Purpose in life promotes resilience to age-related brain burden in middle-aged adults

Disease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting resilience, as the capacity of the brain to maintain cognition and function with aging and disease, is paramount. In Alzheimer's disease (AD), education and o...

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Autores: Abellaneda Pérez, Kilian|||0000-0001-6447-1248, Cattaneo, Gabriele|||0000-0002-7411-6829, Cabello-Toscano, María|||0000-0001-5066-3476, Solana-Sánchez, Javier|||0000-0003-0880-7856, Mulet-Pons, L., Vaqué-Alcázar, Lídia|||0000-0002-6776-6559, Perellón-Alfonso, R., Solé-Padullés, C., Bargalló, Núria|||0000-0001-6284-5402, Tormos, Jose M.|||0000-0002-8764-2289, Pascual Leone, Álvaro|||0000-0001-8975-0382, Bartrés-Faz, David|||0000-0001-6020-4118
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:302784
Acceso en línea:https://ddd.uab.cat/record/302784
https://dx.doi.org/urn:doi:10.1186/s13195-023-01198-6
Access Level:acceso abierto
Palabra clave:Brain reserve
Cognition
Cognitive reserve
Neuroimaging
Psychological well-being
Purpose in life
Resilience
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spelling Purpose in life promotes resilience to age-related brain burden in middle-aged adultsAbellaneda Pérez, Kilian|||0000-0001-6447-1248Cattaneo, Gabriele|||0000-0002-7411-6829Cabello-Toscano, María|||0000-0001-5066-3476Solana-Sánchez, Javier|||0000-0003-0880-7856Mulet-Pons, L.Vaqué-Alcázar, Lídia|||0000-0002-6776-6559Perellón-Alfonso, R.Solé-Padullés, C.Bargalló, Núria|||0000-0001-6284-5402Tormos, Jose M.|||0000-0002-8764-2289Pascual Leone, Álvaro|||0000-0001-8975-0382Bartrés-Faz, David|||0000-0001-6020-4118Brain reserveCognitionCognitive reserveNeuroimagingPsychological well-beingPurpose in lifeResilienceDisease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting resilience, as the capacity of the brain to maintain cognition and function with aging and disease, is paramount. In Alzheimer's disease (AD), education and occupation are typical cognitive reserve proxies. However, the importance of psychological factors is being increasingly recognized, as their operating biological mechanisms are elucidated. Purpose in life (PiL), one of the pillars of psychological well-being, has previously been found to reduce the deleterious effects of AD-related pathological changes on cognition. However, whether PiL operates as a resilience factor in middle-aged individuals and what are the underlying neural mechanisms remain unknown. Data was obtained from 624 middle-aged adults (mean age 53.71 ± 6.9; 303 women) from the Barcelona Brain Health Initiative cohort. Individuals with lower (LP; N = 146) and higher (HP; N = 100) PiL rates, according to the division of this variable into quintiles, were compared in terms of cognitive status, a measure reflecting brain burden (white matter lesions; WMLs), and resting-state functional connectivity, examining system segregation (SyS) parameters using 14 common brain circuits. Neuropsychological status and WMLs burden did not differ between the PiL groups. However, in the LP group, greater WMLs entailed a negative impact on executive functions. Subjects in the HP group showed lower SyS of the dorsal default-mode network (dDMN), indicating lesser segregation of this network from other brain circuits. Specifically, HP individuals had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Greater functional connectivity in some of these nodes positively correlated with cognitive performance. Expanding previous findings on AD pathology and advanced age, the present results suggest that higher rates of PiL may promote resilience against brain changes already observable in middle age. Furthermore, having a purposeful life implies larger functional integration of the dDMN, which may potentially reflect greater brain reserve associated to better cognitive function.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/302784https://dx.doi.org/urn:doi:10.1186/s13195-023-01198-6reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3027842026-06-06T12:50:31Z
dc.title.none.fl_str_mv Purpose in life promotes resilience to age-related brain burden in middle-aged adults
title Purpose in life promotes resilience to age-related brain burden in middle-aged adults
spellingShingle Purpose in life promotes resilience to age-related brain burden in middle-aged adults
Abellaneda Pérez, Kilian|||0000-0001-6447-1248
Brain reserve
Cognition
Cognitive reserve
Neuroimaging
Psychological well-being
Purpose in life
Resilience
title_short Purpose in life promotes resilience to age-related brain burden in middle-aged adults
title_full Purpose in life promotes resilience to age-related brain burden in middle-aged adults
title_fullStr Purpose in life promotes resilience to age-related brain burden in middle-aged adults
title_full_unstemmed Purpose in life promotes resilience to age-related brain burden in middle-aged adults
title_sort Purpose in life promotes resilience to age-related brain burden in middle-aged adults
dc.creator.none.fl_str_mv Abellaneda Pérez, Kilian|||0000-0001-6447-1248
Cattaneo, Gabriele|||0000-0002-7411-6829
Cabello-Toscano, María|||0000-0001-5066-3476
Solana-Sánchez, Javier|||0000-0003-0880-7856
Mulet-Pons, L.
