Association between physical function and neuroimaging measures in a 2‐year multidomain lifestyle randomized controlled trial

Abstract

AbstractBackgroundThis exploratory study investigated associations between physical function and neuroimaging biomarkers: brain magnetic resonance imaging (MRI) and Pittsburgh compound B‐positron emission tomography (PiB‐PET) measures during the 2‐year Finnish Geriatric Intervention Study to prevent cognitive impairment and disability (FINGER).MethodFINGER targeted 60–77‐year‐old general population at‐risk and without dementia or substantial cognitive impairment. Measures of physical function (activities of daily living (ADL), hand grip strength, physical performance, Fried’s frailty phenotype index and self‐rated health) from baseline and 2‐year visits were used. Baseline neuroimaging measures, MRI (hippocampus, total gray matter volumes, Alzheimer’s disease (AD) signature cortical thickness) were available for 115‐132 participants and PiB‐PET (composite score) for 44‐48 participants. Linear and logistic regressions were used to test the cross‐sectional associations and the impact of baseline imaging measures on changes in physical function. Models were adjusted for site, sex and education.ResultCross‐sectionally, higher ADL were associated with higher hippocampus volume (ß = 0.18 p = 0.048), total gray matter volume (ß = 0.15 p = 0.005) and AD signature cortical thickness (ß = 0.25 p = 0.006) while stronger hand grip and was associated with higher total gray matter volume (ß = 0.20 p = 0.041) significantly. Baseline imaging measures were associated with changes in physical function: higher baseline hippocampus volume was associated with maintenance/improvement in the ADL (OR = 0.56 p = 0.039) while lower hippocampus at baseline predicted poorer physical performance over time (OR = 1.66 p = 0.036).ConclusionHigher brain integrity is associated with better physical function while lower baseline brain integrity predicts poorer physical function over time.