Evidence map›Paper›PMID 29514768›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2018

Outcome age-based prediction of successful cognitive aging by total cholesterol.

Jeremy M Silverman, James Schmeidler

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2018. 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
1.8field-weighted citation impact, top 15% of its field
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, 19 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Jeremy M SilvermanDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA; James J. Peters Veterans Affairs Medical Center, Research & Development, Bronx, NY, USA. Electronic address: jeremy.silverman@mssm.edu.
James SchmeidlerDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USJames J. Peters VA Medical Center · US

Funding

VESICULAR LOCALIZATION AND FUNCTION OF PRESENILIN 1 FRAGMENTP50AG005138 · NIA · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI ZHU, CAROLYN WEI · 1985 to 2019
$37.9M
Successful Cogn. Aging and Cardiovascular Risk Factors in the Central Valley CRR21TW009258 · FIC · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SILVERMAN, JEREMY M. · 2012 to 2013
$253k
Cardiovascular RF and Successful Cognitive Aging in Very Old Male VeteransI01CX000900 · VA · JAMES J PETERS VA MEDICAL CENTER · PI SILVERMAN, JEREMY M. · 2014 to 2019
–
CSRD VA I01 CX000900FIC NIH HHS R21 TW009258NIA NIH HHS P50 AG005138
6 · The paper itself

Abstract

introductionSome associations of high total cholesterol with dementia risk diminish as the outcome age-age at cognitive assessment-increases.

methodsThe Framingham Heart Study provided 1897 participants with intact cognition at entry. Cox regression analysis for incident marked cognitive decline included "time-dependent" coefficients, with associations between total cholesterol and covariates changing by outcome age. Decline within age categories of 75-84 and 85-94 years was also examined.

resultsSignificant associations of rising total cholesterol linear slope, low entry age, low education, and statin nonuse with risk diminished significantly by outcome age. At 85-94 years, falling linear slope was significant. DISCUSSION: The protected survival model posits a minority subpopulation with protection against mortality and cognitive decline associated with total cholesterol risk factors. It predicts the observed diminished or reversed cholesterol associations with increasing age. Protection is particularly likely for successful cognitive aging-intact cognition at very old age-despite increased risk from cholesterol.

Indexed as

CholesterolSurvival AnalysisAgedAged, 80 and overCognitive AgingCognitive DysfunctionDementiaFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLongitudinal StudiesMalePrognosisRisk FactorsTime FactorsCholesterolHydroxymethylglutaryl-CoA Reductase InhibitorsDementiaOldest-oldProtected survivorProtective factorsRisk factorsSurvival analysisTime-dependent coefficients

Identifiers

PMID29514768
PMCPMC6050071
OpenAlexW2794129096

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.