Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline

We aimed to detect brain abnormalities during cognitive and motor tasks in older individuals with pre-frailty, as this could prevent dementia. Sixty elderly participants (mean age: 76.3 years; 27 healthy and 33 with pre-frailty) were included, and their motor function, cognitive function, and dual-t...

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Main Authors: Kohei Maruya, Tomoyuki Arai, Hiroaki Fujita
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/10/1250
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author Kohei Maruya
Tomoyuki Arai
Hiroaki Fujita
author_facet Kohei Maruya
Tomoyuki Arai
Hiroaki Fujita
author_sort Kohei Maruya
collection DOAJ
description We aimed to detect brain abnormalities during cognitive and motor tasks in older individuals with pre-frailty, as this could prevent dementia. Sixty elderly participants (mean age: 76.3 years; 27 healthy and 33 with pre-frailty) were included, and their motor function, cognitive function, and dual-task abilities (gait with calculation and while carrying a ball) were evaluated. Total hemoglobin (t-Hb) was measured using functional near-infrared spectroscopy (fNIRS) during tasks and resting periods. The pre-frailty group had a slightly lower gait speed than the healthy group, but there was no significant difference in cognitive function. In the pre-frailty group, the t-Hb values during the normal gait and cognitive tasks were higher than the resting value in the right prefrontal cortex, while in the healthy group, only the word frequency task (WFT) was higher. Furthermore, in the WFT, the t-Hb values were significantly lower in the pre-frailty group than in the healthy group. The results showed that pre-frail subjects had lower brain activation during the WFT in the right prefrontal cortex and excessive activity during walking, even without a noticeable cognitive decline. The differences in cerebral blood flow under the pre-frailty conditions may be a clue to detecting cognitive decline earlier.
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spelling doaj.art-83dfe544a2eb43af83bbc36c4f904d262023-11-22T18:24:00ZengMDPI AGHealthcare2227-90322021-09-01910125010.3390/healthcare9101250Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive DeclineKohei Maruya0Tomoyuki Arai1Hiroaki Fujita2Department of Physical Therapy, Faculty of Health & Medical Care, Saitama Medical University, Moroyama-Town, Saitama 350-0496, JapanDepartment of Physical Therapy, Faculty of Health & Medical Care, Saitama Medical University, Moroyama-Town, Saitama 350-0496, JapanDepartment of Physical Therapy, Faculty of Health & Medical Care, Saitama Medical University, Moroyama-Town, Saitama 350-0496, JapanWe aimed to detect brain abnormalities during cognitive and motor tasks in older individuals with pre-frailty, as this could prevent dementia. Sixty elderly participants (mean age: 76.3 years; 27 healthy and 33 with pre-frailty) were included, and their motor function, cognitive function, and dual-task abilities (gait with calculation and while carrying a ball) were evaluated. Total hemoglobin (t-Hb) was measured using functional near-infrared spectroscopy (fNIRS) during tasks and resting periods. The pre-frailty group had a slightly lower gait speed than the healthy group, but there was no significant difference in cognitive function. In the pre-frailty group, the t-Hb values during the normal gait and cognitive tasks were higher than the resting value in the right prefrontal cortex, while in the healthy group, only the word frequency task (WFT) was higher. Furthermore, in the WFT, the t-Hb values were significantly lower in the pre-frailty group than in the healthy group. The results showed that pre-frail subjects had lower brain activation during the WFT in the right prefrontal cortex and excessive activity during walking, even without a noticeable cognitive decline. The differences in cerebral blood flow under the pre-frailty conditions may be a clue to detecting cognitive decline earlier.https://www.mdpi.com/2227-9032/9/10/1250brain activityfunctional near-infrared spectroscopyfNIRSpre-frailtyprefrontal cortex
spellingShingle Kohei Maruya
Tomoyuki Arai
Hiroaki Fujita
Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
Healthcare
brain activity
functional near-infrared spectroscopy
fNIRS
pre-frailty
prefrontal cortex
title Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
title_full Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
title_fullStr Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
title_full_unstemmed Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
title_short Brain Activity in the Prefrontal Cortex during Cognitive Tasks and Dual Tasks in Community-Dwelling Elderly People with Pre-Frailty: A Pilot Study for Early Detection of Cognitive Decline
title_sort brain activity in the prefrontal cortex during cognitive tasks and dual tasks in community dwelling elderly people with pre frailty a pilot study for early detection of cognitive decline
topic brain activity
functional near-infrared spectroscopy
fNIRS
pre-frailty
prefrontal cortex
url https://www.mdpi.com/2227-9032/9/10/1250
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