Institute of Sport and Exercise Sciences, Neuromotor Behavior and Exercise, University of Munster, Wilhelm-Schickard-Straße 8, Munster 48149, Federal Republic of Germany; Institute of Human Movement Science and Health, Chemnitz University of Technology, Reichenhainer Straße 29A, Chemnitz 09126, Federal Republic of Germany.
Institute of Sport and Exercise Sciences, Neuromotor Behavior and Exercise, University of Munster, Wilhelm-Schickard-Straße 8, Munster 48149, Federal Republic of Germany.
Neuroimage. 2023 Jun;273:120070. doi: 10.1016/j.neuroimage.2023.120070. Epub 2023 Mar 31.
Walking while performing an additional cognitive task (dual-task walking; DT walking) is a common yet highly demanding behavior in daily life. Previous neuroimaging studies have shown that performance declines from single-task (ST) to DT conditions are accompanied by increased prefrontal cortex (PFC) activity. This increment is particularly pronounced in older adults and has been explained either by compensation, dedifferentiation, or inefficient task processing in fronto-parietal circuits. However, there is only limited evidence for the hypothesized fronto-parietal activity changes measured under real-life conditions such as walking. In this study, we therefore assessed brain activity in PFC and parietal lobe (PL), to investigate whether higher PFC activation during DT walking in older adults is related to compensation, dedifferentiation, or neural inefficiency. Fifty-six healthy older adults (69.11 ± 4.19 years, 30 female) completed three tasks (treadmill walking at 1 m/s, Stroop task, Serial 3's task) under ST and DT conditions (Walking + Stroop, Walking + Serial 3's), and a baseline standing task. Behavioral outcomes were step time variability (Walking), Balance Integration Score BIS (Stroop), and number of correct calculations S3 (Serial 3's). Brain activity was measured using functional near-infrared spectroscopy (fNIRS) over ventrolateral and dorsolateral PFC (vlPFC, dlPFC) and inferior and superior PL (iPL, sPL). Neurophysiological outcome measures were oxygenated (HbO) and deoxygenated hemoglobin (HbR). Linear mixed models with follow-up estimated marginal means contrasts were applied to investigate region-specific upregulations of brain activation from ST to DT conditions. Furthermore, the relationships of DT-specific activations across all brain regions was analyzed as well as the relationship between changes in brain activation and changes in behavioral performance from ST to DT. Data indicated the expected upregulation from ST to DT and that DT-related upregulation was more pronounced in PFC (particularly in vlPFC) than in PL regions. Activation increases from ST to DT were positively correlated between all brain regions, and higher brain activation changes predicted higher declines in behavioral performance from ST to DT. Results were largely consistent for both DTs (Stroop and Serial 3's). These findings more likely suggest neural inefficiency and dedifferentiation in PFC and PL rather than fronto-parietal compensation during DT walking in older adults. Findings have implications for interpreting and promoting efficacy of long-term interventions to improve DT walking in older persons.
在日常生活中,进行额外认知任务的步行(双重任务行走;DT 行走)是一种常见但要求很高的行为。先前的神经影像学研究表明,从单任务(ST)到 DT 条件的表现下降伴随着前额叶皮层(PFC)活动的增加。这种增加在老年人中尤为明显,并且可以通过前额顶叶回路中的补偿、去分化或低效任务处理来解释。然而,对于在现实生活条件下(如行走)测量的假设额顶叶活动变化,只有有限的证据。在这项研究中,我们评估了 PFC 和顶叶(PL)的大脑活动,以研究老年人在 DT 行走期间更高的 PFC 激活是否与补偿、去分化或神经效率低下有关。56 名健康老年人(69.11±4.19 岁,30 名女性)在 ST 和 DT 条件下(行走+斯特鲁普任务、行走+3 连任务)完成了三项任务(以 1 m/s 的速度在跑步机上行走、斯特鲁普任务、3 连任务)和基线站立任务。行为结果是步时变异性(行走)、平衡整合评分 BIS(斯特鲁普)和 3 连任务的正确计算数量 S3。使用功能近红外光谱(fNIRS)测量大脑活动,测量腹外侧和背外侧前额叶(vlPFC、dlPFC)和下顶叶和上顶叶(iPL、sPL)。神经生理测量指标是氧合(HbO)和去氧血红蛋白(HbR)。应用线性混合模型和后续估计边际均值对比来研究从 ST 到 DT 条件的大脑激活的区域特异性上调。此外,还分析了所有大脑区域的 DT 特异性激活之间的关系,以及从 ST 到 DT 的大脑激活变化与行为表现变化之间的关系。数据表明,从 ST 到 DT 的预期上调,以及 DT 相关的上调在 PFC(特别是 vlPFC)中比在 PL 区域更为明显。从 ST 到 DT 的激活增加在所有大脑区域之间呈正相关,更高的大脑激活变化预测从 ST 到 DT 的行为表现下降更高。结果对于两种 DT(斯特鲁普和 3 连任务)基本一致。这些发现更可能表明老年人在 DT 行走时 PFC 和 PL 中的神经效率低下和去分化,而不是额顶叶补偿。研究结果对解释和促进改善老年人 DT 行走的长期干预措施的效果具有重要意义。
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