{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:06:07Z","timestamp":1782975967559,"version":"3.54.5"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 AG086401"],"award-info":[{"award-number":["P30 AG086401"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined the predictive utility of pulse pressure relative to blood pressure status for cognition among older adults and the potential differential effects of pulse pressure on cognition based on blood pressure status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from the ACTIVE trial (N\u2009=\u20092,802 adults aged 65\u00a0years and older) to examine the association between pulse pressure and cognitive decline over 10\u2009years. Linear mixed-effects models assessed the relationship between pulse pressure, blood pressure, and decline in global cognition, memory, reasoning, and processing speed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 2,787 older adults (mean age 73.65, 24.15% male, 73.31% White), higher pulse pressure was associated with faster global cognitive decline (b= \u22120.003, 95% CI [\u22120.004, \u22120.001]) after controlling for demographics, cognitive training status, and attrition. This effect was consistent acrossr the memory and reasoning domains. The effects remained significant after adjusting for blood pressure status, with pulse pressure demonstrating complementary predictive utility beyond blood pressure. Specifically, the negative effect of pulse pressure on global cognitive decline was observed only among participants with elevated blood pressure (b\u2009=\u2009\u22120.005, 95% CI [\u22120.005, \u22120.002]), not in those with normal blood pressure. This pattern was consistent across all three cognitive domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Pulse pressure is associated with accelerated cognitive decline among older adults, but this relationship is potentially moderated by blood pressure status. Pulse pressure monitoring could improve cognitive risk assessment in older adults with elevated blood pressure. This underscores the importance of managing blood pressure to mitigate the risk of cognitive decline associated with increased pulse pressure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geronb\/gbag094","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T11:40:46Z","timestamp":1779277246000},"source":"Crossref","is-referenced-by-count":0,"title":["Variations in the effect of pulse pressure on cognition based on blood pressure"],"prefix":"10.1093","volume":"81","author":[{"given":"Mubarick","family":"Saeed","sequence":"first","affiliation":[{"name":"Alzheimer\u2019s Disease Center, The University of Alabama at Birmingham, Heersink School of Medicine , Birmingham, Alabama,","place":["United States"]},{"name":"Department of Psychology, The University of Alabama at Birmingham , Birmingham, Alabama,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles 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