53 research outputs found
Summary Jury Trials in State and Federal Courts: A Comparative Analysis of the Perceptions of Participating Lawyers
Doing Justice in a Bureaucracy: The Need to Reconcile Contemporary Judicial Roles in Light of Ethical and Administrative Imperatives
First Amendment Limits on the Regulation of Judicial Campaign Speech: Defining the Government’s Interest
Exercise Training and Functional Connectivity Changes in Mild Cognitive Empairment and Healthy Elders
Background: Effective interventions are needed to improve brain function in mild cognitive impairment (MCI), an early stage of Alzheimer’s disease (AD). The posterior cingulate cortex (PCC)/precuneus is a hub of the default mode network (DMN) and is preferentially vulnerable to disruption of functional connectivity in MCI and AD. Objective: We investigated whether 12 weeks of aerobic exercise could enhance functional connectivity of the PCC/precuneus in MCI and healthy elders. Methods: Sixteen MCI and 16 healthy elders (age range = 60–88) engaged in a supervised 12-week walking exercise intervention. Functional MRI was acquired at rest; the PCC/precuneus was used as a seed for correlated brain activity maps. Results: A linear mixed effects model revealed a significant interaction in the right parietal lobe: the MCI group showed increased connectivity while the healthy elders showed decreased connectivity. In addition, both groups showed increased connectivity with the left postcentral gyrus. Comparing pre to post intervention changes within each group, the MCI group showed increased connectivity in 10 regions spanning frontal, parietal, temporal and insular lobes, and the cerebellum. Healthy elders did not demonstrate any significant connectivity changes. Conclusion: The observed results show increased functional connectivity of the PCC/precuneus in individuals with MCI after 12 weeks of moderate intensity walking exercise training. The protective effects of exercise training on cognition may be realized through the enhancement of neural recruitment mechanisms, which may possibly increase cognitive reserve. Whether these effects of exercise training may delay further cognitive decline in patients diagnosed with MCI remains to be demonstrated
Improved Cardiorespiratory Fitness Is Associated with Increased Cortical Thickness in Mild Cognitive Impairment
Cortical atrophy is a biomarker of Alzheimer’s disease (AD) that correlates with clinical symptoms. This study examined changes in cortical thickness from before to after an exercise intervention in mild cognitive impairment (MCI) and healthy elders. Thirty physically inactive older adults (14 MCI, 16 healthy controls) underwent MRI before and after participating in a 12-week moderate intensity walking intervention. Participants were between the ages of 61 and 88. Change in cardiorespiratory fitness was assessed using residualized scores of the peak rate of oxygen consumption (V̇O2peak) from pre- to post-intervention. Structural magnetic resonance images were processed using FreeSurfer v5.1.0. V̇O2peak increased an average of 8.49%, which was comparable between MCI and healthy elders. Overall, cortical thickness was stable except for a significant decrease in the right fusiform gyrus in both groups. However, improvement in cardiorespiratory fitness due to the intervention (V̇O2peak) was positively correlated with cortical thickness change in the bilateral insula, precentral gyri, precuneus, posterior cingulate, and inferior and superior frontal cortices. Moreover, MCI participants exhibited stronger positive correlations compared to healthy elders in the left insula and superior temporal gyrus. A 12-week moderate intensity walking intervention led to significantly improved fitness in both MCI and healthy elders. Improved V̇O2peak was associated with widespread increased cortical thickness, which was similar between MCI and healthy elders. Thus, regular exercise may be an especially beneficial intervention to counteract cortical atrophy in all risk groups, and may provide protection against future cognitive decline in both healthy elders and MCI
THE IMPACT OF ACUTE EXERCISE AND SLEEP QUALITY ON EXECUTIVE FUNCTION: THE POTENTIAL MEDIATING EFFECTS OF FUNCTIONAL CONNECTIVITY IN OLDER ADULTS
Background: Although, improved longevity is a major public health accomplishment, the prevalence of chronic disease, including cognitive impairment, increases with age. Insufficient sleep and physical inactivity exacerbate chronic disease and may accelerate the onset of dementia. While a cure remains elusive, a growing body of evidence demonstrates that exercise training facilitates better sleep and enhanced cognition. Exercise-altered patterns of neural activity, including resting state functional connectivity (rsFC) and task-based functional activation, likely coincide with and may facilitate cognitive improvements in the aging brain.
Purpose: This study sought to examine the joint impact of acute exercise and sleep quality on executive function in older adults. We also aimed to determine the degree to which exercise-induced changes in prefrontal rsFC influence the relationship between sleep and executive function performance/functional activation.
Methods: Using a within subjects counter-balanced design, 21 participants (aged 55-85) underwent at least three days of objective sleep monitoring (actigraphy), followed by two experimental visits on separate days. During each visit, participants engaged in 30-minutes of rest or exercise followed immediately by resting state and task-based functional MRI. After the MRI scanning session, participants completed several executive function assessments. Neuroimaging and behavioral data were processed using AFNI (version 17.1.06) and SPSS (version 23), respectively.
Results: Repeated measures ANOVA and multivariate linear regression revealed two significant voxel-wise interactions in the (L) precuneus. Our findings demonstrated that acute exercise increased prefrontal rsFC and functional activation in long sleepers (> 7.5 hours/night), while decreasing these parameters for individuals with less total sleep time. Moreover, these results correspond to behavioral data demonstrating that acute exercise and adequate sleep improved select aspects of executive function performance, while decreasing inhibitory control in short sleepers alone (< 7.5 hours).
Conclusion: These findings suggest that the effects of acute exercise on prefrontal rsFC are similar, or even related, to the effects of acute exercise on conflict-dependent functional activation, and that this relationship may depend on sleep duration. Moreover, our results imply that although acute exercise elicited improved executive function for those with adequate sleep, it may weaken already vulnerable, and perhaps fatigued, executive function networks among short sleepers
Resting Cerebral Blood Flow After Exercise Training in Mild Cognitive Impairment
Background:
Exercise training has been associated with greater cerebral blood flow (CBF) in cognitively normal older adults (CN). Alterations in CBF, including compensatory perfusion in the prefrontal cortex, may facilitate changes to the brain’s neural infrastructure. Objective:
To examine the effects of a 12-week aerobic exercise intervention on resting CBF and cognition in CN and those with mild cognitive impairment (MCI). We hypothesized individuals with MCI (vs. CN) would exhibit greater whole brain CBF at baseline and that exercise would mitigate these differences. We also expected CBF changes to parallel cognitive improvements. Methods:
Before and after a 12-week exercise intervention, 18 CN and 17 MCI participants (aged 61–88) underwent aerobic fitness testing, neuropsychological assessment, and an MRI scan. Perfusion-weighted images were collected using a GE 3T MR system. Repeated measures analyses of covariance were used to test within- and between-group differences over time, followed by post-hoc analyses to examine links between CBF changes and cognitive improvement. Results:
At baseline, individuals with MCI (vs. CN) exhibited significantly elevated perfusion in the left insula. Twelve weeks of aerobic exercise reversed this discrepancy. Additionally, exercise improved working memory (measured by the Rey Auditory Verbal Learning Test) and verbal fluency (measured by the Controlled Oral Word Association Test) and differentially altered CBF depending on cognitive status. Among those with MCI, decreased CBF in the left insula and anterior cingulate cortex was associated with improved verbal fluency. Conclusions:
Exercise training alters CBF and improves cognitive performance in older adults with and without cognitive impairment. Future studies must evaluate the mediating effects of CBF on the association between exercise training and cognition
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