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Plasma proteomic signatures of social support and their association with cardiovascular disease and mortality: exploratory analyses in a national cohort study. 社会支持的血浆蛋白质组学特征及其与心血管疾病和死亡率的关联:一项国家队列研究的探索性分析
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-29 DOI: 10.1007/s11357-025-02031-8
Pei Qin, Jessica Gong, Andrew Steptoe, Daisy Fancourt

Social support has been related to cardiovascular disease (CVD) incidence and mortality in longitudinal cohort analyses, but the biological pathways underpinning this remain underexplored. This exploratory study examined the associations between social support and a wide range of proteomic biomarkers and performed the mediating effect of proteomic biomarkers in the association between social support and CVD and mortality to identify potential biological pathways linking social support to health outcomes. Data from 3141 adults over the age of 50 in the English Longitudinal Study of Ageing who had plasma proteome data were analyzed, with CVD and mortality outcomes followed up for 16 years following through Hospital Episode Statistics and the National Health Service's Central Registry. Linear and Cox regression analyses were used to identify proteins associated with social support, CVD, and mortality. Mediation analysis was then performed on the identified proteins to explore their role as a potential mediator between social support and CVD and mortality risk. Over a median of 15.8-year follow-up, 889 participants have died, and 627 developed CVD. Of 276 plasma proteins measured, greater social support was associated with lower levels of 13 proteins and higher TN-R levels, after adjusting for baseline socioeconomic confounders. We also identified 49 protein-CVD and 70 protein-mortality associations after minimal adjustments, including 11 and 14 proteins simultaneously associated with social support. All the significant proteins together mediated about 20.9% and 26.4% of the associations for CVD and mortality, respectively. The main enriched biological pathways involved death receptor activity and carbohydrate binding. Social support was related to a cluster of proteomic biomarkers, which may be linked to inflammation, apoptosis, and atherosclerosis/vascular pathways. The identified plasma proteins partly mediated the association between social support and CVD and mortality risk, independently and cumulatively. These findings deepen our understanding of the intricate connections between relationship quality, proteomic signatures, and CVD and mortality development.

在纵向队列分析中,社会支持与心血管疾病(CVD)发病率和死亡率有关,但支撑这一观点的生物学途径仍未得到充分探索。本探索性研究考察了社会支持与广泛的蛋白质组生物标志物之间的关联,并在社会支持与心血管疾病和死亡率之间的关联中执行了蛋白质组生物标志物的中介作用,以确定将社会支持与健康结果联系起来的潜在生物学途径。在英国老龄化纵向研究中,研究人员分析了3141名50岁以上的成年人的血浆蛋白质组数据,并通过医院事件统计和国家卫生服务中心登记处对心血管疾病和死亡率结果进行了16年的随访。线性和Cox回归分析用于鉴定与社会支持、心血管疾病和死亡率相关的蛋白质。然后对鉴定的蛋白质进行中介分析,以探索它们在社会支持与心血管疾病和死亡风险之间的潜在中介作用。在中位15.8年的随访中,889名参与者死亡,627人发展为心血管疾病。在测量的276种血浆蛋白中,在调整基线社会经济混杂因素后,社会支持程度越高,13种蛋白水平越低,TN-R水平越高。经过最小调整后,我们还确定了49种蛋白质与心血管疾病和70种蛋白质与死亡率相关,包括11种和14种同时与社会支持相关的蛋白质。所有重要蛋白共同介导的CVD和死亡率的相关性分别为20.9%和26.4%。主要富集的生物学途径包括死亡受体活性和碳水化合物结合。社会支持与一系列蛋白质组学生物标志物相关,这些生物标志物可能与炎症、细胞凋亡和动脉粥样硬化/血管通路有关。鉴定的血浆蛋白部分介导了社会支持与心血管疾病和死亡风险之间的关联,独立和累积。这些发现加深了我们对关系质量、蛋白质组学特征、心血管疾病和死亡率发展之间复杂联系的理解。
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引用次数: 0
Dynamic brain functional connectivity in age-related hearing loss during auditory selective spatial attention. 听觉选择性空间注意中与年龄相关的听力损失的动态脑功能连接。
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-29 DOI: 10.1007/s11357-025-02069-8
Hongxing Liu, Yanru Bai, Mingkun Guo, Ran Zhao, Jianing Zhu, Guangjian Ni

