Evidence map›Paper›PMID 40929154›Full record

ArticleThe Gerontologist2025

The relationship between blood pressure and cognitive decline differs by race.

Michael D Oliver, Cassandra Morrison, Sondos El-Hulu, Marquinta Harvey, Melissa Lamar, David A Bennett, Lisa L Barnes

Abstract read
In one paragraph

Article in The Gerontologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Michael D OliverDepartment of Psychological Science and Neuroscience, Belmont University, Nashville, Tennessee, United States.ORCID 0000-0002-1768-4993
Cassandra MorrisonDepartment of Psychology, Carleton University, Ottawa, Ontario, Canada.ORCID 0000-0002-1087-5770
Sondos El-HuluDepartment of Psychological Science and Neuroscience, Belmont University, Nashville, Tennessee, United States.
Marquinta HarveyThomas F. Frist, Jr. College of Medicine, Belmont University, Nashville, Tennessee, United States.
Melissa LamarRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, United States.ORCID 0000-0001-6130-5543
David A BennettRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, United States.ORCID 0000-0003-3689-554X
Lisa L BarnesRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, United States.ORCID 0000-0002-0072-9817

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
Rush Alzheimer's Disease Research CenterP30AG072975 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Lisa L Barnes, Julie A. Schneider · 2021 to 2026
$24.7M
CIHRNational Institutes of Health, National Institute on Aging P30 AG10161National Institutes of Health, National Institute on Aging P30 AG72975National Institutes of Health, National Institute on Aging R01 AG17917National Institutes of Health, National Institute on Aging R01 AG22081NIA NIH HHS P30 AG010161NIA NIH HHS P30 AG072975NIA NIH HHS R01 AG017917
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCognition may be influenced by health-related factors such as blood pressure (BP). However, variations in BP may differentially affect cognition across race. This study investigates BP and cognitive decline in older Black and White adults. RESEARCH DESIGN AND

methodsA total of 2,284 participants (1,139 Blacks, 1,145 Whites, MAge = 73.4) from three harmonized cohorts of older adults from the Rush Alzheimer's Disease Center, were divided into three groups (normal, high, variable) based on systolic BP mean and standard deviation. Cognitive scores were computed from 18 neuropsychological tests and averaged to summarize five domains (episodic memory, semantic memory, working memory, processing speed, visuospatial ability) and a measure of global cognition. Linear mixed-effects models examined racial differences between BP and cognition over an average of 6.7 years.

resultsWhite adults with high BP declined faster in global cognition, perceptual speed, semantic memory, and working memory compared to Black adults with high BP, whereas White adults with variable BP had faster rates of decline in global cognition, all cognitive domains, compared to Black adults with variable BP. No differences in rate of cognitive decline were observed between Black and White older adults with normal BP. DISCUSSION AND IMPLICATIONS: Variations in BP differentially relate to cognitive decline in Black and White older adults, highlighting the interplay between BP and cognitive health, and the importance of race in understanding this relationship.

Indexed as

Black or African AmericanBlood PressureCognitive DysfunctionHypertensionWhiteAgedAged, 80 and overBlack PeopleCognitionFemaleHumansMaleNeuropsychological TestsCognitive changeHypertensionRacial differencesVariable blood pressure

Identifiers

PMID40929154
PMCPMC12681357

What Socratic holds

Textmetadata
LicenceCC BY
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.