scholarly journals P051 SLEEP SPINDLES AND SWA DIFFERENTIALLY CORRELATE WITH OVERNIGHT EPISODIC AND VISUOSPATIAL MEMORY CONSOLIDATION IN OLDER ADULTS WITH AND WITHOUT MILD COGNITIVE IMPAIRMENT

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A37-A38
Author(s):  
C Haroutonian ◽  
A D’Rozario ◽  
Z Terpening ◽  
S Lewis ◽  
S Naismith
Keyword(s):  
Older Adults ◽  
Episodic Memory ◽  
Repeated Measures ◽  
Verbal Learning ◽  
Group Differences ◽  
Sleep Spindles ◽  
Visuospatial Memory ◽  
Memory Retention ◽  
Delta Power ◽  
Before And After

Abstract Introduction Sleep microarchitecture disruption is a feature of ageing that is further altered in neurodegenerative disorders. Sleep-memory links in younger adults have been established, however mechanistic pathways of this uncoupling in ageing is poorly understood. Method Our sample consisted of n=46 mild cognitively impaired (MCI) older adults and n=32 cognitively-intact controls who underwent overnight polysomnography and episodic (Rey Auditory Verbal Learning test) and visuospatial (Rey-Osterrieth Complex Figure task) memory tasks that were administered before and after sleep. We examined group differences in overnight memory % retention and associations with NREM slow oscillations (SO, 0.25–1 Hz), delta power (0.5–4 Hz), N2 spindle events (occurrence [11–16 Hz] and slow [11–13 Hz] and fast [13–16 Hz] spindle density p/min) and REM theta power (4.5–8 Hz). Results Repeated measures ANCOVA, controlling for age, indicated greater memory scores in Controls compared to MCI on the episodic task, F=6.7 (p=.01), and no group differences in the visuospatial task (F=1.8, p=.17). In Controls, greater delta power was associated with increased episodic memory retention (r=.515, p=.006). In the MCI group, episodic memory was associated with fast spindle density (r=-.352, p=.04), and visuospatial memory was also associated with fast spindle density (r=-.385, p=.01) and spindle occurrence (r=-.479, p=.003). Conclusion Sleep spindles appear to be negatively associated with memory retention, specifically in MCI. However, given the heterogeneity of MCI, further analysis of its cognitive subtypes is warranted. Comprehensive cognitive and neural pathophysiology profiling are required to better delineate the function of spindles in ageing.

scholarly journals P050 Familiar locations and new locations: sleep’s role in the consolidation of spatial navigation information using a novel virtual Morris water maze task in older adults with mild cognitive impairment

2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A37-A37
Author(s):  
C Haroutonian ◽  
I Johnston ◽  
A Ricciardiello ◽  
A Lam ◽  
R Grunstein ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Repeated Measures ◽  
Spatial Navigation ◽  
Memory Retention ◽  
Functional Impairments ◽  
Morris Water Maze Task ◽  
Before And After ◽  
Start Location

Abstract Introduction The ability to navigate oneself in space is one of the first functional impairments in Alzheimer’s disease (AD). A 3D-computerised spatial navigation (SN) task was designed to delineate, for the first time in a sleep-dependent memory paradigm, egocentric and allocentric SN, the latter identified as one cognitive biomarker of AD. We examined group differences in SN memory and associations with sleep macroarchitecture. Methods Older adults with mild cognitive impairment (MCI, n=32) and controls (n=25) underwent overnight polysomnography and completed the SN task before and after sleep. Participants learnt the location of a target over 5 trials (familiar location; egocentric-dependent), then were instructed to find the target from a novel start location (allocentric-dependent). Memory % retention (MR) from both start locations were calculated by the XY coordinate of marked location to correct location of the target, pre- and post-sleep. Navigational strategies were coded using self-reported description of how participants’ found the target. Associations between MR with REM and SWS % duration, and AHI in REM and NREM were examined using Spearman’s correlations. Results Repeated-measures ANOVA showed Controls MR improved overnight whereas MCI performed worse (F=7.46, p=.009), with greatest differences on familiar start location MR (p=.02). Strategy as a covariate revealed a location by strategy interaction (p=01). Novel location MR was associated with REM%, rho=.448, (p=.02) in Controls, and REM-AHI, rho=.400 (p=.02) in MCI. Conclusion Behavioural and self-reported results suggest disrupted SN strategies relative to environment in MCI. Future studies should examine SN in association with sleep-wake neurophysiology and neuronal integrity.

