Why the study?
Knowledge of the relationship between resting heart rate, heart rate variability, and cognition is relatively absent in older individuals with early Alzheimer's disease pathology.
Do resting heart rate and heart rate variability relationships with cognition differ between cognitively healthy individuals with pathological versus normal amyloid/tau ratios?
Do resting heart rate and heart rate variability relationships with cognition differ between cognitively healthy individuals with pathological versus normal amyloid/tau ratios?
Altered relationships between resting heart rate, heart rate variability, and cognitive performance suggest early cardio-cerebral dysfunctional integration in preclinical Alzheimer's disease.
HR/HRV-cognition links in CH-PATs are hypothesis-generating; prospective studies needed before any clinical role.
Introduction: Resting heart rate (HR) and heart rate variability (HRV) have been linked with cognition in the general population and in older individuals. The knowledge of this aspect of heart-brain relationship is relatively absent in older individuals with early Alzheimer's disease (AD) pathology. This study explores relationships of the HR, HRV, and cognition in cognitively healthy individuals with pathological amyloid/tau ratio (CH-PATs) in cerebral spinal fluid (CSF) compared to those with normal ratio (CH-NATs). Methods: We examined therelationshipsbetween1) resting HR and Mini-Mental State Examination (MMSE); 2) resting HR and brain processing during Stroop interference; and 3) resting vagally mediated HRV (vmHRV) and task switching performance. Results: Our studies showed that compared to CH-NATs, those CH-PATs with higher resting HR presented with lower MMSE, and less brain activation during interference processing. In addition, resting vmHRV was significantly correlated with task switching accuracy in CH-NATs, but not in CH-PATs. Discussion: Thesethreedifferenttestsindicatedysfunctionalheart-brainconnections in CH-PATs, suggesting a potential cardio-cerebral dysfunctional integration.
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Molloy et al. (2023) studied this question.
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