Evidence map›Paper›PMID 38872608›Full record

SynthesisJournal of the American Geriatrics Society2024

Risk factors associated with the Motoric Cognitive Risk syndrome: A meta-analysis of data from a cross-national study.

O Jayakody, H M Blumen, M Breslin, C Wang, J Verghese

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

5 authors.

O JayakodyDepartment of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
H M BlumenDepartment of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.ORCID 0000-0002-0275-6616
M BreslinMenzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
C WangDepartment of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
J VergheseDepartment of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.

Funding

Integrting Information About Aging SurveysR01AG030153 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Sara Adar, Alden L. Gross · 2007 to 2026
$41.7M
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
Kerala-Einstein Study: Healthy lifestyle, vascular disease, and cognitive declineR01AG039330 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MATHURANATH, PAVAGADA S, VERGHESE, JOE · 2011 to 2023
$5.0M
Cognitive decline and dementia in older Kerala AmericansR01AG084567 · NIA · STATE UNIVERSITY NEW YORK STONY BROOK · PI JOE VERGHESE · 2024 to 2026
$2.4M
Mega Meta Data Set of the Health and Retirement Surveys Around the WorldRC2AG036619 · NIA · RAND CORPORATION · PI KAPTEYN, ARIE · 2009 to 2010
$2.0M
The biological underpinnings of Motoric Cognitive Risk syndrome: a multi-center studyR56AG057548 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI VERGHESE, JOE · 2017 to 2017
$1.2M
Archiving & Creating User Friendly Data: the Longitudinal Aging Survey in IndiaR03AG043052 · NIA · RAND CORPORATION · PI LEE, JINKOOK · 2012 to 2012
$95k
NIA NIH HHS 1R03AG043052NIA NIH HHS 1R56AG057548-01NIA NIH HHS 2R01AG039330NIA NIH HHS R01 AG030153NIA NIH HHS R01 AG039330NIA NIH HHS R01 AG057548NIA NIH HHS R01AG057548-01A1NIA NIH HHS R01 AG084567NIA NIH HHS R03 AG043052NIA NIH HHS R56 AG057548NIA NIH HHS RC2 AG036619
6 · The paper itself

Abstract

backgroundIdentifying risk factors associated with the Motoric Cognitive Risk (MCR) syndrome (a pre-dementia syndrome) can assist in developing risk reduction strategies and interventions to delay progression to dementia. Tailored interventions require comparisons of high- and middle-income countries to determine if the same or different risk factors should be targeted. We examined risk factors associated with MCR in seven Health and Retirement Studies with harmonized measures.

methodsData from adults aged ≥65 years (n = 20,036, mean age 71.2(SD 6.2)-80.1(SD 4.1)) from the U.S. Health and Retirement Study, English Longitudinal Study of Aging, Survey of Health, Aging and Retirement in Europe, China Health and Retirement Longitudinal Study, Harmonized Diagnostic Assessment of Dementia for Longitudinal Aging Study in India, Mexican Health and Aging Study, and Brazilian Longitudinal Study of Aging was included. MCR was defined as the presence of cognitive complaints and slow gait (no mobility disability and dementia). Associations of demographic [education], medical [hypertension, diabetes, heart disease, obesity, stroke, Parkinson's, falls], psychological [depressive symptoms, psychiatric problems], sensorimotor [grip strength, hearing], and behavioral factors [smoking, sedentariness, sleep], with prevalent MCR were examined using age- and sex-adjusted logistic regression models. A meta-analysis was performed to compare risk factors for MCR in high- versus middle-income countries.

resultsExcept for depressive symptoms and weak grip strength, different risk factor clusters were associated with individual studies. Poor sleep, hearing, weak grip, and multiple falls emerged as novel associations with MCR. When grouped by income, some risk factors (i.e., education) were associated with MCR in high- and middle-income countries. Others (i.e., obesity) were specific to high-income countries.

conclusionsThis cross-sectional, cross-national study identified new, shared, and specific risk factors associated with MCR in high- and middle-income countries, providing insights to develop public health approaches and interventions to forestall the onset of dementia in those with MCR.

Indexed as

Cognitive DysfunctionAgedAged, 80 and overCross-Sectional StudiesDementiaFemaleHumansLongitudinal StudiesMaleRisk FactorsSyndromeUnited Statescross‐national comparisonshigh‐ and middle‐income countriesrisk factorsthe motoric cognitive risk syndrome

Identifiers

PMID38872608
PMCPMC11368625

What OpenQuestion holds

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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.