scholarly journals Decline in verbal memory during preclinical Alzheimer's disease: Examination of the effect of APOE genotype

2002 ◽  
Vol 8 (7) ◽  
pp. 943-955 ◽  
Author(s):  
KELLY L. LANGE ◽  
MARK W. BONDI ◽  
DAVID P. SALMON ◽  
DOUGLAS GALASKO ◽  
DEAN C. DELIS ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Episodic Memory ◽  
Verbal Memory ◽  
Verbal Learning ◽  
Apoe Genotype ◽  
Apoe Ε4 ◽  
Dementia Syndrome ◽  
Ε4 Allele

A subtle decline in episodic memory often occurs prior to the emergence of the full dementia syndrome in nondemented older adults who develop Alzheimer's disease (AD). The APOE-ε4 genotype may engender a more virulent form of AD that hastens this decline. To examine this possibility, we compared the rate of decline in episodic memory during the preclinical phase of AD in individuals with or without at least one APOE ε4 allele. Nondemented normal control (NC; n = 84) participants, nondemented older adults who subsequently developed dementia within 1 or 2 years (i.e., preclinical AD; n = 20), and patients with mild AD (n = 53) were examined with 2 commonly employed tests of episodic memory, the Logical Memory subtest of the Wechsler Memory Scale–Revised and the California Verbal Learning Test. Results revealed a precipitous decline in verbal memory abilities 1 to 2 years prior to the onset of the dementia syndrome, but there was little effect of APOE genotype on the rate of this memory decline. The presence of an APOE-ε4 allele, however, did have a differential effect on the sensitivity of the 2 types of memory tests for tracking progression and made an independent contribution to the prediction of conversion to AD. (JINS, 2002, 8, 943–955.)

Is the Cutoff of the MoCA too High? Longitudinal Data From Highly Educated Older Adults

2019 ◽  
Vol 33 (3) ◽  
pp. 155-160 ◽  
Author(s):  
Odelia Elkana ◽  
Noy Tal ◽  
Noga Oren ◽  
Shani Soffer ◽  
Elissa L. Ash
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Repeated Measures ◽  
Cognitive Assessment ◽  
Digit Span ◽  
Verbal Learning ◽  
Cutoff Score ◽  
Adult Intelligence Scale ◽  
Cognitively Normal ◽  
Highly Educated

Background: The Montreal Cognitive Assessment (MoCA) is widely used to evaluate cognitive decline in older individuals. Although, age and education-related norms have been published, the vast majority of diagnostic clinicians use the MoCA cutoff score to identify patients with cognitive impairment. Aim: To identify whether the MoCA cutoff is too stringent for cognitively normal older adults. Methods: Twenty-seven participants aged 68 to 83 (mean = 75.07, standard deviation [SD] = 4.62), with high education level (mean = 17.14 years, SD = 3.21) underwent cognitive assessment once a year for 5 consecutive years. The cognitive assessment included MoCA; Rey Auditory Verbal Learning Test; Rey Osterrieth Complex Figure test; Wechsler Adult Intelligence Scale Information and Digit Span Subtest; Trail Making Test; Verbal Fluency Test; and Beck Depression Inventory questionnaire. Repeated measures analysis of variance (ANOVA) was used to analyze all standardized scores as well as MoCA standardized and raw scores across all years. Results: Repeated-measures ANOVA for MoCA raw scores yielded significant decline across the years ( P < .05). From the second year and forward, the average MoCA total score was below the cutoff of 26/30. However, in substantial contrast, all other neuropsychological scores and the MoCA standardized scores were within the normal range and even above in all years. Conclusion: Our study demonstrates that the currently used MoCA cutoff is too high even for highly educated, cognitively normal older adults. Therefore, it is crucial to use the age- and education-related norms for the MoCA in order to avoid misdiagnosis of cognitive decline.

