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认知储备调节老年人步态前额叶皮层激活模式的效率。

Cognitive Reserve Moderates the Efficiency of Prefrontal Cortex Activation Patterns of Gait in Older Adults.

机构信息

Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.

Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.

出版信息

J Gerontol A Biol Sci Med Sci. 2022 Sep 1;77(9):1836-1844. doi: 10.1093/gerona/glab288.


DOI:10.1093/gerona/glab288
PMID:34606598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9434464/
Abstract

BACKGROUND: Cognitive reserve (CR) protects against cognitive decline, but whether CR influences the efficiency of cortical control of gait has not been reported. The current study addressed this important gap in the literature. Specifically, we determined the role of CR in moderating the efficiency of functional near-infrared spectroscopy (fNIRS)-derived oxygenated hemoglobin (HbO2) in the prefrontal cortex (PFC) assessed during active walking. We hypothesized that higher CR would be associated with more efficient brain activation patterns. METHODS: Participants were 55 (mean age = 74.84; %female = 49.1) older adults who underwent the combined walking/fNIRS protocol and had magnetic resonance imaging data. We used an established dual-task walking paradigm that consisted of 3 task conditions: single-task walk (STW), single-task alpha (STA, cognitive task), and dual-task walk (DTW). Using the residual approach, CR was derived from a word-reading test score by removing variance accounted for by sociodemographic variables, tests of current cognitive functions, and a measure of structural brain integrity. RESULTS: CR moderated the change in fNIRS-derived HbO2 in the PFC across tasks. Higher CR was associated with smaller increases in fNIRS-derived HbO2 from the single tasks to dual-task walking (CR × DTW compared with STW: estimate = 0.183; p < .001; CR × DTW compared with STA: estimate = 0.257; p < .001). The moderation effect of CR remained significant when adjusting for multiple covariates and concurrent moderation effects of measures of gait performance, current cognitive functions, and structural integrity of the brain. CONCLUSION: The current study provided first evidence that higher CR was associated with better neural efficiency of walking in older adults.

摘要

背景:认知储备(CR)可预防认知能力下降,但 CR 是否会影响皮质对步态的控制效率尚未见报道。本研究填补了这一文献空白。具体来说,我们确定了 CR 在调节功能近红外光谱(fNIRS)衍生含氧血红蛋白(HbO2)在主动行走期间前额皮质(PFC)中的效率方面的作用。我们假设更高的 CR 与更有效的大脑激活模式相关。

方法:参与者为 55 名(平均年龄=74.84;女性%=49.1)老年人,他们接受了联合行走/fNIRS 方案和磁共振成像数据。我们使用了一种已建立的双重任务行走范式,该范式由 3 种任务条件组成:单任务行走(STW)、单任务 alpha(STA,认知任务)和双重任务行走(DTW)。使用剩余方法,通过从社会人口统计学变量、当前认知功能测试和结构脑完整性测量中去除可解释的方差,从阅读测试得分中得出 CR。

结果:CR 调节了任务间 PFC 中 fNIRS 衍生 HbO2 的变化。更高的 CR 与从单一任务到双重任务行走时 fNIRS 衍生 HbO2 的增加幅度较小相关(CR×DTW 与 STW 相比:估计值=0.183;p<0.001;CR×DTW 与 STA 相比:估计值=0.257;p<0.001)。在调整了多种协变量以及步态表现、当前认知功能和大脑结构完整性的并发调节作用后,CR 的调节作用仍然显著。

结论:本研究首次提供了证据,表明更高的 CR 与老年人行走时更好的神经效率相关。

相似文献

[1]
Cognitive Reserve Moderates the Efficiency of Prefrontal Cortex Activation Patterns of Gait in Older Adults.

J Gerontol A Biol Sci Med Sci. 2022-9-1

[2]
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J Gerontol A Biol Sci Med Sci. 2019-6-18

[3]
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[4]
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[8]
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[9]
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引用本文的文献

[1]
Difference between Okinawan and Dutch older adults in prefrontal brain activation.

Front Aging Neurosci. 2025-7-31

[2]
Evaluation of Neural, Systemic and Extracerebral Activations During Active Walking Tasks in Older Adults Using fNIRS.

IEEE Trans Neural Syst Rehabil Eng. 2025

[3]
The contribution of cognitive reserve in explaining the dual-task walking performance in iNPH patients: comparison with other cognitive, functional, and socio-demographic variables.

Aging Clin Exp Res. 2024-9-11

[4]
Physical reserve and its underpinning functional neural networks moderate the relationship between white matter hyperintensity and postural balance in older adults with subcortical ischemic vascular cognitive impairment.

Sci Rep. 2024-7-26

[5]
Brain control of dual-task walking can be improved in aging and neurological disease.

Geroscience. 2024-6

[6]
The prefrontal cortex hemodynamic responses to dual-task paradigms in older adults: A systematic review and meta-analysis.

Heliyon. 2023-7-6

[7]
The impact of music making on neural efficiency & dual-task walking performance in healthy older adults.

Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2024-5

本文引用的文献

[1]
Prefrontal cortex activation during dual-task walking in older adults is moderated by thickness of several cortical regions.

Geroscience. 2021-8

[2]
Cognitive Reserve Moderates Associations Between Walking Performance Under Single- and Dual-Task Conditions and Incident Mobility Impairment in Older Adults.

J Gerontol A Biol Sci Med Sci. 2021-9-13

[3]
Brain Activation Changes While Walking in Adults with and without Neurological Disease: Systematic Review and Meta-Analysis of Functional Near-Infrared Spectroscopy Studies.

Brain Sci. 2021-2-26

[4]
Cognitive Reserve, Alzheimer's Neuropathology, and Risk of Dementia: A Systematic Review and Meta-Analysis.

Neuropsychol Rev. 2021-6

[5]
Effects of Processing Methods on fNIRS Signals Assessed During Active Walking Tasks in Older Adults.

IEEE Trans Neural Syst Rehabil Eng. 2020-3

[6]
Functional Near-Infrared Spectroscopy to Study Cerebral Hemodynamics in Older Adults During Cognitive and Motor Tasks: A Review.

Front Aging Neurosci. 2020-1-21

[7]
Cognitive and physical activity and dementia: A 44-year longitudinal population study of women.

Neurology. 2019-2-20

[8]
Multi-modal neuroimaging of dual-task walking: Structural MRI and fNIRS analysis reveals prefrontal grey matter volume moderation of brain activation in older adults.

Neuroimage. 2019-1-30

[9]
Cognitive Involvement in Balance, Gait and Dual-Tasking in Aging: A Focused Review From a Neuroscience of Aging Perspective.

Front Neurol. 2018-10-29

[10]
Cognitive Predictors of Cortical Thickness in Healthy Aging.

Adv Exp Med Biol. 2018

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