Association Between Falls and Brain Subvolumes: Results from a Cross-Sectional Analysis in Healthy Older Adults.
Details
Serval ID
serval:BIB_6D1AA5A53B4D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Association Between Falls and Brain Subvolumes: Results from a Cross-Sectional Analysis in Healthy Older Adults.
Journal
Brain topography
Working group(s)
Biomathics and Canadian Gait Consortium
ISSN
1573-6792 (Electronic)
ISSN-L
0896-0267
Publication state
Published
Issued date
03/2017
Peer-reviewed
Oui
Volume
30
Number
2
Pages
272-280
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Falls are a consequence of gait instability. Cortical and subcortical abnormalities have been associated with gait instability but not yet with falls. This study aims to compare the global and regional brain subvolumes between healthy older fallers and non-fallers. A total of 77 healthy older individuals (23 fallers and 54 non-fallers, 69.8 ± 3.5 years; 45.5 % female) were included in this study using a cross-sectional design. Based on an a priori hypothesis, the following brain subvolumes were quantified from three-dimensional T <sub>1</sub> -weighted MRI using FreeSurfer software: total white matter abnormalities, total white matter, total cortical and subcortical gray matter, hippocampus, motor cortex, somatosensory cortex, premotor cortex, prefrontal cortex and parietal cortex volumes. Gait performances were also recorded. Age, sex, body mass index, comorbidities, use of psychoactive drugs, far-distance visual acuity, lower-limb proprioception, depressive symptoms and cognitive scores (Mini-Mental State Examination, Frontal Assessment Battery) were used as covariates. Fallers have more frequently depressive symptoms (P = 0.048), a lower far distance visual acuity (P = 0.026) and a higher coefficient of variation of stride time (P = 0.008) compared to non-fallers. There was a trend to greater subvolumes for the somatosensory cortex (P = 0.093) and the hippocampus (P = 0.060) in the falls group. Multiple logistic regressions showed that subvolumes of the somatosensory cortex and the hippocampus (P < 0.042) were increased in fallers compared to non-fallers, even after adjustment for clinical and brain characteristics. The greater subvolumes of the somatosensory cortex and hippocampus reported in fallers compared to non-fallers suggests a possible brain compensatory mechanism involving spatial navigation and integration of sensory information.
Keywords
Accidental Falls, Aged, Aged, 80 and over, Brain/diagnostic imaging, Cross-Sectional Studies, Female, Gait, Gait Disorders, Neurologic/diagnostic imaging, Hippocampus/diagnostic imaging, Humans, Magnetic Resonance Imaging, Male, Organ Size/physiology, Prefrontal Cortex/diagnostic imaging, Brain volume, Fall, Magnetic resonance imaging, Motor control, Older adults
Pubmed
Web of science
Create date
06/10/2023 7:58
Last modification date
07/10/2023 5:58