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland. tpkipi@utu.fi.ORCID 0000-0002-0037-1587
Sini ToppalaFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland.ORCID 0000-0002-4506-9584
Juha O RinneFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland.ORCID 0000-0001-6369-0764
Matti H ViitanenFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland.ORCID 0000-0001-5760-5367
Antti M JulaFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland.ORCID 0000-0002-3522-5301
Laura L EkbladFrom the Turku PET Centre (T.K., S.T., J.O.R., L.L.E.), University of Turku and Turku University Hospital, Finland; Kuopio City Home Care (S.T.), Rehabilitation and Medical Services for Elderly, Kuopio, Finland; City of Turku (M.H.V.), Welfare Division, Department of Geriatrics, Turku City Hospital and University of Turku, Finland; Division of Clinical Geriatrics (M.H.V.), NVS, Karolinska Institutet, Stockholm, Sweden; and National Institute for Health and Welfare (A.M.J.), Turku, Finland.ORCID 0000-0002-5863-8088
University of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesChronic low-grade inflammation, commonly associated with cardiovascular diseases and risk factors, has been associated inconclusively with cognitive decline and dementia. The aim of our study was to evaluate whether low-grade inflammation, measured in midlife, is associated with a decline in cognitive performance after a 10-year follow-up. We hypothesized that low-grade inflammation, estimated by interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), and high-sensitivity CRP (hs-CRP), is a predictor of cognitive decline in the general population.

methodsThis prospective cohort study is based on a Finnish nationwide, population-based Health 2000 Examination Survey, its supplemental examinations in 2000-2001, and the follow-up Health 2011 Survey. Cognitive performance at baseline and at follow-up was assessed with categorical verbal fluency (VF), word-list learning (WLL), and word-list delayed recall (WLDR). Baseline low-grade inflammation was measured with IL-6, TNF-α, and hs-CRP in 2001. Associations between low-grade inflammation and cognitive performance were analyzed with multivariable linear models adjusted for age, sex, education,

resultsNine hundred fifteen participants aged 45-74 years (median age 54 years, 55% women) were included in the analysis. Both higher IL-6 and TNF-α at baseline predicted poorer performance in VF and WLL at 10-year follow-up (VF: IL-6 β: -1.14, DISCUSSION: Our results suggest that low-grade inflammation in midlife is an independent risk factor for poorer cognitive performance later in life. Of the studied markers, IL-6 and TNF-α seem to be stronger predictors for cognitive performance and decline than hs-CRP.

Indexed as

C-Reactive ProteinDiabetes Mellitus, Type 2BiomarkersCognitionFemaleFollow-Up StudiesHumansInflammationInterleukin-6MaleMiddle AgedProspective StudiesTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID36195448
PMCPMC9694835
OpenAlexW4301187704

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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.