Feron, J. | bioRxiv Science

bioRxiv2023

Determinants of cerebral blood flow and arterial transit time in healthy older adults

Cerebral blood flow (CBF) and arterial transit time (ATT), markers of brain vascular health, worsen with age. The primary aim of this cross-sectional study was to identify modifiable determinants of CBF and ATT in healthy older adults (n=78, aged 60-81 yrs). Associations between cardiorespiratory fitness and CBF or ATT were of particular interest as the impact of cardiorespiratory fitness is not clear in existing literature. Secondly, this study assessed whether CBF or ATT relate to cognitive function in older adults. Results from multiple linear regressions found higher BMI was associated with lower global CBF ({beta}=-0.35, P=0.008) and a longer global ATT ({beta}=0.30, P=0.017), global ATT lengthened with increasing age ({beta}=0.43, P=0.004), and higher cardiorespiratory fitness was associated with longer ATT in parietal ({beta}=0.44, P=0.004) and occipital ({beta}=0.45, P=0.003) regions. Global or regional CBF or ATT were not associated with processing speed, working memory, or attention. In conclusion, preventing excessive weight gain may help attenuate age-related declines in brain vascular health. ATT may be more sensitive to age-related decline than CBF, and therefore useful for early detection and management of cerebrovascular impairment. Finally, cardiorespiratory fitness appears to have little effect on CBF but may induce longer ATT in specific regions.

physiology↗

bioRxiv2023

Lifestyle and brain health determinants of word-finding failures in healthy ageing

Cognitive decline associated with healthy ageing is multifactorial: brain-based and lifestyle factors uniquely and jointly contribute to distinct neurocognitive trajectories of ageing. To evaluate existing models of neurocognitive ageing such as compensation, maintenance, or reserve, we explore how various known brain-based and cardiorespiratory fitness factors intersect to better understand cognitive decline. In a pre-registered study (https://osf.io/6fqg7), we tested 73 healthy older adults aged 60--81 (M = 65.51, SD = 4.94) and collected neuroimaging (functional, structural, and perfusion MRI), cardiorespiratory fitness, and cognitive data to investigate a prominent challenge for older adults: word-finding failures. fMRI signal was recorded while participants responded to a definition-based tip-of-the-tongue task, T1-weighted imaging estimated grey matter volume, and cerebral blood flow was indexed using multi-delay pseudo-continuous arterial spin labelling. Commonality analyses were used to analyse these multi-domain data (neuroimaging, cardiorespiratory fitness, language skills, demographic characteristics) and uncover associations between predictors in explaining age-related tip-of-the-tongue rates. Commonality analyses revealed that functional activation of language networks associated with tip-of-the-tongue states is in part linked with age and, interestingly, cardiorespiratory fitness: the combination of higher cardiorespiratory fitness and functional recruitment in some older adults offsets part of the age-related variance in tip-of-the-tongues. Moreover, age-associated atrophy and perfusion in regions other than those showing functional differences accounted for variance in tip-of-the-tongues. Our findings can be interpreted in the context of the classic models of neurocognitive ageing, suggesting compensation. Brain health indices in concordance with cardiorespiratory fitness can provide a more holistic explanation of individual differences in age-related cognitive decline. HighlightsO_LIWord-finding problems are linked to brain health and cardiorespiratory fitness (CRF) C_LIO_LIBrain activity linked to word-finding failures is modulated by CRF and age C_LIO_LIDistinct contribution of structure and perfusion also associated with word-finding C_LIO_LILinking brain and CRF factors provides better account of age-related cognitive decline C_LI

neuroscience↗