Age-related hearing loss (ARHL) is a common health problem that impairs auditory perception. However, the dynamic patterns of brain functional connectivity in ARHL during auditory spatial selective attention have not been thoroughly investigated. In this study, 32 older adults were recruited to investigate the dynamic brain functional connectivity in ARHL. First, an experimental paradigm for auditory spatial selective attention was designed, and neural electrical signals were recorded using electroencephalography. Then, a multilayer time-varying brain network was constructed based on multiple time windows, equally dividing each epoch signal to capture dynamic functional connectivity across time scales. Finally, the core layer brain network was identified by the multilayer time-varying brain network properties to investigate the changing patterns of network topology. Behavioral analysis revealed a significant negative correlation between the severity of hearing loss and auditory spatial selective attention performance. Multilayer time-varying brain network analysis revealed that worsening hearing loss was found to lead to increased inter-layer connectivity strength, decreased multilayer modularity and a higher participation coefficient. This suggests that the brain compensates by weakening the independence of local functional modules and enhancing cross-interaction. Core layer analysis further highlighted the critical role of the right parietal lobe in auditory spatial selective attention. It also suggested that connectivity between the right prefrontal and frontal lobes may play a compensatory role in ARHL. In conclusion, these findings provide important neuroscientific insights into the dynamic brain functional connectivity of ARHL, and potential biomarkers and time windows for the development of precision auditory rehabilitation strategies.

年龄相关性听力损失(ARHL)是一种常见的损害听觉感知的健康问题。然而,ARHL在听觉空间选择性注意过程中脑功能连接的动态模式尚未得到深入的研究。在这项研究中,招募了32名老年人来研究ARHL患者的动态脑功能连接。首先,设计听觉空间选择性注意实验范式,利用脑电图记录神经电信号;然后,基于多个时间窗构建多层时变脑网络,对每个历元信号进行等分,捕捉跨时间尺度的动态功能连通性;最后,利用多层时变脑网络特性识别核心层脑网络,研究网络拓扑结构的变化规律。行为分析显示,听力损失严重程度与听觉空间选择性注意表现呈显著负相关。多层时变脑网络分析表明,听力损失的加重导致层间连接强度增加,多层模块化降低,参与系数升高。这表明大脑通过削弱局部功能模块的独立性和增强相互作用来进行补偿。核心层分析进一步强调了右侧顶叶在听觉空间选择性注意中的关键作用。这也表明右前额叶和额叶之间的连接可能在ARHL中起代偿作用。总之,这些发现为ARHL的动态脑功能连接提供了重要的神经科学见解,并为开发精确听觉康复策略提供了潜在的生物标志物和时间窗口。
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引用次数: 0
Geroscience insights into difficult-to-treat rheumatoid arthritis: the role of unhealthy aging, comorbidity, and therapeutic complexity. 对难治性类风湿关节炎的老年科学见解:不健康衰老、合并症和治疗复杂性的作用。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-27 DOI: 10.1007/s11357-025-02049-y
Andrea Lehoczki,Zoltan Ungvari,Ágnes Szappanos,Mónika Fekete,Lilla Gunkl-Tóth,György Nagy
Difficult-to-treat rheumatoid arthritis (D2T RA) is an emerging challenge in aging populations, where disease persistence and therapeutic failure often reflect not only autoimmune dysregulation but also the cumulative effects of age-related biological changes across multiple organ systems. This review reframes D2T RA through the lens of geroscience, highlighting how immunosenescence, inflammaging, and organ system vulnerability converge to create a treatment-resistant disease phenotype. Age-associated alterations in adaptive and innate immunity-such as diminished T cell diversity, impaired regulatory function, expansion of age-associated B cells, and heightened inflammasome activation-closely intersect with the immunopathogenesis of RA. The potential contribution of clonal hematopoiesis of indeterminate potential (CHIP) to systemic inflammation and myeloid dysfunction is also discussed as a novel mechanistic link. In parallel, aging of the musculoskeletal system magnifies joint damage, sarcopenia, and pain sensitization. Furthermore, advancing age is also accompanied by multimorbidity, polypharmacy, and frailty, which in turn constrain therapeutic options and increase the risk of adverse events. We argue that D2T RA in the elderly should not be viewed in isolation, but as part of a broader syndemic of age-related diseases driven by shared inflammatory and metabolic pathways. This perspective calls for a shift toward integrated, individualized care strategies that balance efficacy, safety, and quality of life. Future directions include the development of age-adapted treatment guidelines, expanded inclusion of older adults in clinical trials, and the application of artificial intelligence and machine learning to predict high-risk trajectories and personalize management. A geroscience-informed approach offers the conceptual foundation to meet the growing complexity of RA care in aging populations.
