Comparing aging and fitness effects on brain anatomy

Recent studies suggest that cardiorespiratory fitness (CRF) mitigates the brain’s atrophy typically associated with aging, via a variety of beneficial mechanisms. One could argue that if CRF is generally counteracting the negative effects of aging, the same regions that display the greatest age-related volumetric loss should also show the largest beneficial effects of fitness. To test this hypothesis we examined structural MRI data from 54 healthy older adults (ages 55–87), to determine the overlap, across brain regions, of the profiles of age and fitness effects. Results showed that lower fitness and older age are associated with atrophy in several brain regions, replicating past studies. However, when the profiles of age and fitness effects were compared using a number of statistical approaches, the effects were not entirely overlapping. Interestingly, some of the regions that were most influenced by age were among those not influenced by fitness. Presumably, the age-related atrophy occurring in these regions is due to factors that are more impervious to the beneficial effects of fitness. Possible mechanisms supporting regional heterogeneity may include differential involvement in motor function, the presence of adult neurogenesis, and differential sensitivity to cerebrovascular, neurotrophic and metabolic factors

Similar behaviour, different brain patterns: age-related changes in neural signatures of ignoring

We measured behavioural performance and fMRI activity whilst old and young adults performed a temporal segmentation task (‘preview search’). Being able to select parts of the visual world to be attended or ignored is a critical visual skill. Both old and young adults were able to improve their performance on a difficult search task when some of the distracter items were presented earlier than the remainder. Comparisons of brain activity and functional connectivity, however, suggested that the underlying mechanisms are quite different for the two age groups. Older adults' activation patterns do not correspond to those predicted by simple increased involvement of frontal regions reflecting higher demand with age but seem to suggest that changes in brain activation patterns propagate throughout the corte

Modulating perceptual complexity and load reveals degradation of the visual working memory network in ageing

Previous neuroimaging studies have reported a posterior to anterior shift of activation in ageing (PASA). Here, we explore the nature of this shift by modulating load (1,2 or 3 items) and perceptual complexity in two variants of a visual working memory task (VWM): a ‘simple’ color and a ‘complex’ shape change detection task. Functional near-infrared spectroscopy (fNIRS) was used to record changes in activation in younger (N=24) and older adults (N=24). Older adults exhibited PASA by showing lesser activation in the posterior cortex and greater activation in the anterior cortex when compared to younger adults. Further, they showed reduced accuracy at loads 2 and 3 for the simple task and across all loads for the complex task. Activation in the posterior and anterior cortices was modulated differently for younger and older adults. In older adults, increasing load in the simple task was accompanied by decreasing activation in the posterior cortex and lack of modulation in the anterior cortex, suggesting the inability to encode and/or maintain representations without much aid from higher-order centers. In the complex task, older adults recruited verbal working memory areas in the posterior cortex, suggesting that they used adaptive strategies such as labelling the shape stimuli. This was accompanied by reduced activation in the anterior cortex reflecting the inability to exert top-down modulation to typical VWM areas in the posterior cortex to improve behavioral performance

Functional Hemispheric (A)symmetries in the Aged Brain-Relevance for Working Memory

