Evidence mapPaperPMID 40350180Full record

ArticleBMJ mental health2025

Identification of circadian-sensitive brain structure and its role in cognitive impairment and dementia.

Siwen Luo, Yimeng Wang, Mengchao He, Qiaorui Wen, Shengfeng Wang, Jia Cao, Qing Chen

Abstract read
In one paragraph

Article in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Siwen LuoKey Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China.ORCID http://orcid.org/0009-0005-4913-4231
Yimeng WangKey Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China.ORCID http://orcid.org/0009-0006-3420-7378
Mengchao HeKey Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China.ORCID http://orcid.org/0009-0006-9134-0722
Qiaorui WenDepartment of Epidemiology and Biostatistics, Peking University Health Science Center, Beijing, China.ORCID http://orcid.org/0000-0002-9963-5043
Shengfeng WangDepartment of Epidemiology and Biostatistics, Peking University Health Science Center, Beijing, China.ORCID http://orcid.org/0000-0001-9397-0409
Jia CaoKey Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China.ORCID http://orcid.org/0000-0001-7209-2993
Qing ChenKey Lab of Medical Protection for Electromagnetic Radiation, Ministry of Education of China, Institute of Toxicology, College of Preventive Medicine, Third Military Medical University, Chongqing, China chenqing@tmmu.edu.cn.ORCID http://orcid.org/0000-0003-4108-7977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCircadian disruption has been suggested to induce cognitive impairment and dementia. It remains unknown which brain structures are involved in the pathology.

objectiveTo investigate which specific brain structure alterations are associated with dementia and cognitive impairment induced by circadian disruption.

methodsCircadian disruption was represented by two accelerometer-derived circadian variables, composite phase deviations (CPD) and relative amplitude (RA), separately reflecting circadian disruption in timing and amplitude. The outcomes include brain structures (139 imaging-derived phenotypes), cognitive test performances (seven cognitive tests) and dementia (all-cause dementia, Alzheimer's disease, vascular dementia (AD/VD) and non-AD/VD dementia). Association analysis was used to explore the relationships between circadian disruption and brain structure alterations, cognitive test performances and dementia. Mediation analysis was conducted to investigate which brain structure alterations mediated the cognitive impairment and dementia caused by circadian disruption.

findingsA total of 88 461 participants (57% female, 62.0±7.8-year old) were included. CPD and RA correlated with substantially different brain structures. All CPD-related brain structures were located in the cerebrum, whereas most RA-related brain structures were located in the cerebellum. Furthermore, only the CPD-related brain structures, including the hippocampus and thalamus, exhibited significant mediation effects accounting for up to 8.6% of the risk for dementia and 13.5% of the risk for cognitive impairment.

conclusionsCircadian disruption is associated with brain structural alterations involving dementia and cognitive impairments. CLINICAL IMPLICATIONS: These results provide a novel insight into the mechanism underlying circadian disruption-induced neurological disorder and may propose potential preventive strategy.

Indexed as

BrainCircadian RhythmCognitive DysfunctionDementiaAgedFemaleHumansMaleMiddle AgedNeuropsychological TestsCross-Sectional StudiesSleep

Identifiers

PMID40350180
PMCPMC12067822

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.