难治性类风湿关节炎(D2T RA)是老年人面临的一个新挑战,疾病的持续存在和治疗失败不仅反映了自身免疫失调,还反映了与年龄相关的多器官系统生物学变化的累积效应。这篇综述通过老年科学的视角重新构建了D2T RA,强调了免疫衰老、炎症和器官系统易感性如何汇聚在一起,形成了一种治疗耐药的疾病表型。年龄相关的适应性和先天免疫改变,如T细胞多样性减少、调节功能受损、年龄相关B细胞扩增和炎性体激活增强,与RA的免疫发病机制密切相关。不确定电位克隆造血(CHIP)对全身性炎症和髓系功能障碍的潜在贡献也作为一种新的机制联系进行了讨论。与此同时,肌肉骨骼系统的老化加剧了关节损伤、肌肉减少和疼痛敏感。此外,年龄的增长还伴随着多种疾病、多种药物和虚弱,这反过来又限制了治疗选择,增加了不良事件的风险。我们认为,老年人的D2T RA不应被孤立看待,而应作为由共同的炎症和代谢途径驱动的更广泛的年龄相关疾病综合征的一部分。这一观点要求向综合的、个性化的护理策略转变,以平衡疗效、安全性和生活质量。未来的方向包括制定适合年龄的治疗指南,扩大老年人在临床试验中的纳入,以及应用人工智能和机器学习来预测高风险轨迹和个性化管理。老年人群中风湿性关节炎治疗的复杂性日益增加,以老年科学为基础的方法提供了概念基础。
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引用次数: 0
High-definition tDCS of the motor cortex affects prefrontal and primary motor activity differently in young and older adults. 运动皮层的高清晰度tDCS对年轻人和老年人前额叶和初级运动活动的影响不同。
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-26 DOI: 10.1007/s11357-025-02012-x
Yasra Arif, Peihan J Huang, Seth D Springer, Hannah J Okelberry, Jason A John, Nathan M Petro, Grant M Garrison, Kennedy A Kress, Kellen M McDonald, Giorgia Picci, Tony W Wilson

The ability to suppress irrelevant or distracting inputs that interfere with goal-driven behavior is known to decline with increasing age. Although noninvasive stimulation of the motor cortices has been shown to modulate age-related changes in motor activity, the findings remain preliminary, and it is unknown whether this effect extends beyond the motor cortex. In this study, 125 healthy adults, categorized into young (20-35 years) and older groups (55-72 years) underwent three visits (i.e., anodal, cathodal, and sham). During each visit, they received 20 min of high-definition transcranial direct current stimulation (HD-tDCS) applied to their left primary motor cortex (M1) and completed a flanker task during high-density magnetoencephalography (MEG). Statistically significant oscillatory responses were imaged and analyzed using voxel-wise, whole-brain, and point of stimulation approaches. Our results showed increased gamma flanker interference effects within the contralateral M1 in older relative to younger adults following anodal stimulation, and after anodal compared to cathodal HD-tDCS in older adults. We also found polarity-based differences in beta and gamma M1-prefrontal connectivity as a function of age group. Critically, these data indicate distinct spectrally- and polarity-dependent effects of M1 HD-tDCS on the local and network-level neurophysiological responses serving motor performance in young versus older healthy adults.

