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Shafto, M.

Publications and source records attributed to Shafto, M..

2 recordsLinked to original sources

Lifestyle activities in mid-life contribute to cognitive reserve in late-life, independent of education, occupation and late-life activities

IntroductionThis study tested the hypothesis that mid-life intellectual, physical and social activities contribute to cognitive reserve (CR).\n\nMethods205 individuals (196 with MRI) aged 66-88 from the Cambridge Centre for Ageing and Neuroscience (www.cam-can.com) were studied, with cognitive ability and structural brain health measured as fluid IQ and total grey matter volume, respectively. Mid-life activities were measured using the Lifetime of Experiences Questionnaire.\n\nResultsMultivariable linear regression found that mid-life activities (MA) made a unique contribution to late-life cognitive ability independent of education, occupation and late-life activities. Crucially, MA moderated the relationship between late-life cognitive ability and brain structure, with the cognitive ability of people with higher MA less dependent on their brain structure, consistent with the concept of CR.\n\nConclusions. Mid-life intellectual, physical and social activities contribute uniquely to CR. The modifiability of these activities has implications for public health initiatives aimed at dementia prevention.

neuroscience

Cardiovascular risk factors for micro- and macro-structural brain changes in healthy ageing

Cardiovascular health declines with age, increasing the risk of hypertension and elevated heart rate in middle- and old age. Here, we used multivariate techniques to investigate the associations between cardiovascular health (diastolic blood pressure, systolic blood pressure and heart rate) and white matter macrostructure (lesion volume and number), and microstructure (as measured by Diffusion Weighted Imaging) in the cross-sectional, population-based Cam-CAN cohort (N = 667, aged 18 to 88). We found that cardiovascular health and age made approximately similar contributions to white matter health and explained up to 56% of variance. Lower diastolic blood pressure, higher systolic blood pressure and higher heart rate were each strongly, and independently, associated with white matter abnormalities on all indices. Body mass and exercise were associated with white matter health, both directly and indirectly via cardiovascular health. These results highlight the importance of cardiovascular risk factors for white matter health across the adult lifespan and suggest that systolic blood pressure, diastolic blood pressure and heart rate affect white matter via separate mechanisms.

neuroscience