Cerebral vascular reactivity in frail older adults with vascular cognitive impairment

Sara G. Aguilar-Navarro, Alberto José Mimenza-Alvarado, Isaac Corona-Sevilla, Gilberto A. Jiménez-Castillo, Teresa Juárez-Cedillo, José Alberto Ávila-Funes, Gustavo C. Román

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1 Scopus citations

Abstract

Background: Frailty, a state of increased vulnerability, could play a role in the progression of vascular dementia. We aim to describe the changes in cerebrovascular reactivity of older adults with frailty and vascular-type mild cognitive impairment (MCIv). Methods: This was a cross-sectional study.Acomprehensive geriatric assessment, neuropsychological evaluation, and transcranial Doppler ultrasound (TCD) was performed on 180 participants who were allocated into four groups: healthy (n = 74), frail (n = 40), MCIv (n = 35), and mixed (frail + MCIv) (n = 31). ANOVA and Kruskal-Wallis tests were used for the analysis of continuous variables with and without normal distribution. Multinomial logistic regression was constructed to identify associated covariates. Results: Subjects in the mixed group, compared to healthy group, were older (75.0 ± 5.9 vs 70.3 ± 5.9 years; p < 0.001), showed lower education (9.3 ± 6.4 vs 12.2 ± 4.0 years; p = 0.054), greater frequency of diabetes (42% vs 12%; p = 0.005), worse cognitive performance (z = -0.81 ± 0.94), and reduced left medial-cerebral artery cerebrovascular reactivity (0.43 ± 0.42 cm/s). The mixed group was associated with age (odds ratio (OR) 1.16, 95% Confidence Interval (CI) = 1.06-1.27; p < 0.001), diabetes (OR 6.28, 1.81-21.84; p = 0.004), and Geriatric Depression Scale (GDS) score (OR 1.34, 95% CI = 1.09-1.67; p = 0.007). Conclusions: Frailty among older adults was associated with worse cognitive performance, diabetes, and decreased cerebral blood flow.

Original languageEnglish (US)
Article number214
JournalBrain Sciences
Volume9
Issue number9
DOIs
StatePublished - Sep 2019

Keywords

  • Cerebral vascular reactivity
  • Diabetes
  • Frailty;mildvascular cognitive impairment
  • Neuropsychological tests
  • Older adults
  • Transcranial doppler ultrasound

ASJC Scopus subject areas

  • Neuroscience(all)

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