Long-term prognosis and educational determinants of brain network decline in older adult individuals

Older adults with lower education are at greater risk for dementia. It is unclear which brain changes lead to these outcomes. Longitudinal imaging-based measures of brain structure and function were examined in adult individuals (baseline age, 45-86 years; two to five visits per participant over 1-9...

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Veröffentlicht in:Nature aging 2021-11, Vol.1 (11), p.1053-1067
Hauptverfasser: Chan, Micaela Y, Han, Liang, Carreno, Claudia A, Zhang, Ziwei, Rodriguez, Rebekah M, LaRose, Megan, Hassenstab, Jason, Wig, Gagan S
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container_end_page 1067
container_issue 11
container_start_page 1053
container_title Nature aging
container_volume 1
creator Chan, Micaela Y
Han, Liang
Carreno, Claudia A
Zhang, Ziwei
Rodriguez, Rebekah M
LaRose, Megan
Hassenstab, Jason
Wig, Gagan S
description Older adults with lower education are at greater risk for dementia. It is unclear which brain changes lead to these outcomes. Longitudinal imaging-based measures of brain structure and function were examined in adult individuals (baseline age, 45-86 years; two to five visits per participant over 1-9 years). College degree completion differentiates individual-based and neighborhood-based measures of socioeconomic status and disadvantage. Older adults (~65 years and over) without a college degree exhibit a pattern of declining large-scale functional brain network organization (resting-state system segregation) that is less evident in their college-educated peers. Declining brain system segregation predicts impending changes in dementia severity, measured up to 10 years past the last scan date. The prognostic value of brain network change is independent of Alzheimer's disease (AD)-related genetic risk ( status), the presence of AD-associated pathology (cerebrospinal fluid phosphorylated tau, cortical amyloid) and cortical thinning. These results demonstrate that the trajectory of an individual's brain network organization varies in relation to their educational attainment and, more broadly, is a unique indicator of individual brain health during older age.
doi_str_mv 10.1038/s43587-021-00125-4
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adults
Aged
Aged, 80 and over
Alzheimer Disease - diagnosis
Amyloid beta-Peptides - cerebrospinal fluid
Biomarkers - cerebrospinal fluid
Brain - diagnostic imaging
Dementia
Educational Status
Health risk assessment
Humans
Middle Aged
Older people
Prognosis
Segregation
tau Proteins - cerebrospinal fluid
title Long-term prognosis and educational determinants of brain network decline in older adult individuals
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