Evidence map›Paper›PMID 37885920›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Neighborhood greenspace and neighborhood income associated with white matter grade worsening: Cardiovascular Health Study.

Lilah M Besser, Gina S Lovasi, Joyce Jimenez Zambrano, Simone Camacho, Devi Dhanekula, Yvonne L Michael, Parveen Garg, Jana A Hirsch, David Siscovick, Philip M Hurvitz and 4 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Urban greenspace and dementia: Measures, mechanisms, and methodological guidance.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Neurosustainability.Frontiers in human neuroscience · 2024
    Article
  12. Article
  13. 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.

Lilah M BesserComprehensive Center for Brain Health Department of Neurology University of Miami Miller School of Medicine Boca Raton Florida USA.
Gina S LovasiUrban Health Collaborative and Department of Epidemiology and Biostatistics Dornslife School of Public Health Drexel University Philadelphia Pennsylvania USA.
Joyce Jimenez ZambranoComprehensive Center for Brain Health Department of Neurology University of Miami Miller School of Medicine Boca Raton Florida USA.
Simone CamachoComprehensive Center for Brain Health Department of Neurology University of Miami Miller School of Medicine Boca Raton Florida USA.
Devi DhanekulaFlorida Atlantic University Boca Raton Florida USA.
Yvonne L MichaelUrban Health Collaborative and Department of Epidemiology and Biostatistics Dornslife School of Public Health Drexel University Philadelphia Pennsylvania USA.
Parveen GargDivision of Cardiology Keck School of Medicine University of Southern California Los Angeles California USA.
Jana A HirschUrban Health Collaborative and Department of Epidemiology and Biostatistics Dornslife School of Public Health Drexel University Philadelphia Pennsylvania USA.
David SiscovickDivision of Research Evaluation, and Policy The New York Academy of Medicine New York New York USA.
Philip M HurvitzCenter for Studies in Demography and Ecology and Urban Form Lab University of Washington Seattle Washington USA.
Mary L BiggsDepartment of Biostatistics School of Public Health University of Washington Seattle Washington USA.
James E GalvinComprehensive Center for Brain Health Department of Neurology Miller School of Medicine University of Miami Miami Florida USA.
Traci M BartzDepartment of Biostatistics University of Washington Seattle Washington USA.
W T LongstrethDepartments of Neurology and Epidemiology University of Washington Seattle Washington USA.

Funding

Exceptional Survival: Trajectories to Functional Aging (CHS All Stars)R01AG023629 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEWMAN, ANNE B. · 2004 to 2016
$9.5M
CARDIOVASCULAR HEALTH STUDY (CHS) - TASK AREA C, STUDY CLOSEOUT75N92021D00006 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE · 2021 to 2024
$8.4M
Reducing Disparities in Dementia and VCID Outcomes in a Multicultural Rural PopulationR01NS101483 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2019 to 2023
$8.0M
CHS research resources for the cardiovascular health of older adultsU01HL130114 · NHLBI · UNIVERSITY OF WASHINGTON · PI BURKE, GREGORY L, KRONMAL, RICHARD A · 2016 to 2019
$6.6M
Longitudinal Neighborhood Determinants of ADRD Progression within a Multi-Site CohortR01AG072634 · NIA · DREXEL UNIVERSITY · PI Jana Ariel Hirsch · 2021 to 2026
$6.1M
CHS Events Follow-up StudyU01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2005 to 2008
$4.6M
Multicultural Community Dementia Screening.R01AG040211 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GALVIN, JAMES E · 2011 to 2018
$3.2M
Communities Designed to Support Cardiovascular Health for Older AdultsR01AG049970 · NIA · DREXEL UNIVERSITY · PI LOVASI, GINA S · 2015 to 2018
$2.8M
ConProject-003R56AG049970 · NIA · DREXEL UNIVERSITY · PI LOVASI, GINA S · 2022 to 2023
$1.3M
Longitudinal associations between neighborhood greenspace and brain aging in cognitively normal older adultsK01AG063895 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BESSER, LILAH · 2020 to 2024
$628k
Objectively measured neighborhood greenness in midlife and late life cognitive and brain imaging outcomes for Alzheimer's disease: The Multi-Ethnic Study of AtherosclerosisR21AG075291 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BESSER, LILAH · 2022 to 2022
$379k
CORONARY HEART DISEASE &STROKE IN PEOPLE AGED 65-84N01HC085081 · HC · JOHNS HOPKINS UNIVERSITY · PI FRIED, LINDA P · 1988 to 2000
–
NHLBI NIH HHS 75N92021D00006NHLBI NIH HHS HHSN268200800007CNHLBI NIH HHS HHSN268201200036CNHLBI NIH HHS HHSN268201800001CNHLBI NIH HHS N01 HC055222NHLBI NIH HHS N01 HC085079NHLBI NIH HHS N01 HC085080NHLBI NIH HHS N01 HC085081NHLBI NIH HHS N01 HC085082NHLBI NIH HHS N01 HC085083NHLBI NIH HHS N01 HC085086NHLBI NIH HHS U01 HL080295NHLBI NIH HHS U01 HL130114NIA NIH HHS K01 AG063895NIA NIH HHS R01 AG023629NIA NIH HHS R01 AG040211NIA NIH HHS R01 AG049970NIA NIH HHS R01 AG072634NIA NIH HHS R21 AG075291NIA NIH HHS R56 AG049970NINDS NIH HHS R01 NS101483
6 · The paper itself

Abstract

introductionWe examined whether a combined measure of neighborhood greenspace and neighborhood median income was associated with white matter hyperintensity (WMH) and ventricle size changes.

methodsThe sample included 1260 cognitively normal ≥ 65-year-olds with two magnetic resonance images (MRI; ≈ 5 years apart). WMH and ventricular size were graded from 0 (least) to 9 (most) abnormal (worsening = increase of ≥1 grade from initial to follow-up MRI scans). The four-category neighborhood greenspace-income measure was based on median neighborhood greenspace and income values at initial MRI. Multivariable logistic regression tested associations between neighborhood greenspace-income and MRI measures (worsening vs. not).

resultsWhite matter grade worsening was more likely for those in lower greenspace-lower income neighborhoods than higher greenspace-higher income neighborhoods (odds ratio = 1.73; 95% confidence interval = 1.19-2.51). DISCUSSION: The combination of lower neighborhood income and lower greenspace may be a risk factor for worsening white matter grade on MRI. However, findings need to be replicated in more diverse cohorts. HIGHLIGHTS: Population-based cohort of older adults (≥ 65 years) with greenspace and MRI dataCombined measure of neighborhood greenspace and neighborhood income at initial MRIMRI outcomes included white matter hyperintensities (WMH) and ventricular sizeLongitudinal change in MRI outcomes measured approximately 5 years apartWorsening WMH over time more likely for lower greenspace-lower income neighborhoods.

Indexed as

built environmentgreen spacemagnetic resonance imagingneighborhoodsocioeconomic status

Identifiers

PMID37885920
PMCPMC10598801

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.