Evidence map›Paper›PMID 37711991›Full record

ArticleFrontiers in aging neuroscience2023

Exploring the relationship between frailty and executive dysfunction: the role of frontal white matter hyperintensities.

Natalia Pozo, César Romero, Maricarmen Andrade, Paul H Délano, Vicente Medel, Marco Troncoso, Patricia Orellana, Maria Isabel Rodriguez, Camila Fabres, Carolina Delgado

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

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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

10 authors.

Natalia PozoDepartment of Neurology, Hospital San Borja Arriarán, Santiago, Chile.
César RomeroDepartment of Neurology and Neurosurgery, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Maricarmen AndradeDepartment of Geriatric Medicine, Clínica Universidad de los Andes, Santiago, Chile.
Paul H DélanoDepartment of Neuroscience, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Vicente MedelLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile.
Marco TroncosoDepartment of Neurology and Neurosurgery, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Patricia OrellanaDepartment of Radiology, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Maria Isabel RodriguezGeriatric Unit, Internal Medicine Service, Hospital Puerto Montt Dr. Eduardo Schütz Schroeder, Puerto Montt, Chile.
Camila FabresDepartment of Neurology and Neurosurgery, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Carolina DelgadoDepartment of Neurology and Neurosurgery, Hospital Clínico de la Universidad de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Frailty is a geriatric syndrome frequently associated with executive dysfunction and white matter hyperintensities (WMH). But the relation between executive dysfunction and brain changes is poorly understood in frail subjects. Our hypothesis is that frontal-WMH mediates the association between frailty and executive dysfunction. Methods: A convenience sample of 113 subjects older than 65 years without dementia was studied with neuropsychological test, a structured clinical interview, physical examination and brain MRI. They were classified as robust or pre-frail and frail using the frailty phenotype score (0-5). The frontal WMH (F-WMH) were manually graduated (0-6) using the "Age-Related White Matter Changes score" from FLAIR sequences at a 3 Tesla brain MRI. A mediation analysis was done for testing whether F-WMH could act as a link factor between frailty phenotype score and executive dysfunction. Results: The group's mean age was 74 ± 6 years, subjects with higher frailty score had more depressive symptoms and worse performance in executive function tests. A regression analysis that explained 52% of the variability in executive functions, revealed a significant direct effect of frailty score (Standardized βcoeff [95% CI] -0.201, [-0.319, -0.049], and F-WMH (-0.152[-0.269, -0.009]) on executive functions, while the F-WMH showed a small partial mediation effect between frailty and executive functions (-0.0395, [-0.09, -0.004]). Discussion: Frontal matter hyperintensities had a small mediation effect on the association between frailty and executive dysfunction, suggesting that other neuropathological and neurofunctional changes might also be associated with executive dysfunction in frail subjects.

Indexed as

dementiaexecutive dysfunctionfrailtyolder adultssubcorticalvascular cognitive impairmentwhite matter hyperintensities

Identifiers

PMID37711991
PMCPMC10498544

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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.