Effects of virtual reality-based spatial cognitive training on hippocampal function of older adults with mild cognitive impairment

2020 ◽  
pp. 1-7
Author(s):  
Jin-Hyuck Park
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Episodic Memory ◽  
Spatial Cognition ◽  
Cognitive Training ◽  
Verbal Learning ◽  
Cognitive Intervention ◽  
Hippocampal Function

ABSTRACT Background: To date, there is a controversy on effects of cognitive intervention to maintain or improve hippocampal function for older adults with mild cognitive impairment (MCI). Objective: The main objective of this study was to exam effects of virtual reality-based spatial cognitive training (VR-SCT) using VR on hippocampal function of older adults with MCI. Method: Fifty-six older adults with MCI were randomly allocated to the experimental group (EG) that received the VR-SCT or the waitlist control group (CG) for a total of 24 sessions. To investigate effects of the VR-SCT on spatial cognition and episodic memory, the Weschsler Adult Intelligence Scale-Revised Block Design Test (WAIS-BDT) and the Seoul Verbal Learning Test (SVLT) were used. Results: During the sessions, the training performances gradually increased (p < .001). After the intervention, the EG showed significant greater improvements in the WAIS-BDT (p < .001, η2 = .667) and recall of the SVLT (p < .05, η2 =.094) compared to the CG but in recognition of the SVLT (p > .05, η2 =.001). Conclusion: These results suggest that the VR-SCT might be clinically beneficial to enhance spatial cognition and episodic memory of older adults with MCI.

scholarly journals Examining cognitive training and executive function in older adults

2018 ◽  
Vol 1 ◽  
Author(s):  
Meggan Porteous ◽  
Sheida Rabipour ◽  
Patrick Davidson
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Cognitive Training ◽  
Repeated Measures ◽  
Flanker Task ◽  
Age Related ◽  
Before And After ◽  
Hit Rates ◽  
Age Related Cognitive Decline ◽  
Back Task

Studies have shown that cognitive functions decline with increasing age. As the population of older adults (OA) has grown, interest in cognitive training programs (CTP) has steadily expanded. The present study investigated whether CTP can lead to improvements in the performance of OA on cognitive tasks. Thirty-five adults (OA; 60-87 years) were recruited to complete 25 sessions of a CTP over five weeks, with assessments completed before and after the program. Thirty-two young adults (YA; 17-27 years) were also recruited to complete one assessment for baseline comparison with OA. During assessments, participants were evaluated using tasks of executive function, including the N-back task of working memory and Flanker task of inhibition. The response time (RT) and hit rates of YA and OA on these tasks were examined at baseline, as well as changes in OA pre- and post-training. Repeated measures analysis of variance indicated a reduction of pre- and post-training RT for the Flanker task. There was no post-training change in RT on the N-back task. While OA hit rates did not change significantly pre- and post-assessment on the Flanker task, they showed increased hit rates post-training in the N-back task. In both tasks, OA and YA hit rates and RT were significantly different, with YA demonstrating lower RT and hit rate compared to OA. Follow-up studies will determine whether other factors can also lead to improvement. Determining whether CTP can improve cognitive performance in OA can help determine the potential of such approaches to prevent or rehabilitate age-related cognitive decline.

scholarly journals APOE4 status is related to differences in memory-related brain function in asymptomatic older adults: Baseline analysis of the PREVENT-AD task fMRI dataset

2019 ◽  
Author(s):  
Sheida Rabipour ◽  
Sricharana Rajagopal ◽  
Elsa Yu ◽  
Stamatoula Pasvanis ◽  
John Breitner ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Episodic Memory ◽  
Brain Activity ◽  
Memory Performance ◽  
Group Differences ◽  
Parental History ◽  
History Of ◽  
Spatial Source

