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Ethnoracial differences in brain structure change and cognitive change.

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Brain changes impact cognitive decline differently across racial and ethnic groups. Gray matter changes and white matter hyperintensities are key factors, varying in influence by race.

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Area of Science:

  • Neuroimaging
  • Cognitive Neuroscience
  • Gerontology

Background:

  • Cognitive decline in older adults is a significant public health concern.
  • Understanding the interplay between brain structure and cognitive function is crucial for developing targeted interventions.
  • Existing research often lacks diversity, limiting generalizability across different ethnoracial groups.

Purpose of the Study:

  • To investigate longitudinal associations between structural magnetic resonance imaging (MRI) measures and cognitive changes in a diverse cohort of older adults.
  • To determine if brain-cognition relationships differ across White, African American, and Hispanic participants.
  • To identify specific neuroimaging markers predicting cognitive decline within different ethnoracial groups.

Main Methods:

  • Longitudinal study of 444 older adults (diverse ethnoracial background) with an average of 5.3 annual visits.
  • Utilized MRI to assess gray matter volume (baseline and change) and white matter hyperintensity (WMH) volumes (baseline).
  • Employed multilevel latent variable modeling to analyze associations between brain measures and cognitive change, testing for ethnoracial differences.

Main Results:

  • Global gray matter change significantly predicted cognitive decline in White and African American individuals.
  • Specific temporal lobe changes provided additional predictive value for cognitive decline in White participants.
  • Baseline white matter hyperintensity (WMH) volume was the primary predictor of cognitive decline in Hispanic individuals and contributed incrementally in Whites.

Conclusions:

  • Significant ethnoracial differences exist in how brain structural changes relate to cognitive decline.
  • The influence of Alzheimer's disease (AD) may be more pronounced in White individuals.
  • Global gray matter change and WMH are critical, yet differentially weighted, factors in cognitive decline among diverse older adults, highlighting the need for personalized approaches.