Evidence map›Paper›PMID 36938732›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Low Ankle-Brachial Index Relates to Alzheimer-Signature Cerebral Glucose Metabolism in Cognitively Impaired Older Adults.

Seok Woo Moon, Min Soo Byun, Dahyun Yi, Min Jung Kim, Joon Hyung Jung, Nayeong Kong, Gijung Jung, Hyejin Ahn, Jun-Young Lee, Koung Mi Kang and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. 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

14 authors at 6 institutions in 2 countries.

Seok Woo MoonDepartment of Neuropsychiatry & Research Institute of Medical Science, Konkuk University School of Medicine, Chungju, Republic of Korea.
Min Soo ByunDepartment of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Dahyun YiInstitute of Human Behavioral Medicine, Medical Research Center Seoul National University, Seoul, Republic of Korea.
Min Jung KimDepartment of Psychiatry, Eulji University Nowon Eulji Medical Center, Seoul, Republic of Korea.
Joon Hyung JungDepartment of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Nayeong KongDepartment of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Gijung JungInstitute of Human Behavioral Medicine, Medical Research Center Seoul National University, Seoul, Republic of Korea.
Hyejin AhnInstitute of Human Behavioral Medicine, Medical Research Center Seoul National University, Seoul, Republic of Korea.
Jun-Young LeeDepartment of Neuropsychiatry, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
Koung Mi KangDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Chul-Ho SohnDepartment of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.
Yu Kyeong KimDepartment of Nuclear Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
Dong Young LeeDepartment of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
KBASE Research Group
Seoul National University · KRSeoul National University Hospital · KREulji University · KRGTx (United States) · USKonkuk University · KRSNUH SMG-SNU Boramae Medical Center · KR

Funding

KBASE2: Korean Brain Aging Study, Longitudinal Endophenotypes and Systems BiologyU01AG072177 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI LEE, DONG YOUNG, NHO, KWANGSIK TIMOTHY · 2021 to 2025
$11.2M
NIA NIH HHS U01 AG072177
6 · The paper itself

Abstract

backgroundAnkle-brachial index (ABI), an indicator of atherosclerosis or arterial stiffness, has been associated with Alzheimer's disease (AD) dementia and related cognitive impairment. Nevertheless, only limited information is available regarding its contribution to brain alterations leading to cognitive decline in late-life.

objectiveWe aimed to investigate the relationship of ABI with in vivo AD pathologies and cerebrovascular injury in cognitively impaired older adults.

methodsTotal 127 cognitively impaired (70 mild cognitive impairment and 57 AD dementia) individuals, who participated in an ongoing prospective cohort study, were included. All participants underwent comprehensive clinical and neuropsychological assessment, ABI measurement, apolipoprotein E (APOE) ɛ4 genotyping, and multi-modal brain imaging including [11C] Pittsburgh Compound B (PiB)-positron emission tomography (PET) and [18F] fludeoxyglucose (FDG)-PET, and MRI.

resultsGeneral linear model analysis showed significant relationship between ABI strata (low ABI: <1.00, normal ABI: 1.00-1.29, and high ABI: ≥1.30) and AD-signature region cerebral glucose metabolism (AD-CM), even after controlling age, sex, clinical dementia rating-sum of box, and APOE ɛ4 positivity (p = 0.029). Post hoc comparison revealed that low ABI had significantly lower AD-CM than middle and high ABI, while no difference of AD-CM was found between middle and high ABI. There was no significant difference of global Aβ deposition, AD-signature region cortical thickness, and white matter hyperintensity volume between the three ABI strata.

conclusionOur findings suggest that lower ABI, likely related to atherosclerosis, may contribute to the aggravation of AD-related regional neurodegeneration in cognitively impaired older adults.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAgedAmyloid beta-PeptidesAnkle Brachial IndexApolipoproteins EBrainGlucoseHumansMagnetic Resonance ImagingPositron-Emission TomographyProspective StudiesAmyloid beta-PeptidesApolipoproteins EGlucoseAlzheimer’s diseaseankle-brachial indexcerebral Aβ depositionmild cognitive impairmentneurodegeneration

Identifiers

PMID36938732
PMCPMC10200182
OpenAlexW4324138236

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.