Physical fitness and white matter microstructure in children with overweight or obesity: the ActiveBrains project.

Recent studies investigated the association of cardiorespiratory fitness with white matter microstructure in children, yet little work has explored to what extent other components of physical fitness (i.e., muscular or motor fitness) are associated with white matter microstructure. Indeed, this association has not been previously explored in children with overweight/obesity who present a different white matter development. Therefore, we aimed to examine associations between physical fitness components and white matter microstructure in children with overweight/obesity. In total, 104 (10.04 ± 1.15 years old; 43 girls) children were included in this cross-sectional study. Physical fitness was assessed using the ALPHA-fitness test battery. Fractional anisotropy (FA) and mean diffusivity were derived from diffusion tensor imaging (DTI). No association was found between physical fitness and global DTI metrics (all P > 0.082). Within individual tracts, all associations became non-significant when analyses were adjusted for multiple comparisons. Using the voxel-wise approach, we identified a small cluster in the left lateral frontal lobe where children with greater upper-body muscular fitness showed higher FA (PFWE-corrected = 0.042). Although our results cannot conclude physical fitness is related to white matter microstructure in children with overweight/obesity; those findings indicate that the association of muscular fitness with white matter microstructure might be more focal on frontal areas of the brain, as opposed to global differences.

NUTRITIONAL RISK STATUS, DIETARY INTAKE AND COGNITIVE PERFORMANCE IN OLDER ADULTS WITH MOTORIC COGNITIVE RISK SYNDROME.

Background: Modifiable lifestyle factors such as diet are associated with cognitive decline and dementia. Greater understanding of the nutritional intake of older adults who are at increased risk for cognitive decline may allow for the development of more effective dietary interventions to prevent or delay the onset of dementia. Objectives: The purpose of this study was to characterize the nutritional status, diet quality and individual nutritional components of older adults with motoric cognitive risk syndrome (MCR). MCR is a pre-dementia syndrome classified by slow gait speed and subjective memory impairments. Design: Cross-sectional analysis. Setting: A community-based senior center located in an urban setting. Participants: Twenty-five community-dwelling older adults with MCR aged 60-89 yrs. Measurements: Nutritional risk status was determined using the Nestle Mini Nutritional Assessment (MNA). A food frequency questionnaire was used to quantify: overall dietary quality using the Healthy Eating Index (HEI); adherence to the Mediterranean-DASH for Neurodegenerative Delay (MIND) dietary pattern; and intake of individual nutritional components shown to be protective or harmful for cognitive function in older adults. Participants completed a computerized cognitive testing battery to assess cognitive abilities. Results: More than one third (36%) of participants were at increased risk for malnutrition. Participants at lower risk for malnutrition had better working memory (r = 0.40, p = 0.04), executive functioning (r = 0.44, p = 0.03), and overall cognition (r = 0.44, p = 0.03). While participants generally consumed a reasonable quality diet (HEI = 65.15), 48% of participants had poor adherence to a neuroprotective MIND dietary pattern. Higher intake of B-complex vitamins was associated with better task switching (r = 0.40, p ≤ 0.05) and faster processing speeds (r = 0.39, p ≤ 0.05). Higher vitamin C intake was associated with better executive functioning (r = 0.40, p ≤ 0.05). Conclusions: Our findings suggest that a significant proportion of older adults with MCR may be at increased risk for malnutrition. While the diet quality of older adults with MCR appeared to need improvement, future studies should investigate the effects of more specific nutritional interventions, including the MIND diet, on cognition in at-risk older adults.

Enhanced Learning through Multimodal Training: Evidence from a Comprehensive Cognitive, Physical Fitness, and Neuroscience Intervention.

