Evidence map›Paper›PMID 42329536›Full record

ArticleGeroScience2026

Resting heart rate and cognitive function in ageing: Insights from a secondary data analysis.

Yunrui Gu, Joanne Ryan, Aung Zaw Zaw Phyo, Zimu Wu, Suzanne G Orchard, Raj C Shah, Swarna Vishwanath

Abstract read
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In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yunrui GuSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Joanne RyanSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Aung Zaw Zaw PhyoSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Zimu WuSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Suzanne G OrchardSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia.
Raj C ShahDepartment of Family and Preventive Medicine and the Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA.
Swarna VishwanathSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia. swarna.vishwanath@monash.edu.ORCID http://orcid.org/0000-0003-1140-5997

Funding

National Health and Medical Research Council 2016438National Heart Foundation of Australia 110205-2025_PDFthe National Health and Medical Research Council of Australia 1127060the National Health and Medical Research Council of Australia 334047the US National Institutes of Health U01AG029824the US National Institutes of Health U19AG062682
6 · The paper itself

Abstract

Resting heart rate (RHR) is an accessible measure that may reflect age-related cardiovascular and autonomic dysregulation relevant to cognitive ageing. However, evidence linking RHR with cognitive outcomes is inconsistent, and most studies relied on single baseline measurements that may not capture cumulative exposure. This study examined the associations of baseline and longitudinally averaged RHR with cognitive decline and dementia in older adults. This was a secondary analysis of the ASPirin in Reducing Events in the Elderly (ASPREE) study, including 19,114 community-dwelling participants aged ≥ 65 years without cardiovascular disease or dementia at baseline. RHR was assessed at baseline and follow-up visits using an oscillometric device. Cognitive decline was defined as a decrease of > 1.5 standard deviations from baseline performance in global cognition, episodic memory, psychomotor speed, or verbal fluency. Incident dementia was adjudicated using DSM-IV criteria. Compared with baseline RHR of 60-69 bpm, those with RHR ≥ 80 bpm had a 9% higher cognitive decline risk (hazard ratio [HR] 1.09; 95% confidence interval [CI], 1.01-1.18). Five-year average RHR of 70-79 bpm and ≥ 80 bpm were associated with 10% (HR 1.10; 95% CI, 1.03-1.19) and 16% (HR 1.16; 95% CI, 1.05-1.28) higher cognitive decline risks, respectively. No significant associations were observed with incident dementia. Higher RHR was associated with increased risk of cognitive decline among older adults. These findings suggest that elevated RHR may reflect age-related cardiovascular or autonomic physiological processes relevant to cognitive aging, supporting a role for late-life physiological dysregulation in cognitive trajectories.

Indexed as

AgingCognitive declineDementiaEpidemiologyResting heart rate

Identifiers

What Socratic holds

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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.