Evidence mapPaperPMID 40775489Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Arterial stiffness moderates the link between NfL and cognition: The IGNITE study.

Amani M Norling, Lewis A Lipsitz, Alyssa B Dufour, Thomas G Travison, Kelsey R Sewell, Audrey M Collins, Lu Wan, George Grove, Haiqing Huang, Lauren E Oberlin and 13 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02875301 (Investigating Gains in Neurocognition in an Intervention Trial of Exercise), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02875301 phase3completednot on this map

Investigating Gains in Neurocognition in an Intervention Trial of Exercise

TypeinterventionalSponsorUniversity of PittsburghRan2017 to 2023Enrolled648ConditionsHealthy, Cognitive Function 1, SocialArms150 Minutes Week, 225 Minutes Week, Stretch and Tone
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Arterial stiffness moderates the link between NfL and cognition: The IGNITE study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Article
  3. Observational
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

23 authors.

Amani M NorlingThe Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.ORCID 0000-0003-1638-5913
Lewis A LipsitzThe Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Alyssa B DufourThe Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Thomas G TravisonThe Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts, USA.
Kelsey R SewellAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Audrey M CollinsAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Lu WanAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
George GroveDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Haiqing HuangAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Lauren E OberlinAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Shivangi JainAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.
Thomas K KarikariDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jill K MorrisAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
John M JakicicDepartment of Internal Medicine, Division of Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, USA.
Edward McAuleyBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Illinois, USA.
Arthur F KramerBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Illinois, USA.
Charles H HillmanDepartment of Psychology, Northeastern University, Boston, Massachusetts, USA.
Eric D VidoniAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Sandra A BillingerAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Jeffrey M BurnsAlzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Anna L MarslandDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Chaeryon KangDepartment of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kirk I EricksonAdventHealth Research Institute, Neuroscience, Orlando, Florida, USA.

Funding

Longitudinal multicenter head-to-head harmonization of tau PET tracersR01AG073267 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2025 to 2025
$6.9M
Mild Cognitive Impairment: A Prospective Community StudyR37AG023651 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2021 to 2025
$5.6M
Predictors of Altered CNS Structure, Function, and Connectomics in the Elderly using a Health Disparities FrameworkR01AG072641 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2023 to 2025
$4.9M
Research Education ComponentP30AG066468 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2025 to 2025
$4.5M
Frontiers Clinical and Translational Science Institute at the University of KansasUL1TR002366 · UNIVERSITY OF KANSAS MEDICAL CENTER · 2025 to 2025
$3.7M
University of Kansas Alzheimer's Disease Research Center (KU ADRC)P30AG072973 · UNIVERSITY OF KANSAS MEDICAL CENTER · 2025 to 2025
$3.0M
Examining the Persistence of Neurocognitive Benefits of ExerciseR01AG083156 · ADVENTHEALTH ORLANDO · 2025 to 2025
$2.3M
Alzheimer Diagnosis in older Adults with Chronic Conditions ADACC NetworkU24AG082930 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 2025 to 2025
$1.8M
Analytical characterization and validation of blood-biomarkers for monitoring TBI evolutionU01NS131740 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2025 to 2025
$1.5M
The RAW Brain - The Effect of Rumination, Anxiety and Worry on Aging and Dementia RiskR01MH108509 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2025 to 2025
$1.5M
Plasma brain-derived tau: a novel Alzheimer’s disease-type neurodegeneration biomarker with potential to complete the AT(N) scheme in bloodR01AG083874 · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2025 to 2025
$1.5M
Head-to-head comparisons of high-performance plasma phospho-tau epitopes for the detection of Alzheimer's diseaseR01AG075336 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2022 to 2025
$1.5M
Aging Mind Foundation DAF2255207Clinical and Translational Science Institute at the University of PittsburghKansas University infrastructure grants UL1TR002366NCATS NIH HHS UL1 TR002366NIA NIH HHS P01 AG025204NIA NIH HHS P30 AG066468NIA NIH HHS P30 AG072973NIA NIH HHS R01 AG025516NIA NIH HHS R01 AG053952NIA NIH HHS R01 AG072641NIA NIH HHS R01 AG073267NIA NIH HHS R01 AG075336NIA NIH HHS R01 AG083156NIA NIH HHS R01 AG083874NIA NIH HHS R35 AG072307NIA NIH HHS R37 AG023651NIA NIH HHS RF1 AG077474NIA NIH HHS T32 AG023480NIA NIH HHS U24 AG082930NIH/NIA R01 AG053952 to KIENIH/NIA R35 AG072307 to KIENIMH NIH HHS K23 MH129882NIMH NIH HHS R01 MH108509NINDS NIH HHS U01 NS131740NINDS NIH HHS U01 NS141777Professional Endowment from the Department of Psychiatry, University of PittsburghU.S. Department of Defense HT94252320064
6 · The paper itself

Abstract

introductionArterial stiffness (carotid-femoral pulse wave velocity [cfPWV]) and plasma neurofilament light (NfL), markers of vascular and neuroaxonal aging, are linked to cognitive decline. Whether higher cfPWV amplifies the NfL-cognition relationship remains unclear.

methodsCognitively unimpaired older adults (N = 570) were assessed using composite cognitive scores from confirmatory factor analysis. cfPWV was dichotomized at the median. Plasma NfL was quantified on a Single Moleculte Array-High Definition, model X (SIMOA-HD X).

resultsHigher NfL correlated with poorer performance across all cognitive domains (p < 0.05), and higher cfPWV was linked to worse episodic memory, working memory, and processing speed (p < 0.05). NfL× cfPWV interactions were significant for episodic (β = 0.289, p = 0.048) and working memory (β = 0.287, p = 0.025), with stronger NfL-cognition associations in the higher cfPWV group (episodic memory: β = -0.324, p < 0.01; working memory: β = -0.343, p < 0.01). DISCUSSION: Greater cfPWV amplified the association between NfL-related axonal degeneration and cognitive decline.

trial registrationClinicalTrials.gov: NCT02875301 HIGHLIGHTS: Neurofilament light (NfL) and carotid-femoral pulse wave velocity (cfPWV) each correlate with poorer cognitive function in older adults. Higher cfPWV exacerbates the link between NfL and cognitive deficits. Arterial stiffness may worsen NfL-related cognitive decline. Findings reveal synergy between vascular and neurodegenerative aging markers. Examining NfL or cfPWV alone may miss their synergistic effects on cognition.

Indexed as

CognitionCognitive DysfunctionNeurofilament ProteinsVascular StiffnessAgedAged, 80 and overBiomarkersCarotid-Femoral Pulse Wave VelocityFemaleHumansMaleNeuropsychological TestsPulse Wave AnalysisBiomarkersneurofilament protein LNeurofilament Proteinscardiorespiratory fitnesscognitive agingepisodic memoryneurofilament lightolder adultspulse wave velocityvascular healthworking memory

Identifiers

PMID40775489
PMCPMC12331445

What Socratic holds

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Registered trials

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.