众所周知,随着年龄的增长,抑制干扰目标驱动行为的不相关或分散注意力的输入的能力会下降。尽管运动皮质的非侵入性刺激已被证明可以调节与年龄相关的运动活动变化,但这一发现仍处于初步阶段,而且尚不清楚这种影响是否会延伸到运动皮质之外。在这项研究中,125名健康成年人,分为年轻组(20-35岁)和老年组(55-72岁),接受了三次就诊(即阳极、阴极和假)。在每次访问期间,他们接受20分钟的高清晰度经颅直流电刺激(HD-tDCS),应用于他们的左初级运动皮层(M1),并在高密度脑磁图(MEG)期间完成侧侧任务。采用体素、全脑和点刺激方法对具有统计学意义的振荡反应进行成像和分析。我们的研究结果显示,与年轻人相比,在阳极刺激后,老年人对侧M1的γ侧干扰效应增加,而在老年人中,与阴极HD-tDCS相比,在阳极刺激后,老年人的γ侧干扰效应增加。我们还发现β和γ m1 -前额叶连接的极性差异是年龄组的函数。至关重要的是,这些数据表明,M1 HD-tDCS对年轻人和老年人健康成人运动表现的局部和网络水平的神经生理反应具有不同的频谱和极性依赖作用。
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引用次数: 0
MASLD in the oldest-old: lack of association with cognition or functional autonomy and poor predictive utility of the hepatic steatosis index. 老年人的MASLD:与认知或功能自主缺乏关联,肝脂肪变性指数的预测效用较差。
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-24 DOI: 10.1007/s11357-025-02060-3
Maximilian Joseph Brol, Martin Groth, Frank Erhard Uschner, Juliana Stadtmann, Tina Schomacher, Jonel Trebicka, Michael Praktiknjo, Elena Vorona

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a prevalent condition increasingly recognized in aging populations. However, its clinical relevance in older adults-particularly in relation to sarcopenia, cognitive function, and rehabilitation outcomes-remains poorly defined. This retrospective observational study included in-patients admitted for geriatric rehabilitation in 2022 with available abdominal ultrasound. MASLD was defined according to AASLD/EASL criteria. Demographics, comorbidities, medications, and the hepatic steatosis index were recorded. Cognitive function (MMSE, clock-drawing, GDS), hand grip strength, mobility (Tinetti, Timed Up and Go), and functional status (Barthel Index, discharge autonomy) were assessed. Analyses included regression and AUROC, with significance at p below 0.05. MASLD was present in 49.6% of the study population. No significant association was observed between MASLD and cognitive impairment. Patients with higher hand grip strengths showed higher proportions of MASLD (p = 0.01). In this cohort, hepatic steatosis index has poor capacity to detect hepatic steatosis (AUC = 0.503, 95%-CI: 0.437-0.570). Furthermore, MASLD did not predict poorer functional outcomes following the rehabilitation stay. In adjusted models, Barthel Index -but neither MASLD nor hand grip strength- was independently associated with reduced functional autonomy at discharge (p = 0.006). In elderly patients, MASLD was associated with diabetes mellitus and higher hand grip strength, while sarcopenia was linked to a lower prevalence of steatosis. MASLD showed no association with cognitive performance, functional outcomes, or prediction by the hepatic steatosis index. These findings highlight age-specific characteristics of MASLD requiring tailored clinical approaches.

