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Flow-Mediated Dilation and Neurocognition

Systematic Review and Future Directions

Bibliographic Data

ID19304752
AuthorsMelanie R Naiberg (Sunnybrook Health Science Centre), Dwight F Newton (0000-0002-5460-8033), Benjamin I Goldstein (0000-0003-0340-349X, corresponding author)
Year2016
Volume78
Issue2
Pages192-207
Publication date2016-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000000266
PMID26569534
OpenAlexW2416740112
LanguageEN
Citations received1
References cited129

BACKGROUND: Previous literature indicates that flow-mediated dilation (FMD) is associated with impaired cognition among patients with stroke. The relationship between FMD and cognition in individuals without cerebrovascular disease has yet to be systematically reviewed. METHODS: The literature was searched using MEDLINE. Exclusion criteria were as follows: focus on neurological disease (e.g., stroke), animal studies, no quantitative measure of endothelial function or cognition, newborn studies, articles with no original data, and articles that are irrelevant to the topic of interest. Neurocognitive tests were categorized in the following domains: executive function, memory (general, working, episodic/semantic, verbal, visual), global cognitive function, information processing speed, language, psychomotor speed, and visual-spatial ability. RESULTS: The search yielded 700 articles, of which 10 articles, consisting of 2791 participants, met the criteria for inclusion. Most studies conclude that impaired FMD is associated with poorer neuropsychological functioning, particularly in executive functioning (effect sizes: r = 0.07-0.58) and working memory tasks (effect sizes: r = 0.19-0.39). No association was found between other subdomains of memory and FMD. Visual spatial tasks, information processing speed, language tasks, and global cognition were not associated with FMD overall; however fewer studies examined these domains. CONCLUSIONS: Even in the absence of cerebrovascular disease, there are links between cognition, particularly executive tasks, and vascular function. Public health implications include the potential value of examining FMD as a predictor of cognitive decline, as well as the potential value of improving cognition through pharmacological and behavioral interventions that improve vascular function. Future studies incorporating neuroimaging measures of cerebral blood flow are warranted

Cognition · Dilation (metric space) · Neurocognitive · Cardiovascular Health and Disease Prevention · Flow Experience in Various Fields · Mathematics · Medicine · Neuroscience · Older Adults Driving Studies · Psychology

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Unique citing works1
Citations per year0,14
Citation span2019 - 2019 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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