Faculty Bibliography

BACKGROUND:The present study examined whether aerobic fitness training of older humans can increase brain volume in regions associated with age-related decline in both brain structure and cognition. METHODS:Fifty-nine healthy but sedentary community-dwelling volunteers, aged 60-79 years, participated in the 6-month randomized clinical trial. Half of the older adults served in the aerobic training group, the other half of the older adults participated in the toning and stretching control group. Twenty young adults served as controls for the magnetic resonance imaging (MRI), and did not participate in the exercise intervention. High spatial resolution estimates of gray and white matter volume, derived from 3D spoiled gradient recalled acquisition MRI images, were collected before and after the 6-month fitness intervention. Estimates of maximal oxygen uptake (VO2) were also obtained. RESULTS:Significant increases in brain volume, in both gray and white matter regions, were found as a function of fitness training for the older adults who participated in the aerobic fitness training but not for the older adults who participated in the stretching and toning (nonaerobic) control group. As predicted, no significant changes in either gray or white matter volume were detected for our younger participants. CONCLUSIONS:These results suggest that cardiovascular fitness is associated with the sparing of brain tissue in aging humans. Furthermore, these results suggest a strong biological basis for the role of aerobic fitness in maintaining and enhancing central nervous system health and cognitive functioning in older adults.

Laboratory based training studies suggest that older adults can benefit from training in tasks that tap control aspects of attention. This was further explored in the present study in which older and younger adults completed an adaptive and individualized dual-task training program. The testing-the-limits approach was used [Lindenberger, U., & Baltes, P. B. (1995). Testing-the-limits and experimental simulation: Two methods to explicate the role of learning in development. Human Development, 38, 349-360.] in order to gain insight into how attentional control can be improved in older adults. Results indicated substantial improvement in overlapping task performance in both younger and older participants suggesting the availability of cognitive plasticity in both age groups. Improvement was equivalent among age groups in response speed and performance variability but larger in response accuracy for older adults. The results suggest that time-sharing skills can be substantially improved in older adults.

We provide a brief review of the literature on exercise effects on brain and cognition. To this end, we focus on both prospective and retrospective human epidemiological studies that have examined the influence of exercise and physical activity on cognition and dementia. We then examine the relatively small set of human randomized clinical trials that have, for the most part, focused on exercise training effects on cognition. Next, we discuss animal research that has examined the molecular, cellular, and behavioral effects of exercise training. Finally, we conclude with a summary and brief discussion of important future directions of research on fitness cognition and brain.

Previous dual-task neuroimaging studies have not discriminated between brain regions involved in preparing to make more than one response from those involved in the management and execution of two tasks. To isolate the effects of dual-task processing while minimizing effects related to task-preparatory processes, we employed a blocked event-related design in which single trials and dual trials were randomly and unpredictably intermixed for one block (mixed block) and presented in isolation of one another during other blocks (pure blocks). Any differences between dual-task and single-task trials within the mixed block would be related to dual-task performance while minimizing any effects related to preparatory differences between the conditions. For this comparison, we found dual-task-related activation throughout inferior prefrontal, temporal, extrastriate, and parietal cortices and the basal ganglia. In addition, when comparing the single task within the mixed block with the single task presented in the pure block of trials, the regions involved in processes important in the mixed block yet unrelated to dual-task operations could be specified. In this comparison, we report a pattern of activation in right inferior prefrontal and superior parietal cortices. Our results argue that a variety of neural regions remain active during dual-task performance even after minimizing task-preparatory processes, but some regions implicated in dual-task performance in previous studies may have been due to task-preparation processes. Furthermore, our results suggest that dual-task operations activate the same brain areas as the single tasks, but to a greater magnitude than the single tasks. These results are discussed in relation to current conceptions of the neural correlates of dual-task performance.

A number of studies have suggested that attentional control skills required to perform 2 tasks concurrently become impaired with age (A. A. Hartley, 1992; J. M. McDowd & R. J. Shaw, 2000). A. A. Hartley (2001) recently observed that the age-related differences in dual-task performance were larger when the 2 tasks required similar motor responses. The present study examined the extent to which age-related deficits in dual-task performance or time sharing--in particular, dual-task performance of 2 discrimination tasks with similar motor requirements--can be moderated by training. The results indicate that, even when the 2 tasks required similar motor responses, both older and younger adults could learn to perform the tasks faster and more accurately. Moreover, the improvement in performance generalized to new task combinations involving new stimuli. Therefore, it appears that training can substantially improve dual-task processing skills in older adults.

In this manuscript we provide a brief review of the recent literature that has examined the relationship among fitness training, cognition and brain. We began with a discussion of the non-human animal literature that has examined the relationship among these factors. Next we discuss recent epidemiological studies of the relationship between physical activity and fitness and cognition and age-related disease such as Alzheimer's dementia. We then discuss the results of randomized clinical trials of fitness training on human cognition. Finally, we conclude with a review of the nascent literature that has begun to employ neuroimaging techniques to examine fitness training effects on human brain. In general, the results are promising and suggest that fitness may serve a neuroprotective function for aging humans.

The authors assessed individual differences in cortical recruitment, brain morphology, and inhibitory task performance. Similar to previous studies, older adults tended toward bilateral activity during task performance more than younger adults. However, better performing older adults showed less bilateral activity than poorer performers, contrary to the idea that additional activity is universally compensatory. A review of the results and of extant literature suggests that compensatory activity in prefrontal cortex may only be effective if the additional cortical processors brought to bear on the task can play a complementary role in task performance. Morphological analyses revealed that frontal white matter tracts differed as a function of performance in older adults, suggesting that hemispheric connectivity might impact both patterns of recruitment and cognitive performance.