Age-related cognitive decline and the borderland between normal aging and dementia

1997 ◽  
Vol 9 (2) ◽  
pp. 94-96 ◽  
Author(s):  
J. Jolles
Keyword(s):  
Cognitive Decline ◽  
Cognitive Aging ◽  
Successful Aging ◽  
Age Groups ◽  
Adult Life ◽  
Normal Aging ◽  
Elderly Subjects ◽  
Large Individual ◽  
Related Factors ◽  
Age Related

It is now generally agreed that healthy individuals are characterized by cognitive decline during the later decades of adult life. The acquisition of new information becomes less efficient, which, coupled with a diminished retention of this information for later use, results in substantially poorer memory performance. The ability to plan new activities, solve problems and make complex decisions, as well as cognitive flexibility is noticeably diminished. In addition, attentional processes appear to be invariably poorer in old subjects than in young subjects (for review). While it is quite clearly established that elderly subjects (i.e. after 65 years of age) show a deterioration of cognitive functioning, there is also evidence that this deterioration may start in middle age (40 years). There is large individual variance in age groups; for instance, some old individuals perform on many neurocognitive tests as well as young individuals do. Rowe and Kahn proposed in their influential article to discern between successful aging and usual aging. Successful aging would be due to the effect of chronological age, whereas additional factors would be responsible for usual aging. An important point is the nature of the borderland between usual cognitive aging and pathological conditions such as dementia. Various health-related factors are thought to be important in this respect. They may be a determinant for the transition between successful aging to normal aging and into the borderland with dementia. The Brain & Behavior Research Institute in Maastricht investigates the determinants of successful and pathological aging in a number of related and multidisciplinary projects. This paper describes some major findings of this research programme and gives a theory on the interaction of vulnerability factors and protective factors in their effect on cognitive aging.

scholarly journals Gene Expression Profile in Different Age Groups and Its Association with Cognitive Function in Healthy Malay Adults in Malaysia

Cells ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1611
Author(s):  
Nur Fathiah Abdul Abdul Sani ◽  
Ahmad Imran Zaydi Amir Amir Hamzah ◽  
Zulzikry Hafiz Abu Abu Bakar ◽  
Yasmin Anum Mohd Mohd Yusof ◽  
Suzana Makpol ◽  
...  
Keyword(s):  
Gene Expression ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Successful Aging ◽  
Expression Patterns ◽  
Age Groups ◽  
Genetic Network ◽  
Cross Sectional ◽  
Age Related ◽  
Age Related Cognitive Decline

The mechanism of cognitive aging at the molecular level is complex and not well understood. Growing evidence suggests that cognitive differences might also be caused by ethnicity. Thus, this study aims to determine the gene expression changes associated with age-related cognitive decline among Malay adults in Malaysia. A cross-sectional study was conducted on 160 healthy Malay subjects, aged between 28 and 79, and recruited around Selangor and Klang Valley, Malaysia. Gene expression analysis was performed using a HumanHT-12v4.0 Expression BeadChip microarray kit. The top 20 differentially expressed genes at p < 0.05 and fold change (FC) = 1.2 showed that PAFAH1B3, HIST1H1E, KCNA3, TM7SF2, RGS1, and TGFBRAP1 were regulated with increased age. The gene set analysis suggests that the Malay adult’s susceptibility to developing age-related cognitive decline might be due to the changes in gene expression patterns associated with inflammation, signal transduction, and metabolic pathway in the genetic network. It may, perhaps, have important implications for finding a biomarker for cognitive decline and offer molecular targets to achieve successful aging, mainly in the Malay population in Malaysia.

scholarly journals Assessment of Cognitive Aging Using an SSVEP-Based Brain–Computer Interface System

2019 ◽  
Vol 3 (2) ◽  
pp. 29 ◽  
Author(s):  
Saraswati Sridhar ◽  
Vidya Manian
Keyword(s):  
Cognitive Decline ◽  
Cognitive Aging ◽  
Age Groups ◽  
Detection Accuracy ◽  
Cognitive Deterioration ◽  
Age Group ◽  
Frequency Detection ◽  
Band Power ◽  
Age Related ◽  
Bci System

