Study finds link between brain alterations and functional decline in women at risk for Alzheimer's disease

In their latest brain imaging study on women at risk for Alzheimer's disease, York University researchers have found deterioration in the pathways that serve to communicate signals between different brain regions needed for performing everyday activities such as driving a car or using a computer.

"We observed a relationship between the levels of deterioration in the brain wiring and their performance on our task that required simultaneous thinking and moving; what we see here is a result of communication failure," explains Professor Lauren Sergio in the School of Kinesiology & Health Science.

In an interview, Sergio in whose lab the study was conducted, says the findings also suggest that their computerized, easily-administered task that the study participants performed, can be used to test those at risk for Alzheimer's disease to flag early warning signs. "The test is a clinically feasible substitute to the more involved braining imaging tasks that people don't, or can't, have done routinely."

Typically, Alzheimer's disease is associated with memory loss, perception and other aspects of cognition, while debility in complex movements is observed at a much later stage.

The study, Diffusion Tensor Imaging Correlates of Cognitive-Motor Decline in Normal Aging and Increased Alzheimer's Disease Risk, recently published in the Journal of Alzheimer's Disease, was conducted on 30 female participants of whom 10 were in their mid-20s. The rest were in their 50s or older, with half of them at high risk for Alzheimer's disease.

"We decided to focus this study on women, as there is higher prevalence in this group, and also women who carry the ApoE4 gene are more vulnerable to the degradation of white matter," notes PhD candidate Kara Hawkins who led the study, adding that the genetic risk factor for Alzheimer's disease was one of the traits tested for in the current study.

"We scanned the brains of the participants, aiming to see if the impaired cognitive-motor performance in the high risk group was related to brain alterations over and above standard aging changes," Hawkins adds.

According to the researchers, the big question ahead is 'what can be done to prevent a decline in function of a person's brain showing signs of communication problems.' And the answer they are exploring is in finding ways to use these thinking and moving tasks in a proactive way, as part of a game-like cognitive-motor integration training method.