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        Hippocampal morphology and cognitive functions in community-dwelling older people: the Lothian Birth Cohort 1936

        Valdé,s Herná,ndez, Maria del Carmen,Cox, Simon R.,Kim, Jaeil,Royle, Natalie A.,Muñ,oz Maniega, Susana,Gow, Alan J.,Anblagan, Devasuda,Bastin, Mark E.,Park, Jinah,Starr, John M.,Ward Elsevier 2017 NEUROBIOLOGY OF AGING Vol.52 No.-

        <P>Structural measures of the hippocampus have been linked to a variety of memory processes and also to broader cognitive abilities. Gross volumetry has been widely used, yet the hippocampus has a complex formation, comprising distinct subfields which may be differentially sensitive to the deleterious effects of age, and to different aspects of cognitive performance. However, a comprehensive analysis of multidomain cognitive associations with hippocampal deformations among a large group of cognitively normal older adults is currently lacking. In 654 participants of the Lothian Birth Cohort 1936 (mean age = 72.5, SD = 0.71 years), we examined associations between the morphology of the hippocampus and a variety of memory tests (spatial span, letter-number sequencing, verbal recall, and digit backwards), as well as broader cognitive domains (latent measures of speed, fluid intelligence, and memory). Following correction for age, sex, and vascular risk factors, analysis of memory subtests revealed that only right hippocampal associations in relation to spatial memory survived type 1 error correction in subiculum and in CA1 at the head (<I>β</I> = 0.201, <I>p</I> = 5.843 × 10<SUP>−4</SUP>, outward), and in the ventral tail section of CA1 (<I>β</I> = −0.272, <I>p</I> = 1.347 × 10<SUP>−5</SUP>, inward). With respect to latent measures of cognitive domains, only deformations associated with processing speed survived type 1 error correction in bilateral subiculum (<I>β</I><SUB><I>absolute</I></SUB> ≤ 0.247, <I>p</I> < 1.369 × 10<SUP>−4</SUP>, outward), bilaterally in the ventral tail section of CA1 (<I>β</I><SUB><I>absolute</I></SUB> ≤ 0.242, <I>p</I> < 3.451 × 10<SUP>−6</SUP>, inward), and a cluster at the left anterior-to-dorsal region of the head (<I>β</I> = 0.199, <I>p</I> = 5.220 × 10<SUP>−6</SUP>, outward). Overall, our results indicate that a complex pattern of both inward and outward hippocampal deformations are associated with better processing speed and spatial memory in older age, suggesting that complex shape-based hippocampal analyses may provide valuable information beyond gross volumetry.</P>

      • Associations between hippocampal morphology, diffusion characteristics, and salivary cortisol in older men

        Cox, Simon R.,Valdé,s Herná,ndez, Maria del Carmen,Kim, Jaeil,Royle, Natalie A.,MacPherson, Sarah E.,Ferguson, Karen J.,Muñ,oz Maniega, Susana,Anblagan, Devasuda,Aribisala, Benjamin Pergamon Press 2017 Psychoneuroendocrinology Vol.78 No.-

        <▼1><P><B>Highlights</B></P><P>•<P>Elevated cortisol does not appear to be associated with regional variations in hippocampal shape.</P>•<P>Novel shape morphology analysis applied to study possible effect of cortisol on hippocampus.</P>•<P>Mean diffusivity in hippocampus is associated with reactive cortisol slope in older men.</P></P></▼1><▼2><P>High, unabated glucocorticoid (GC) levels are thought to selectively damage certain tissue types. The hippocampus is thought to be particularly susceptible to such effects, and though findings from animal models and human patients provide some support for this hypothesis, evidence for associations between elevated GCs and lower hippocampal volumes in older age (when GC levels are at greater risk of dysregulation) is inconclusive. To address the possibility that the effects of GCs in non-pathological ageing may be too subtle for gross volumetry to reliably detect, we analyse associations between salivary cortisol (diurnal and reactive measures), hippocampal morphology and diffusion characteristics in 88 males, aged ∼73 years. However, our results provide only weak support for this hypothesis. Though nominally significant peaks in morphology were found in both hippocampi across all salivary cortisol measures (standardised <I>β</I> magnitudes < 0.518, <I>p<SUB>uncorrected</SUB></I> > 0.0000003), associations were both positive and negative, and none survived false discovery rate correction. We found one single significant association (out of 12 comparisons) between a general measure of hippocampal diffusion and reactive cortisol slope (<I>β</I> <I>=</I> 0.290, <I>p</I> = 0.008) which appeared to be driven predominantly by mean diffusivity but did not survive correction for multiple testing. The current data therefore do not clearly support the hypothesis that elevated cortisol levels are associated with subtle variations in hippocampal shape or microstructure in non-pathological older age.</P></▼2>

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