Functional hemispheric asymmetries have been described in different cognitive processes, such as decision-making and motivation. Variations in the pattern of left/right activity have been associated with normal brain functioning, and with neuropsychiatric diseases. Such asymmetries in brain activity evolve throughout life and are thought to decrease with aging, but clear associations with cognitive function have never been established. Herein, we assessed functional laterality during a working memory task (N-Back) in a healthy aging cohort (over 50 years old) and associated these asymmetries with performance in the test. Activity of lobule VI of the cerebellar hemisphere and angular gyrus was found to be lateralized to the right hemisphere, while the precentral gyrus presented left > right activation during this task. Interestingly, 1-Back accuracy was positively correlated with left > right superior parietal lobule activation, which was mostly due to the influence of the left hemisphere. In conclusion, although regions were mostly symmetrically activated during the N-Back task, performance in working memory in aged individuals seems to benefit from lateralized involvement of the superior parietal lobule.NORTE-01-0145-FEDER-000013, supported by the Northern Portugal Regional Operational Programme (NORTE 2020), under the Portugal 2020 Partnership Agreement, through the European Regional Development Fund (FEDER), and was funded by the European Commission (FP7) “SwitchBox—Maintaining health in old age through homeostasis” (Seventh Framework Programme; Contract HEALTH-F2-2010-259772), by FEDER through the Competitiveness Factors Operational Programme (COMPETE) and by National Funds, through the Foundation for Science and Technology (FCT) under the scope of the project POCI-01-0145-FEDER-007038, by the Fundação Calouste Gulbenkian (Portugal; Contract Grant No: P-139977; project “TEMPO—Better mental health during ageing based on temporal prediction of individual brain ageing trajectories”) and by “PANINI—Physical Activity and Nutrition Influences In Ageing” (European Commission (Horizon 2020), Contract GA 675003); Fundação para a Ciência e a Tecnologia (FCT) (Grant Nos. SFRH/BD/52291/2013 to ME and PD/BD/106050/2015 to CP-N via Inter-University Doctoral Programme in Ageing and Chronic Disease (PhDOC), SFRH/BPD/80118/2011 to HL-A and SFRH/BD/90078/2012 to TCC); and FCT/MEC and ON.2–ONOVONORTE—North Portugal Regional Operational Programme 2007/2013, of the National Strategic Reference Framework (NSRF) 2007/2013, through FEDER (project FCTANR/NEU-OSD/0258/2012 to RM)info:eu-repo/semantics/publishedVersio

Source of oceanic magnetic anomalies and the geomagnetic polarity time scale

Marine magnetic anomalies provide the framework for the geomagnetic polarity timescale for the Late Jurassic to Recent (since 160 Ma). Magnetostratigraphic records confirm that the polarity reversal sequence interpreted from magnetic anomalies is complete to a resolution of better than 30 ky. In addition to this record of polarity reversals, magnetic anomalies also appear to preserve information on geomagnetic intensity fluctuations. The correspondence of coherent near-bottom anomaly variations with independent estimates of field intensity provides strong evidence that geomagnetic intensity modulates the magnetization of the ocean crust. Indeed, many short wavelength anomaly variations in sea-surface magnetic profiles over fast-spreading ridges are likely attributable to geomagnetic intensity variations. Although longer-term geomagnetic field behavior may also be reflected in anomaly amplitudes, documenting such a signal requires a better understanding of time-dependent changes in the magnetic source (e.g., from low-temperature alteration) that may also affect magnetic anomalies. The extrusive layer, with an average remanence of ∼ 5 A m−1, is the largest contributor to magnetic anomalies. However, enhanced sampling of oceanic gabbros (average remanence ∼ 1 A m−1) and, to a lesser extent, dikes (average remanence ∼ 2 A m−1) reveals that these deeper (and thicker) layers likely generate anomalies comparable to those from the lavas. Lava accumulation at intermediate- and fast-spreading ridges typically occurs over a narrow (1–3 km) region and dike emplacement is even more narrowly confined, resulting in a relatively high fidelity record of geomagnetic field behavior. The slow cooling of the gabbroic layer, however, results in gently dipping polarity boundaries that significantly affect the skewness of the resulting anomalies, which is also a sensitive measure of net rotations of the source layer(s). The magnetizations of the dikes and gabbros are characterized by high stability and are not expected to significantly change with time, although there are insufficient data to confirm this. The lavas, however, typically show evidence of low-temperature alteration, which has been long regarded as a process that progressively reduces the magnetization (and degrades the geomagnetic signal) in the extrusive layer and reduces the amplitude of magnetic anomalies. Sufficient data have become available to examine this conventional wisdom. There is a substantial (∼ 4x) reduction in magnetization from on-axis samples to immediately off-axis drillsites (∼ 0.5 My), but little further change in half-dozen or so deep crustal sites to ∼ 160 Ma. High paleointensity that characterizes the last few thousand years may contribute significantly to the high on-axis magnetization. The task of evaluating changes in remanence of the extrusive layer is made more difficult by substantial cooling-rate-dependent changes in magnetic properties and the systematic variation in remanence with iron content (magnetic telechemistry). The commonly cited magnetic anomaly amplitude envelope is in fact not systematically observed – the Central Anomaly is elevated at slow-spreading ridges but is not as prominent at faster spreading rates. Nonetheless, magnetic anomaly amplitudes are consistent with magnetization change is poorly constrained. Direct determinations of the degree of low-temperature oxidation reveal the presence of highly oxidized titanomagnetite in samples less than 1 My old, suggesting a short (∼ 105 years) time constant though the effects of low-temperature oxidation are quite heterogeneous. While low-temperature oxidation does have some affect on lava magnetization and anomaly amplitudes, there is increasing evidence that marine magnetic anomalies are capable of recording a broad spectrum of geomagnetic field behavior, ranging from millennial-scale paleointensity variations to polarity reversals to apparent polar wander to, more speculatively, long-term changes in average field strength. Several emerging tools and approaches – autonomous vehicles, oriented samples, absolute paleointensity of near-ridge lavas, and measurements of the vector anomalous field – are therefore likely to significantly advance our understanding of the geomagnetic signal recorded in the oceanic crust, as well as our ability to utilize this information in addressing outstanding problems in crustal accretion processes

