Evidence map›Paper›PMID 38671552›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024

Elevated Blood Homocysteine Increases the Risk of Incident Motoric Cognitive Risk Syndrome: A Two-Cohort Study.

Kelly Cotton, Emmeline Ayers, Ying Jin, Olivier Beauchet, Carol A Derby, Richard B Lipton, Mindy Katz, Kevin Galery, Pierrette Gaudreau, Joe Verghese

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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 at 3 institutions in 2 countries.

Kelly CottonDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.ORCID 0000-0001-9014-9762
Emmeline AyersDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Ying JinDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York, USA.
Olivier BeauchetResearch Centre of the Geriatric University Institute of Montreal, Montreal, Quebec, Canada.ORCID 0000-0003-2534-4830
Carol A DerbyDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Richard B LiptonDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Mindy KatzDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
Kevin GaleryResearch Centre of the Geriatric University Institute of Montreal, Montreal, Quebec, Canada.
Pierrette GaudreauDepartment of Medicine, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.ORCID 0000-0001-9362-2287
Joe VergheseDepartment of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.ORCID 0000-0003-4252-2547
Albert Einstein College of Medicine · USInstitut Universitaire de Gériatrie de Montréal · CACentre Hospitalier de l’Université de Montréal · CA

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI Richard B. LIPTON · 1985 to 2026
$73.9M
The biological underpinnings of Motoric Cognitive Risk syndrome: a multi-center studyR01AG057548 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI VERGHESE, JOE · 2020 to 2024
$8.0M
CIHR MOP-62842Czap FoundationFonds de Recherche du Quebec 2020-VICO-279753La Fondation de l'Université de SherbrookeLeonard and Sylvia Marx FoundationNIA NIH HHS 1R01AG057548-01A1NIA NIH HHS P01 AG003949NIA NIH HHS R01 AG057548NIH HHS PO1 AG03949Quebec Network for Research on Aging
6 · The paper itself

Abstract

backgroundMotoric Cognitive Risk (MCR) syndrome, a predementia syndrome characterized by cognitive complaints and slow gait, may have an underlying vascular etiology. Elevated blood levels of homocysteine, a known vascular risk factor, have been linked to physical and cognitive decline in older adults, though the relationship with MCR is unknown. We aimed to identify the association between homocysteine and MCR risk.

methodsWe examined the association between baseline homocysteine levels and incident MCR using Cox proportional hazard models in 1826 community-dwelling older adults (55% women) from 2 cohorts (Einstein Aging Study [EAS] and Quebec Longitudinal Study on Nutrition and Successful Aging [NuAge]). We calculated hazard ratios (HR) with 95% confidence intervals (CI), for each cohort as well as stratified by sex and vascular disease/risk factors.

resultsMedian follow-up time was 2.2 years in EAS and 3.0 years in NuAge. Individuals with elevated baseline homocysteine levels (>14 µmol/L) had a significantly higher risk of incident MCR compared to those with normal levels in NuAge (HR 1.41, 95% CI: 1.01-1.97, p = .04), after adjusting for covariates. Our exploratory stratified analyses found that these associations were significant only in men with vascular disease/risk factors.

conclusionsHigher blood homocysteine levels are associated with an increased risk of developing MCR in older adults, particularly in men with vascular disease or vascular risk factors.

Indexed as

HomocysteineAgedAged, 80 and overCognitive DysfunctionCohort StudiesFemaleHumansIncidenceLongitudinal StudiesMaleProportional Hazards ModelsQuebecRisk FactorsSyndromeHomocysteineBiomarkersGaitRisk factorsVascular disease

Identifiers

PMID38671552
PMCPMC11157967
OpenAlexW4395694464

What OpenQuestion holds

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Registered trials

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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.