代谢功能障碍相关的脂肪变性肝病(MASLD)是一种越来越多的老年人认识到的普遍疾病。然而,其在老年人中的临床意义,特别是与肌肉减少症、认知功能和康复结果的关系,仍然没有明确的定义。这项回顾性观察性研究纳入了2022年接受腹部超声检查的老年康复住院患者。MASLD是根据AASLD/EASL标准定义的。统计数据、合并症、药物和肝脂肪变性指数均被记录。评估认知功能(MMSE、clock-drawing、GDS)、手部握力、活动能力(Tinetti、Timed Up和Go)和功能状态(Barthel指数、放电自主性)。分析包括回归和AUROC, p < 0.05。49.6%的研究人群存在MASLD。未观察到MASLD与认知障碍之间的显著关联。握力越大的患者MASLD比例越高(p = 0.01)。在本队列中,肝脂肪变性指数对肝脂肪变性的检测能力较差(AUC = 0.503, 95%-CI: 0.437-0.570)。此外,MASLD并不能预测康复住院后较差的功能预后。在调整后的模型中,Barthel指数(MASLD和手握力都没有)与放电时功能自主性降低独立相关(p = 0.006)。在老年患者中,MASLD与糖尿病和较高的握力有关,而肌肉减少症与较低的脂肪变性患病率有关。MASLD与认知能力、功能结局或肝脂肪变性指数预测无关联。这些发现强调了MASLD的年龄特异性特征,需要量身定制的临床方法。
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引用次数: 0
Facial skin aging: an integrative analysis of genetics, epigenetics, and lifestyle factors. 面部皮肤老化:遗传学、表观遗传学和生活方式因素的综合分析。
IF 5.4 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-24 DOI: 10.1007/s11357-025-02067-w
Rezvan Noroozi, Aleksandra Pisarek-Pacek, Bożena Wysocka, Kamila Migacz-Gruszka, Paulina Pruszkowska-Przybylska, Magdalena Kobus, Dagmara Lisman, Julia Zacharczuk, Joanna Rudnicka, Aleksandra Iljin, Kathryn C Fitzgerald, Małgorzata Michalczyk, Piotr Kaczka, Michał Krzysztofik, Maciej Kostrzewa, Aneta Sitek, Magdalena Spólnicka, Andrzej Ossowski, Wojciech Branicki, Ewelina Pośpiech

Facial wrinkling is a prominent sign of aging, yet individuals exhibit unique trajectories of biological aging, contributing to the variability in facial appearance. Here, we present a pioneering study exploring the association between lifestyle choices, DNA methylation, and SNP genotypes with a range of facial skin aging phenotypes. The study demonstrated that age-related facial skin phenotypes are influenced by multiple environmental stressors. Epigenome-wide association analyses identified differentially methylated cytosines mapped to 151 loci, including novel genes associated with facial wrinkles, such as EDAR (cg02925966, p = 4.96 × 10-8) and NRG1 (cg26267340, p = 4.64 × 10-8), both involved in wound healing. Sensitivity analysis, conditioning on the top meQTLs, showed minor attenuation, suggesting an association independent of genetic variants. Accelerated epigenetic aging, measured in the blood of over 700 Polish individuals, was found to correlate with facial wrinkle area, photoaging, telangiectasias, and perceived facial age, with the GrimAge and FitAge clocks showing the most robust associations. Genome-wide SNP analysis identified rs73943403 (RP11-78F17.1, p = 3.72 × 10-8) associated with wrinkle area and rs113125564 (ZC3H4, p = 1.23 × 10-8) associated with perceived facial age, potentially implicating stress response and adiposity in skin aging. Finally, the study revealed the additive value of methylation and SNP data for predicting two continuous skin phenotypes, with 59.0% of the variation explained in facial wrinkle area and 26.2% in perceived facial age. The findings underscore the relevance of genetic and epigenetic factors, revealing novel candidate genes and molecular pathways involved in skin aging. These insights hold substantial translational value for dermatology, the cosmetics industry, and anti-aging strategies.

面部皱纹是衰老的显著标志,但个体表现出独特的生物衰老轨迹,导致面部外观的可变性。在这里,我们提出了一项开创性的研究,探索生活方式选择、DNA甲基化和SNP基因型与一系列面部皮肤衰老表型之间的关系。研究表明,与年龄相关的面部皮肤表型受到多种环境压力因素的影响。表观基因组关联分析鉴定了151个位点的差异甲基化胞嘧啶,包括与面部皱纹相关的新基因,如EDAR (cg02925966, p = 4.96 × 10-8)和NRG1 (cg26267340, p = 4.64 × 10-8),它们都与伤口愈合有关。敏感性分析显示,顶部meqtl的条件作用显示出轻微的衰减,表明这种关联独立于遗传变异。研究人员对700多名波兰人的血液进行了测量,发现加速的表观遗传衰老与面部皱纹面积、光老化、毛细血管扩张和感知面部年龄有关,其中GrimAge和FitAge时钟显示出最强烈的关联。全基因组SNP分析发现,rs73943403 (RP11-78F17.1, p = 3.72 × 10-8)与皱纹面积相关,rs113125564 (ZC3H4, p = 1.23 × 10-8)与感知面部年龄相关,可能与皮肤衰老中的应激反应和肥胖有关。最后,该研究揭示了甲基化和SNP数据用于预测两种连续皮肤表型的相加值,其中59.0%的变异解释为面部皱纹面积,26.2%的变异解释为面部年龄。这些发现强调了遗传和表观遗传因素的相关性,揭示了参与皮肤衰老的新的候选基因和分子途径。这些见解对皮肤病学、化妆品行业和抗衰老策略具有重大的转化价值。
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引用次数: 0
Age-related degradation of cerebellar functional network topology. 小脑功能网络拓扑结构的年龄相关性退化。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-23 DOI: 10.1007/s11357-025-02059-w
Mingzhu Ye,Haishuo Xia,Tao Song,Zijin Liu,Antao Chen
