成年晚期认知和身体活动对灰质体积的不同影响。

Distinct effects of late adulthood cognitive and physical activities on gray matter volume.

作者信息

Arenaza-Urquijo Eider M, de Flores Robin, Gonneaud Julie, Wirth Miranka, Ourry Valentin, Callewaert William, Landeau Brigitte, Egret Stéphanie, Mézenge Florence, Desgranges Béatrice, Chételat Gaël

机构信息

Institut national de la santé et de la recherche médicale, INSERM, U1077, Caen, France.

Université de Caen-Normandie, UMR-S1077, Caen, France.

出版信息

Brain Imaging Behav. 2017 Apr;11(2):346-356. doi: 10.1007/s11682-016-9617-3.

Abstract

Engagement in cognitive activity (CA) and physical activity (PA) during the lifespan may counteract brain atrophy later in life. Here, we investigated engagement in CA and PA during late adulthood in association with gray matter volume (GM) in normal older adults, with special focus on the hippocampus. Forty-five cognitively normal older individuals (mean age: 72) underwent T1-weighted MRI and self-reported CA and PA assessment. Whole brain voxel-wise multiple regression models were carried out to assess the relationships between CA, PA and GM volume adjusted by age and sex. Further adjustment for years of education and risk factors were performed. Voxel-wise analyses were projected on 3D hippocampal surface views. Cognitive activity and PA demonstrated independent regional associations with GM after adjustment for confounders. Cognitive activity was related to greater GM in extended brain areas including frontal, temporal and parietal cortices, while PA was associated with increased GM in the prefrontal, insular and motor cortices. Regression maps projected on the hippocampal surface showed a common association of PA and CA within the anterior part of the hippocampus, although the effect of CA was more subtle and also extended to the posterior part. Engagement in PA and CA in late adulthood were independently related to regional GM volume, notably in aging and AD vulnerable areas. These results support the idea that both PA and CA- based interventions may be suitable to promote brain health in late adulthood. The potential synergistic effects of PA and CA need to be addressed in future studies including larger samples.

摘要

一生中参与认知活动(CA)和体育活动(PA)可能会抵消晚年的脑萎缩。在此,我们调查了正常老年人在成年后期参与CA和PA与灰质体积(GM)的关系,特别关注海马体。45名认知正常的老年人(平均年龄:72岁)接受了T1加权磁共振成像(MRI)检查以及自我报告的CA和PA评估。进行了全脑体素水平的多元回归模型,以评估经年龄和性别调整后的CA、PA与GM体积之间的关系。还对受教育年限和风险因素进行了进一步调整。体素水平分析投影到三维海马表面视图上。在对混杂因素进行调整后,认知活动和PA与GM显示出独立的区域关联。认知活动与包括额叶、颞叶和顶叶皮质在内的扩展脑区中更大的GM相关,而PA与前额叶、岛叶和运动皮质中GM增加相关。投影到海马表面的回归图显示,PA和CA在海马前部有共同关联,尽管CA的影响更细微且也延伸到了后部。成年后期参与PA和CA与区域GM体积独立相关,特别是在衰老和阿尔茨海默病易损区域。这些结果支持了这样一种观点,即基于PA和CA的干预措施可能都适合促进成年后期的脑健康。PA和CA的潜在协同效应需要在包括更大样本的未来研究中加以探讨。

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