Mean Arterial Pressure and Cerebral Hemodynamics Across The Lifespan: A Cross‐Sectional Study From Human Connectome Project‐Aging

Background Cerebral perfusion is directly affected by systemic blood pressure, which has been shown to be negatively correlated with cerebral blood flow (CBF). The impact of aging on these effects is not fully understood. Purpose To determine whether the relationship between mean arterial pressure (...

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Veröffentlicht in:Journal of magnetic resonance imaging 2023-12, Vol.58 (6), p.1892-1900
Hauptverfasser: Yetim, Ezgi, Jacoby, John, Damestani, Nikou L., Lovely, Allison E., Salat, David H., Juttukonda, Meher R.
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container_end_page 1900
container_issue 6
container_start_page 1892
container_title Journal of magnetic resonance imaging
container_volume 58
creator Yetim, Ezgi
Jacoby, John
Damestani, Nikou L.
Lovely, Allison E.
Salat, David H.
Juttukonda, Meher R.
description Background Cerebral perfusion is directly affected by systemic blood pressure, which has been shown to be negatively correlated with cerebral blood flow (CBF). The impact of aging on these effects is not fully understood. Purpose To determine whether the relationship between mean arterial pressure (MAP) and cerebral hemodynamics persists throughout the lifespan. Study Type Retrospective, cross‐sectional study. Population Six hundred and sixty‐nine participants from the Human Connectome Project‐Aging ranging between 36 and 100+ years and without a major neurological disorder. Field Strength/Sequence Imaging data was acquired at 3.0 Tesla using a 32‐channel head coil. CBF and arterial transit time (ATT) were measured by multi‐delay pseudo‐continuous arterial spin labeling. Assessment The relationships between cerebral hemodynamic parameters and MAP were evaluated globally in gray and white matter and regionally using surface‐based analysis in the whole group, separately within different age groups (young:
doi_str_mv 10.1002/jmri.28722
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The impact of aging on these effects is not fully understood. Purpose To determine whether the relationship between mean arterial pressure (MAP) and cerebral hemodynamics persists throughout the lifespan. Study Type Retrospective, cross‐sectional study. Population Six hundred and sixty‐nine participants from the Human Connectome Project‐Aging ranging between 36 and 100+ years and without a major neurological disorder. Field Strength/Sequence Imaging data was acquired at 3.0 Tesla using a 32‐channel head coil. CBF and arterial transit time (ATT) were measured by multi‐delay pseudo‐continuous arterial spin labeling. Assessment The relationships between cerebral hemodynamic parameters and MAP were evaluated globally in gray and white matter and regionally using surface‐based analysis in the whole group, separately within different age groups (young: &lt;60 years; younger‐old: 60–79 years; oldest‐old: ≥80 years). Statistical Tests Chi‐squared, Kruskal‐Wallis, ANOVA, Spearman rank correlation and linear regression models. The general linear model setup in FreeSurfer was used for surface‐based analyses. P &lt; 0.05 was considered significant. Results Globally, there was a significant negative correlation between MAP and CBF in both gray (ρ = −0.275) and white matter (ρ = −0.117). This association was most prominent in the younger‐old [gray matter CBF (β = −0.271); white matter CBF (β = −0.241)]. In surface‐based analyses, CBF exhibited a widespread significant negative association with MAP throughout the brain, whereas a limited number of regions showed significant prolongation in ATT with higher MAP. The associations between regional CBF and MAP in the younger‐old showed a different topographic pattern in comparison to young subjects. Data Conclusion These observations further emphasize the importance of cardiovascular health in mid‐to‐late adulthood for healthy brain aging. The differences in the topographic pattern with aging indicate a spatially heterogeneous relationship between high blood pressure and CBF. 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The impact of aging on these effects is not fully understood. Purpose To determine whether the relationship between mean arterial pressure (MAP) and cerebral hemodynamics persists throughout the lifespan. Study Type Retrospective, cross‐sectional study. Population Six hundred and sixty‐nine participants from the Human Connectome Project‐Aging ranging between 36 and 100+ years and without a major neurological disorder. Field Strength/Sequence Imaging data was acquired at 3.0 Tesla using a 32‐channel head coil. CBF and arterial transit time (ATT) were measured by multi‐delay pseudo‐continuous arterial spin labeling. Assessment The relationships between cerebral hemodynamic parameters and MAP were evaluated globally in gray and white matter and regionally using surface‐based analysis in the whole group, separately within different age groups (young: &lt;60 years; younger‐old: 60–79 years; oldest‐old: ≥80 years). Statistical Tests Chi‐squared, Kruskal‐Wallis, ANOVA, Spearman rank correlation and linear regression models. The general linear model setup in FreeSurfer was used for surface‐based analyses. P &lt; 0.05 was considered significant. Results Globally, there was a significant negative correlation between MAP and CBF in both gray (ρ = −0.275) and white matter (ρ = −0.117). This association was most prominent in the younger‐old [gray matter CBF (β = −0.271); white matter CBF (β = −0.241)]. In surface‐based analyses, CBF exhibited a widespread significant negative association with MAP throughout the brain, whereas a limited number of regions showed significant prolongation in ATT with higher MAP. The associations between regional CBF and MAP in the younger‐old showed a different topographic pattern in comparison to young subjects. Data Conclusion These observations further emphasize the importance of cardiovascular health in mid‐to‐late adulthood for healthy brain aging. The differences in the topographic pattern with aging indicate a spatially heterogeneous relationship between high blood pressure and CBF. 