非侵入性脑刺激衰老大脑:现状与未来展望。

Non-invasive brain stimulation of the aging brain: State of the art and future perspectives.

机构信息

Department of Medicine, Surgery and Neuroscience, Neurology and Clinical Neurophysiology Section, Brain Investigation & Neuromodulation Lab. (SiBIN Lab), University of Siena, Italy.

Department of Medicine, Surgery and Neuroscience, Neurology and Clinical Neurophysiology Section, Brain Investigation & Neuromodulation Lab. (SiBIN Lab), University of Siena, Italy; Department of Medicine, Surgery and Neuroscience, Human Physiology Section, University of Siena, Italy.

出版信息

Ageing Res Rev. 2016 Aug;29:66-89. doi: 10.1016/j.arr.2016.05.006. Epub 2016 May 21.

Abstract

Favored by increased life expectancy and reduced birth rate, worldwide demography is rapidly shifting to older ages. The golden age of aging is not only an achievement but also a big challenge because of the load of the elderly on social and medical health care systems. Moreover, the impact of age-related decline of attention, memory, reasoning and executive functions on self-sufficiency emphasizes the need of interventions to maintain cognitive abilities at a useful degree in old age. Recently, neuroscientific research explored the chance to apply Non-Invasive Brain Stimulation (NiBS) techniques (as transcranial electrical and magnetic stimulation) to healthy aging population to preserve or enhance physiologically-declining cognitive functions. The present review will update and address the current state of the art on NiBS in healthy aging. Feasibility of NiBS techniques will be discussed in light of recent neuroimaging (either structural or functional) and neurophysiological models proposed to explain neural substrates of the physiologically aging brain. Further, the chance to design multidisciplinary interventions to maximize the efficacy of NiBS techniques will be introduced as a necessary future direction.

摘要

由于预期寿命的延长和出生率的降低,全球人口结构正在迅速向老年化转变。老龄化的黄金时代不仅是一项成就,也是一个巨大的挑战,因为老年人给社会和医疗保健系统带来了负担。此外,与年龄相关的注意力、记忆、推理和执行功能下降对自给自足的影响强调了需要进行干预,以维持老年人有用程度的认知能力。最近,神经科学研究探索了应用非侵入性脑刺激(NiBS)技术(如经颅电和磁刺激)来改善健康老龄化人群的认知功能的机会。本综述将更新和阐述 NiBS 在健康老龄化方面的最新技术。将根据最近提出的神经影像学(结构或功能)和神经生理学模型来讨论 NiBS 技术的可行性,以解释生理老化大脑的神经基础。此外,引入设计多学科干预措施以最大程度提高 NiBS 技术疗效的机会,将是未来的一个必要方向。

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