Evidence map›Paper›PMID 38515438›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Exploring cognitive progression subtypes in the Framingham Heart Study.

Huitong Ding, Biqi Wang, Alexander P Hamel, Cody Karjadi, Ting F A Ang, Rhoda Au, Honghuang Lin

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Observational
  4. Dynamic lifetime risk prediction of Alzheimer's disease with longitudinal cognitive assessment measurements.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. 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

7 authors.

Huitong DingDepartment of Anatomy and Neurobiology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Biqi WangDepartment of Medicine University of Massachusetts Chan Medical School Worcester Massachusetts USA.
Alexander P HamelDepartment of Medicine University of Massachusetts Chan Medical School Worcester Massachusetts USA.
Cody KarjadiDepartment of Anatomy and Neurobiology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Ting F A AngDepartment of Anatomy and Neurobiology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Rhoda AuDepartment of Anatomy and Neurobiology Boston University Chobanian & Avedisian School of Medicine Boston Massachusetts USA.
Honghuang LinDepartment of Medicine University of Massachusetts Chan Medical School Worcester Massachusetts USA.

Funding

Validating novel sleep sensors and devices in older adults with Alzheimer's diseaseP30AG073107 · NIA · UNIVERSITY OF MASSACHUSETTS AMHERST · PI Benjamin M. Marlin · 2021 to 2026
$32.0M
PRECURSORS OF STROKE INCIDENCE AND PROGNOSISR01NS017950 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Hugo Javier Aparicio, Jose Rafael Romero · 1985 to 2026
$22.9M
Social and behavioral determinants of health and Alzheimer’s Disease: Cohort study of the US military veteran populationR01AG080670 · NIA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI HONG YU · 2023 to 2026
$4.5M
Epigenetic changes in synaptic and inflammatory genes involved in the age-dependent development of Alzheimer's disease pathologies andcognitive declineRF1AG054156 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, RYU, HOON · 2016 to 2018
$3.4M
Assessing Alzheimer disease risk and heterogeneity using multimodal machine learning approachesU01AG068221 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DESTEFANO, ANITA L, LIN, HONGHUANG · 2021 to 2024
$2.5M
NIA NIH HHS P30 AG073107NIA NIH HHS R01 AG080670NIA NIH HHS RF1 AG054156NIA NIH HHS U01 AG068221NINDS NIH HHS R01 NS017950
6 · The paper itself

Abstract

introductionAlzheimer's disease (AD) is a heterogeneous disorder characterized by complex underlying neuropathology that is not fully understood. This study aimed to identify cognitive progression subtypes and examine their correlation with clinical outcomes.

methodsParticipants of this study were recruited from the Framingham Heart Study. The Subtype and Stage Inference (SuStaIn) method was used to identify cognitive progression subtypes based on eight cognitive domains.

resultsThree cognitive progression subtypes were identified, including verbal learning (Subtype 1), abstract reasoning (Subtype 2), and visual memory (Subtype 3). These subtypes represent different domains of cognitive decline during the progression of AD. Significant differences in age of onset among the different subtypes were also observed. A higher SuStaIn stage was significantly associated with increased mortality risk. DISCUSSION: This study provides a characterization of AD heterogeneity in cognitive progression, emphasizing the importance of developing personalized approaches for risk stratification and intervention. Highlights: We used the Subtype and Stage Inference (SuStaIn) method to identify three cognitive progression subtypes.Different subtypes have significant variations in age of onset.Higher stages of progression are associated with increased mortality risk.

Indexed as

age of onsetAlzheimer's diseasecognitive progressionheterogeneitymachine learningmortality

Identifiers

PMID38515438
PMCPMC10955221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.