» Articles » PMID: 37247763

Cardiovascular and Metabolic Health is Associated with Functional Brain Connectivity in Middle-aged and Older Adults: Results from the Human Connectome Project-Aging Study

Abstract

Several cardiovascular and metabolic indicators, such as cholesterol and blood pressure have been associated with altered neural and cognitive health as well as increased risk of dementia and Alzheimer's disease in later life. In this cross-sectional study, we examined how an aggregate index of cardiovascular and metabolic risk factor measures was associated with correlation-based estimates of resting-state functional connectivity (FC) across a broad adult age-span (36-90+ years) from 930 volunteers in the Human Connectome Project Aging (HCP-A). Increased (i.e., worse) aggregate cardiometabolic scores were associated with reduced FC globally, with especially strong effects in insular, medial frontal, medial parietal, and superior temporal regions. Additionally, at the network-level, FC between core brain networks, such as default-mode and cingulo-opercular, as well as dorsal attention networks, showed strong effects of cardiometabolic risk. These findings highlight the lifespan impact of cardiovascular and metabolic health on whole-brain functional integrity and how these conditions may disrupt higher-order network integrity.

Citing Articles

MRI Assessment of Cerebral White Matter Microvascular Hemodynamics Across the Adult Lifespan.

Damestani N, Jacoby J, Michel C, Rashid B, Salat D, Juttukonda M J Magn Reson Imaging. 2024; 60(4):1549-1562.

PMID: 38179863 PMC: 11224140. DOI: 10.1002/jmri.29217.

References
1.
Duron E, Hanon O . Vascular risk factors, cognitive decline, and dementia. Vasc Health Risk Manag. 2008; 4(2):363-81. PMC: 2496986. DOI: 10.2147/vhrm.s1839. View

2.
Jack Jr C, Knopman D, Jagust W, Petersen R, Weiner M, Aisen P . Tracking pathophysiological processes in Alzheimer's disease: an updated hypothetical model of dynamic biomarkers. Lancet Neurol. 2013; 12(2):207-16. PMC: 3622225. DOI: 10.1016/S1474-4422(12)70291-0. View

3.
Sahathevan R, Brodtmann A, Donnan G . Dementia, stroke, and vascular risk factors; a review. Int J Stroke. 2011; 7(1):61-73. DOI: 10.1111/j.1747-4949.2011.00731.x. View

4.
Sandesara P, Virani S, Fazio S, Shapiro M . The Forgotten Lipids: Triglycerides, Remnant Cholesterol, and Atherosclerotic Cardiovascular Disease Risk. Endocr Rev. 2018; 40(2):537-557. PMC: 6416708. DOI: 10.1210/er.2018-00184. View

5.
Qiu C, Fratiglioni L . A major role for cardiovascular burden in age-related cognitive decline. Nat Rev Cardiol. 2015; 12(5):267-77. DOI: 10.1038/nrcardio.2014.223. View