Evidence map›Paper›PMID 40394893›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

The association between cardiorespiratory fitness and resting-state functional connectivity in adults with Down syndrome.

Julianne G Clina, Jessica C Danon, Brian C Helsel, Rebecca J Lepping, Laura E Martin, Joseph R Sherman, Morgan G Brucks, Joseph E Donnelly, Lauren T Ptomey

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Alzheimer's Disease Research Center Down Syndrome Cores: Experience from two sites.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  3. 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

9 authors.

Julianne G ClinaDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.ORCID 0000-0002-3655-5644
Jessica C DanonDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Brian C HelselDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Rebecca J LeppingDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Laura E MartinDepartment of Population Health, University of Kansas Medical Center, Kansas City, Kansas, USA.
Joseph R ShermanDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Morgan G BrucksDepartment of Population Health, University of Kansas Medical Center, Kansas City, Kansas, USA.
Joseph E DonnellyDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Lauren T PtomeyDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
University of Kansas Alzheimer's Disease Research Center (KU ADRC)P30AG072973 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mohammad Haeri · 2021 to 2026
$25.3M
University of Kansas Alzheimer's Disease Core CentersP30AG035982 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MAHNKEN, JONATHAN D · 2011 to 2020
$16.6M
longitudinal assessment of stress and stress-related concepts across a behavioral weight loss interventionP20GM144269 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Chelsea L Kracht, John P Thyfault · 2022 to 2026
$14.9M
NRSA Training CoreTL1TR002368 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jennifer Lynn Goldman, NICOLE L NOLLEN · 2017 to 2026
$4.0M
The Promotion of Physical Activity for the Prevention of Alzheimer's Disease in Adults with Down SyndromeR01AG063909 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI DONNELLY, JOSEPH E., PTOMEY, LAUREN TAYLOR · 2019 to 2023
$3.9M
Siemens Magnetom Verio MRI ScannerS10RR029577 · NCRR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BROOKS, WILLIAM M. · 2010 to 2010
$2.9M
Multidisciplinary Research Training Program in Alzheimer's Disease and Related DisordersT32AG078114 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Sandra A Billinger, Eric Dennis Vidoni · 2022 to 2026
$1.2M
Assessment of Physical Activity for Alzheimer's Disease Research in Down SyndromeK01AG083130 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Brian Helsel · 2023 to 2026
$501k
Forrest and Sally HoglundKansas Center for Metabolism and Obesity Research P20GM144269NCATS NIH HHS TL1 TR002368NCATS NIH HHS UL1 TR002366NCRR NIH HHS S10 RR029577NIA NIH HHS AG063909NIA NIH HHS K01 AG083130NIA NIH HHS P30 AG035982NIA NIH HHS P30 AG072973NIA NIH HHS R01 AG063909NIA NIH HHS T32 AG078114NIGMS NIH HHS P20 GM144269NIH HHS P30 AG035982NIH HHS S10 RR29577the Frontiers Clinical and Translational Science Institute, University of Kansas TL1R002366the Frontiers Clinical and Translational Science Institute, University of Kansas UL1TR002366University of Kansas Clinical and Translational Science Institute TL1TR002368
6 · The paper itself

Abstract

introductionResting-state functional connectivity (FC) of the default mode network (DMN) is linked to Alzheimer's disease in people with Down syndrome (DS). In adults without DS, cardiorespiratory fitness is associated with DMN FC; however, this has not been unexplored in DS.

methodsThis analysis used baseline data from an intervention in adults with DS. Resting-state functional magnetic resonance imaging measured connectivity from the posterior cingulate cortex seed to DMN nodes. Fitness was measured by the maximal treadmill test. Pearson correlations and linear regressions were used to examine the associations between fitness and FC.

resultsData from 40 adults with DS (26.0 years, 58% female) showed fitness was associated with overall DMN connectivity (r = 0.472, p = 0.004) and medial prefrontal cortex connectivity (r = 0.431, p = 0.010). The association between fitness and DMN FC remained significant after adjustment for age and sex (β = 0.0072, p = 0.04). DISCUSSION: Fitness may be associated with DMN FC in DS. HIGHLIGHTS: In adults with DS, cardiorespiratory fitness was associated with overall DMN connectivity, which remained significant after adjusting for age and sex. No associations were found between moderate to vigorous physical activity and DMN connectivity. Increasing fitness may be a therapeutic strategy for AD prevention or delay in DS.

Indexed as

BrainCardiorespiratory FitnessDefault Mode NetworkDown SyndromeNerve NetAdultFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysRestAlzheimer's diseaseDown syndromefitnessfunctional connectivityintellectual disabilitiesphysical activity

Identifiers

PMID40394893
PMCPMC12092375

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.