Cognitive deterioration caused by illness or aging often occurs before symptoms arise, and its timely diagnosis is crucial to reducing its medical, personal, and societal impacts. Brain–computer interfaces (BCIs) stimulate and analyze key cerebral rhythms, enabling reliable cognitive assessment that can accelerate diagnosis. The BCI system presented analyzes steady-state visually evoked potentials (SSVEPs) elicited in subjects of varying age to detect cognitive aging, predict its magnitude, and identify its relationship with SSVEP features (band power and frequency detection accuracy), which were hypothesized to indicate cognitive decline due to aging. The BCI system was tested with subjects of varying age to assess its ability to detect aging-induced cognitive deterioration. Rectangular stimuli flickering at theta, alpha, and beta frequencies were presented to subjects, and frontal and occipital Electroencephalographic (EEG) responses were recorded. These were processed to calculate detection accuracy for each subject and calculate SSVEP band power. A neural network was trained using the features to predict cognitive age. The results showed potential cognitive deterioration through age-related variations in SSVEP features. Frequency detection accuracy declined after age group 20–40, and band power declined throughout all age groups. SSVEPs generated at theta and alpha frequencies, especially 7.5 Hz, were the best indicators of cognitive deterioration. Here, frequency detection accuracy consistently declined after age group 20–40 from an average of 96.64% to 69.23%. The presented system can be used as an effective diagnosis tool for age-related cognitive decline.

Age-Related Decline in the Topological Efficiency of the Brain Structural Connectome and Cognitive Aging

2020 ◽  
Vol 30 (8) ◽  
pp. 4651-4661 ◽  
Author(s):  
Xin Li ◽  
Yezhou Wang ◽  
Wenxiao Wang ◽  
Weijie Huang ◽  
Kewei Chen ◽  
...  
Keyword(s):  
Executive Function ◽  
Cognitive Functions ◽  
Cognitive Aging ◽  
Normal Aging ◽  
Elderly Subjects ◽  
Elderly Individuals ◽  
Structural Connectome ◽  
Age Related ◽  
Topological Efficiency ◽  
The Brain

Abstract Brain disconnection model has been proposed as a possible neural mechanism for cognitive aging. However, the relationship between structural connectivity degeneration and cognitive decline with normal aging remains unclear. In the present study, using diffusion MRI and tractography techniques, we report graph theory-based analyses of the brain structural connectome in a cross-sectional, community-based cohort of 633 cognitively healthy elderly individuals. Comprehensive neuropsychological assessment of the elderly subjects was performed. The association between age, brain structural connectome, and cognition across elderly individuals was examined. We found that the topological efficiency, modularity, and hub integration of the brain structural connectome exhibited a significant decline with normal aging, especially in the frontal, parietal, and superior temporal regions. Importantly, network efficiency was positively correlated with attention and executive function in elderly subjects and had a significant mediation effect on the age-related decline in these cognitive functions. Moreover, nodal efficiency of the brain structural connectome showed good performance for the prediction of attention and executive function in elderly individuals. Together, our findings revealed topological alterations of the brain structural connectome with normal aging, which provides possible structural substrates underlying cognitive aging and sensitive imaging markers for the individual prediction of cognitive functions in elderly subjects.

Activity Engagement in Cognitive Aging: A Review of the Evidence

2013 ◽  
Vol 23 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Yvonne Rogalski ◽  
Muriel Quintana
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Social Activity ◽  
Current Evidence ◽  
Omega 3 ◽  
Neuroprotective Effects ◽  
Activity Engagement ◽  
Age Related ◽  
Age Related Cognitive Decline

