Evidence map›Paper›PMID 38445293›Full record

ArticleCerebral circulation - cognition and behavior2024

Slower speed of blood pressure recovery after standing is associated with accelerated brain aging: Evidence from The Irish Longitudinal Study on Ageing (TILDA).

Morgana A Shirsath, John D O'Connor, Rory Boyle, Louise Newman, Silvin P Knight, Belinda Hernandez, Robert Whelan, James F Meaney, Rose Anne Kenny

Open access · goldAbstract read
In one paragraph

Article in Cerebral circulation - cognition and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 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

9 authors at 4 institutions in 3 countries.

Morgana A ShirsathThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
John D O'ConnorThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
Rory BoyleDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Louise NewmanThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
Silvin P KnightThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
Belinda HernandezThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
Robert WhelanTrinity College Institute of Neuroscience, Trinity College, University of Dublin, Ireland.
James F MeaneyNational Centre for Advanced Medical Imaging (CAMI), St. James's Hospital, Dublin, Ireland.
Rose Anne KennyThe Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College, University of, Ireland.
Trinity College Dublin · IEMassachusetts General Hospital · USSt. James's Hospital · IEUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Impaired recovery of blood pressure (BP) in response to standing up is a prevalent condition in older individuals. We evaluated the relationship between the early recovery of hemodynamic responses to standing and brain health in adults over 50. Methods: Participants from The Irish Longitudinal Study on Ageing (TILDA) (n=411; age 67.6 ± 7.3 years; 53.4 % women) performed an active stand challenge while blood pressure and heart rate were continuously monitored. The recovery of these parameters was determined as the slope of the BP and HR response, following the initial drop/rise after standing. We have previously reported a novel and validated measure of brain ageing using MRI data, which measures the difference between biological brain age and chronological age, providing a brain-predicted age difference (brainPAD) score. Results: Slower recovery of systolic and diastolic BP was found to be significantly associated with higher brainPAD scores (i.e., biologically older brains), where a one-year increase in brainPAD was associated with a decrease of 0.02 mmHg/s and 0.01 mmHg/s in systolic and diastolic BP recovery, respectively, after standing. Heart rate (HR) recovery was not significantly associated with brainPAD score. Conclusion: These results demonstrate that slower systolic and diastolic BP recovery in the early phase after standing is associated with accelerated brain aging in older individuals. This suggests that the BP response to standing, measured using beat-to-beat monitoring, has the potential to be used as a marker of accelerated brain aging, relying on a simple procedure and devices that are easily accessible.

Indexed as

Active standBrain agingCerebral autoregulationOrthostatic hypotension

Identifiers

PMID38445293
PMCPMC10912350
OpenAlexW4392130394

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.