4.5 Article

Neuroprotective pathways: lifestyle activity, brain pathology, and cognition in cognitively normal older adults

期刊

NEUROBIOLOGY OF AGING
卷 35, 期 8, 页码 1873-1882

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.neurobiolaging.2014.02.015

关键词

Cognitive activity; Physical activity; Cognitive aging; Beta-amyloid; PIB-PET; White matter lesion

资金

  1. National Institutes of Health [AG034570]
  2. Swiss National Science Foundation [PA00P1-131515]
  3. Swiss National Science Foundation (SNF) [PA00P1_131515] Funding Source: Swiss National Science Foundation (SNF)

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This study used path analysis to examine effects of cognitive activity and physical activity on cognitive functioning in older adults, through pathways involving beta-amyloid (A beta) burden, cerebrovascular lesions, and neural injury within the brain regions affected in Alzheimer's disease (AD). Ninety-two cognitively normal older adults (75.2 +/- 5.6 years) reported lifetime cognitive activity and current physical activity using validated questionnaires. For each participant, we evaluated cortical A beta burden (using [C-11] labeled Pittsburgh-Compound-B positron emission tomography), cerebrovascular lesions (using magnetic resonance imaging-defined white matter lesion [WML]), and neural integrity within AD regions (using a multimodal neuroimaging biomarker). Path models (adjusted for age, gender, and education) indicated that higher lifetime cognitive activity and higher current physical activity was associated with fewer WMLs. Lower WML volumes were in turn related to higher neural integrity and higher global cognitive functioning. As shown previously, higher lifetime cognitive activity was associated with lower [C-11] labeled Pittsburgh-Compound-B retention, which itself moderated the impact of neural integrity on cognitive functioning. Lifestyle activity may thus promote cognitive health in aging by protecting against cerebrovascular pathology and A beta pathology thought to be relevant to AD development. (C) 2014 Elsevier Inc. All rights reserved.

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