Evidence map›Paper›PMID 40817206›Full record

ArticleBMC geriatrics2025

Association between estimated glomerular filtration rate and memory function mediated by brain Gray matter volumes: a cross-sectional study using the ADNI database.

Xiaoyu Wang, Jiafeng Wang, Qianqian Xie, Yan Wang, Chunyan Li, Lin Song, Yifeng Du

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. 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
–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

3 citing papers in PubMed.

  1. Kidney function and brain health: cognitive and structural signatures across cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Review
  3. 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

7 authors.

Xiaoyu WangDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China.
Jiafeng WangDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China.
Qianqian XieDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China.
Yan WangDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China.
Chunyan LiDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China.
Lin SongDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China. zzusonglin@163.com.
Yifeng DuDepartment of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, P. R. China. du-yifeng@hotmail.com.

Funding

Academic Promotion Program of Shandong First Medical University 2019QL020Academic Promotion Program of Shandong First Medical University 2020RC009STI2030-Major Project 2021ZD0201808STI2030-Major Project 2022ZD0211600the Taishan Scholar Program of Shandong Province ts20190977the Taishan Scholar Program of Shandong Province Tsqn201909182
6 · The paper itself

Abstract

backgroundEstimated glomerular filtration rate (eGFR) is associated with gray matter volumes (GMVs) in memory-related regions, but its relationship with memory function and the mediating role of GMVs remain unclear. We aimed to investigate whether eGFR levels are associated with memory function and whether GMVs mediate this association.

methodsThis study utilized data from the Alzheimer's Disease Neuroimaging Initiative (ADNI). Participants were categorized into eGFR quartiles. Memory function was assessed using the ADNI composite memory score (ADNI_MEM). GMVs were normalized to total intracranial volume. Multivariate linear regression models examined associations between eGFR, GMVs, and memory function. Structural equation modeling (SEM) assessed the mediating role of GMVs.

resultsA total of 1311 older adults were included. Higher eGFR was associated with better memory function (adjusted β = 0.33, 95% CI: 0.14-0.50), particularly in mild cognitive impairment (MCI) patients (adjusted β = 0.45, 95% CI: 0.23-0.67). Higher eGFR was also associated with larger GMVs in key memory-related regions, including the hippocampus, entorhinal cortex, fusiform gyrus, and middle temporal gyrus (all P < 0.001). GMVs significantly mediated the relationship between eGFR and memory function (all mediation P < 0.05).

conclusionsHigher eGFR levels are positively associated with memory performance, particularly in individuals with MCI, and this association is mediated by GMVs. These findings suggest that renal function may be a critical factor in memory decline risk assessment.

Indexed as

Alzheimer DiseaseBrainCognitive DysfunctionDatabases, FactualGlomerular Filtration RateGray MatterMemoryAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleOrgan SizeAssociationEstimated glomerular filtration rateGray matter volumesMediation effectMemory function

Identifiers

PMID40817206
PMCPMC12355792

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.