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Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1132-3660</orcidid><orcidid>https://orcid.org/0000-0001-9064-3648</orcidid></search><sort><creationdate>202312</creationdate><title>Mean Arterial Pressure and Cerebral Hemodynamics Across The Lifespan: A Cross‐Sectional Study From Human Connectome Project‐Aging</title><author>Yetim, Ezgi ; Jacoby, John ; Damestani, Nikou L. ; Lovely, Allison E. ; Salat, David H. ; Juttukonda, Meher R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3572-1da202407c807f7ea37d4c23397ea120758982706210ae6eecc32ce267c93b2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Arterial Pressure</topic><topic>arterial spin labeling</topic><topic>arterial transit time</topic><topic>Arteries</topic><topic>Blood flow</topic><topic>Blood pressure</topic><topic>Brain</topic><topic>Brain - blood supply</topic><topic>Brain - diagnostic imaging</topic><topic>Cerebral blood flow</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Connectome</topic><topic>Correlation</topic><topic>Cross-Sectional Studies</topic><topic>Data acquisition</topic><topic>Field strength</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Image acquisition</topic><topic>Kruskal-Wallis test</topic><topic>Life span</topic><topic>Longevity</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>mean arterial pressure</topic><topic>Middle Aged</topic><topic>Neuroimaging</topic><topic>Neurological diseases</topic><topic>Population studies</topic><topic>Prolongation</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><topic>Spin labeling</topic><topic>Spin Labels</topic><topic>Statistical analysis</topic><topic>Statistical tests</topic><topic>Substantia alba</topic><topic>Substantia grisea</topic><topic>Topography</topic><topic>Transit time</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yetim, Ezgi</creatorcontrib><creatorcontrib>Jacoby, John</creatorcontrib><creatorcontrib>Damestani, Nikou L.</creatorcontrib><creatorcontrib>Lovely, Allison E.</creatorcontrib><creatorcontrib>Salat, David H.</creatorcontrib><creatorcontrib>Juttukonda, Meher R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yetim, Ezgi</au><au>Jacoby, John</au><au>Damestani, Nikou L.</au><au>Lovely, Allison E.</au><au>Salat, David H.</au><au>Juttukonda, Meher R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mean Arterial Pressure and Cerebral Hemodynamics Across The Lifespan: A Cross‐Sectional Study From Human Connectome Project‐Aging</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J Magn Reson Imaging</addtitle><date>2023-12</date><risdate>2023</risdate><volume>58</volume><issue>6</issue><spage>1892</spage><epage>1900</epage><pages>1892-1900</pages><issn>1053-1807</issn><issn>1522-2586</issn><eissn>1522-2586</eissn><abstract>Background Cerebral perfusion is directly affected by systemic blood pressure, which has been shown to be negatively correlated with cerebral blood flow (CBF). The impact of aging on these effects is not fully understood. Purpose To determine whether the relationship between mean arterial pressure (MAP) and cerebral hemodynamics persists throughout the lifespan. Study Type Retrospective, cross‐sectional study. Population Six hundred and sixty‐nine participants from the Human Connectome Project‐Aging ranging between 36 and 100+ years and without a major neurological disorder. Field Strength/Sequence Imaging data was acquired at 3.0 Tesla using a 32‐channel head coil. CBF and arterial transit time (ATT) were measured by multi‐delay pseudo‐continuous arterial spin labeling. Assessment The relationships between cerebral hemodynamic parameters and MAP were evaluated globally in gray and white matter and regionally using surface‐based analysis in the whole group, separately within different age groups (young: &lt;60 years; younger‐old: 60–79 years; oldest‐old: ≥80 years). Statistical Tests Chi‐squared, Kruskal‐Wallis, ANOVA, Spearman rank correlation and linear regression models. The general linear model setup in FreeSurfer was used for surface‐based analyses. P &lt; 0.05 was considered significant. Results Globally, there was a significant negative correlation between MAP and CBF in both gray (ρ = −0.275) and white matter (ρ = −0.117). This association was most prominent in the younger‐old [gray matter CBF (β = −0.271); white matter CBF (β = −0.241)]. In surface‐based analyses, CBF exhibited a widespread significant negative association with MAP throughout the brain, whereas a limited number of regions showed significant prolongation in ATT with higher MAP. The associations between regional CBF and MAP in the younger‐old showed a different topographic pattern in comparison to young subjects. Data Conclusion These observations further emphasize the importance of cardiovascular health in mid‐to‐late adulthood for healthy brain aging. The differences in the topographic pattern with aging indicate a spatially heterogeneous relationship between high blood pressure and CBF. Level of Evidence 3 Technical Efficacy Stage 3</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>37040498</pmid><doi>10.1002/jmri.28722</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1132-3660</orcidid><orcidid>https://orcid.org/0000-0001-9064-3648</orcidid></addata></record>
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subjects Adult
Aged, 80 and over
Aging
Arterial Pressure
arterial spin labeling
arterial transit time
Arteries
Blood flow
Blood pressure
Brain
Brain - blood supply
Brain - diagnostic imaging
Cerebral blood flow
Cerebrovascular Circulation - physiology
Connectome
Correlation
Cross-Sectional Studies
Data acquisition
Field strength
Hemodynamics
Humans
Hypertension
Image acquisition
Kruskal-Wallis test
Life span
Longevity
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
mean arterial pressure
Middle Aged
Neuroimaging
Neurological diseases
Population studies
Prolongation
Regression analysis
Regression models
Retrospective Studies
Spin labeling
Spin Labels
Statistical analysis
Statistical tests
Substantia alba
Substantia grisea
Topography
Transit time
Variance analysis
title Mean Arterial Pressure and Cerebral Hemodynamics Across The Lifespan: A Cross‐Sectional Study From Human Connectome Project‐Aging
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