Vaqué-Alcázar, Lídia|||0000-0002-6776-6559
Perellón-Alfonso, R.
Solé-Padullés, C.
Bargalló, Núria|||0000-0001-6284-5402
Tormos, Jose M.|||0000-0002-8764-2289
Pascual Leone, Álvaro|||0000-0001-8975-0382
Bartrés-Faz, David|||0000-0001-6020-4118
author Abellaneda Pérez, Kilian|||0000-0001-6447-1248
author_facet Abellaneda Pérez, Kilian|||0000-0001-6447-1248
Cattaneo, Gabriele|||0000-0002-7411-6829
Cabello-Toscano, María|||0000-0001-5066-3476
Solana-Sánchez, Javier|||0000-0003-0880-7856
Mulet-Pons, L.
Vaqué-Alcázar, Lídia|||0000-0002-6776-6559
Perellón-Alfonso, R.
Solé-Padullés, C.
Bargalló, Núria|||0000-0001-6284-5402
Tormos, Jose M.|||0000-0002-8764-2289
Pascual Leone, Álvaro|||0000-0001-8975-0382
Bartrés-Faz, David|||0000-0001-6020-4118
author_role author
author2 Cattaneo, Gabriele|||0000-0002-7411-6829
Cabello-Toscano, María|||0000-0001-5066-3476
Solana-Sánchez, Javier|||0000-0003-0880-7856
Mulet-Pons, L.
Vaqué-Alcázar, Lídia|||0000-0002-6776-6559
Perellón-Alfonso, R.
Solé-Padullés, C.
Bargalló, Núria|||0000-0001-6284-5402
Tormos, Jose M.|||0000-0002-8764-2289
Pascual Leone, Álvaro|||0000-0001-8975-0382
Bartrés-Faz, David|||0000-0001-6020-4118
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Brain reserve
Cognition
Cognitive reserve
Neuroimaging
Psychological well-being
Purpose in life
Resilience
topic Brain reserve
Cognition
Cognitive reserve
Neuroimaging
Psychological well-being
Purpose in life
Resilience
description Disease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting resilience, as the capacity of the brain to maintain cognition and function with aging and disease, is paramount. In Alzheimer's disease (AD), education and occupation are typical cognitive reserve proxies. However, the importance of psychological factors is being increasingly recognized, as their operating biological mechanisms are elucidated. Purpose in life (PiL), one of the pillars of psychological well-being, has previously been found to reduce the deleterious effects of AD-related pathological changes on cognition. However, whether PiL operates as a resilience factor in middle-aged individuals and what are the underlying neural mechanisms remain unknown. Data was obtained from 624 middle-aged adults (mean age 53.71 ± 6.9; 303 women) from the Barcelona Brain Health Initiative cohort. Individuals with lower (LP; N = 146) and higher (HP; N = 100) PiL rates, according to the division of this variable into quintiles, were compared in terms of cognitive status, a measure reflecting brain burden (white matter lesions; WMLs), and resting-state functional connectivity, examining system segregation (SyS) parameters using 14 common brain circuits. Neuropsychological status and WMLs burden did not differ between the PiL groups. However, in the LP group, greater WMLs entailed a negative impact on executive functions. Subjects in the HP group showed lower SyS of the dorsal default-mode network (dDMN), indicating lesser segregation of this network from other brain circuits. Specifically, HP individuals had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Greater functional connectivity in some of these nodes positively correlated with cognitive performance. Expanding previous findings on AD pathology and advanced age, the present results suggest that higher rates of PiL may promote resilience against brain changes already observable in middle age. Furthermore, having a purposeful life implies larger functional integration of the dDMN, which may potentially reflect greater brain reserve associated to better cognitive function.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/302784
https://dx.doi.org/urn:doi:10.1186/s13195-023-01198-6
url https://ddd.uab.cat/record/302784
https://dx.doi.org/urn:doi:10.1186/s13195-023-01198-6
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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