Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, USA.
J Gerontol A Biol Sci Med Sci. 2022 Sep 1;77(9):1836-1844. doi: 10.1093/gerona/glab288.
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.
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。
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