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Cardiovascular Risk Composite and Time of Amyloid Accumulation and Cognitive Decline in Down Syndrome Alzheimer's Disease
Courtney E Brothers, Julie K. Wisch, Benjamin L. Handen, Patrick J. Lao, Beau M. Ances, James Tyler Kennedy, Matthew D. Zammit, Bradley T. Christian et al.. Alzheimer s & Dementia, 2025-12-01
Topic: Amyloid, tau and blood-test diagnosis
In partial correlations adjusted for age, there was a significant positive association between the cardiovascular composite (r = .156, p = .016) and resistance score; higher cardiovascular composite was associated with greater than expected Aβ for age. At the item level, hyperlipidemia was associated with a 1.8 x higher likelihood of greater than expected Aβ for age (OR = 1.83, p = .047). There was not a significant correlation between the cardiovascular composite and the resilience scores. Cardiovascular conditions may alter resistance to DSAD, including an earlier age of Aβ accumulation, and be an important target for delaying or preventing DSAD.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Brothers, C. E., Wisch, J. K., Handen, B. L., Lao, P. J., Ances, B. M., Kennedy, J. T., et al. (2025). Cardiovascular Risk Composite and Time of Amyloid Accumulation and Cognitive Decline in Down Syndrome Alzheimer's Disease. Alzheimer s & Dementia. https://doi.org/10.1002/alz70857_099395
Vancouver
Brothers CE, Wisch JK, Handen BL, Lao PJ, Ances BM, Kennedy JT, et al. Cardiovascular Risk Composite and Time of Amyloid Accumulation and Cognitive Decline in Down Syndrome Alzheimer's Disease. Alzheimer s & Dementia. 2025. doi:10.1002/alz70857_099395. PMID: 41444861.
BibTeX
@article{brothers2025-41444861,
author = {Brothers, Courtney E and Wisch, Julie K. and Handen, Benjamin L. and Lao, Patrick J. and Ances, Beau M. and Kennedy, James Tyler and Zammit, Matthew D. and Christian, Bradley T. and others},
title = {{Cardiovascular Risk Composite and Time of Amyloid Accumulation and Cognitive Decline in Down Syndrome Alzheimer's Disease}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz70857_099395},
pmid = {41444861},
url = {https://doi.org/10.1002/alz70857_099395}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- In partial correlations adjusted for age, there was a significant positive association between the cardiovascular composite (r = .156, p = .016) and resistance score; higher cardiovascular composite was associated with greater than expected Aβ for age.
- At the item level, hyperlipidemia was associated with a 1.8 x higher likelihood of greater than expected Aβ for age (OR = 1.83, p = .047).
- There was not a significant correlation between the cardiovascular composite and the resilience scores.
- Cardiovascular conditions may alter resistance to DSAD, including an earlier age of Aβ accumulation, and be an important target for delaying or preventing DSAD.
Why it matters
In people with Down syndrome and Alzheimer's disease, a higher cardiovascular risk score was linked to greater amyloid accumulation for age, and hyperlipidemia was linked to a 1.8 times higher likelihood of this. Managing cardiovascular conditions may help delay or prevent Alzheimer's in this group, though the study does not prove cause and effect.
Study details
- Participants262
- Effect sizeOR = 1.83
- Evidence strengthLow
How this study scored 44/100
Published in a peer-reviewed journal. Scored zero for study design and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 262 participants |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 1 / 6 | Cited 0.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Charles K. Stone: h-index 27 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Washington University in St. Louis: institution h-index 1,962 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41444861) |
| Free to read | 2 / 2 | Free to read |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1002/alz70857_099395
- PubMed: 41444861
- Original source →
- Free full text: Alzheimer s & Dementia →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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