Evidence map›Paper›PMID 36653428›Full record

ArticleScientific reports2023

Distinct components of cardiovascular health are linked with age-related differences in cognitive abilities.

Deborah L O King, Richard N Henson, Rogier Kievit, Noham Wolpe, Carol Brayne, Lorraine K Tyler, James B Rowe, Cam-CAN, Kamen A Tsvetanov

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Pulse Pressure Impairs Cognition via White Matter Disruption.Hypertension (Dallas, Tex. : 1979) · 2025
    Article
  7. Article
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  9. Review
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  15. Observational
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

9 authors at 4 institutions in 3 countries.

Deborah L O KingDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, CB2 0SP, UK. dlo27@cam.ac.uk.
Richard N HensonDepartment of Psychiatry, University of Cambridge, Cambridge, CB2 2QQ, UK.
Rogier KievitDonders Research Institute for Brain, Cognition and Behaviour, Radboud University, 6525 AJ, Nijmegen, The Netherlands.
Noham WolpeDepartment of Psychiatry, University of Cambridge, Cambridge, CB2 2QQ, UK.
Carol BrayneCambridge Public Health, Cambridge Public Health, University of Cambridge, Cambridge, CB2 0SR, UK.
Lorraine K TylerDepartment of Psychology, Centre for Speech, Language and the Brain, University of Cambridge, Cambridge, CB23 6HT, UK.
James B RoweDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, CB2 0SP, UK.
Cam-CAN
Kamen A TsvetanovDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, CB2 0SP, UK.
MRC Cognition and Brain Sciences Unit · GBUniversity of Cambridge · GBRadboud University Nijmegen · NLTel Aviv University · IL

Funding

Biotechnology and Biological Sciences Research Council BB/H008217/1Biotechnology and Biological Sciences Research Council BB/M011194/1Medical Research Council MC_U105597119Medical Research Council MC_UU_00005/12Medical Research Council MC_UU_00005/8Medical Research Council MC_UU_00030/14Medical Research Council MC_UU_00030/5Medical Research Council MC_UU_00030/7Medical Research Council MC_UU_00030/8Medical Research Council MR/L023784/2Medical Research Council MR/M008983/1Medical Research Council MR/T033371/1Medical Research Council SUAG/051 G101400Wellcome Trust 220258
6 · The paper itself

Abstract

Cardiovascular ageing contributes to cognitive impairment. However, the unique and synergistic contributions of multiple cardiovascular factors to cognitive function remain unclear because they are often condensed into a single composite score or examined in isolation. We hypothesized that vascular risk factors, electrocardiographic features and blood pressure indices reveal multiple latent vascular factors, with independent contributions to cognition. In a population-based deep-phenotyping study (n = 708, age 18-88), path analysis revealed three latent vascular factors dissociating the autonomic nervous system response from two components of blood pressure. These three factors made unique and additive contributions to the variability in crystallized and fluid intelligence. The discrepancy in fluid relative to crystallized intelligence, indicative of cognitive decline, was associated with a latent vascular factor predominantly expressing pulse pressure. This suggests that higher pulse pressure is associated with cognitive decline from expected performance. The effect was stronger in older adults. Controlling pulse pressure may help to preserve cognition, particularly in older adults. Our findings highlight the need to better understand the multifactorial nature of vascular aging.

Indexed as

Cognition DisordersCognitive DysfunctionAdolescentAdultAgedAged, 80 and overAgingBlood PressureCognitionHumansMiddle AgedYoung Adult

Identifiers

PMID36653428
PMCPMC9849401
OpenAlexW4317212844

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.