The potential impact of brain training methods for enhancing human cognition in healthy and clinical populations has motivated increasing public interest and scientific scrutiny. At issue is the merits of intervention modalities, such as computer-based cognitive training, physical exercise training, and non-invasive brain stimulation, and whether such interventions synergistically enhance cognition. To investigate this issue, we conducted a comprehensive 4-month randomized controlled trial in which 318 healthy, young adults were enrolled in one of five interventions: (1) Computer-based cognitive training on six adaptive tests of executive function; (2) Cognitive and physical exercise training; (3) Cognitive training combined with non-invasive brain stimulation and physical exercise training; (4) Active control training in adaptive visual search and change detection tasks; and (5) Passive control. Our findings demonstrate that multimodal training significantly enhanced learning (relative to computer-based cognitive training alone) and provided an effective method to promote skill learning across multiple cognitive domains, spanning executive functions, working memory, and planning and problem solving. These results help to establish the beneficial effects of multimodal intervention and identify key areas for future research in the continued effort to improve human cognition.

Replacing sedentary time with sleep, light, or moderate-to-vigorous physical activity: effects on self-regulation and executive functioning.

Recent attention has highlighted the importance of reducing sedentary time for maintaining health and quality of life. However, it is unclear how changing sedentary behavior may influence executive functions and self-regulatory strategy use, which are vital for the long-term maintenance of a health behavior regimen. The purpose of this cross-sectional study is to examine the estimated self-regulatory and executive functioning effects of substituting 30 min of sedentary behavior with 30 min of light activity, moderate-to-vigorous physical activity (MVPA), or sleep in a sample of older adults. This study reports baseline data collected from low-active healthy older adults (N = 247, mean age 65.4 ± 4.6 years) recruited to participate in a 6 month randomized controlled exercise trial examining the effects of various modes of exercise on brain health and function. Each participant completed assessments of physical activity self-regulatory strategy use (i.e., self-monitoring, goal-setting, social support, reinforcement, time management, and relapse prevention) and executive functioning. Physical activity and sedentary behaviors were measured using accelerometers during waking hours for seven consecutive days at each time point. Isotemporal substitution analyses were conducted to examine the effect on self-regulation and executive functioning should an individual substitute sedentary time with light activity, MVPA, or sleep. The substitution of sedentary time with both sleep and MVPA influenced both self-regulatory strategy use and executive functioning. Sleep was associated with greater self-monitoring (B = .23, p = .02), goal-setting (B = .32, p < .01), and social support (B = .18, p = .01) behaviors. Substitution of sedentary time with MVPA was associated with higher accuracy on 2-item (B = .03, p = .01) and 3-item (B = .02, p = .04) spatial working memory tasks, and with faster reaction times on single (B = -23.12, p = .03) and mixed-repeated task-switching blocks (B = -27.06, p = .04). Substitution of sedentary time with sleep was associated with marginally faster reaction time on mixed-repeated task-switching blocks (B = -12.20, p = .07) and faster reaction time on mixed-switch blocks (B = 17.21, p = .05), as well as reduced global reaction time switch cost (B = -16.86, p = .01). Substitution for light intensity physical activity did not produce significant effects. By replacing sedentary time with sleep and MVPA, individuals may bolster several important domains of self-regulatory behavior and executive functioning. This has important implications for the design of long-lasting health behavior interventions. Trial Registration clinicaltrials.gov identifier NCT00438347.

Underlying sources of cognitive-anatomical variation in multi-modal neuroimaging and cognitive testing.

Healthy adults have robust individual differences in neuroanatomy and cognitive ability not captured by demographics or gross morphology (Luders, Narr, Thompson, & Toga, 2009). We used a hierarchical independent component analysis (hICA) to create novel characterizations of individual differences in our participants (N=190). These components fused data across multiple cognitive tests and neuroanatomical variables. The first level contained four independent, underlying sources of phenotypic variance that predominately modeled broad relationships within types of data (e.g., "white matter," or "subcortical gray matter"), but were not reflective of traditional individual difference measures such as sex, age, or intracranial volume. After accounting for the novel individual difference measures, a second level analysis identified two underlying sources of phenotypic variation. One of these made strong, joint contributions to both the anatomical structures associated with the core fronto-parietal "rich club" network (van den Heuvel & Sporns, 2011), and to cognitive factors. These findings suggest that a hierarchical, data-driven approach is able to identify underlying sources of individual difference that contribute to cognitive-anatomical variation in healthy young adults.

