Tsai Chia-Liang, Pai Ming-Chyi, Ukropec Jozef, Ukropcová Barbara
Institute of Physical Education, Health and Leisure Studies, National Cheng Kung University, Taiwan, R.O.C.
Department of Neurology, Division of Behavioral Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan, R.O.C.
J Alzheimers Dis. 2016 Apr 23;53(1):143-59. doi: 10.3233/JAD-151093.
Although elderly people with amnestic mild cognitive impairment (aMCI) have been found to show impaired behavioral performance in task switching, no research has yet explored the electrophysiological mechanisms and the potential correlation between physical fitness and neurocognitive (i.e., behavioral and electrophysiological) performance in aMCI. The present study was thus aimed to examine whether there are differences in electrophysiological (i.e., event-related potential) performance between aMCI participants and controls when performing a task-switching paradigm, and to investigate the role of physical fitness in the relationship between neurocognitive performance and aMCI. Sixty participants were classified into aMCI (n = 30) and control (n = 30) groups, and performed a task-switching paradigm with concomitant electrophysiological recording, as well as underwent senior functional physical fitness tests. The aMCI group showed comparable scores on most parts of the physical fitness tests, but reduced lower body flexibility and VO2max as compared to the control group. When performing the task-switching paradigm, the aMCI group showed slower reaction times in the heterogeneous condition and larger global switching costs, although no significant difference was observed in accuracy rates between the two groups. In addition, the aMCI group showed significantly prolonged P3 latencies in the homogeneous and heterogeneous conditions, and a smaller P3 amplitude only in the heterogeneous condition. The level of cardiorespiratory fitness was significantly correlated with P3 amplitude in the aMCI group, particularly in the heterogeneous condition of the task-switching paradigm. These results show that the aMCI group exhibited abnormalities in their neurocognitive performance when performing the task-switching paradigm and such a deficit was likely associated with reduced cardiorespiratory fitness, which was shown to be the important predictor of neurocognitive performance.
尽管已发现患有遗忘型轻度认知障碍(aMCI)的老年人在任务转换中表现出行为能力受损,但尚无研究探讨aMCI患者的电生理机制以及身体素质与神经认知(即行为和电生理)表现之间的潜在关联。因此,本研究旨在检查aMCI参与者和对照组在执行任务转换范式时,其电生理(即事件相关电位)表现是否存在差异,并研究身体素质在神经认知表现与aMCI之间关系中的作用。60名参与者被分为aMCI组(n = 30)和对照组(n = 30),他们进行了伴随电生理记录的任务转换范式,并接受了老年人功能性身体素质测试。aMCI组在身体素质测试的大部分项目中得分相当,但与对照组相比,其下肢柔韧性和最大摄氧量降低。在执行任务转换范式时,aMCI组在异质条件下反应时间较慢,整体转换成本较大,尽管两组之间的准确率没有显著差异。此外,aMCI组在同质和异质条件下P3潜伏期均显著延长,仅在异质条件下P3波幅较小。aMCI组的心肺适能水平与P3波幅显著相关,尤其是在任务转换范式的异质条件下。这些结果表明,aMCI组在执行任务转换范式时神经认知表现异常,这种缺陷可能与心肺适能降低有关,而心肺适能被证明是神经认知表现的重要预测指标。