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Cortical thickness moderates intraindividual variability in prefrontal cortex activation patterns of older adults during walking

Published online by Cambridge University Press:  27 June 2023

Daliah Ross
Affiliation:
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA
Mark E. Wagshul
Affiliation:
Department of Radiology, Gruss Magnetic Resonance Research Center, Albert Einstein College of Medicine, Bronx, NY, USA
Meltem Izzetoglu
Affiliation:
Department of Electrical and Computer Engineering, Villanova University, Villanova, PA, USA
Roee Holtzer*
Affiliation:
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA
*
Corresponding author: Roee Holtzer; Email: roee.holtzer@yu.edu

Abstract

Objective:

Increased intraindividual variability (IIV) in behavioral and cognitive performance is a risk factor for adverse outcomes but research concerning hemodynamic signal IIV is limited. Cortical thinning occurs during aging and is associated with cognitive decline. Dual-task walking (DTW) performance in older adults has been related to cognition and neural integrity. We examined the hypothesis that reduced cortical thickness would be associated with greater increases in IIV in prefrontal cortex oxygenated hemoglobin (HbO2) from single tasks to DTW in healthy older adults while adjusting for behavioral performance.

Method:

Participants were 55 healthy community-dwelling older adults (mean age = 74.84, standard deviation (SD) = 4.97). Structural MRI was used to quantify cortical thickness. Functional near-infrared spectroscopy (fNIRS) was used to assess changes in prefrontal cortex HbO2 during walking. HbO2 IIV was operationalized as the SD of HbO2 observations assessed during the first 30 seconds of each task. Linear mixed models were used to examine the moderation effect of cortical thickness throughout the cortex on HbO2 IIV across task conditions.

Results:

Analyses revealed that thinner cortex in several regions was associated with greater increases in HbO2 IIV from the single tasks to DTW (ps < .02).

Conclusions:

Consistent with neural inefficiency, reduced cortical thickness in the PFC and throughout the cerebral cortex was associated with increases in HbO2 IIV from the single tasks to DTW without behavioral benefit. Reduced cortical thickness and greater IIV of prefrontal cortex HbO2 during DTW may be further investigated as risk factors for developing mobility impairments in aging.

Type
Research Article
Copyright
Copyright © INS. Published by Cambridge University Press 2023

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