Evidence mapPaperPMID 40879031Full record

ArticleJournal of the American Heart Association2025

Sex Differences in the Impact of Atherosclerotic Cardiovascular Risk Burden on Cognitive Health.

Lijun Zuo, Zaylea Kua, Xuan Wang, Audrey Low, Xueli Cai, Shan Li, Mengxing Wang, Yongjun Wang, Yanhong Dong, Yuesong Pan

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Lijun ZuoDepartment of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.
Zaylea KuaDepartment of Medicine Yong Loo Lin School of Medicine, National University of Singapore Singapore Singapore.
Xuan WangDepartment of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.ORCID 0000-0001-5929-6916
Audrey LowDepartment of Psychiatry School of Clinical Medicine, University of Cambridge Cambridge UK.ORCID 0000-0002-2520-454X
Xueli CaiDepartment of Neurology The Fifth Affiliated Hospital of Wenzhou Medical University Lishui Zhejiang China.ORCID 0000-0003-0296-1166
Shan LiCerebrovascular Research Lab The Fifth Affiliated Hospital of Wenzhou Medical University Lishui Zhejiang China.ORCID 0000-0001-9380-2042
Mengxing WangDepartment of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.
Yongjun WangDepartment of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.ORCID 0000-0002-9976-2341
Yanhong DongDepartment of Medicine Yong Loo Lin School of Medicine, National University of Singapore Singapore Singapore.ORCID 0000-0002-3215-0164
Yuesong PanDepartment of Neurology Beijing Tiantan Hospital, Beijing, Capital Medical University Beijing China.ORCID 0000-0003-3082-6789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSex affects the prevalence of atherosclerotic cardiovascular disease (ASCVD) risk factors but whether sex differences exist in the associations between ASCVD risk burden and cognitive function is unclear.

methodsThis cross-sectional study included participants from a population-based cohort study in China that recruited community-dwelling adults aged 50 to 75 years without baseline cardiovascular disease and stroke. The 10-year ASCVD risk burden was quantified with 3 multivariate risk prediction equations. Cognitive domains of memory, attention, visuospatial function, executive function, and processing speed were assessed. Multivariable linear regression models were used to examine the interaction terms between sex and ASCVD risk scores on cognition.

resultsThe final analytical sample included 2180 participants. Mean±SD age was 60.14 (6.38) and 52.1% were women. Men showed significantly higher ASCVD risk burden than women at baseline but the effect of ASCVD risk on 2-year cognition were amplified in women compared with men, for the domains of memory (eg, β=-0.20 [95% CI, -0.26 to -0.13] versus β=-0.11 [95% CI, -0.16 to -0.07]), executive function (eg, β=-0.23 [95% CI, -0.31 to -0.16] versus β=-0.16 [95% CI, -0.21 to -0.10]), and processing speed (eg, β=-0.33 [95% CI, -0.39 to -0.27] versus β=-0.17 [95% CI, -0.21 to -0.13]). Sex-stratified analyses showed different neuropsychological profiles at moderate ASCVD risk burden levels, suggesting sex-specific ASCVD-risk related cognitive phenotypes.

conclusionsSex differences in cognitive health affected by ASCVD risk underscore the importance of sex-specific cognitive monitoring during ASCVD risk management and better vascular risk control in women to prevent cognitive decline.

Indexed as

AtherosclerosisCognitionCognitive DysfunctionAgedChinaCross-Sectional StudiesExecutive FunctionFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedPrevalenceRisk AssessmentRisk FactorsSex Factorsatherosclerotic cardiovascular diseasecognitioncognitive impairmentrisk scorevascular risk factors

Identifiers

PMID40879031
PMCPMC12553448

What Socratic holds

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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.