Evidence map›Paper›PMID 41498952›Full record

ArticleJournal of neurology2026

The differential effect of chronological age and brain age on cognitive fatigue: new metrics, new insights.

G R Wylie, C A F Román, J C Buckey, N D Chiaravalloti, M J Falvo, J C Ford, H M Genova, C E Niemczak, R M Roth, J DeLuca

Abstract read
In one paragraph

Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Towards a domain-general mechanistic model of fatigue: application to Functional Neurological Disorder.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    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

10 authors.

G R WylieKessler Foundation, West Orange, NJ, USA. gwylie@kesslerfoundation.org.ORCID http://orcid.org/0000-0002-7061-6658
C A F RománKessler Foundation, West Orange, NJ, USA.
J C BuckeyGeisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH, USA.
N D ChiaravallotiKessler Foundation, West Orange, NJ, USA.
M J FalvoRutgers University New Jersey Medical School, Newark, NJ, USA.
J C FordGeisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH, USA.
H M GenovaKessler Foundation, West Orange, NJ, USA.
C E NiemczakGeisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH, USA.
R M RothGeisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH, USA.
J DeLucaKessler Foundation, West Orange, NJ, USA.

Funding

Healthcare Factors and Cardiovascular Risk Influences on Accelerated Brain Aging and Disability in Hispanic Persons with Multiple SclerosisK23MD019232 · NIMHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Cristina A. F. Román · 2023 to 2026
$422k
CSRD VA I01 CX000893Hitchcock Foundation 250-8006National Multiple Sclerosis Society RG 4232A1/1New Jersey Commission on Brain Injury Research 10.005.BIR1New Jersey Commission on Brain Injury Research CBIR19PIL021New Jersey Commission on Brain Injury Research CBIR23IRG006NIH HHS L32MD019916NIMHD NIH HHS K23 MD019232NIMHD NIH HHS K23MD019232NIMHD NIH HHS L32 MD019916U.S. Department of Veterans Affairs 5I01CX000893
6 · The paper itself

Abstract

Fatigue is prevalent in the general population, but it is unclear whether aging is associated with increased fatigue. Here, we investigate the relationship between cognitive fatigue (CF, fatigue resulting from mental work) and two types of aging-chronological age and brain age-in 85 participants ranging in age from 20 to 84 years. Whereas chronological age is simply participants' absolute age, brain age is derived from a comparison of participants' brain morphology relative to a normative model. CF was induced using a working memory paradigm that participants repeatedly performed, reporting their instantaneous level of CF at baseline and after each successive block of the task. Chronological age was associated with a decrease in the CF reported at baseline (the intercept of a regression line fit to the CF ratings), whereas brain age was related to the rate at which fatigue was induced (the slope of the regression line fit to the CF ratings). Behaviorally, the decrease in CF as a function of chronological age was mirrored by a more liberal response bias, providing more evidence that response bias represents an objective behavioral index of CF. Additionally, areas of the insula showed a relationship between CF and chronological age, suggesting that the role of the insula may change across the lifespan. These results represent the first well-powered study to investigate the relationship between CF and chronological age as well as brain age and suggests that CF may be an important indicator of brain age across the lifespan.

Indexed as

AgingBrainFatigueMental FatigueAdultAgedAged, 80 and overFemaleHumansMagnetic Resonance ImagingMaleMemory, Short-TermMiddle AgedNeuropsychological TestsYoung AdultAgingBrain AgeCognitive FatigueMRI

Identifiers

PMID41498952
PMCPMC12779680

What OpenQuestion holds

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LicenceCC BY
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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.