White matter integrity, hippocampal volume, and cognitive performance of a world-famous nonagenarian track-and-field athlete.

Physical activity (PA) and cardiorespiratory fitness (CRF) are associated with successful brain and cognitive aging. However, little is known about the effects of PA, CRF, and exercise on the brain in the oldest-old. Here we examined white matter (WM) integrity, measured as fractional anisotropy (FA) and WM hyperintensity (WMH) burden, and hippocampal (HIPP) volume of Olga Kotelko (1919-2014). Olga began training for competitions at age of 77 and as of June 2014 held over 30 world records in her age category in track-and-field. We found that Olga's WMH burden was larger and the HIPP was smaller than in the reference sample (58 healthy low-active women 60-78 years old), and her FA was consistently lower in the regions overlapping with WMH. Olga's FA in many normal-appearing WM regions, however, did not differ or was greater than in the reference sample. In particular, FA in her genu corpus callosum was higher than any FA value observed in the reference sample. We speculate that her relatively high FA may be related to both successful aging and the beneficial effects of exercise in old age. In addition, Olga had lower scores on memory, reasoning and speed tasks than the younger reference sample, but outperformed typical adults of age 90-95 on speed and memory. Together, our findings open the possibility of old-age benefits of increasing PA on WM microstructure and cognition despite age-related increase in WMH burden and HIPP shrinkage, and add to the still scarce neuroimaging data of the healthy oldest-old (>90 years) adults.

Cognitive and anatomical data in a healthy cohort of adults.

We present data from a sample of 190 healthy adults including assessments of 4 cognitive factor scores, 12 cognitive tests, and 115 MRI-assessed neuroanatomical variables (cortical thicknesses, cortical and sub-cortical volumes, fractional anisotropy, and radial diffusivity). These data were used in estimating underlying sources of individual variation via independent component analysis (Watson et al., In press) [25].

The Relationship between Total Water Intake and Cognitive Control among Prepubertal Children.

BACKGROUND: Cognitive control (also known as executive function) encompasses mental processes that underlie goal-directed behavior, and it enables us to adjust our behavior according to changing environmental demands. Previous research among children has demonstrated that aerobic fitness and obesity have contrasting and selective effects on cognitive control. However, the relationship between water intake and childhood cognitive control remains inadequately studied. This study investigated the relationship between total water intake and cognitive control among prepubertal children (8-9-year olds). METHODS: Children between 8 and 9 years of age (n = 63) performed a modified flanker task to assess cognitive control related to inhibition (ability to resist distractions and maintain focus). Diet was measured using 3-day food records. Total water was defined as water consumed from drinking water, beverages, and food. RESULTS: A comparison of task performance across the median intake of total water revealed that children above the median exhibited shorter reaction times across multiple conditions of the flanker task, requiring variable amounts of cognitive control. Further, after adjustment of age, IQ, socioeconomic status, weight status, and aerobic fitness level, the proportion of intake comprised of water (%TW) was negatively correlated with reaction time interference, that is, the ability to maintain task performance when task conditions demanded greater inhibition. CONCLUSIONS: These results indicate an association between water intake and cognitive control using a task that modulates inhibition. Specifically, higher water intake correlated with greater ability to maintain task performance when inhibitory demands are increased. Future work is needed to determine the mechanism by which water influences cognitive control among children.

Aerobic fitness is associated with greater efficiency of the network underlying cognitive control in preadolescent children.