Age-related changes in the neural networks supporting semantic cognition:A meta-analysis of 47 functional neuroimaging studies

Semantic cognition is central to understanding of language and the world and, unlike many cognitive domains, is thought to show little age-related decline. We investigated age-related differences in the neural basis of this critical cognitive domain by performing an activation likelihood estimation (ALE) meta-analysis of functional neuroimaging studies comparing young and older people. On average, young people outperformed their older counterparts during semantic tasks. Overall, both age groups activated similar left-lateralised regions. However, older adults displayed less activation than young people in some elements of the typical left-hemisphere semantic network, including inferior prefrontal, posterior temporal and inferior parietal cortex. They also showed greater activation in right frontal and parietal regions, particularly those held to be involved in domain-general controlled processing, and principally when they performed more poorly than the young. Thus, semantic processing in later life is associated with a shift from semantic-specific to domain-general neural resources, consistent with the theory of neural dedifferentiation, and a performance-related reduction in prefrontal lateralisation, which may reflect a response to increased task demands

Cause of Death and Predictors of All-Cause Mortality in Anticoagulated Patients With Nonvalvular Atrial Fibrillation : Data From ROCKET AF

M. Kaste on työryhmän ROCKET AF Steering Comm jäsen.Background-Atrial fibrillation is associated with higher mortality. Identification of causes of death and contemporary risk factors for all-cause mortality may guide interventions. Methods and Results-In the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) study, patients with nonvalvular atrial fibrillation were randomized to rivaroxaban or dose-adjusted warfarin. Cox proportional hazards regression with backward elimination identified factors at randomization that were independently associated with all-cause mortality in the 14 171 participants in the intention-to-treat population. The median age was 73 years, and the mean CHADS(2) score was 3.5. Over 1.9 years of median follow-up, 1214 (8.6%) patients died. Kaplan-Meier mortality rates were 4.2% at 1 year and 8.9% at 2 years. The majority of classified deaths (1081) were cardiovascular (72%), whereas only 6% were nonhemorrhagic stroke or systemic embolism. No significant difference in all-cause mortality was observed between the rivaroxaban and warfarin arms (P=0.15). Heart failure (hazard ratio 1.51, 95% CI 1.33-1.70, P= 75 years (hazard ratio 1.69, 95% CI 1.51-1.90, P Conclusions-In a large population of patients anticoagulated for nonvalvular atrial fibrillation, approximate to 7 in 10 deaths were cardiovascular, whereasPeer reviewe

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks