Cardiovascular Risk Factors, Cerebral Blood Flow, Cognitive Change, FMRI, Normal Cognition
Conditions
Brief summary
The cognitive trajectory varies among non-demented older adults. In a 12-year follow-up study, we found approximately 5% participants presented rapid cognitive decline. Cardiovascular diseases increased the risk of cognitive decline. However, the influence of cardiovascular risk factors on cognitive decline remained inconsistent. Besides, the potential mechanism of the cardiovascular risk factors and cognitive function has not been fully investigated. Therefore, the proposed program will include two sub-studies. The first sub-study will use the longitudinal data from the Chinese Longitudinal Healthy Longevity Survey to evaluate the influence of cardiovascular risk factors on the trajectories of cognitive function. The second sub-study will recruit cognitive intact older adults with different levels of cardiovascular risk factors. The association among cardiovascular risk factors, cerebral blood flow, brain functional connectivity and cognitive function will be investigated with structural equation modeling. The findings of the proposed program will provide novel insight on preventing cognitive decline from the angle of maintaining healthy vascular function, and will provide evidence in elucidating the potential neurovascular mechanism between cardiovascular risk factors and cognitive function.
Interventions
None listed
Sponsors
Peking University Sixth Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
For the cognitive trajectory cohort (the data had been collected): Inclusion Criteria: 1. Aged 65 or over at baseline; 2. With normal cognitive function at baseline (score ≥ 18 on the Chinese version of Mini-Mental State Examination, MMSE); 3. Had at least one domain information about cardiovascular risk factors (hypertension, diabetes, dyslipidemia, obesity, exercise, diet and smoking) at baseline; 4. Completed cognitive function assessment at least twice during 3 waves following-up after baseline; 5. Provided informed consent voluntarily.
Exclusion criteria
1. Aged \<65; 2. had a history of dementia or MMSE score \< 18 at baseline; 3. Without more than once cognitive function assessment during the follow-up; 4. Refused to participate the survey. For the neuroimaging sample, who would be enrolled by this study: Inclusion Criteria: 1. Aged 55-80; 2. Right-handed; 3. Primary school education or above, with normal communication ability; 4. No complaints of cognitive impairment or decline; 5. MMSE score ≥ 26; 6. Clinical dementia rating (CDR) =0; 7. Provided informed consent voluntarily.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Regression coefficients | up to 10 years | the influence of cardiovascular risk factors on cognitive change |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the correlation coefficient | baseline | the relationship among cognitive function score, value of cerebral blood flow, and functional connectivity strength |
Countries
China
Outcome results
None listed