With the aging of global populations, understanding the role of the cerebellum in aging is crucial. However, existing studies primarily focus on structural and functional changes, leaving the topological properties of cerebellar functional networks in aging unclear. Here, we explored the aging effects on the topological organization of cerebellar functional networks and investigated the relationship between these changes and cognitive function. The results revealed that, compared with young adults, older adults exhibited declines in the global and local network efficiency, modularity, and small-world properties of the cerebellum. Additionally, reductions were observed in the betweenness centrality within the visual network (VN), the nodal efficiency (NE) within the VN and lateral somatomotor network (SMN(Lat)). Moreover, the nodal local efficiency (NLE) decreased in the default mode network and SMN(Lat) of older adults. Notably, the gamma value of the cerebellar network was positively correlated with Stroop task accuracy in the incongruent condition among older adults. Additionally, aging impaired whole-brain (including cerebellar) network efficiency but preserved modularity and small-world properties, and at the nodal level, cerebellar regions showed selective reductions in NE and NLE, alongside degree centrality reorganization. Exploratory analyses revealed gender-specific patterns in cerebellar network topology during aging, with males experiencing relatively limited declines and females showing more extensive deterioration. The findings indicated that aging is associated with disruptions in the global and regional topology of the cerebellar functional connectome, with females exhibiting more pronounced deterioration than males. The integrity of cerebellar network topology appeared crucial for maintaining cognitive control.
随着全球人口老龄化,了解小脑在老龄化中的作用是至关重要的。然而,现有的研究主要集中在结构和功能的变化上,对衰老过程中小脑功能网络的拓扑特性尚不清楚。本研究探讨了衰老对小脑功能网络拓扑结构的影响,并探讨了这些变化与认知功能的关系。结果显示,与年轻人相比,老年人小脑的整体和局部网络效率、模块化和小世界特性都有所下降。此外,观察到视觉网络(VN)的中间性中心性,VN和侧体运动网络(SMN(Lat))的节点效率(NE)降低。此外,老年人的默认模式网络和SMN(Lat)的节点局部效率(NLE)下降。值得注意的是,在不一致条件下,老年人小脑网络的伽马值与Stroop任务准确率呈正相关。此外,衰老损害了全脑(包括小脑)网络效率,但保留了模块性和小世界特性,在节点水平上,小脑区域选择性地减少了NE和NLE,并伴有度中心性重组。探索性分析揭示了衰老过程中小脑网络拓扑结构的性别特异性模式,男性经历相对有限的衰退,而女性表现出更广泛的退化。研究结果表明,衰老与小脑功能连接体的整体和区域拓扑结构的破坏有关,女性比男性表现出更明显的退化。小脑网络拓扑结构的完整性似乎对维持认知控制至关重要。
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引用次数: 0
Is grip strength a marker for cognitive function, neurodegeneration, and resilience? 握力是认知功能、神经退化和恢复力的标志吗?
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-23 DOI: 10.1007/s11357-025-02057-y
Alexander Ivan B Posis,Hilary L Colbeth,Mihika S Deshpande,Kristen M George,Batool Rizvi,Rifat B Alam,Ruijia Chen,Dan M Mungas,Paola Gilsanz,María M Corrada,Rachel A Whitmer
Assessing whether grip strength is associated with cognitive decline and brain health could help identify a target to prevent or delay cognitive impairment. Therefore, we tested whether grip strength is associated with brain health as indicated by magnetic resonance imaging and domain specific cognitive decline. We also assessed whether grip strength was a cognitive resilience proxy using moderation tests. This study included cognitive and neuroimaging data from 861 participants in three harmonized cohorts. We fit multivariable linear mixed-effects and linear regression models to test associations between grip strength, neuroimaging markers, and cognition. We also tested moderation by gender and age. Greater grip strength was associated with slower verbal episodic memory decline and greater total gray matter volume. Associations of grip strength with executive function, total hippocampal volume, and white matter hyperintensities were not significant, but in the expected direction. Age moderated associations of grip strength and white matter hyperintensities. Grip strength was a significant proxy for cognitive resilience related to white matter hyperintensity volume and verbal episodic memory decline only. Future research should examine other measures of physical performance that are associated with later-life cognitive and brain health.
