Key result
Carotid atherosclerosis was associated with a smaller extent of global brain activation during a Stroop task compared to healthy controls (p=0.036), despite no differences in task performance.
Why the study?
Vascular disease may contribute to cognitive decline, and atherosclerosis could be a potential mechanism through which cardiovascular disease directly impacts brain health.
Does bilateral carotid atherosclerosis alter brain activation patterns during a cognitive task in older adults?
Case-Control (n=66)
Does bilateral carotid atherosclerosis alter brain activation patterns during a cognitive task in older adults?
p-value: p=0.036
Carotid atherosclerosis is associated with altered functional brain activation patterns during cognitive tasks, suggesting a potential mechanism for vascular contributions to cognitive decline prior to overt impairment.
May signal early subclinical effects on brain function; leaves open whether activation changes predict later cognitive decline.
There is an increasing body of evidence suggesting that vascular disease could contribute to cognitive decline and overt dementia. Of particular interest is atherosclerosis, as it is not only associated with dementia, but could be a potential mechanism through which cardiovascular disease directly impacts brain health. In this work, we evaluated the differences in functional near infrared spectroscopy (fNIRS)-based measures of brain activation, task performance, and the change in central hemodynamics (mean arterial pressure (MAP) and heart rate (HR)) during a Stroop color-word task in individuals with atherosclerosis, defined as bilateral carotid plaques (n = 33) and healthy age-matched controls (n = 33). In the healthy control group, the left prefrontal cortex (LPFC) was the only region showing evidence of activation when comparing the incongruous with the nominal Stroop test. A smaller extent of brain activation was observed in the Plaque group compared with the healthy controls (1) globally, as measured by oxygenated hemoglobin (p = 0.036) and (2) in the LPFC (p = 0.02) and left sensorimotor cortices (LMC)(p = 0.008) as measured by deoxygenated hemoglobin. There were no significant differences in HR, MAP, or task performance (both in terms of the time required to complete the task and number of errors made) between Plaque and control groups. These results suggest that carotid atherosclerosis is associated with altered functional brain activation patterns despite no evidence of impaired performance of the Stroop task or central hemodynamic changes.
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Mason et al. (2022) conducted a case-control in Carotid atherosclerosis (n=66). Carotid atherosclerosis vs. Healthy age-matched controls was evaluated on fNIRS-based measures of brain activation during a Stroop color-word task (p=0.036). Carotid atherosclerosis was associated with a smaller extent of global brain activation during a Stroop task compared to healthy controls (p=0.036), despite no differences in task performance.
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