COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals

Background: According to a large number of scientific reports, the main problem is COVID-19 vaccine hesitancy which slowed down the vaccination program. Previous studies revealed that COVID-19 vaccine hesitancy is associated with lower cognitive performance. However, the neurobiology of such behavio...

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Main Author: Fardin Nabizadeh
Format: Article
Language:English
Published: Iran University of Medical Sciences 2023-04-01
Series:Neurology Letters
Subjects:
Online Access:https://www.neurologyletters.com/article_170306_0a9210a6be5854e4304b7079440cb442.pdf
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author Fardin Nabizadeh
author_facet Fardin Nabizadeh
author_sort Fardin Nabizadeh
collection DOAJ
description Background: According to a large number of scientific reports, the main problem is COVID-19 vaccine hesitancy which slowed down the vaccination program. Previous studies revealed that COVID-19 vaccine hesitancy is associated with lower cognitive performance. However, the neurobiology of such behavior is less known, and investigating the brain structural patterns in this regard can extend our knowledge on the basis of this behavior. This study aimed to investigate the link between brain structural features including cortical and subcortical volume with COVID-19 vaccine hesitancy in elderly individuals.Methods: A total of 221 healthy subjects without any cognitive impairment with a mean age of 63.7 ± 6.1 were obtained from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. Overall, 87 vaccine-hesitant (VH) and 134 vaccine-accepted (VA) were entered into this study. The difference in the volume of cortical and subcortical regions was investigated between VH and VA groups.Results: There was no significant difference in cognitive status measured by MMSE, MoCA, ADAS-cog, and RAVLT between VA and VH groups (P>0.05). The analysis showed that VA subjects had significantly higher left pars orbitalis (P: 0.013), left precentral (P: 0.042), right caudal anterior cingulate (P: 0.044), and right isthmus cingulate (P: 0.013) volume compared to the VH group. There was no significant difference in other cortical and subcortical regions.Conclusion: In conclusion, this finding demonstrated that in the era of complicated decision-making due to social media reports, elderly adults with smaller frontal and cingulate regions are more likely to be vaccine-hesitant. These findings can highlight the link between cortical regions and health-protective behaviors such as taking up the offer of vaccination.
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spelling doaj.art-0c3bdfdaa22a489983a97f36385186712023-11-12T09:10:33ZengIran University of Medical SciencesNeurology Letters2821-17232023-04-0121354110.52547/nl.2.1.35170306COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individualsFardin Nabizadeh0School of Medicine, Iran University of Medical Sciences, Tehran, IranBackground: According to a large number of scientific reports, the main problem is COVID-19 vaccine hesitancy which slowed down the vaccination program. Previous studies revealed that COVID-19 vaccine hesitancy is associated with lower cognitive performance. However, the neurobiology of such behavior is less known, and investigating the brain structural patterns in this regard can extend our knowledge on the basis of this behavior. This study aimed to investigate the link between brain structural features including cortical and subcortical volume with COVID-19 vaccine hesitancy in elderly individuals.Methods: A total of 221 healthy subjects without any cognitive impairment with a mean age of 63.7 ± 6.1 were obtained from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database. Overall, 87 vaccine-hesitant (VH) and 134 vaccine-accepted (VA) were entered into this study. The difference in the volume of cortical and subcortical regions was investigated between VH and VA groups.Results: There was no significant difference in cognitive status measured by MMSE, MoCA, ADAS-cog, and RAVLT between VA and VH groups (P>0.05). The analysis showed that VA subjects had significantly higher left pars orbitalis (P: 0.013), left precentral (P: 0.042), right caudal anterior cingulate (P: 0.044), and right isthmus cingulate (P: 0.013) volume compared to the VH group. There was no significant difference in other cortical and subcortical regions.Conclusion: In conclusion, this finding demonstrated that in the era of complicated decision-making due to social media reports, elderly adults with smaller frontal and cingulate regions are more likely to be vaccine-hesitant. These findings can highlight the link between cortical regions and health-protective behaviors such as taking up the offer of vaccination.https://www.neurologyletters.com/article_170306_0a9210a6be5854e4304b7079440cb442.pdfcovid-19vaccinehesitancycognitionbraincingulate
spellingShingle Fardin Nabizadeh
COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
Neurology Letters
covid-19
vaccine
hesitancy
cognition
brain
cingulate
title COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
title_full COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
title_fullStr COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
title_full_unstemmed COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
title_short COVID-19 vaccine-hesitancy is associated with lower cortical volume in elderly individuals
title_sort covid 19 vaccine hesitancy is associated with lower cortical volume in elderly individuals
topic covid-19
vaccine
hesitancy
cognition
brain
cingulate
url https://www.neurologyletters.com/article_170306_0a9210a6be5854e4304b7079440cb442.pdf
work_keys_str_mv AT fardinnabizadeh covid19vaccinehesitancyisassociatedwithlowercorticalvolumeinelderlyindividuals