Evidence map›Paper›PMID 40709503›Full record

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

Relationship between cellular aging, perceived stress, and cardiometabolic disease risk in Black family caregivers of persons with dementia.

Jordan Watson, Emily Buchi, Melinda K Higgins, Glenna S Brewster Glasgow, Antoine R Trammell, Christopher Herring, Whitney Wharton, Rebecca A Gary, Kenneth Hepburn, Sandra B Dunbar and 1 more

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Jordan WatsonNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Emily BuchiNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Melinda K HigginsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Glenna S Brewster GlasgowNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Antoine R TrammellSchool of Medicine, Emory University, Atlanta, Georgia, USA.
Christopher HerringNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Whitney WhartonNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Rebecca A GaryNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Kenneth HepburnNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Sandra B DunbarNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Brittany ButtsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-4862-7086

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Caregiver Stress: Interventions to Promote Health and WellbeingP01NR011587 · NINR · EMORY UNIVERSITY · PI CORWIN, ELIZABETH JEANNE, MILLER, ANDREW H · 2009 to 2013
$3.2M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Using design thinking approaches to tailor a dyadic behavioral sleep intervention for persons living with dementia and their caregiversK23AG070378 · NIA · EMORY UNIVERSITY · PI BREWSTER, GLENNA SHEMIDA · 2021 to 2025
$992k
Midlife Vascular Risk Factors for Alzheimer's Disease in Persons with HFpEFK23AG076977 · NIA · EMORY UNIVERSITY · PI Brittany Butts · 2023 to 2026
$771k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454NIA NIH HHS K23 AG070378NIA NIH HHS K23AG070378NIA NIH HHS K23 AG076977NIA NIH HHS K23AG076977NINR NIH HHS P01 NR011587NINR NIH HHS P01NR011587NINR NIH HHS T32 NR012715NINR NIH HHS T32NR012715
6 · The paper itself

Abstract

backgroundInformal caregivers of individuals with Alzheimer's disease and related dementias (ADRD) face significant physical and psychological demands. Chronic caregiving is linked to mental health challenges, poor cardiovascular health, and accelerated cellular aging, reflected in telomere shortening, with Black caregivers disproportionately affected.

methodsThis secondary analysis used data from Black caregivers from a randomized control trial. Telomere length was measured by qPCR. Questionnaires assessed perceived stress, sleep, depression, anxiety, and coping strategies. Salivary cortisol, inflammatory, and cardiometabolic biomarkers were measured. Pearson correlations and linear regression analyses controlled for demographic and health factors.

resultsShorter telomeres were linked to stress, poor sleep, inflammation, and cardiometabolic markers. Perceived stress was associated with negative coping strategies, anxiety, and depressive symptoms. DISCUSSION: More research is needed to uncover mechanisms linking caregiver stress to cardiovascular health, guiding tailored interventions to reduce stress and improve cardiovascular health in Black caregivers of persons with ADRD. HIGHLIGHTS: Chronic stress in Black caregivers: Chronic caregiving stress was linked to accelerated cellular aging, inflammation, and poor cardiometabolic health. Perceived stress associations: Higher perceived stress was associated with negative coping strategies, poor sleep quality, anxiety, depression, and reduced telomere length. Telomere length and cardiometabolic risk: Shorter telomere length was significantly associated with elevated cardiometabolic risk markers, including insulin resistance and increased blood pressure. Need for interventions: Findings emphasize the importance of culturally tailored interventions aimed at reducing stress and mitigating health risks in Black caregivers of persons living with Alzheimer's disease.

Indexed as

Black or African AmericanCaregiversCellular SenescenceDementiaStress, PsychologicalAdaptation, PsychologicalAgedAlzheimer DiseaseAnxietyCardiometabolic Risk FactorsDepressionFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAlzheimer's diseasecaregivinginflammationracestresstelomere

Identifiers

PMID40709503
PMCPMC12290481

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.