Evidence map›Paper›PMID 39234651›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Loneliness, cerebrovascular and Alzheimer's disease pathology, and cognition.

Patrick Lao, Christina B Young, Chima Ezeh, Bayardo Lacayo, Dominika Seblova, Ryan M Andrews, Laura Gibbons, A Zarina Kraal, Indira Turney, Kacie D Deters and 4 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Loneliness and Plasma Biomarkers of Neurodegeneration in Community-Dwelling Older Adults: Cross-Sectional and Longitudinal Analyses.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. A University's Role in Developing a Regional Network of Dementia Friendly Communities.International journal of environmental research and public health · 2025
    Article
  10. Loneliness, cerebrovascular and Alzheimer's disease pathology, and cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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

14 authors.

Patrick LaoDepartment of Neurology, Columbia University, New York, New York, USA.
Christina B YoungDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.
Chima EzehDepartment of Neurology, Columbia University, New York, New York, USA.
Bayardo LacayoDepartment of Neurology, Columbia University, New York, New York, USA.
Dominika SeblovaSecond Faculty of Medicine, Charles University Prague, Prague, Czech.
Ryan M AndrewsDepartment of Epidemiology, Boston University, Boston, Massachusetts, USA.
Laura GibbonsGeneral Internal Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.
A Zarina KraalDepartment of Neurology, Columbia University, New York, New York, USA.
Indira TurneyDepartment of Neurology, Columbia University, New York, New York, USA.
Kacie D DetersDepartment of Integrative Biology and Physiology, College of Life Sciences, University of California Los Angeles, Los Angeles, California, USA.
Vonetta DotsonDepartment of Psychology and Gerontology Institute, Georgia State University, Atlanta, Georgia, USA.
Jennifer J ManlyDepartment of Neurology, Columbia University, New York, New York, USA.
Lisa L BarnesRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Laura B ZahodneDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI GRABOWSKI, THOMAS J. · 1985 to 2019
$57.2M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILIP L DE JAGER · 2020 to 2026
$30.1M
RL5: Research Education CoreP30AG072978 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Ann C. McKee · 2021 to 2026
$25.6M
Risk Factors for Cognitive Decline in African-AmericansR01AG022018 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 2004 to 2025
$18.2M
Racial Differences in Late-Life Cognitive Decline and Risk of Alzheimer's DiseaseRF1AG022018 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BARNES, LISA L · 2016 to 2019
$6.6M
Air Pollution and Alzheimer's Dementia: Neuropathologic and Olfactory Mechanisms in Multi-Ethnic Longitudinal CohortsR01AG067497 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI PINTO, JAYANT M, WEUVE, JENNIFER · 2020 to 2024
$3.8M
Air pollution and noise exposures in relation to dementia: from brain imaging markers to clinical diseaseR01AG065359 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WEUVE, JENNIFER · 2020 to 2023
$2.3M
Summer of Translational Aging Research for Undergraduates (STARU)R25AG059557 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M, COSENTINO, STEPHANIE ANN · 2018 to 2023
$1.9M
UCSD Leading the Advancement of Underrepresented Neuroscientists for Change (LAUNCH) Faculty Development ProgramR25NS117367 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Victoria B Risbrough, Joann Trejo · 2020 to 2026
$1.6M
Alzheimer's Association AARFD-21-849349Boston University Alzheimer's Disease Research Center P30AG072978Columbia Alzheimer's Disease Research Center P30AG066462NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG066462NIA NIH HHS P30 AG072978NIA NIH HHS P50 AG005136NIA NIH HHS P50 AG05136NIA NIH HHS R00 AG065506NIA NIH HHS R00AG065506NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG022018NIA NIH HHS R01 AG065359NIA NIH HHS R01AG065359NIA NIH HHS R01 AG067497NIA NIH HHS R01AG067497NIA NIH HHS R13 AG030995NIA NIH HHS R25 AG059557NIA NIH HHS RF1 AG022018NIA NIH HHS U01 AG009740NINDS NIH HHS R25 NS117367Rush Alzheimer's Disease Center P30AG010161 (ROS)Rush Alzheimer's Disease Center R01AG017917 (MAP)Rush Alzheimer's Disease Center RF1AG022018 (MARS)Summer of Translational Aging Research for Undergraduates R25AG059557
6 · The paper itself

Abstract

introductionLoneliness has a rising public health impact, but research involving neuropathology and representative cohorts has been limited.

methodsInverse odds of selection weights were generalized from the autopsy sample of Rush Alzheimer's Disease Center cohorts (N = 680; 89 ± 9 years old; 25% dementia) to the US-representative Health and Retirement Study (N = 8469; 76 ± 7 years old; 5% dementia) to extend external validity. Regressions tested cross-sectional associations between loneliness and (1) Alzheimer's disease (AD) and cerebrovascular pathology; (2) five cognitive domains; and (3) relationships between pathology and cognition, adjusting for depression.

resultsIn weighted models, greater loneliness was associated with microinfarcts, lower episodic and working memory in the absence of AD pathology, lower working memory in the absence of infarcts, a stronger association of infarcts with lower episodic memory, and a stronger association of microinfarcts with lower working and semantic memory. DISCUSSION: Loneliness may relate to AD through multiple pathways involving cerebrovascular pathology and cognitive reserve. HIGHLIGHTS: Loneliness was associated with worse cognition in five domains. Loneliness was associated with the presence of microinfarcts. Loneliness moderated cognition-neuropathology associations. Transportability methods can provide insight into selection bias.

Indexed as

Alzheimer DiseaseCerebrovascular DisordersCognitionLonelinessAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleNeuropsychological TestsAlzheimer's disease pathologyautopsycognitioncognitive reserveinfarctsinverse odds of selection weightslonelinessmicroinfarctstransportability

Identifiers

PMID39234651
PMCPMC11485071

What OpenQuestion holds

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LicenceCC BY
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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.