Evidence map›Paper›PMID 40665410›Full record

Trial reportAlzheimer's research & therapy2025

Cardiovascular risk factors are associated with lower posterior-medial network functional connectivity in older adults.

Léa Chauveau, Julie Gonneaud, Géraldine Poisnel, Brigitte Landeau, Antoine Garnier-Crussard, Anne-Lise Pitel, Daniel Roquet, Edelweiss Touron, Sacha Haudry, Florence Mezenge and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02977819 (Interventional Study in Cognitively Intact Seniors Aiming to Assess the Effects of Meditation Training and Foreign Language Learning on Behavioral, Biological and Neuroimaging Measures), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02977819 nacompletednot on this map

Interventional Study in Cognitively Intact Seniors Aiming to Assess the Effects of Meditation Training and Foreign Language Learning on Behavioral, Biological and Neuroimaging Measures

TypeinterventionalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2016 to 2023Enrolled137ConditionsCognitive AgingArmsMeditation practice, Learning English as a foreign language
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Léa ChauveauNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Julie Gonneaud *Normandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Géraldine Poisnel *Normandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Brigitte LandeauNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Antoine Garnier-CrussardNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Anne-Lise PitelNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Daniel RoquetNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Edelweiss TouronNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Sacha HaudryNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Florence MezengeNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Anne ChocatNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Denis VivienPhIND Physiopathology and Imaging of Neurological Disorders, Normandy University, UNICAEN, INSERM, U1237, Institut Blood and Brain @ Caen-Normandie (BB@C), GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Vincent de La SayetteService de Neurologie, CHU de Caen, Av. de la Côte de Nacre CS 30001, Caen, 14033, France.
Gaël ChételatNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France.
Robin de FloresNormandy University, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of Neurological Disorders", Neuropresage Team; GIP Cyceron, Bd Henri Becquerel, BP 5229, Caen, 14074, France. deflores@cyceron.fr.
Medit-Ageing Research Group

Funding

European Union's Horizon 2020 research and innovation program Grant 667696Région Normandie Label d'Excellence
6 · The paper itself

Abstract

backgroundCortico-hippocampal functional networks, specifically the anterior-temporal (AT) and posterior-medial (PM) systems, are crucial for memory and highly vulnerable to aging and Alzheimer's disease (AD). While modifiable cardiovascular risk factors may offer prevention opportunities to preserve brain aging, their effects on AT/PM functional connectivity remain unknown. This study aims to investigate these associations in older adults, considering major risk categories and exploring potential interactions with protective lifestyle habits and AD risk factors.

methodsOne hundred thirty-one community-dwelling cognitively unimpaired adults aged 65 + were selected from the Age-Well trial, a French monocentric population-based study conducted from 2016 to 2020. Resting-state fMRI and cardiovascular risk assessments were performed at baseline and 18-month follow-up. Functional connectivity within the AT and PM networks was derived from seed-based analyses using the perirhinal and parahippocampal cortices as individual seeds, respectively. Generalized additive and linear mixed models assessed the effects of cardiovascular risk factors on AT/PM functional connectivity, including interactions with protective lifestyle habits and AD risk factors.

resultsBaseline mean age was 69 (65-84) years, with 63.5% women. Higher abdominal fat (95% CI: -0.00118, -0.00005; F = 5.39; P =.02), higher LDL cholesterol (95% CI: -0.01642, -0.00345; F = 10.40; P =.001), longer smoking duration (95% CI: NA; F = 3.89; P =.03) and greater alcohol consumption (95% CI: -0.01134, -0.00045; F = 4.66; P =.02) were consistently associated with lower PM connectivity, collectively explaining 11.4% of the variance. However, only LDL cholesterol survived multiple comparisons, possibly reflecting a more direct involvement in cardiovascular mechanisms affecting functional connectivity. No association was found with AT connectivity. Exploratory analyses showed that these relationships were independent of cerebral Aβ-positivity or APOE-ε4 carrier status and were unaffected by physical activity and Mediterranean diet when considered separately. DISCUSSION: This study highlights converging associations between higher cardiovascular risk factors and lower functional connectivity in cognitively unimpaired older adults, specifically affecting the PM-but not AT-network, and independent of AD risk. Targeting these specific modifiable factors may prevent age-related network alterations to promote cognitive health in aging. TRIAL REGISTRATION INFORMATION: The Age-Well trial was registered with ClinicalTrials.gov on November 25, 2016 (identifier: NCT02977819).

Indexed as

Cardiovascular DiseasesHeart Disease Risk FactorsHippocampusNerve NetTemporal LobeAgedAged, 80 and overFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysRisk FactorsAgingAslzheimer’s diseaseCardiovascular risk factorsFunctional connectivityFunctional magnetic resonance imagingMedial temporal lobe

Identifiers

PMID40665410
PMCPMC12261594

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Registered trials

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.