Effects of aging on cognitive and brain inter-network integration patterns underlying usual and dual-task gait performance.

Introduction: Aging affects the interplay between cognition and gait performance. Neuroimaging studies reported associations between gait performance and structural measures; however, functional connectivity (FC) analysis of imaging data can help to identify dynamic neural mechanisms underlying opti...

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Publicado en:Frontiers in Aging Neuroscience Vol. 14; pp. 1 - 13
Autores principales: Droby, Amgad, Varangis, Eleanna, Habeck, Christian, Hausdorff, Jeffrey M., Stern, Yaakov, Mirelman, Anat, Maidan, Inbal
Formato: research tables/charts Journal Article
Publicado: Frontiers Media S.A. 9/28/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/28/2022
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      pub: Frontiers Media S.A.
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        10.3389/fnagi.2022.956744
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        atl: Effects of aging on cognitive and brain inter-network integration patterns underlying usual and dual-task gait performance.
      aug:
        au:
          Droby, Amgad
          Varangis, Eleanna
          Habeck, Christian
          Hausdorff, Jeffrey M.
          Stern, Yaakov
          Mirelman, Anat
          Maidan, Inbal
        affil: Laboratory for Early Markers of Neurodegeneration (LEMON), Center for the Study of Movement, Cognition, and Mobility (CMCM), Tel Aviv Sourasky Medical Center, Neurological Institute, Tel Aviv, Israel
      sug:
        subj:
          Aging
          Cognition
          Sensory Motor Integration
          Brain Physiology
          Task Performance and Analysis
          Gait Analysis
          Human
          Neuroradiography
          Functional Connectivity
          Community Living
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Magnetic Resonance Imaging
          Neuropsychological Tests
          Secondary Analysis
          Male
          Female
          Age Factors
          Demography
          Psychomotor Performance
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Introduction: Aging affects the interplay between cognition and gait performance. Neuroimaging studies reported associations between gait performance and structural measures; however, functional connectivity (FC) analysis of imaging data can help to identify dynamic neural mechanisms underlying optimal performance. Here, we investigated the effects on divergent cognitive and inter-network FC patterns underlying gait performance during usual (UW) and dual-task (DT) walking. Methods: A total of 115 community-dwelling, healthy participants between 20 and 80 years were enrolled. All participants underwent comprehensive cognitive and gait assessments in two conditions and resting state functional MRI (fMRI) scans. Inter-network FC from motor-related to 6 primary cognitive networks were estimated. Step-wise regression models tested the relationships between gait parameters, inter-network FC, neuropsychological scores, and demographic variables. A threshold of p < 0.05 was adopted for all statistical analyses. Results: UW was largely associated with FC levels between motor and sustained attention networks. DT performance was associated with internetwork FC between motor and divided attention, and processing speed in the overall group. In young adults, UW was associated with inter-network FC between motor and sustained attention networks. On the other hand, DT performance was associated with cognitive performance, as well as internetwork connectivity between motor and divided attention networks (VAN and SAL). In contrast, the older age group (> 65 years) showed increased integration between motor, dorsal, and ventral attention, as well as defaultmode networks, which was negatively associated with UW gait performance. Inverse associations between motor and sustained attention inter-network connectivity and DT performance were observed. Conclusion: While UW relies on inter-network FC between motor and sustained attention networks, DT performance relies on additional cognitive capacities, increased motor, and executive control network integration. FC analyses demonstrate that the decline in cognitive performance with aging leads to the reliance on additional neural resources to maintain routine walking tasks.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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