AbstractEpisodic memory decline is one of the earliest symptoms of late-onset Alzheimer’s Disease (AD) and older adults with the apolipoprotein E e4 (+APOE4) genetic risk factor for AD may exhibit altered patterns of memory-related brain activity years prior to initial symptom onset. In the current study we report the baseline episodic memory task fMRI results from the PRe-symptomatic EValuation of Experimental or Novel Treatments for Alzheimer’s Disease (PREVENT-AD) study in Montreal, Canada, in which 327 healthy older adults, within 15 years of the parent’s conversion to AD, were scanned. During the task fMRI protocol volunteers were scanned as they encoded and retrieved object-location spatial source associations. The task was designed to discriminate between brain activity related to successful spatial source recollection and failures in spatial source recollection, with memory for only item (object) memory. Multivariate task-related partial least squares (task PLS) was used to test the hypothesis that +APOE4 adults with a family history of AD would exhibit altered patterns of brain activity in the recollection-related memory network, comprised of medial frontal, parietal and medial temporal cortices, compared to APOE4 non-carriers (-APOE4). We also tested for group differences in the correlation between event-related brain activity and memory performance in +APOE4 compared to -APOE4 adults using behavioral-PLS (B-PLS). We found group similarities in memory performance and in task-related brain activity in the recollection network. However, the B-PLS results indicated there were group differences in brain activity-behavior correlations in ventral occipito-temporal, medial temporal, and medial prefrontal cortices during episodic encoding. These findings are consistent with previous literature on the influence of APOE4 on brain activity and provide new perspective on potential gene-based differences in brain-behavior relationships in people with parental history of AD. Future research should further investigate the potential to distinguish risk of AD development based on memory performance and associated patterns of brain activity.

Episodic memory in depression: the unique contribution of the anterior caudate and hippocampus

2016 ◽  
Vol 46 (10) ◽  
pp. 2189-2199 ◽  
Author(s):  
H. K. Jayaweera ◽  
I. B. Hickie ◽  
S. L. Duffy ◽  
L. Mowszowski ◽  
L. Norrie ◽  
...  
Keyword(s):  
Older Adults ◽  
Episodic Memory ◽  
Caudate Nucleus ◽  
Learning And Memory ◽  
Verbal Memory ◽  
Verbal Learning ◽  
Critical Role ◽  
Hippocampal Volume ◽  
Unique Contribution ◽  
Health Seeking

BackgroundLearning and memory impairments in older adults with depression are linked to hippocampal atrophy. However, other subcortical regions may also be contributing to these deficits. We aimed to examine whether anterior caudate nucleus volume is significantly reduced in older adults with depression compared to controls; whether anterior caudate volume is associated with performance on tasks of episodic learning and memory, and if so, whether this association is independent of the effects of the hippocampus.MethodEighty-four health-seeking participants meeting criteria for lifetime major depressive disorder (mean age = 64.2, s.d. = 9.1 years) and 27 never-depressed control participants (mean age = 63.9, s.d. = 8.0 years) underwent neuropsychological assessment including verbal episodic memory tests [Rey Auditory Verbal Learning Test and Logical Memory (WMS-III)]. Magnetic resonance imaging was conducted, from which subregions of the caudate nucleus were manually demarcated bilaterally and hippocampal volume was calculated using semi-automated methods.ResultsDepressed subjects had smaller right anterior caudate (RAC) (t = 2.3, p = 0.026) and poorer memory compared to controls (t = 2.5, p < 0.001). For depressed subjects only, smaller RAC was associated with poorer verbal memory (r = 0.3, p = 0.003) and older age (r = −0.46, p < 0.001). Multivariable regression showed that the RAC and hippocampus volume uniquely accounted for 5% and 3% of the variance in memory, respectively (β = 0.25, t = 2.16, p = 0.033; β = 0.19, t = 1.71, p = 0.091).ConclusionsIn older people with depression, the anterior caudate nucleus and the hippocampus play independent roles in mediating memory. While future studies examining this structure should include larger sample sizes and adjust for multiple comparisons, these findings support the critical role of the striatum in depression.

Effects of Exercise Training on Cognitive Functioning among Depressed Older Men and Women

2001 ◽  
Vol 9 (1) ◽  
pp. 43-57 ◽  
Author(s):  
Parinda Khatri ◽  
James A. Blumenthal ◽  
Michael A. Babyak ◽  
W. Edward Craighead ◽  
Steve Herman ◽  
...  
Keyword(s):  
Older Adults ◽  
Executive Functioning ◽  
Cognitive Functioning ◽  
Exercise Program ◽  
Antidepressant Medication ◽  
Group Differences ◽  
Psychomotor Speed ◽  
Before And After ◽  
Clinically Depressed ◽  
Exercise Endurance

The effects of a structured exercise program on the cognitive functioning of 84 clinically depressed middle-aged and older adults (mean age = 57 years) were examined. Participants were randomized to either 4 months of aerobic exercise (n = 42) or antidepressant medication (n = 42). Assessments of cognitive functioning (memory, psychomotor speed, executive functioning, and attention/concentration), depression, and physical fitness (aerobic capacity and exercise endurance) were conducted before and after the intervention. Exercise-related changes (accounting for baseline levels of cognitive functioning and depression) were observed for memory (p = .01) and executive functioning (p = .03). There were no treatment-group differences on tasks measuring either attention/concentration or psychomotor speed. Results indicate that exercise can exert influence on specific areas of cognitive functioning among depressed older adults. Further research is necessary to clarify the kinds of cognitive processes that are affected by exercise and the mechanisms by which exercise affects cognitive functioning.

