Evidence map›Paper›PMID 41411146›Full record

ReviewExperimental physiology2025

Impaired Windkessel function and proximal aortic stiffness: Linking vascular ageing to cognitive decline.

Jun Sugawara, Hirofumi Tanaka

Abstract readReview
In one paragraph

Review in Experimental physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. A peripheral perspective on brain health: vascular and skeletal muscle contributions.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  3. Article
  4. Observational
  5. 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

2 authors.

Jun SugawaraHuman Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan.ORCID https://orcid.org/0000-0002-2603-0692
Hirofumi TanakaDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, Texas, USA.ORCID https://orcid.org/0000-0002-1780-7471

Funding

Japan Society for the Promotion of Science 25K003057
6 · The paper itself

Abstract

Central arterial stiffening, particularly of the proximal aorta, is increasingly recognised as a pivotal contributor to cardiovascular disease, dementia, and mild cognitive impairment. Loss of Windkessel function amplifies pulsatile pressure, reduces diastolic perfusion and accelerates microvascular damage in the brain. Evidence from epidemiological studies, magnetic resonance imaging investigations and longitudinal data demonstrates disproportionate age-related stiffening of the proximal aorta and its strong association with cognitive decline. Importantly, this process is modifiable: aerobic exercise and unique environmental adaptations, such as those observed in Japanese Ama divers, preserve proximal aortic elasticity. Targeting central arterial stiffness may represent a promising strategy for preventing both vascular disease and brain dysfunction.

Indexed as

ageingarterial stiffnesscerebrovascular diseasedementiaphysical activity

Identifiers

PMID41411146
PMCPMC13394254

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.