Associations between mobility, cognition and brain structure in healthy older adults

Mobility limitations lead to a cascade of adverse events in old age, yet the neural and cognitive correlates of mobility performance in older adults remain poorly understood. In a sample of 387 adults (mean age 69.0±5.1 years), we tested the relationship between mobility measures, cognitive assessme...

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Main Authors: Demnitz, N, Zsoldos, E, Mahmood, A, Mackay, C, Kivimäki, M, Singh-Manoux, A, Dawes, H, Johansen-Berg, H, Ebmeier, K, Sexton, C
Format: Journal article
Published: Frontiers Media 2017
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author Demnitz, N
Zsoldos, E
Mahmood, A
Mackay, C
Kivimäki, M
Singh-Manoux, A
Dawes, H
Johansen-Berg, H
Ebmeier, K
Sexton, C
author_facet Demnitz, N
Zsoldos, E
Mahmood, A
Mackay, C
Kivimäki, M
Singh-Manoux, A
Dawes, H
Johansen-Berg, H
Ebmeier, K
Sexton, C
author_sort Demnitz, N
collection OXFORD
description Mobility limitations lead to a cascade of adverse events in old age, yet the neural and cognitive correlates of mobility performance in older adults remain poorly understood. In a sample of 387 adults (mean age 69.0±5.1 years), we tested the relationship between mobility measures, cognitive assessments and MRI markers of brain structure. Mobility was assessed in 2007-2009, using gait, balance and chair-stands tests. In 2012-2015, cognitive testing assessed executive function, memory and processing-speed; gray matter volumes (GMV) were examined using voxel-based morphometry, and white matter microstructure was assessed using tract-based spatial statistics of fractional anisotropy (FA), axial diffusivity (AD) and radial diffusivity (RD). All mobility measures were positively associated with processing-speed. Faster walking speed was also correlated with higher executive function, while memory was not associated with any mobility measure. Increased GMV within the cerebellum, basal ganglia, post-central gyrus and superior parietal lobe was associated with better mobility. In addition, better performance on the chair-stands test was correlated with decreased RD and AD. Overall, our results indicate that, even in non-clinical populations, mobility measures can be sensitive to sub-clinical variance in cognition and brain structures.
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spelling oxford-uuid:9a4302c1-d2e8-4a1e-8449-d8ba88959fc42022-03-27T00:20:08ZAssociations between mobility, cognition and brain structure in healthy older adultsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9a4302c1-d2e8-4a1e-8449-d8ba88959fc4Symplectic Elements at OxfordFrontiers Media2017Demnitz, NZsoldos, EMahmood, AMackay, CKivimäki, MSingh-Manoux, ADawes, HJohansen-Berg, HEbmeier, KSexton, CMobility limitations lead to a cascade of adverse events in old age, yet the neural and cognitive correlates of mobility performance in older adults remain poorly understood. In a sample of 387 adults (mean age 69.0±5.1 years), we tested the relationship between mobility measures, cognitive assessments and MRI markers of brain structure. Mobility was assessed in 2007-2009, using gait, balance and chair-stands tests. In 2012-2015, cognitive testing assessed executive function, memory and processing-speed; gray matter volumes (GMV) were examined using voxel-based morphometry, and white matter microstructure was assessed using tract-based spatial statistics of fractional anisotropy (FA), axial diffusivity (AD) and radial diffusivity (RD). All mobility measures were positively associated with processing-speed. Faster walking speed was also correlated with higher executive function, while memory was not associated with any mobility measure. Increased GMV within the cerebellum, basal ganglia, post-central gyrus and superior parietal lobe was associated with better mobility. In addition, better performance on the chair-stands test was correlated with decreased RD and AD. Overall, our results indicate that, even in non-clinical populations, mobility measures can be sensitive to sub-clinical variance in cognition and brain structures.
spellingShingle Demnitz, N
Zsoldos, E
Mahmood, A
Mackay, C
Kivimäki, M
Singh-Manoux, A
Dawes, H
Johansen-Berg, H
Ebmeier, K
Sexton, C
Associations between mobility, cognition and brain structure in healthy older adults
title Associations between mobility, cognition and brain structure in healthy older adults
title_full Associations between mobility, cognition and brain structure in healthy older adults
title_fullStr Associations between mobility, cognition and brain structure in healthy older adults
title_full_unstemmed Associations between mobility, cognition and brain structure in healthy older adults
title_short Associations between mobility, cognition and brain structure in healthy older adults
title_sort associations between mobility cognition and brain structure in healthy older adults
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