Sleep-Wake Disturbances and Episodic Memory in Older Adults

2020 ◽  
pp. 109980042094160
Author(s):  
An-Yun Yeh ◽  
Susan J. Pressler ◽  
Donna Algase ◽  
Laura M. Struble ◽  
Bunny J. Pozehl ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Episodic Memory ◽  
Cognitive Reserve ◽  
Verbal Learning ◽  
Memory Loss ◽  
Correlation Coefficients ◽  
Healthy Older Adults ◽  
Learning Test ◽  
The Relationship

Sleep-wake disturbances have been associated with episodic memory loss, but past studies were limited by use of single measures of objective or perceived disturbances. Notably, cognitive reserve and depressive symptoms have been associated with sleep-wake disturbances and poorer episodic memory in older adults. The aims of this study were to determine the relationship between episodic memory and sleep-wake disturbances using objective and perceived measures in older adults and to examine cognitive reserve and depressive symptoms as moderators of this relationship. In this descriptive study, 62 healthy older adults (mean age: 69.9 years; 75.8% women) were recruited from the University of Michigan Clinical Research Program. Objective sleep-wake disturbances were measured by 7-day actigraphy and perceived sleep-wake disturbances by the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. Episodic memory was measured by the Hopkins Verbal Learning Test-Revised. Analyses involved Pearson’s correlation coefficients and hierarchical multiple regression. Results showed that more objectively measured sleep disruption was associated with poorer episodic memory and more perceived daytime sleepiness was associated with better episodic memory. Cognitive reserve and depressive symptoms were not moderators of this relationship. In this study, the relationship between sleep-wake disturbances and episodic memory differed by type of measure, objective or perceived. Future studies are needed using multiple measures of episodic memory to further understand the sleep-wake disturbances and episodic memory relationship in a larger diverse sample of healthy older adults.

Emotional intelligence intervention in older adults to improve adaptation and reduce negative mood

2020 ◽  
pp. 1-11
Author(s):  
Iraida Delhom ◽  
Encarnación Satorres ◽  
Juan C. Meléndez
Keyword(s):  
Older Adults ◽  
Emotional Intelligence ◽  
Treatment Group ◽  
Coping Strategies ◽  
Repeated Measures ◽  
Strong Predictor ◽  
Negative Mood ◽  
Control Group ◽  
Emotional States ◽  
Before And After

Abstract Objectives: Emotional intelligence (EI) is a strong predictor of negative mood. Applying emotional skills correctly can help to increase positive emotional states and reduce negative ones. This study aims to implement EI intervention designed to improve clarity, repair EI dimensions and coping strategies, and reduce negative mood in older adults. Design: Participants were randomly assigned to the treatment or control group. Setting: Participants were evaluated individually before and after the intervention. Participants: Participants included 111 healthy older adults; 51 in the treatment group and 60 in the control group. Intervention: An EI program was implemented. The program was administered over 10 sessions lasting 90 min each. Measurements: EI dimension (attention, clarity, and repair), coping strategies, hopelessness, and mood were assessed. Results: Analysis of variance for repeated measures was applied. In the treatment group, scores on clarity and emotional repair increased and attention to emotions decreased; problem-focused coping (problem-solving, positive reappraisal, and seeking social support) showed significant increases, whereas emotion-focused coping (negative self-focused and overt emotional expression) obtained significant decreases; scores on negative mood measures declined significantly. Conclusions: An intervention based on EI is effective in older adults. After the EI intervention, the participants showed significant increases in their levels of clarity and emotional repair and intermediate levels of attention. In addition, the intervention was found to influence adaptation results, increasing the use of adaptive coping strategies and decreasing the use of maladaptive strategies, as well as reducing hopelessness and depressive symptoms.

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