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社区居住老年人的脑白质束完整性与认知能力:洛锡安出生队列 1936 年研究。

Brain white matter tract integrity and cognitive abilities in community-dwelling older people: the Lothian Birth Cohort, 1936.

机构信息

Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh.

出版信息

Neuropsychology. 2013 Sep;27(5):595-607. doi: 10.1037/a0033354. Epub 2013 Aug 12.

Abstract

OBJECTIVE

The present study investigates associations between brain white matter tract integrity and cognitive abilities in community-dwelling older people (N = 655). We explored two potential confounds of white matter tract-cognition associations in later life: (a) whether the associations between tracts and specific cognitive abilities are accounted for by general cognitive ability (g); and (b) how the presence of atrophy and white matter lesions affect these associations.

METHOD

Tract integrity was determined using quantitative diffusion magnetic resonance imaging tractography (tract-averaged fractional anisotropy [FA]). Using confirmatory factor analysis, we compared first-order and bifactor models to investigate whether specific tract-ability associations were accounted for by g.

RESULTS

Significant associations were found between g and FA in bilateral anterior thalamic radiations (r range: .16-.18, p < .01), uncinate (r range: .19-.26, p < .001), arcuate fasciculi (r range: .11-.12, p < .05), and the splenium of corpus callosum (r = .14, p < .01). After controlling for g within the bifactor model, some significant specific cognitive domain associations remained. Results also suggest that the primary effects of controlling for whole brain integrity were on g associations, not specific abilities.

CONCLUSION

Results suggest that g accounts for most of, but not all, the tract-cognition associations in the current data. When controlling for age-related overall brain structural changes, only minor attenuations of the tract-cognition associations were found, and these were primarily with g. In totality, the results highlight the importance of controlling for g when investigating associations between specific cognitive abilities and neuropsychology variables.

摘要

目的

本研究调查了社区居住的老年人(N=655)大脑白质束完整性与认知能力之间的关联。我们探讨了两种潜在的混淆因素:(a)白质束与特定认知能力之间的关联是否可以用一般认知能力(g)来解释;(b)脑萎缩和白质病变的存在如何影响这些关联。

方法

使用定量扩散磁共振成像束追踪技术(束平均各向异性分数[FA])确定束完整性。我们使用验证性因子分析比较了一阶和双因子模型,以调查特定束与能力的关联是否由 g 来解释。

结果

在双侧前丘脑辐射(r 范围:.16-.18,p<.01)、钩束(r 范围:.19-.26,p<.001)、弓状束(r 范围:.11-.12,p<.05)和胼胝体压部(r=.14,p<.01)中,发现 g 与 FA 之间存在显著关联。在双因子模型中控制 g 后,一些与特定认知领域相关的关联仍然存在。结果还表明,控制整体大脑完整性的主要影响是 g 关联,而不是特定能力。

结论

结果表明,g 解释了当前数据中大多数但不是所有的束与认知的关联。当控制与年龄相关的大脑整体结构变化时,发现与束与认知的关联只有轻微衰减,且主要与 g 相关。总体而言,结果强调了在调查特定认知能力与神经心理学变量之间的关联时,控制 g 的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b9/3780714/bea81d2bcf5d/neu_27_5_595_fig1a.jpg

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