The association of brain structure with gait velocity in older adults: a quantitative volumetric analysis of brain MRI.

Introduction: While cortical processes play an important role in controlling locomotion, the underlying structural brain changes associated with slowing of gait in aging are not yet fully established. Our study aimed to examine the relationship between cortical gray matter volume (GM), white matter...

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Publicado en:Neuroradiology Vol. 57; no. 8; pp. 851 - 862
Autores principales: Ezzati, Ali, Katz, Mindy, Lipton, Michael, Lipton, Richard, Verghese, Joe
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2015
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      pub: Springer Nature
      place: New York, New York
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        atl: The association of brain structure with gait velocity in older adults: a quantitative volumetric analysis of brain MRI.
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          Ezzati, Ali
          Katz, Mindy
          Lipton, Michael
          Lipton, Richard
          Verghese, Joe
        affil: Saul B. Korey Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, Rousso Bldg. Rm. 330, 1165 Morris Park Avenue Bronx 10461 USA
      sug:
        subj:
          Brain Anatomy and Histology
          Gait Analysis In Old Age
          Magnetic Resonance Imaging Methods
          Aging
          Human
          Cognition
          Descriptive Statistics
          Aged
          Aged, 80 and Over
          Data Analysis Software
          Linear Regression
          Memory
          Hippocampus
          Gray Matter
          Cerebral Ventricles
          Aged: 65+ years
          Aged, 80 & over
      ab: Introduction: While cortical processes play an important role in controlling locomotion, the underlying structural brain changes associated with slowing of gait in aging are not yet fully established. Our study aimed to examine the relationship between cortical gray matter volume (GM), white matter volume (WM), ventricular volume (VV), hippocampal and hippocampal subfield volumes, and gait velocity in older adults free of dementia. Methods: Gait and cognitive performance was tested in 112 community-residing adults, age 70 years and over, participating in the Einstein Aging Study. Gait velocity (cm/s) was obtained using an instrumented walkway. Volumetric MRI measures were estimated using a FreeSurfer software. We examined the cross-sectional relationship of GM, WM, VV, and hippocampal total and subfield volumes and gait velocity using linear regression models. In complementary models, the effect of memory performance on the relationship between gait velocity and regional volumes was evaluated. Results: Slower gait velocity was associated with smaller cortical GM and total hippocampal volumes. There was no association between gait velocity and WM or VV. Among hippocampal subfields, only smaller presubiculum volume was significantly associated with decrease in gait velocity. Addition of the memory performance to the models attenuated the association between gait velocity and all volumetric measures. Conclusions: Our findings indicate that total GM and hippocampal volumes as well as specific hippocampal subfield volumes are inversely associated with locomotor function. These associations are probably affected by cognitive status of study population.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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