Affiliations: [a] Laboratory of Psychiatric Neuroimaging (LIM-21), Department of Psychiatry, University of São Paulo, São Paulo, Brazil | [b] Department and Institute of Psychiatry, University of São Paulo, São Paulo, Brazil | [c] Department of Preventive Medicine, University of São Paulo, São Paulo, Brazil | [d] ABC Region Medical School, Santo André, Brazil
Correspondence:
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Correspondence to: Tania C.T.F. Alves, MD, PhD, Centro de Medicina Nuclear, 3° andar, LIM-21, Rua Dr. Ovídio Pires Campos s/n, postal code 05403–010, São Paulo, SP, Brazil. E-mail: tania_alves@hotmail.com.
Abstract: The presence of cognitive impairment is a frequent complaint among elderly individuals in the general population. This study aimed to investigate the relationship between aging-related regional gray matter (rGM) volume changes and cognitive performance in healthy elderly adults. Morphometric magnetic resonance imaging (MRI) measures were acquired in a community-based sample of 170 cognitively-preserved subjects (66 to 75 years). This sample was drawn from the “São Paulo Ageing and Health” study, an epidemiological study aimed at investigating the prevalence and risk factors for Alzheimer's disease in a low income region of the city of São Paulo. All subjects underwent cognitive testing using a cross-culturally battery validated by the Research Group on Dementia 10/66 as well as the SKT (applied on the day of MRI scanning). Blood genotyping was performed to determine the frequency of the three apolipoprotein E allele variants (APOE ε2/ε3/ε4) in the sample. Voxelwise linear correlation analyses between rGM volumes and cognitive test scores were performed using voxel-based morphometry, including chronological age as covariate. There were significant direct correlations between worse overall cognitive performance and rGM reductions in the right orbitofrontal cortex and parahippocampal gyrus, and also between verbal fluency scores and bilateral parahippocampal gyral volume (p < 0.05, familywise-error corrected for multiple comparisons using small volume correction). When analyses were repeated adding the presence of the APOE ε4 allele as confounding covariate or excluding a minority of APOE ε2 carriers, all findings retained significance. These results indicate that rGM volumes are relevant biomarkers of cognitive deficits in healthy aging individuals, most notably involving temporolimbic regions and the orbitofrontal cortex.