This study examined whether individual differences in aerobic fitness are associated with differences in activation of cognitive control brain networks in preadolescent children. As expected, children performed worse on a measure of cognitive control compared with a group of young adults. However, individual differences in aerobic fitness were associated with cognitive control performance among children. Lower-fit children had disproportionate performance cost in accuracy with increasing task difficulty, relative to higher-fit children. Brain activation was compared between performance-matched groups of lower- and higher-fit children. Fitness groups differed in brain activity for regions associated with response execution and inhibition, task set maintenance, and top-down regulation. Overall, differing activation patterns coupled with different patterns of brain-behavior correlations suggest an important role of aerobic fitness in modulating task strategy and the efficiency of neural networks that implement cognitive control in preadolescent children.

The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children.

The effect of an acute bout of moderate treadmill walking on behavioral and neuroelectric indexes of the cognitive control of attention and applied aspects of cognition involved in school-based academic performance were assessed. A within-subjects design included 20 preadolescent participants (age=9.5+/-0.5 years; eight female) to assess exercise-induced changes in performance during a modified flanker task and the Wide Range Achievement Test 3. The resting session consisted of cognitive testing followed by a cardiorespiratory fitness assessment to determine aerobic fitness. The exercise session consisted of 20 min of walking on a motor-driven treadmill at 60% of estimated maximum heart rate followed by cognitive testing once heart rate returned to within 10% of pre-exercise levels. Results indicated an improvement in response accuracy, larger P3 amplitude, and better performance on the academic achievement test following aerobic exercise relative to the resting session. Collectively, these findings indicate that single, acute bouts of moderately-intense aerobic exercise (i.e. walking) may improve the cognitive control of attention in preadolescent children, and further support the use of moderate acute exercise as a contributing factor for increasing attention and academic performance. These data suggest that single bouts of exercise affect specific underlying processes that support cognitive health and may be necessary for effective functioning across the lifespan.

Cognitive impairments in relapsing-remitting multiple sclerosis: a meta-analysis.

There is debate in the literature regarding the magnitude, nature, and influence of cognitive impairment in individuals with relapsing-remitting multiple sclerosis (RRMS). Therefore, we conducted a meta-analysis that quantified the overall magnitude of cognitive impairment in individuals with RRMS and identified the domains of cognition and clinical/demographic variables that were moderators of the overall effect. We included 57 studies with 3891 participants that yielded a total of 755 effect sizes. Overall, there was a moderate decline in cognitive functioning in individuals with RRMS compared with healthy controls. Larger effects were observed in cognitive domains of motor functioning, mood status and memory and learning. Regarding demographic and clinical variables, age and gender were moderators of cognitive impairment in all cognitive domains, whereas neurological disability and disease duration primarily moderated performance on tasks assessing memory and learning.

Endurance and strength training outcomes on cognitively impaired and cognitively intact older adults: a meta-analysis.

BACKGROUND: Dementia is a common syndrome in the geriatric population. Subsequent impairment of cognitive functioning impacts the patient's mobility, ADLs, and IADLs. It is suggested that older persons with lower levels of cognition are less likely to achieve independence in ADLs and ambulation (1-2). Frequently, nursing home residents are viewed as too frail or cognitively impaired to benefit from exercise rehabilitation. Often, persons with Mini Mental State Score (MMSE) score below 25 are excluded from physical rehabilitation programs. However, Diamond (3) and Goldstein (4) concluded that geriatric patients with mild to moderate cognitive impairment were just as likely as cognitively intact patients to improve in functional abilities as a result of participation in exercise rehabilitation programs. PURPOSE: The objective of this study is to compare, through a meta-analysis endurance and strength outcomes of Cognitively Impaired (MMSE < 23) and Cognitively Intact (MMSE superior 24) older adults who participate in similar exercise programs. METHODS: Published articles were identified by using electronic and manual searches. Key search words included exercise, training, strength, endurance, rehabilitation, cognitive impairment, cognition, MMSE, older adult, aged, and geriatrics. Articles were included if the were from RCTs or well-designed control studies. RESULTS: A total of 41 manuscripts met the inclusion criteria. We examined 21 exercise trials with cognitively impaired individuals (CI=1411) and 20 exercise trials with cognitively intact individuals (IN=1510). Degree of cognitive impairment is based on the reported MMSE score. Moderate to large effect sizes (ES = dwi, Hedges gi) were found for strength and endurance outcomes for the CI groups (dwi = .51, 95% CI= .42- .60), and for the IN groups (dwi = .49, 95% CI= .40- .58). No statistically significant difference in ES was found between the CI and IN studies on strength (t=1.675, DF= 8, P= .132), endurance (t=1.904, DF= 14, P=.078), and combined strength and endurance effects (t=1.434, DF= 56, P= .263). CONCLUSIONS: These results suggest that cognitively impaired older adults who participate in exercise rehabilitation programs have similar strength and endurance training outcomes as age and gender matched cognitively intact older participants and therefore impaired individuals should not be excluded from exercise rehabilitation programs.