The population of older adults is rapidly increasing, as is the number and type of products and interventions proposed to prevent or reduce the risk of age-related cognitive decline. Advocacy and prevention are part of the American Speech-Language-Hearing Association’s (ASHA’s) scope of practice documents, and speech-language pathologists must have basic awareness of the evidence contributing to healthy cognitive aging. In this article, we provide a brief overview outlining the evidence on activity engagement and its effects on cognition in older adults. We explore the current evidence around the activities of eating and drinking with a discussion on the potential benefits of omega-3 fatty acids, polyphenols, alcohol, and coffee. We investigate the evidence on the hypothesized neuroprotective effects of social activity, the evidence on computerized cognitive training, and the emerging behavioral and neuroimaging evidence on physical activity. We conclude that actively aging using a combination of several strategies may be our best line of defense against cognitive decline.

scholarly journals The Effect of Working Memory Rehabilitation on Visual Memory and Memory Span

2020 ◽  
Author(s):  
Mansour Mahmoudi Aghdam ◽  
Esmaeil Soleimani ◽  
Ali Issa Zadegan
Keyword(s):  
Working Memory ◽  
Cognitive Decline ◽  
Elderly People ◽  
Cognitive Aging ◽  
Visual Memory ◽  
Memory Span ◽  
Control Group ◽  
Age Related ◽  
Memory Rehabilitation ◽  
The Mean

Introduction: Age-related cognitive decline or cognitive aging is largely the result of structural and functional decline in specific areas of the brain, but lifestyle also contributes to this cognitive decline. The aim of this study was to investigate the effect of working memory rehabilitation on visual memory and memory span in ageing. Methods: This was a quasi-experimental study with pretest-posttest design and a control group. The study population included all elderly people who lived in Bukan Nursing Home from April to July 2019 (N = 120). Among these individuals, 30 elderly people were selected by convenience sampling method and then randomly assigned to two experimental and control groups (two groups of 15 people). Kim Karad Visual Memory Test and Wechsler Memory Span Test were taken from the groups in pretest. The working memory rehabilitation was performed in 18 sessions (each sessions 60-minute) and after which the test was performed again. The data were analyzed by multivariate covariance test according to its assumptions. Results: The results showed that after the rehabilitation of working memory, in the experimental group, the mean of short, medium and long components of visual memory were 12.00, 10.8 and 12.33, respectively, and the direct and inverse of memory span were 11.66 and 9.66, respectively. In the control group, the average of short, medium and long components of visual memory is 7.00, 6.70 and 9.00, respectively, and direct and inverse of memory span is 8.33 and 6.46, respectively. The difference in the mean scores between the two groups in the components of visual memory and memory span after the intervention was significant (p < 0.001). Conclusion: The results showed that working memory rehabilitation can improve visual memory and memory span, and it is recommended that this rehabilitation method be used to improve the cognitive functions of the elderly.

scholarly journals PARASYMPATHETIC INFLUENCE ON COGNITIVE AGING IS MODERATED BY SYMPATHETIC ACTIVITY, ESPECIALLY IN EARLY MIDLIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S94-S94 ◽  
Author(s):  
Erik L Knight ◽  
Ryan Giuliano ◽  
Sean Shank ◽  
Megan Clarke ◽  
David M Almeida
Keyword(s):  
Nervous System ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Parasympathetic Nervous System ◽  
Cognitive Change ◽  
Interactive Effects ◽  
Cognitive Test ◽  
Cognitive Changes ◽  
Beneficial Effects ◽  
Age Related

Abstract The two branches of the autonomic nervous system (ANS) have been individually linked to age-related changes in cognitive functioning: The parasympathetic nervous system (PNS) is thought to support healthy cognitive aging, whereas the sympathetic nervous system (SNS) has been linked to heightened cognitive decline. Despite these separate findings and despite the integrative nature of the ANS, little work has examined the two branches simultaneously to better understand their interactive effects on age-related cognitive changes. We examined cognitive change in two waves of the MIDUS cognitive project and indexed PNS and SNS activity from heart rate variability and epinephrine levels (respectively) from the MIDUS biomarker project (n = 764, 56% female, mean age = 54.1 years). Our findings indicate that higher PNS levels attenuate cognitive decline, but only among individuals with low SNS levels; at higher SNS levels, the beneficial effects of the PNS are blocked. Further, lower PNS levels can be somewhat compensated for by increased SNS levels. This pattern was most robust among individuals transitioning to mid-life (i.e., 35-40 years old at the initial cognitive test). These results suggest that interventions targeting the ANS as a modifiable factor in cognitive aging should consider both ANS branch’s effects simultaneously, particularly in the early stages of midlife.

scholarly journals Moving toward a neuroplasticity view of bilingualism, executive control, and aging

2014 ◽  
Vol 35 (5) ◽  
pp. 857-894 ◽  
Author(s):  
SHARI BAUM ◽  
DEBRA TITONE
Keyword(s):  
Older Adults ◽  
Language Processing ◽  
Executive Control ◽  
Cognitive Aging ◽  
Successful Aging ◽  
Empirical Support ◽  
Individual Variability ◽  
Cognitive Capacity ◽  
Neurocognitive Functions ◽  
Age Related

ABSTRACTNormal aging is an inevitable race between increasing knowledge and decreasing cognitive capacity. Crucial to understanding and promoting successful aging is determining which of these factors dominates for particular neurocognitive functions. Here, we focus on the human capacity for language, for which healthy older adults are simultaneously advantaged and disadvantaged. In recent years, a more hopeful view of cognitive aging has emerged from work suggesting that age-related declines in executive control functions are buffered by life-long bilingualism. In this paper, we selectively review what is currently known and unknown about bilingualism, executive control, and aging. Our ultimate goal is to advance the views that these issues should be reframed as a specific instance of neuroplasticity more generally and, in particular, that researchers should embrace the individual variability among bilinguals by adopting experimental and statistical approaches that respect the complexity of the questions addressed. In what follows, we set out the theoretical assumptions and empirical support of the bilingual advantages perspective, review what we know about language, cognitive control, and aging generally, and then highlight several of the relatively few studies that have investigated bilingual language processing in older adults, either on their own or in comparison with monolingual older adults. We conclude with several recommendations for how the field ought to proceed to achieve a more multifactorial view of bilingualism that emphasizes the notion of neuroplasticity over that of simple bilingual versus monolingual group comparisons.

scholarly journals Increasingly capable at the ripe old age? Cognitive abilities from 2004 to 2013 in Germany, Spain, and Sweden

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254038
Author(s):  
Julia Grasshoff ◽  
Johannes Beller ◽  
Beatrice G. Kuhlmann ◽  
Siegfried Geyer
Keyword(s):  
Old Age ◽  
Cognitive Abilities ◽  
Cognitive Aging ◽  
Age Groups ◽  
Good Health ◽  
Cohort Effects ◽  
Educational Systems ◽  
Age Related ◽  
Life Years ◽  
Starting Point

Background Life expectancy is increasing in most high-income countries, but gains in life years are maximized if spent in good health and if cognitive abilities are maintained until old age. Age-related decline of cognitive abilities does nevertheless occur, but the pace of decline is decisive. This was the starting point for our study that aims to examine cohort effects of cognitive aging in women and men in Germany, Spain and Sweden by analyzing changes from 2004 to 2013 by estimating cohort effects within age groups starting from the age of 50 years. Methods A cohort study was conducted that was based on data of the surveys 2004 (N = 6,081) and 2013 (N = 8,650) from the Survey of Health, Ageing and Retirement in Europe (SHARE). The analyses were based on data of female and male respondents aged 50 years and older. Age-specific means of verbal fluency and delayed recall from the German, Spanish and Swedish samples were the cognitive domains considered in the study. Results In both domains of cognitive ability the achievements in the later surveys were higher than in the earlier ones. This was found in all countries, abut achievement levels increased markedly in the German and the Spanish samples, while the scores of the Swedish samples were not significantly different. While the highest scores were found for Sweden, Germany ranked in the middle and the lowest scores were found in the Spanish samples. Over time, the scores of the German samples approached those of Sweden. Conclusions From the first to the second survey, improvements of older adults’ cognitive abilities were found for all countries considered. This may indicate improvements of the underlying educational systems, but also increasingly stimulating general living conditions.

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