Evidence map›Paper›PMID 38845419›Full record

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

Association Between Cognitive Trajectories and Subsequent Health Status, Depressive Symptoms, and Mortality Among Older Adults in the United States: Findings From a Nationally Representative Study.

Emma Zang, Yunxuan Zhang, Yi Wang, Bei Wu, Terri R Fried, Robert D Becher, Thomas M Gill

Abstract 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  7. Cognitive trajectories in older adults and associated mortality and predictors.Social psychiatry and psychiatric epidemiology · 2025
    Article
  8. Review
  9. Incomplete Ascertainment of Mortality in a Nationally Representative Longitudinal Study of Community-Living Older Americans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  10. Article
  11. Article
  12. 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.

Emma ZangDepartment of Sociology, Yale University, New Haven, Connecticut, USA.ORCID 0000-0002-5700-3179
Yunxuan ZhangDepartment of Biostatistics, Yale University, New Haven, Connecticut, USA.ORCID 0000-0003-2479-7723
Yi WangDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA.ORCID 0000-0003-4257-606X
Bei WuRory Meyers College of Nursing, New York University, New York, USA.ORCID 0000-0002-6891-244X
Terri R FriedDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-8083-8265
Robert D BecherDivision of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, School of Medicine, Yale University, New Haven, Connecticut, USA.
Thomas M GillDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA.ORCID 0000-0002-6450-0368

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Rutgers-NYU Center for Asian Health Promotion and EquityP50MD017356 · NIMHD · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI WU, BEI · 2021 to 2025
$11.6M
A Multifactorial Approach to Evaluating Disparities in Outcomes after Major Surgery in Disadvantaged Older PersonsR01MD017298 · NIMHD · YALE UNIVERSITY · PI BECHER, ROBERT DAVID, GILL, THOMAS MICHAEL · 2022 to 2025
$2.6M
Linked Lives, Linked Health: Health Trajectories of Persons with Cognitive Impairment and Their Caregivers' HealthR21AG074238 · NIA · YALE UNIVERSITY · PI ZANG, EMMA · 2021 to 2022
$473k
Claude D. Pepper Older Americans Independence Center at Yale School of Medicine P30AG021342Institution for Social and Policy Studies at Yale UniversityNCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG021342NIA NIH HHS R21 AG074238NIA NIH HHS R21AG074238-01NIMHD NIH HHS P50 MD017356NIMHD NIH HHS R01 MD017298NIMHD NIH HHS R01MD017298
6 · The paper itself

Abstract

backgroundCognitive decline may be an early indicator of major health issues in older adults, though research using population-based data is lacking. Researchers objective was to assess the relationships between distinct cognitive trajectories and subsequent health outcomes, including health status, depressive symptoms, and mortality, using a nationally representative cohort.

methodsData were drawn from the National Health and Aging Trends Study. Global cognition was assessed annually between 2011 and 2018. The health status of 4 413 people, depressive symptoms in 4 342 individuals, and deaths among 5 955 living respondents were measured in 2019. Distinct cognitive trajectory groups were identified using an innovative Bayesian group-based trajectory model. Ordinal logistic, Poisson, and logistic regression models were used to examine the associations between cognitive trajectories and subsequent health outcomes.

resultsResearchers identified five cognitive trajectory groups with distinct baseline values and subsequent changes in cognitive function. Compared with the group with stably high cognitive function, worse cognitive trajectories (ie, lower baseline values and sharper declines) were associated with higher risks of poor health status, depressive symptoms, and mortality, even after adjusting for relevant covariates.

conclusionsAmong older adults, worse cognitive trajectories are strongly associated with subsequent poor health status, high depressive symptoms, and high mortality risks. Regular screening of cognitive function may help to facilitate early identification and interventions for older adults susceptible to adverse health outcomes.

Indexed as

Cognitive DysfunctionDepressionHealth StatusAgedAged, 80 and overCognitionFemaleHumansMaleMortalityUnited StatesCognitive functioningDepressive symptomsHealth statusMortalityTrajectory analyses

Identifiers

PMID38845419
PMCPMC11212484

What OpenQuestion holds

Textmetadata
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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.