Greater alcohol intake predicts accelerated brain aging in humans, which mediates the relationship between alcohol intake and behavioral inflexibility.

Background: Hazardous use of alcohol is associated with cognitive‐behavioral impairments and accelerated aging. To date, however, accelerated brain aging has not been tested as a mediating factor between alcohol use and associated task‐based behavioral deficits, such as behavioral inflexibility. Her...

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Publicado en:Alcohol, Clinical & Experimental Research Vol. 49; no. 3; pp. 564 - 573
Autores principales: Battista, Jillian T., Vidrascu, Elena, Robertson, Madeline M., Robinson, Donita L., Boettiger, Charlotte A.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Alcohol, Clinical & Experimental Research
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      dt: Mar2025
      vid: 49
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Greater alcohol intake predicts accelerated brain aging in humans, which mediates the relationship between alcohol intake and behavioral inflexibility.
      aug:
        au:
          Battista, Jillian T.
          Vidrascu, Elena
          Robertson, Madeline M.
          Robinson, Donita L.
          Boettiger, Charlotte A.
        affil: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill North Carolina,, USA
      sug:
        subj:
          Alcohol Abuse Complications
          Brain Physiopathology
          Behavioral and Mental Disorders
          Machine Learning Algorithms
          Task Performance and Analysis
          Human
          North Carolina
          Female
          Male
          Secondary Analysis
          Adult
          Self Report
          Magnetic Resonance Imaging
          Psychological Tests
          Cognition
          Neuropsychological Tests
          Alcohol Drinking
          Questionnaires
          Mediation Analysis
          Data Analysis Software
          Multiple Linear Regression
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Female
          Male
      ab: Background: Hazardous use of alcohol is associated with cognitive‐behavioral impairments and accelerated aging. To date, however, accelerated brain aging has not been tested as a mediating factor between alcohol use and associated task‐based behavioral deficits, such as behavioral inflexibility. Here, we evaluated hazardous alcohol use as a predictor of machine learning‐derived brain aging and tested if this measure accounted for the relationship between hazardous alcohol use and a task‐based measure of behavioral flexibility. Methods: In this secondary analysis, we applied brainageR, a machine learning algorithm, to anatomical T1‐weighted magnetic resonance imaging (MRI) images to estimate brain age for a sample of healthy adults (ages 22–40) who self‐reported alcohol use with the alcohol use disorder identification test (AUDIT) and performed the hidden association between images task (HABIT), a behavioral flexibility task. Behavioral inflexibility was quantified as the proportion of perseverative errors performed on the HABIT as a measure of habitual action selection. We then analyzed AUDIT score as a predictor of brain aging, and brain aging as a predictor of behavioral inflexibility. Lastly, we conducted a mediation analysis to evaluate brain aging as a mediator between alcohol use and behavioral inflexibility. Results: Controlling for chronological age and sex, a higher AUDIT score predicted significantly more accelerated brain aging, which was further associated with more perseverative errors on the HABIT. Moreover, brain aging significantly mediated the association between AUDIT scores and behavioral inflexibility. Conclusions: Our findings demonstrate that alcohol use is a significant predictor of accelerated brain aging, even in young adulthood. In addition, our findings suggest that such brain changes may mechanistically link more hazardous alcohol use to impaired behavioral flexibility. Future studies should also explore factors, such as other lifestyle behaviors, that may mitigate alcohol‐ and age‐related processes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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