Evidence map›Paper›PMID 40242837›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Rest-activity rhythm characteristics associated with lower cognitive performance and Alzheimer's disease biomarkers in midlife women.

Alexandra Paget-Blanc, Rebecca C Thurston, Stephen F Smagula, Yuefang Chang, Pauline M Maki

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Sleep Abnormalities and Risk of Alzheimer's Disease.Current neurology and neuroscience reports · 2025
    Review
  7. 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

5 authors.

Alexandra Paget-BlancDepartment of Psychiatry University of Illinois at Chicago Chicago Illinois USA.ORCID https://orcid.org/0009-0007-6615-8854
Rebecca C ThurstonDepartment of Psychiatry, School of Medicine University of Pittsburgh Pittsburgh Pennsylvania USA.
Stephen F SmagulaDepartment of Psychiatry, School of Medicine University of Pittsburgh Pittsburgh Pennsylvania USA.
Yuefang ChangDepartment of Epidemiology, Graduate School of Public Health University of Pittsburgh Pittsburgh Pennsylvania USA.
Pauline M MakiDepartment of Psychiatry University of Illinois at Chicago Chicago Illinois USA.

Funding

Menopausal Vasomotor Symptoms and Brain Aging in WomenRF1AG053504 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAKI, PAULINE M, THURSTON, REBECCA C · 2016 to 2019
$4.1M
Menopausal Vasomotor Symptoms and Brain Aging in WomenR01AG053504 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAKI, PAULINE M, THURSTON, REBECCA C · 2021 to 2025
$3.8M
Interdisciplinary Mentoring and Research in Womens Cardiovascular HealthK24HL123565 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THURSTON, REBECCA C · 2014 to 2023
$1.0M
Combining information from multiple circadian activity rhythm metrics to optimally detect mild cognitive impairment using a consumer wearableR21AG074094 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SMAGULA, STEPHEN F · 2021 to 2022
$439k
Relationship between sleep disturbances, vasomotor symptoms, and cognitive health in Black and Latina midlife womenR36AG088285 · NIA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PAGET-BLANC, ALEXANDRA · 2024 to 2024
$52k
NHLBI NIH HHS K24 HL123565NIA NIH HHS R01 AG053504NIA NIH HHS R21 AG074094NIA NIH HHS R36 AG088285NIA NIH HHS RF1 AG053504
6 · The paper itself

Abstract

introductionDisrupted rest-activity rhythms (RARs) have been linked to poorer cognitive function and Alzheimer's disease (AD) biomarkers. Here we extend this work to midlife women, who commonly experience menopause-related sleep and cognitive problems.

methodsOne hundred ninety-four postmenopausal participants underwent a neuropsychological evaluation, 72 h of wrist actigraphy generating RAR variables, and a blood draw to measure AD biomarkers: phosphorylated tau (p-tau181, p-tau231) and amyloid beta (Aβ40, Aβ42).

resultsLower interdaily stability (IS) and relative amplitude (RA) and higher interdaily variability (IV) and least active 5 h (L5) were associated with worse processing speed, independent of sleep. Adjustment for sleep significantly attenuated the associations of RA with memory. Lower RA was associated with higher p-tau231 level, independent of sleep. Further adjustment for menopause-related factors modestly accounted for the associations between RAR, cognitive measures, and AD biomarkers. DISCUSSION: Weaker RAR, particularly RA, was associated with worse cognitive functions, and higher AD biomarkers levels, possibly linking RAR with AD pathology in women. Highlights: Lower rhythm stability and robustness and higher fragmentation were associated with worse processing speed.Lower robustness was associated with higher levels of phosphorylated tau-231.Menopause factors did not attenuate the association between rest-activity rhythms and cognitive function.

Indexed as

actigraphyAlzheimer's diseaseamyloid betacognitionmenopausephosphorylated tauwomen

Identifiers

PMID40242837
PMCPMC12000222

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.