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White matter grade and ventricular volume on brain MRI as markers of longevity in the cardiovascular health study.

TitleWhite matter grade and ventricular volume on brain MRI as markers of longevity in the cardiovascular health study.
Publication TypeJournal Article
Year of Publication2007
AuthorsKuller, LH, Arnold, AM, Longstreth, WT, Manolio, TA, O'Leary, DH, Burke, GL, Fried, LP, Newman, AB
JournalNeurobiol Aging
Volume28
Issue9
Pagination1307-15
Date Published2007 Sep
ISSN1558-1497
KeywordsAfrican Continental Ancestry Group, Aged, Aged, 80 and over, Biomarkers, Brain, Cardiovascular Diseases, Cerebral Ventricles, European Continental Ancestry Group, Female, Geriatric Assessment, Health Status, Humans, Longitudinal Studies, Magnetic Resonance Imaging, Male, Retrospective Studies, Risk Factors, Sex Factors
Abstract<p>High white matter grade (WMG) on magnetic resonance imaging (MRI) is a risk factor for dementia, stroke and disability. Higher ventricular size is a marker of brain "atrophy." In the Cardiovascular Health Study (CHS) (n=3245) mean age 75 years, 50% black and 40% men, we evaluated WM and ventricular grade (VG), total, cardiovascular and noncardiovascular mortality and longevity before and after adjusting for numerous determinants of longevity over an approximate 10-12 years of follow-up. A low WMG and VG was a marker for low total, cardiovascular and noncardiovascular mortality and for increased longevity over 10+ years of follow-up. We estimated that a 75-year-old with WMG below median would have about a 5-6 years greater longevity and for VG about 3 years, than above the median even after adjustment for numerous risk factors. Low WMG and VG on MRI is a powerful determinant of long-term survival among older individuals.</p>
DOI10.1016/j.neurobiolaging.2006.06.010
Alternate JournalNeurobiol Aging
PubMed ID16857296
Grant ListN01-85079 / / PHS HHS / United States
N01-HC-15103 / HC / NHLBI NIH HHS / United States
N01-HC-15129 / HC / NHLBI NIH HHS / United States
N01-HC-85086 / HC / NHLBI NIH HHS / United States