Attentional selection and the processing of task-irrelevant information: insights from fMRI examinations of the Stroop task.

In this chapter, we discuss our research that reveals how attentional mechanisms can modulate activity of posterior brain regions responsible for processing the unattended attribute of a stimulus. To do so, we utilized fMRI to reveal patterns of regional brain activity for variants of the Stroop task that differ in the nature of the task-irrelevant stimulus attribute. In all variants, individuals had to identify the ink color in which an item was presented. To vary attentional demands, we manipulated whether or not the task-irrelevant information contained conflicting color information. The variants differed in whether the conflicting color information was contained in a word naming a color (e.g. the word 'red' in blue ink), a word naming an object highly associated with a specific color (e.g. the word 'frog' in red ink), or a line drawing of an object highly associated with a specific color (e.g. a drawing of a frog in red ink). When the unattended stimulus attribute contained color information that conflicted with an item's ink color, increased activity was observed in the posterior brain region that processes the aspect of the task-irrelevant attribute related to color. Increased activity was observed in the left precuneus and left superior parietal cortex when the conflicting information arose from a color word; in the middle temporal gyrus and insular cortex when the word named an object highly associated with a specific color, and included extensive regions of early portions of the ventral visual processing stream when a line drawing was highly associated with a specific color. These areas have been implicated in word processing, semantic processing, and visual processing, respectively. Our results suggest that attentional selection can occur by: (1) increasing the gain on all posterior regions responsible for processing information related to the task demands, regardless of whether that information is contained in the task-relevant or task-irrelevant dimension; (2) limiting the processing of task-irrelevant information in order to reduce interference; and (3) modulating the processing of representations varying from those of a low-level perceptual nature up through those of a higher-order semantic nature.

Methylphenidate effects on task-switching performance in attention-deficit/hyperactivity disorder.

OBJECTIVE: To examine the specificity of methylphenidate effects on the processes that support the ability to rapidly and accurately coordinate the performance of multiple tasks in children with attention-deficit hyperactivity disorder (ADHD). METHOD: Twenty children with ADHD performed the task-switching paradigm while on and off medication. The paradigm involves switching between two different tasks, discriminating the value of a number presented on a computer screen and deciding how many numbers were present on the screen. The children also performed single-task control conditions. RESULTS: Analyses of variance indicated the medication selectively enhanced the children's ability to rapidly and accurately switch between tasks and to focus attention on the currently relevant response set. CONCLUSIONS: This study helps to elucidate the nature of methylphenidate effects on the cognitive processes which support the ability to coordinate the performance of multiple tasks. Medication appears to selectively enhance inhibitory processes which support task-switching.

The relative involvement of anterior cingulate and prefrontal cortex in attentional control depends on nature of conflict.