评估握力是否与认知能力下降和大脑健康有关,有助于确定预防或延缓认知障碍的目标。因此,我们测试了握力是否与磁共振成像和特定领域认知衰退所显示的大脑健康有关。我们还评估了握力是否为认知弹性代理使用适度测试。这项研究包括来自三个协调队列的861名参与者的认知和神经影像学数据。我们拟合多变量线性混合效应和线性回归模型来测试握力、神经成像标记物和认知之间的关联。我们还根据性别和年龄测试了节制程度。握力越大,言语情景记忆衰退越慢,灰质总量越大。握力与执行功能、海马总体积和白质高强度的关联不显著,但在预期的方向上。年龄调节握力和白质高强度的关联。握力是与白质高强度体积和言语情景记忆衰退相关的认知弹性的重要代表。未来的研究应该检查与晚年认知和大脑健康相关的其他身体表现指标。
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引用次数: 0
Transcranial alternating current stimulation improves ballistic motor performance in trained and untrained limbs of healthy older adults. 经颅交流电刺激可改善健康老年人训练和未训练肢体的弹道运动表现。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-22 DOI: 10.1007/s11357-025-02064-z
Nishadi N Gamage,Wei-Yeh Liao,Philip J Atherton,Mathew Piasecki,George M Opie,John G Semmler
Transcranial alternating current stimulation (tACS) using a combined theta-gamma waveform can improve unilateral ballistic motor performance in the trained limb of older adults. The purpose of this study was to examine the effect of individual (theta) and combined (theta-gamma) tACS waveforms on ballistic motor performance in the trained and untrained contralateral limb (i.e. cross-limb transfer) of older adults. Sixty right-handed healthy older adults (68.9 ± 5.2 years) received either high-definition theta-gamma (6 Hz theta, 75 Hz gamma), theta (6 Hz), or sham tACS over right primary motor cortex (M1) during ballistic left-thumb abduction training for 20 min. Behavioural changes were quantified as changes in trained (left) and untrained (right) thumb acceleration. Transcranial magnetic stimulation (TMS) was used to assess changes in left and right M1 excitability, via motor-evoked potentials (MEPs) and paired-pulse short-interval intracortical inhibition (SICI). While training drove greater motor performance in both hands (all P < 0.001), theta tACS was associated with the largest improvements (P < 0.02, compared with theta-gamma and sham tACS) and was the only condition that demonstrated a post-training potentiation of MEP amplitude (P < 0.02). However, a positive relationship between performance improvement of trained and untrained hands was limited to the theta-gamma tACS condition (R2 = 0.501, P < 0.001). These results suggest that specific tACS waveforms may have unique effects on different facets of motor learning; while theta tACS can augment performance gain, theta-gamma tACS may influence cross-limb transfer of performance.
