Arterial Stiffness and Cardiorespiratory Fitness Are Associated With Cognitive Function in Older Adults.

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Justin R Mason, Gershon Tenenbaum, Salvador Jaime, Nelson Roque, Arun Maharaj, Arturo Figueroa
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引用次数: 8

Abstract

Age-related cognitive impairment has been associated with arterial stiffening and decreased cardiorespiratory fitness. The aims of this cross-sectional study were to compare cognitive function domains and cardiovascular parameters in older adults (≥ 65 years old) with high and normal aortic stiffness (via carotid-femoral pulse wave velocity, cfPWV) and to explore relationships among cfPWV, carotid intima-media thickness, cardiorespiratory fitness, and cognitive function. Vascular and cognitive function were measured in older adults with either normal or high cfPWV. Cognitive function was measured via an intensive one-time neuropsychological battery, while cfPWV by applanation tonometry, carotid intima-media thickness and function (i.e., distensibility) by ultrasonography, and cardiorespiratory fitness (i.e., VO2peak) by a submaximal exercise test. Correlations among age, VO2peak, carotid intima-media thickness, cfPWV, and cognitive function were performed along with a series of multivariate analyses of variance. Compared with NAS, participants with HAS had greater aortic, carotid, and brachial blood pressures but similar cardiorespiratory fitness and carotid intima-media thickness and distensibility. Participants with NAS exhibited better neuropsychological performance in executive function and attention and overall cognitive function than those with HAS. When controlling for age, visual scanning and perception scores were correlated with cfPWV and VO2peak. Our findings suggest that certain cognitive domains for older adults are associated with their cardiorespiratory fitness and aortic stiffness.

动脉僵硬和心肺健康与老年人认知功能相关
年龄相关的认知障碍与动脉硬化和心肺功能下降有关。本横断面研究的目的是比较主动脉硬度高和正常的老年人(≥65岁)的认知功能域和心血管参数(通过颈动脉-股动脉脉冲波速度,cfPWV),并探讨cfPWV、颈动脉内膜-中膜厚度、心肺健康和认知功能之间的关系。在cfPWV正常或高的老年人中测量血管和认知功能。认知功能通过强化的一次性神经心理学电池测量,cfPWV通过压平测压法测量,颈动脉内膜-中膜厚度和功能(即扩张性)通过超声检查,心肺功能(即vo2峰值)通过次最大运动测试。年龄、vo2峰值、颈动脉内膜-中膜厚度、cfPWV和认知功能之间的相关性以及一系列的多变量方差分析。与NAS相比,HAS患者的主动脉、颈动脉和肱动脉血压更高,但心肺功能和颈动脉内膜-中膜厚度和扩张性相似。NAS患者在执行功能、注意力和整体认知功能方面表现出比HAS患者更好的神经心理表现。在控制年龄的情况下,视觉扫描和知觉评分与cfPWV和vo2峰值相关。我们的研究结果表明,老年人的某些认知领域与他们的心肺健康和主动脉僵硬有关。
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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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