scholarly journals Frontal White Matter Hyperintensities and Executive Functioning Performance in Older Adults

2021 ◽  
Vol 13 ◽  
Author(s):  
Emanuel M. Boutzoukas ◽  
Andrew O'Shea ◽  
Alejandro Albizu ◽  
Nicole D. Evangelista ◽  
Hanna K. Hausman ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Executive Function ◽  
Frontal Lobe ◽  
White Matter Hyperintensities ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Set Shifting ◽  
Healthy Older Adults ◽  
Age Related

Frontal lobe structures decline faster than most other brain regions in older adults. Age-related change in the frontal lobe is associated with poorer executive function (e.g., working memory, switching/set-shifting, and inhibitory control). The effects and presence of frontal lobe white matter hyperintensities (WMH) on executive function in normal aging is relatively unknown. The current study assessed relationships between region-specific frontal WMH load and cognitive performance in healthy older adults using three executive function tasks from the NIH Toolbox (NIHTB) Cognition Battery. A cohort of 279 healthy older adults ages 65–88 completed NIHTB and 3T T1-weighted and FLAIR MRI. Lesion Segmentation Toolbox quantified WMH volume and generated lesion probability maps. Individual lesion maps were registered to the Desikan-Killiany atlas in FreeSurfer 6.0 to define regions of interest (ROI). Independent linear regressions assessed relationships between executive function performance and region-specific WMH in frontal lobe ROIs. All models included age, sex, education, estimated total intracranial volume, multi-site scanner differences, and cardiovascular disease risk using Framingham criteria as covariates. Poorer set-shifting performance was associated with greater WMH load in three frontal ROIs including bilateral superior frontal (left β = −0.18, FDR-p = 0.02; right β = −0.20, FDR-p = 0.01) and right medial orbitofrontal (β = −0.17, FDR-p = 0.02). Poorer inhibitory performance associated with higher WMH load in one frontal ROI, the right superior frontal (right β = −0.21, FDR-p = 0.01). There were no significant associations between working memory and WMH in frontal ROIs. Our study demonstrates that location and pattern of frontal WMH may be important to assess when examining age-related differences in cognitive functions involving switching/set-shifting and inhibition. On the other hand, working memory performance was not related to presence of frontal WMH in this sample. These data suggest that WMH may contribute selectively to age-related declines in executive function. Findings emerged beyond predictors known to be associated with WMH presence, including age and cardiovascular disease risk. The spread of WMH within the frontal lobes may play a key role in the neuropsychological profile of cognitive aging. Further research should explore whether early intervention on modifiable vascular factors or cognitive interventions targeted for executive abilities may help mitigate the effect of frontal WMH on executive function.

Abstract MP057: Subclinical Cerebrovascular Disease is Associated with Worsening Gait and Balance in an Elderly Multi-Ethnic Population: The Northern Manhattan Study (NOMAS)

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Joshua Z Willey ◽  
Yeseon Park Moon ◽  
Janet DeRosa ◽  
Erin Kulick ◽  
Sandino Cespedes ◽  
...  
Keyword(s):  
White Matter ◽  
Cerebrovascular Disease ◽  
White Matter Hyperintensities ◽  
Physical Aging ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
The Elderly ◽  
Brain Regions ◽  
Periventricular White Matter ◽  
Age Related

Introduction: Age-related decline in gait and balance is a contributor to morbidity in the elderly. Subclinical cerebrovascular disease, seen on magnetic resonance imaging (MRI) as white matter hyperintensities (WMH) and silent brain infarcts (SBI), is associated with impaired mobility. Less is known about the association of WMH in specific brain regions and mobility impairment. We hypothesized that anterior WMH volume would be associated with lower scores on the Short Physical Performance Battery (SPPB), a well-validated mobility scale associated with falls and mortality in the elderly. Methods: Participants in the Northern Manhattan Study MRI cohort had the SPPB measured a median of 5 years after enrollment. The SPPB has three domains with a maximum total score of 12: gait speed, chair stands, standing balance. Volumetric distributions for WMH volume across 14 brain regions (brainstem, cerebellum, and bilateral frontal, occipital, temporal, and parietal lobes, and bilateral anterior and posterior periventricular white matter) were determined separately for each hemisphere by combining bimodal image intensity distribution and atlas based methods. Multi-variable linear regression was performed to examine the association between SBI and total and regional (frontal, parietal, occipital, temporal, anterior, posterior, and brainstem) head size-corrected WMH volumes, with the total SPPB score; models were adjusted for cardiovascular disease risk factors, osteo-arthritis, and grip strength. Results: Among 668 stroke-free participants with the SPPB available, mean age at the time of assessment was 74 ±9 years, 37% were male and 70% Hispanic; the mean SPPB score was 8.2 ± 2.9, interquartile range 7-10. Mean total WMHV was 0.55±0.75cc, mean anterior WMH volume 0.18±0.24cc, and 12% of participants had SBI. In multi-variable models, total WMHV was associated with a lower SPPB (beta = -0.3 per SD of logWMH, p=0.004), while SBI was not (beta= -0.12, p=0.7). For regional WMH volumes, only greater anterior periventricular WMHV was associated with SPPB (beta= -0.29 per SD, p=0.009). Conclusions: White matter hyperintensities, especially in the anterior cerebral regions, are associated with a lower SPPB. Prevention of subclinical cerebrovascular disease is a potential target to prevent physical aging in the elderly.

A-3 Cingulo-Opercular and Frontoparietal Control Network Connectivity and Executive Functioning in Older Adults

2021 ◽  
Vol 36 (6) ◽  
pp. 1024-1024
Author(s):  
Hanna K Hausman ◽  
Cheshire Hardcastle ◽  
Alejandro Albizu ◽  
Jessica N Kraft ◽  
Nicole D Evangelista ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Executive Functioning ◽  
Resting State ◽  
Digit Span ◽  
Network Connectivity ◽  
Cognitive Domain ◽  
Set Shifting ◽  
Age Related ◽  
Memory Inhibition

Abstract Objective Executive functioning is a cognitive domain that typically declines with normal aging. Age-related disrupted connectivity in cingulo-opercular (CON) and frontoparietal control (FPCN) resting-state networks is associated with worse performance across various executive functioning tasks. This study examines the relationships between CON and FPCN connectivity and executive functioning performance in older adults across three subdomains: working memory, inhibition, and set-shifting. Methods 274 healthy older adults (age M = 71.7, SD = 5.1; 87% Caucasian) from a clinical trial at the University of Florida and University of Arizona completed tasks of working memory (Digit Span Backwards [DSB]; Letter Number Sequencing [LNS]), inhibition (Stroop), and set-shifting (Trail Making Test Part B [TMT-B]). Participants underwent resting-state functional magnetic resonance imaging. CONN Toolbox (18b) was used for extracting average within-network connectivity of CON and FPCN. Multiple linear regressions were conducted with average network connectivity predicting performance, controlling for age, sex, education, and scanner. Results Greater average CON connectivity was associated with better performance on DSB (β = 0.26, p < 0.001), LNS (β = 0.23, p < 0.001), Stroop (β = 0.24, p < 0.001), and TMT-B (β = −0.26, p < 0.001). Greater average FPCN connectivity was associated with better performance on DSB (β = 0.22, p < 0.001) and LNS (β = 0.18, p = 0.002). Conclusions CON connectivity was significantly associated with working memory, inhibition, and set-shifting. FPCN connectivity was significantly associated with working memory. Future research should conduct regional connectivity analyses within these networks to identify intervention targets to improve executive functioning in older adults.

scholarly journals Evaluation of Episodic and Lexical Metamemory and Executive Function in Healthy Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 704-705
Author(s):  
Atsuko Hayashi
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Episodic Memory ◽  
Stroop Task ◽  
Memory Performance ◽  
Memory Task ◽  
Lexical Memory ◽  
Healthy Older Adults ◽  
Self Evaluation ◽  
Age Related

Abstract In older adults, it is important to maintain awareness of memory as well as memory performance. However, it is not clear whether the awareness of episodic and lexical memory changes with age and is related to self-evaluation of memory and executive function. Here age-related changes and the relationship between metamemory, executive function, and metamemory scale were investigated. Healthy old (n=40) and young (n=34) groups participated in this study. In the episodic memory task, participants were asked to memorize ten Kanji words and to estimate the number of words they could recall after ten minutes. In the lexical memory task, they rated the likelihood that they could write a target Kanji word written in hiragana and then wrote them down. They were also asked to complete the metamemory in adulthood(MIA) and the position stroop task. In the episodic and lexical memory and the position stroop task and MIA subscales, the performances of the younger group were significantly better than those of the older group. In the episodic memory task, there were correlations between the metamemory and MIA subscales in both groups, but in the lexical memory task, only in the old group. No correlation was found between the results of both memory tasks and the stroop test. These results suggest that older people overestimate memory performances in the episodic and lexical memory tasks and metamemory performances may be associated with self-evaluation of memory. In addition, metamemory might not be related to frontal lobe function as shown in executive function tasks.

Simple and Complex Rule Induction Performance in Young and Older Adults: Contribution of Episodic Memory and Working Memory

2014 ◽  
Vol 20 (3) ◽  
pp. 333-341 ◽  
Author(s):  
Joukje M. Oosterman ◽  
Merle S. Boeschoten ◽  
Paul A.T. Eling ◽  
Roy P.C. Kessels ◽  
Joseph H.R. Maes
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Executive Function ◽  
Episodic Memory ◽  
Executive Control ◽  
Rule Induction ◽  
Community Dwelling ◽  
Memory Switching ◽  
Age Related ◽  
Neuropsychological Predictors

AbstractThis study tested the hypothesis that part of the age-related decline in performance on executive function tasks is due to a decline in episodic memory. For this, we developed a rule induction task in which we manipulated the involvement of episodic memory and executive control processes; age effects and neuropsychological predictors of task performance were investigated. Twenty-six younger (mean age, 24.0; range, 19–35 years) and 27 community-dwelling older adults (mean age, 67.5; range, 50–91 years) participated. The neuropsychological predictors consisted of the performance on tests of episodic memory, working memory, switching, inhibition and flexibility. Performance of the older adults was worse for the learning and memorization of simple rules, as well as for the more demanding executive control condition requiring the manipulation of informational content. Episodic memory was the only predictor of performance on the simple learning and memorization task condition whereas an increase in rule induction complexity additionally engaged working memory processes. Together, these findings indicate that part of the age-related decline on rule induction tests may be the result of a decline in episodic memory. Further studies are needed that examine the role of episodic memory in other executive function tasks in aging. (JINS, 2014, 20, 1–9)

scholarly journals Interacting effects of frontal lobe neuroanatomy and working memory capacity to older listeners’ speech recognition in noise

2020 ◽  
Author(s):  
Nathalie Giroud ◽  
Matthias Keller ◽  
Martin Meyer
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Frontal Lobe ◽  
Pure Tone ◽  
Working Memory Capacity ◽  
Memory Capacity ◽  
Brain Regions ◽  
Brain Areas ◽  
Speech In Noise ◽  
Age Related

AbstractMany older adults are struggling with understanding spoken language, particularly when background noise interferes with comprehension. In the present study, we investigated a potential interaction between two well-known factors associated with greater speech-in-noise (SiN) reception thresholds in older adults, namely a) lower working memory capacity and b) age-related structural decline of frontal lobe regions.In a sample of older adults (N=25) and younger controls (N=13) with normal pure-tone thresholds, SiN reception thresholds and working memory capacity were assessed. Furthermore, T1-weighted structural MR-images were recorded to analyze neuroanatomical traits (i.e., cortical thickness (CT) and cortical surface area (CSA)) of the cortex.As expected, the older group showed greater SiN reception thresholds compared to the younger group. We also found consistent age-related atrophy (i.e., lower CT) in brain regions associated with SiN recognition namely the superior temporal lobe bilaterally, the right inferior frontal and precentral gyrus, as well as the left superior frontal gyrus. Those older participants with greater atrophy in these brain regions also showed greater SiN reception thresholds. Interestingly, the association between CT in the left superior frontal gyrus and SiN reception thresholds was moderated by individual working memory capacity. Older adults with greater working memory capacity benefitted more strongly from thicker frontal lobe regions when it comes to improve SiN recognition.Overall, our results fit well into the literature showing that age-related structural decline in auditory- and cognition-related brain areas is associated with greater SiN reception thresholds in older adults. However, we highlight that this association changes as a function of individual working memory capacity. We therefore believe that future interventions to improve SiN recognition in older adults should take into account the role of the frontal lobe as well as individual working memory capacity.HighlightsSpeech-in-noise (SiN) reception thresholds are significantly increased with higher age, independently of pure-tone hearing lossGreater SiN reception thresholds are associated with cortical thinning in several auditory-, linguistic-, and cognitive-related brain areas, irrespective of pure-tone hearing lossGreater cortical thinning in the left superior frontal lobe is detrimental for SiN recognition in older, but not younger adultsOlder adults with greater working memory capacity benefit more strongly from structural integrity of left superior frontal lobe for SiN recognition

scholarly journals Investigating the Effects of Spacing on Working Memory Training Outcome: A Randomized, Controlled, Multisite Trial in Older Adults

2019 ◽  
Vol 75 (6) ◽  
pp. 1181-1192
Author(s):  
Susanne M Jaeggi ◽  
Martin Buschkuehl ◽  
Chelsea M Parlett-Pelleriti ◽  
Seung Min Moon ◽  
Michelle Evans ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Cognitive Domain ◽  
Memory Training ◽  
Healthy Older Adults ◽  
Cognitive Domains ◽  
Randomized Controlled ◽  
Effective Interventions ◽  
Age Related ◽  
Before And After

Abstract Objective The majority of the population will experience some cognitive decline with age. Therefore, the development of effective interventions to mitigate age-related decline is critical for older adults’ cognitive functioning and their quality of life. Methods In our randomized controlled multisite trial, we target participants’ working memory (WM) skills, and in addition, we focus on the intervention’s optimal scheduling in order to test whether and how the distribution of training sessions might affect task learning, and ultimately, transfer. Healthy older adults completed an intervention targeting either WM or general knowledge twice per day, once per day, or once every-other-day. Before and after the intervention and 3 months after training completion, participants were tested in a variety of cognitive domains, including those representing functioning in everyday life. Results In contrast to our hypotheses, spacing seems to affect learning only minimally. We did observe some transfer effects, especially within the targeted cognitive domain (WM and inhibition/interference), which remained stable at the 3-month follow-up. Discussion Our findings have practical implications by showing that the variation in training schedule, at least within the range used here, does not seem to be a crucial element for training benefits.

scholarly journals Sensory capability and information integration independently predict cognitive status of healthy older adults

2020 ◽  
Author(s):  
Jonas Misselhorn ◽  
Florian Göschl ◽  
Focko L. Higgen ◽  
Friedhelm C. Hummel ◽  
Christian Gerloff ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Multisensory Integration ◽  
Information Integration ◽  
Cognitive Abilities ◽  
Response Times ◽  
Cognitive Status ◽  
Healthy Older Adults ◽  
Age Related ◽  
Transcranial Alternating Current Stimulation

AbstractAgeing is characterized by changes in sensory and cognitive abilities. While there is evidence that decline in sensory acuity and enhanced multisensory integration predict cognitive status in healthy older adults, potential mechanistic links between these age-related alterations remain unclear. In the current study, we assessed performance of younger and older healthy adults in a visuotactile delayed match-to-sample task and related indices of multisensory integration to unisensory perceptual thresholds and cognitive assessment data. Additionally, we applied transcranial alternating current stimulation (tACS) to modulate cortical networks found to underlie visuotactile interactions and working-memory matching in our previous work. Analysing response times and signal detection measures, we found older adults to show enhanced multisensory integration and benefit more from successful working memory matching. Both measures predicted cognitive status and correlated positively with each other, suggesting that they likely reflect a common underlying tendency to integrate information. Sensory capability, however, independently predicted cognitive status. tACS with beta frequency (20 Hz) accelerated task performance and this effect was more pronounced in the older group. We conclude that sensory capability and information integration represent independent predictors of cognitive status. Finally, we discuss a potential role of the parietal cortex in mediating augmented integration in older adults.

scholarly journals Ceramide Biomarkers Predictive of Cardiovascular Disease Risk Increase in Healthy Older Adults After Bed Rest

2020 ◽  
Vol 75 (9) ◽  
pp. 1663-1670 ◽  
Author(s):  
Jonathan J Petrocelli ◽  
Alec I McKenzie ◽  
Ziad S Mahmassani ◽  
Paul T Reidy ◽  
Gregory J Stoddard ◽  
...  
Keyword(s):  
Older Adults ◽  
Time Course ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Bed Rest ◽  
Fibroblast Growth Factor 21 ◽  
Healthy Older Adults ◽  
Risk Increase ◽  
Organ Systems ◽  
Health Complications

Abstract Acute bed rest places older adults at risk for health complications by disrupting homeostasis in many organ systems, including the cardiovascular system. Circulating ceramides are emerging biomarkers predictive of cardiovascular and metabolic health and have recently been shown to be sensitive indices of cardiovascular (CV) risk. Therefore, the purpose of this study was to characterize the time course of changes in circulating ceramides in healthy younger and older adults after 5 days of bed rest and to determine whether short-term bed rest alters CV-related circulating ceramides. We hypothesized that circulating ceramides predictive of poor cardiometabolic outcomes would increase following 5 days of bed rest. Thirty-five healthy younger and older men and women (young: n = 13, old: n = 22) underwent 5 days of controlled bed rest. Fasting blood samples collected daily during the course of bed rest were used to measure circulating ceramides, lipoproteins, adiponectin, and fibroblast growth factor 21 (FGF21) levels. The primary findings were that circulating ceramides decreased while ceramide ratios and the cardiac event risk test 1 score were increased primarily in older adults, and these findings were independent of changes in circulating lipoprotein levels. Additionally, we found that changes in circulating adiponectin, FGF21 and the 6-minute walk test (6MW) inversely correlated with CV-related circulating ceramides after bed rest. The results of this study highlight the sensitivity of circulating ceramides to detect potential CV dysfunction that may occur with acute physical disuse in aging.

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