Evidence map›Paper›PMID 38470007›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Link among apolipoprotein E E4, gait, and cognition in neurodegenerative diseases: ONDRI study.

Ryota Sakurai, Frederico Pieruccini-Faria, Benjamin Cornish, Julia Fraser, Malcolm A Binns, Derek Beaton, Allison Ann Dilliott, Donna Kwan, Joel Ramirez, Brian Tan and 17 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Exploratory associations between APOE-εFrontiers in neurology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Link among apolipoprotein E E4, gait, and cognition in neurodegenerative diseases: ONDRI study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  11. Review
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

27 authors at 10 institutions in 2 countries.

Ryota SakuraiResearch Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan.ORCID 0000-0002-3475-9686
Frederico Pieruccini-FariaGait & Brain Lab, St. Joseph' Health Care London, Lawson Health Research, Western University, Division of Geriatric Medicine, London, Ontario, Canada.ORCID 0000-0002-7659-4285
Benjamin CornishNeuroscience, Mobility and Balance Lab, Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0002-0367-0654
Julia FraserNeuroscience, Mobility and Balance Lab, Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Malcolm A BinnsRotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.ORCID 0000-0001-9998-6612
Derek BeatonData Science and Advanced Analytics, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6118-4366
Allison Ann DilliottDepartment of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, Montréal, Quebec, Canada.ORCID 0000-0003-3863-9304
Donna KwanCentre for Neuroscience Studies, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0001-5161-203X
Joel RamirezL.C. Campbell Cognitive Neurology Research Unit, Hurvitz Brain Sciences Program, Department of Medicine (Neurology), Sunnybrook Research Institute, Sunnybrook HSC, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5582-1776
Brian TanRotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.ORCID 0000-0002-6513-307X
Christopher J M ScottRotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.
Kelly M SunderlandRotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.ORCID 0000-0002-5003-1935
Carmela TartagliaKrembil Brain Institute, University Health Network Memory Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.ORCID 0000-0002-5944-8497
Elizabeth FingerDepartment of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID 0000-0003-4461-7427
Lorne ZinmanSunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0002-8096-8366
Morris FreedmanRotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.ORCID 0000-0003-4003-6158
Paula M McLaughlinHalifax Clinical Psychology Residency Program, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.ORCID 0000-0001-7173-8449
Richard H SwartzSunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0001-6571-5531
Sean SymonsL.C. Campbell Cognitive Neurology Research Unit, Hurvitz Brain Sciences Program, Department of Medicine (Neurology), Sunnybrook Research Institute, Sunnybrook HSC, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8025-9965
Anthony E LangDivision of Neurology, Department of Medicine, Edmond J Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-1229-3667
Robert BarthaDepartment of Medical Biophysics, Schulich School of Medicine and Dentistry, Robarts Research Institute, Western University, London, Ontario, Canada.ORCID 0000-0002-7118-9096
Sandra E BlackL.C. Campbell Cognitive Neurology Research Unit, Hurvitz Brain Sciences Program, Department of Medicine (Neurology), Sunnybrook Research Institute, Sunnybrook HSC, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-7093-8289
Mario MasellisL.C. Campbell Cognitive Neurology Research Unit, Hurvitz Brain Sciences Program, Department of Medicine (Neurology), Sunnybrook Research Institute, Sunnybrook HSC, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6244-2096
Robert A HegeleSchulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID 0000-0003-2861-5325
William McIlroyNeuroscience, Mobility and Balance Laboratory, Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0003-2319-1746
ONDRI InvestigatorsResearch Team for Social Participation and Healthy Aging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi-ku, Tokyo, Japan.
Manuel Montero-OdassoGait & Brain Lab, St. Joseph' Health Care London, Lawson Health Research, Western University, Division of Geriatric Medicine, London, Ontario, Canada.ORCID 0000-0002-5796-2361
Western University · CASunnybrook Health Science Centre · CABaycrest Hospital · CAUniversity of Waterloo · CAUniversity of Toronto · CAMontreal Neurological Institute and Hospital · CANova Scotia Health Authority · CAQueen's University · CASt. Michael's Hospital · CAUniversity Health Network · CA

Funding

Baycrest FoundationBruyere Research InstituteCentre for Addiction and Mental Health FoundationLondon Health Sciences FoundationMcMaster University Faculty of Health SciencesOntario governmentOttawa Brain and Mind Research InstituteQueen's University Faculty of Health SciencesTemerty Family FoundationThunder Bay Regional Health Sciences CentreUniversity of Ottawa Faculty of MedicineWindsor/Essex County ALS Association
6 · The paper itself

Abstract

introductionApolipoprotein E E4 allele (APOE E4) and slow gait are independently associated with cognitive impairment and dementia. However, it is unknown whether their coexistence is associated with poorer cognitive performance and its underlying mechanism in neurodegenerative diseases.

methodsGait speed, APOE E4, cognition, and neuroimaging were assessed in 480 older adults with neurodegeneration. Participants were grouped by APOE E4 presence and slow gait. Mediation analyses were conducted to determine if brain structures could explain the link between these factors and cognitive performance.

resultsAPOE E4 carriers with slow gait had the lowest global cognitive performance and smaller gray matter volumes compared to non-APOE E4 carriers with normal gait. Coexistence of APOE E4 and slow gait best predicted global and domain-specific poorer cognitive performances, mediated by smaller gray matter volume. DISCUSSION: Gait slowness in APOE E4 carriers with neurodegenerative diseases may indicate extensive gray matter changes associated with poor cognition. HIGHLIGHTS: APOE E4 and slow gait are risk factors for cognitive decline in neurodegenerative diseases. Slow gait and smaller gray matter volumes are associated, independently of APOE E4. Worse cognition in APOE E4 carriers with slow gait is explained by smaller GM volume. Gait slowness in APOE E4 carriers indicates poorer cognition-related brain changes.

Indexed as

Apolipoprotein E4Neurodegenerative DiseasesAgedApolipoproteins ECognitionGaitGenotypeHumansApolipoprotein E4Apolipoproteins EAPOE E4cognitiongaitgray matter volumeneurodegenerative diseases

Identifiers

PMID38470007
PMCPMC11032526
OpenAlexW4392705668

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.