While numerous studies have implicated both anterior cingulate and prefrontal cortex in attentional control, the nature of their involvement remains a source of debate. Here we determine the extent to which their relative involvement in attentional control depends upon the levels of processing at which the conflict occurs (e.g., response, non-response). Using a combination of blocked and rapid presentation event-related functional magnetic resonance imaging techniques, we compared neural activity during incongruent Stroop trial types that produce conflict at different levels of processing. Our data suggest that the involvement of anterior cingulate and right prefrontal cortex in attentional control is primarily limited to situations of response conflict, while the involvement of left prefrontal cortex extends to the occurrence of conflict at non-response levels.

Influence of single and multiple onset distractors on visual search for singleton targets.

In three experiments, we examined attentional and oculomotor capture by single and multiple abrupt onsets in a singleton search paradigm. Subjects were instructed to move their eyes as quickly as possible to a color singleton target and to identify a small letter located inside of it. In Experiment 1, task-irrelevant sudden onsets appeared simultaneously on half the trials with the presentation of the color singleton target. Response times (RTs) were longer when onsets appeared in the display regardless of the number of onsets. Eye-scan strategies were also disrupted by the appearance of the onset distractors, although the proportion of trials on which the eyes were directed to the onsets was the same regardless of the number of onsets. In Experiment 2, we manipulated the time of presentation of two task-irrelevant onsets in order to further examine whether multiple onsets would be attended and fixated prior to attending a color singleton target. Again, subjects made a saccade to a task-irrelevant onset on a substantial proportion of trials prior to fixating the target. However, saccades to the second onset were rare. Experiment 3 served as a replication of Experiment 1 but without the requirement for subjects to move their eyes to detect and identify the singleton target. The RT results were consistent with those in Experiment 1; dual onsets had no larger an effect on response speed than single onset distractors. These data are discussed in terms of the interaction between top-down and bottom-up control of attention and the eyes.

Changes in executive control across the life span: examination of task-switching performance.

A study was conducted to examine changes in executive control processes over the life span. More specifically, changes in processes responsible for preparation and interference control that underlie the ability to flexibly alternate between two different tasks were examined. Individuals (N = 152) ranging in age from 7 to 82 years participated in the study. A U-shaped function was obtained for switch costs (i.e., the time required to switch between tasks compared with a repeated-task baseline), with larger costs found for young children and older adults. Switch costs were reduced with practice, particularly for children. All age groups benefited from increased preparation time, with larger benefits observed for children and older adults. Adults benefited to a greater extent than children when the interval between the response to one task and the cue indicating which task to perform next was lengthened, which suggested faster decay of interference from the old task set for adults than for children. A series of hierarchical analyses indicated that the age-related variance in task-switching performance is independent, at least in part, from the age-related variance in other cognitive processes such as perceptual speed and working memory. The results are discussed in terms of the development and decline of executive control processes across the life span.

Spatial attention in early vision.

The present study addressed whether the allocation of attention to a particular region in space can prevent processing of distractor information from non-attended regions. A cue indicated the area in visual space where the target singleton would be presented. Observers were required to detect this target singleton and ignore a distractor singleton presented within a non-attended region. The results indicate that the allocation of attention to a region in space cannot prevent the processing of unwanted information from elsewhere in the visual field. It is concluded that the function of the allocation of attention is not to enhance the processing capacity within the attended region but rather to attenuate interference from distractors in unattended regions.

Visual search has memory.

By monitoring subjects' eye movements during a visual search task, we examined the possibility that the mechanism responsible for guiding attention during visual search has no memory for which locations have already been examined. Subjects did reexamine some items during their search, but the pattern of revisitations did notfit the predictions of the memory less search model. In addition, a large proportion of the refixations were directed at the target, suggesting that the revisitations were due to subjects' remembering which items had not been adequately identified. We also examined the patterns of fixations and compared them with the predictions of a memoryless search model Subjects' fixation patterns showed an increasing hazard function, whereas the memoryless model predicts a flat function. Lastly, we found no evidence suggesting that fixations were guided by amnesic covert scans that scouted the environment for new items during fixations. Results do not support the claims of the memorvless search model, and instead suggest that visual search does have memory.