Evidence map›Paper›PMID 37027458›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Association of common infections with cognitive performance in the Baltimore Epidemiologic Catchment Area study follow-up.

Alexandra M Wennberg, Brion S Maher, Jill A Rabinowitz, Calliope Holingue, W Ross Felder, Jonathan L Wells, Cynthia A Munro, Constantine G Lyketsos, William W Eaton, Keenan A Walker and 4 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  4. The association of common infectious exposures with cognitive performance in community-dwelling older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. Review
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  11. The impact ofAlzheimer's & dementia (Amsterdam, Netherlands)
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Alexandra M WennbergUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-4906-1165
Brion S MaherDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Jill A RabinowitzDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Calliope HolingueCenter for Autism and Related Disorders, Kennedy Krieger Institute, Johns Hopkins Children's Center, Baltimore, Maryland, USA.
W Ross FelderDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Jonathan L WellsDepartment of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Cynthia A MunroDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Constantine G LyketsosJohns Hopkins Bayview Department of Psychiatry and Behavioral Science, Baltimore, Maryland, USA.
William W EatonDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Keenan A WalkerLaboratory of Behavioral Neuroscience, National Institute on Aging, Baltimore, Maryland, USA.
Nan-Ping WengLaboratory of Molecular Biology and Immunology, National Institute on Aging, NIH, Baltimore, Maryland, USA.
Luigi FerrucciLongitudinal Study Section, Intramural Research Program, National Institute on Aging, NIH, Baltimore, Maryland, USA.
Robert YolkenStanley Laboratory of Developmental Neurovirology, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Adam P SpiraDepartment of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Johns Hopkins University · USNational Institute on Aging · USBloomberg (United States) · USKarolinska Institutet · SEKennedy Krieger Institute · USVirginia Commonwealth University · US

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2020 to 2026
$29.3M
Sleep and Circadian Dysfunction, Brain and Neurobehavioral Development in AutismP50HD103538 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI S. Ali Fatemi, Bradley L Schlaggar · 2020 to 2026
$9.9M
Stress Mental Disorders Accelerated Aging and Dementia a 35 year Cohort Study - Covid SupplementU01AG052445 · NIA · JOHNS HOPKINS UNIVERSITY · PI EATON, WILLIAM W, SPIRA, ADAM PETER · 2016 to 2021
$5.7M
EVOLUTION OF PSYCHOPATHOLOGY IN THE POPULATIONR01MH047447 · NIMH · JOHNS HOPKINS UNIVERSITY · PI EATON, WILLIAM W · 1992 to 2006
$5.3M
Microbial Impact on NeuroDegeneration in Alzheimer's Dementia: MIND-AD - Microbiome Admin SupplR01AG075996 · NIA · JOHNS HOPKINS UNIVERSITY · PI MAHER, BRION S, SPIRA, ADAM PETER · 2021 to 2025
$5.1M
Understanding immune/inflammatory and vascular mechanisms in brain aging and Alzheimer's diseaseZIAAG000348 · NIA · NATIONAL INSTITUTE ON AGING · PI WALKER, KEENAN · 2021 to 2025
$2.8M
Cognitive Vulnerability to Stress in Individuals at Risk for Alzheimer's DiseaseR01AG065171 · NIA · JOHNS HOPKINS UNIVERSITY · PI MUNRO, CYNTHIA ANN · 2022 to 2025
$2.6M
Role of CD8 T cell in the pathogenesis of Alzheimer's diseaseZIAAG000526 · NIA · NATIONAL INSTITUTE ON AGING · PI WENG, NAN-PING PETER · 2023 to 2025
$928k
NIA NIH HHS P30 AG066507NIA NIH HHS P30AG066507NIA NIH HHS R01 AG065171NIA NIH HHS R01AG065171NIA NIH HHS R01 AG075996NIA NIH HHS R01AG075996NIA NIH HHS U01 AG052445NIA NIH HHS U01AG052445NICHD NIH HHS P50 HD103538NIMH NIH HHS MH 47447NIMH NIH HHS R01 MH047447
6 · The paper itself

Abstract

introductionGrowing evidence suggests that some common infections are causally associated with cognitive impairment; however, less is known about the burden of multiple infections.

methodsWe investigated the cross-sectional association of positive antibody tests for herpes simplex virus, cytomegalovirus (CMV), Epstein-Barr virus (EBV), varicella zoster virus (VZV), and Toxoplasma gondii (TOX) with Mini-Mental State Examination (MMSE) and delayed verbal recall performance in 575 adults aged 41-97 from the Baltimore Epidemiologic Catchment Area Study.

resultsIn multivariable-adjusted zero-inflated Poisson (ZIP) regression models, positive antibody tests for CMV (p = .011) and herpes simplex virus (p = .018) were individually associated with poorer MMSE performance (p = .011). A greater number of positive antibody tests among the five tested was associated with worse MMSE performance (p = .001). DISCUSSION: CMV, herpes simplex virus, and the global burden of multiple common infections were independently associated with poorer cognitive performance. Additional research that investigates whether the global burden of infection predicts cognitive decline and Alzheimer's disease biomarker changes is needed to confirm these findings.

Indexed as

Cytomegalovirus InfectionsEpstein-Barr Virus InfectionsAdultBaltimoreCognitionCross-Sectional StudiesCytomegalovirusFollow-Up StudiesHerpesvirus 3, HumanHerpesvirus 4, HumanHumansAlzheimer's diseasecognitionherpesinfectiontoxoplasmavirus

Identifiers

PMID37027458
PMCPMC10558626
OpenAlexW4362692390

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.