Evidence map›Paper›PMID 38944227›Full record

SynthesisNeuroscience and biobehavioral reviews2024

Cognitive and brain morphological deviations in middle-to-old aged autistic adults: A systematic review and meta-analysis.

Jingying Wang, Danielle Christensen, Stephen A Coombes, Zheng Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuroscience and biobehavioral reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cognitive and Cerebral Aging Research in Autism: A Systematic Review on an Emerging Topic.Autism research : official journal of the International Society for Autism Research · 2025
    Pooled it
  2. Cognitive Aging Patterns in Autism: Parallel, Accelerated, or Safeguarded?Journal of autism and developmental disorders · 2026
    Article
  3. System-Specific Epigenetic Aging Signatures in Autistic Adults.bioRxiv : the preprint server for biology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Decreased BOLD Signal Variability in Middle-Aged and Older Adults on the Autism Spectrum.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  8. Article
  9. Atypical Visually Guided Precision Grip Control in Middle-Aged and Older Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Slow but Steady: Similarities and Differences in Executive Functioning Between Autistic and Non-Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

4 authors.

Jingying WangNeurocognitive and Behavioral Development Laboratory, Department of Applied Physiology and Kinesiology, University of Florida, PO Box 118206, Gainesville, FL 32611-8205, USA.
Danielle ChristensenNeurocognitive and Behavioral Development Laboratory, Department of Applied Physiology and Kinesiology, University of Florida, PO Box 118206, Gainesville, FL 32611-8205, USA; Laboratory for Rehabilitation Neuroscience, Department of Applied Physiology and Kinesiology, University of Florida, PO Box 118206, Gainesville, FL 32611-8205, USA.
Stephen A CoombesLaboratory for Rehabilitation Neuroscience, Department of Applied Physiology and Kinesiology, University of Florida, PO Box 118206, Gainesville, FL 32611-8205, USA; Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611, USA.
Zheng WangNeurocognitive and Behavioral Development Laboratory, Department of Applied Physiology and Kinesiology, University of Florida, PO Box 118206, Gainesville, FL 32611-8205, USA. Electronic address: zheng.wang@ufl.edu.

Funding

Social Determinants of Health, Race/Ethnicity, and White Matter HyperintensitiesP30AG066506 · NIA · UNIVERSITY OF FLORIDA · PI Ranjan Duara, DAVID LOEWENSTEIN · 2020 to 2026
$25.6M
Prospective study of bilingualism and cognitive reserve in the aging brain of Hispano adults with MCIR01AG080468 · NIA · FLORIDA ATLANTIC UNIVERSITY · PI Stephen Coombes, MONICA ROSSELLI · 2023 to 2026
$2.7M
Quantification of the neurocognitive, brain, and blood markers of dementia in middle-aged autistic adultsR01AG086493 · NIA · UNIVERSITY OF FLORIDA · PI Zheng Wang · 2024 to 2026
$2.0M
Cerebellar and Basal Ganglia Markers Underlie Neuromotor Impairments in Adults with Autism Spectrum Disorder (ASD)R01NS121120 · NINDS · UNIVERSITY OF FLORIDA · PI WANG, ZHENG · 2021 to 2025
$1.9M
Cerebellar and basal ganglia contributions to neuromotor decline in adults with autism spectrum disorder (ASD)R21AG065621 · NIA · UNIVERSITY OF FLORIDA · PI WANG, ZHENG · 2020 to 2020
$229k
NIA NIH HHS P30 AG066506NIA NIH HHS R01 AG080468NIA NIH HHS R01 AG086493NIA NIH HHS R21 AG065621NINDS NIH HHS R01 NS121120
6 · The paper itself

Abstract

Cognitive challenges and brain structure variations are common in autism spectrum disorder (ASD) but are rarely explored in middle-to-old aged autistic adults. Cognitive deficits that overlap between young autistic individuals and elderlies with dementia raise an important question: does compromised cognitive ability and brain structure during early development drive autistic adults to be more vulnerable to pathological aging conditions, or does it protect them from further decline? To answer this question, we have synthesized current theoretical models of aging in ASD and conducted a systematic literature review (Jan 1, 1980 - Feb 29, 2024) and meta-analysis to summarize empirical studies on cognitive and brain deviations in middle-to-old aged autistic adults. We explored findings that support different aging theories in ASD and addressed study limitations and future directions. This review sheds light on the poorly understood consequences of aging question raised by the autism community to pave the way for future studies to identify sensitive and reliable measures that best predict the onset, progression, and prognosis of pathological aging in ASD.

Indexed as

Autism Spectrum DisorderBrainAgedAgingCognitionCognitive DysfunctionHumansMiddle AgedAutistic adultsBrain imagingCognitionExecutive functionFornixGlobal cognitive functionGray matterHippocampusMeta-analysisSystematic reviewWhite matterWorking memory

Identifiers

PMID38944227
PMCPMC11283673

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.