采用联合theta-gamma波形的经颅交流电刺激(tACS)可以改善老年人训练肢体的单侧弹道运动表现。本研究的目的是研究单独(theta)和联合(theta-gamma) tACS波形对老年人训练和未训练的对侧肢体(即跨肢转移)的弹道运动表现的影响。60名右撇子健康老年人(68.9±5.2岁)在弹道左拇指外展训练中接受高清晰度theta-gamma (6 Hz theta, 75 Hz gamma), theta (6 Hz)或假tACS,在右侧初级运动皮层(M1)进行20分钟。行为改变被量化为训练(左)和未训练(右)拇指加速度的变化。经颅磁刺激(TMS)通过运动诱发电位(MEPs)和成对脉冲短间隔皮质内抑制(SICI)来评估左、右M1兴奋性的变化。虽然训练提高了双手的运动表现(均P < 0.001),但与theta-gamma和假tACS相比,theta tACS与最大的改善相关(P < 0.02),并且是唯一显示训练后MEP振幅增强的条件(P < 0.02)。然而,训练手和未训练手的表现改善之间的正相关仅限于theta-gamma tACS条件(R2 = 0.501, P < 0.001)。这些结果表明,特定的tACS波形可能对运动学习的不同方面有独特的影响;虽然theta- tACS可以增加成绩增益,但theta-gamma tACS可能会影响成绩的跨肢转移。
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引用次数: 0
Age-dependent modulations of hemispheric small-world networks in different eye states: resting-state electroencephalogram research. 不同眼状态下半球小世界网络的年龄依赖性调节:静息状态脑电图研究。
IF 5.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-12-20 DOI: 10.1007/s11357-025-02042-5
Chang Xu,Chuqiao Li,Tong Cui,Shaoqi Li,Xiaodong Han,Boye Wen,Cuibai Wei
Normal aging triggers substantial topological transformation within resting-state electroencephalography (rs-EEG) networks. Given that the small-world (SW) architecture of hemispheric EEG networks may reflect an evolutionarily and developmentally optimized organization, investigating their modulations with age offers critical insights into the dynamic reorganization of functional connectivity (FC) patterns throughout adulthood. Utilizing rs-EEG data from a single-site public repository collected under eyes-closed and eyes-open conditions, we employed graph-theory methods to delineate age-related alterations in the SW architecture of hemispheric functional networks across a broad adult age range (20-70 years). In 539 cognitively intact individuals, undirected weighted FC networks were constructed using eLORETA-based lagged linear connectivity for each hemisphere and three subnetworks: default mode network (DMN), frontal network (FN), and attentional network (AN). Further quantitative analyses revealed that age-related changes in SW metrics were observed exclusively in the right hemisphere, evident during eyes-closed rest and in network reconfiguration upon eye opening (ΔSW). Right-hemispheric SW and ΔSW showed frequency- and network-specific modulation with age: in the alpha2 band, all three subnetworks exhibited increasing trends, with U-shaped trajectories in DMN and AN and a linear rise in FN. In other frequency bands, specific SW metrics displayed an inverted-U curve relationship with age (DMN: alpha1 SW, delta ΔSW; FN: gamma SW; AN: theta, alpha1, gamma SW, theta ΔSW) in later adulthood, whereas beta2 SW and gamma ΔSW in FN decreased linearly. These findings revealed a right-lateralized pattern of age-related changes in intrinsic SW architecture and provided an eyes-state-dependent baseline for evaluating hemispheric network impairments in age-related neuropsychiatric disorders.
正常的衰老触发静息状态脑电图(rs-EEG)网络中的大量拓扑转换。考虑到半球脑电图网络的小世界结构可能反映了一种进化和发育优化的组织,研究它们随年龄的调节为研究成年期功能连接(FC)模式的动态重组提供了重要的见解。利用在闭眼和睁眼条件下收集的单一站点公共存储库的rs-EEG数据,我们采用图论方法描述了在广泛的成人年龄范围(20-70岁)中半球功能网络SW结构的年龄相关变化。在539名认知完好的个体中,使用基于eloreta的滞后线性连接构建无向加权FC网络,并对每个半球和三个子网络:默认模式网络(DMN)、额叶网络(FN)和注意网络(AN)进行连接。进一步的定量分析显示,年龄相关的脑功能指标变化仅在右半球中观察到,在闭眼休息和睁眼时的网络重构中表现明显(ΔSW)。右半球SW和ΔSW随着年龄的增长表现出频率和网络特异性调制:在alpha2波段,所有三个子网都表现出增加的趋势,DMN和AN呈u型轨迹,FN呈线性上升。在其他频段,特定的SW指标在成年后期与年龄呈倒u型曲线关系(DMN: alpha1 SW, delta ΔSW; FN: gamma SW; an: theta, alpha1, gamma SW, theta ΔSW),而FN中的bet2 SW和gamma ΔSW呈线性下降。这些发现揭示了一种与年龄相关的内在脑半球结构右侧化的变化模式,并为评估与年龄相关的神经精神疾病的半球网络损伤提供了一个依赖于眼睛状态的基线。
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