MacLullich A M J, Ferguson K J, Deary I J, Seckl J R, Starr J M, Wardlaw J M
Geriatric Medicine Unit, University of Edinburgh, Edinburgh, Scotland, UK.
Neurology. 2002 Jul 23;59(2):169-74. doi: 10.1212/wnl.59.2.169.
Brain size and intracranial capacity are correlated with cognitive performance in young healthy adults, but data are lacking on these relationships in older healthy adults.
To test the hypotheses that intracranial capacity, volumes of specific brain regions, and a measure of the shared variance between brain regions are positively associated with cognitive function in a sample of healthy, unmedicated elderly men (n = 97; mean age 67.8, SD 1.3).
Individuals underwent MRI, with measurements of intracranial area and volumetric measurements of hippocampi, temporal lobes, and frontal lobes. Cognitive testing included measures of premorbid intelligence, fluid intelligence, verbal memory, visuospatial memory, verbal fluency, and attention and processing speed.
Cognitive tests showed significant positive intercorrelations throughout, and regional brain volumes were also universally, significantly, and positively intercorrelated. Intracranial area and several regional brain volumes correlated with tests of premorbid and fluid intelligence and tests of visuospatial memory. Tests of verbal memory and verbal fluency did not correlate significantly with brain volumes. Structural equation modeling demonstrated that the relationships between specific cognitive tests and regional brain volumes could best be summarized by a significant positive relationship between a general brain size factor and a general cognitive factor, and not by associations between individual tests and particular brain regions.
In healthy elderly men, there are significant relationships between multiple cognitive tests and both intracranial capacity and regional brain volumes. These relationships may be largely due to longstanding associations between general cognitive ability and overall brain size.
脑容量和颅内容量与年轻健康成年人的认知表现相关,但老年健康成年人在这些关系方面的数据尚缺。
检验以下假设,即在健康、未用药的老年男性样本(n = 97;平均年龄67.8岁,标准差1.3)中,颅内容量、特定脑区体积以及脑区之间共享方差的一项指标与认知功能呈正相关。
对个体进行磁共振成像(MRI)检查,测量颅内面积以及海马体、颞叶和额叶的体积。认知测试包括病前智力、流体智力、言语记忆、视觉空间记忆、言语流畅性以及注意力和处理速度的测量。
认知测试在整体上显示出显著的正相关,并且脑区体积之间也普遍、显著且呈正相关。颅内面积和几个脑区体积与病前和流体智力测试以及视觉空间记忆测试相关。言语记忆和言语流畅性测试与脑体积无显著相关性。结构方程模型表明,特定认知测试与脑区体积之间的关系最好由一个一般脑大小因子和一个一般认知因子之间的显著正相关来概括,而非个体测试与特定脑区之间的关联。
在健康老年男性中,多种认知测试与颅内容量和脑区体积均存在显著关系。这些关系可能很大程度上归因于一般认知能力与整体脑大小之间长期存在的关联。