Neurometabolic correlates of posturography in normal aging and older adults with mild cognitive impairment: Evidence from a 1H-MRS study

Oron Levin, Wouter A J Vints, Gal Ziv, Gintarė Katkutė, Simona Kušleikienė, Kristina Valatkevičienė, Samrat Sheoran, Margarita Drozdova-Statkevičienė, Rymantė Gleiznienė, Mati Pääsuke, Vilma Dudonienė, Uwe Himmelreich, Vida J Česnaitienė, Nerijus Masiulis, Oron Levin, Wouter A J Vints, Gal Ziv, Gintarė Katkutė, Simona Kušleikienė, Kristina Valatkevičienė, Samrat Sheoran, Margarita Drozdova-Statkevičienė, Rymantė Gleiznienė, Mati Pääsuke, Vilma Dudonienė, Uwe Himmelreich, Vida J Česnaitienė, Nerijus Masiulis

Abstract

Proton magnetic resonance spectroscopy (1H-MRS) holds promise for revealing and understanding neurodegenerative processes associated with cognitive and functional impairments in aging. In the present study, we examined the neurometabolic correlates of balance performance in 42 cognitively intact older adults (healthy controls - HC) and 26 older individuals that were diagnosed with mild cognitive impairment (MCI). Neurometabolite ratios of total N-acetyl aspartate (tNAA), glutamate-glutamine complex (Glx), total choline (tCho) and myo-inositol (mIns) relative to total creatine (tCr) were assessed using single voxel 1H-MRS in four different brain regions. Regions of interest were the left hippocampus (HPC), dorsal posterior cingulate cortex (dPCC), left sensorimotor cortex (SM1), and right dorsolateral prefrontal cortex (dlPFC). Center-of-pressure velocity (Vcop) and dual task effect (DTE) were used as measures of balance performance. Results indicated no significant group differences in neurometabolite ratios and balance performance measures. However, our observations revealed that higher tCho/tCr and mIns/tCr in hippocampus and dPCC were generic predictors of worse balance performance, suggesting that neuroinflammatory processes in these regions might be a driving factor for impaired balance performance in aging. Further, we found that higher tNAA/tCr and mIns/tCr and lower Glx/tCr in left SM1 were predictors of better balance performance in MCI but not in HC. The latter observation hints at the possibility that individuals with MCI may upregulate balance control through recruitment of sensorimotor pathways.

Keywords: Aging; Balance control; Brain neurometabolites; Dual-task effect; Postural stability.

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

Figures

Fig. 1
Fig. 1
(A-B) Illustration of stance conditions and representative CoP trajectory. (C) Voxel placement in the dorsal posterior cingulate cortex (dPCC), left hippocampus (HPC), left primary sensorimotor cortex (SM1), and right dorsolateral prefrontal cortex (dlPFC). (D) Representative spectra (black) and LCModel fits (red) for PRESS data from right dlPFC. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
Fig. 2
Fig. 2
Group differenced in sway velocity as function of task (single-task verses dual-task) during Tandem Romberg stance with eyes open. AP = Anteroposterior, ML = Medio-lateral, Vcop = Center of Pressure velocity.

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Source: PubMed

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