Abstract

Several lines of evidence suggest that older adults (aged 65+) sharply increased their cannabis use over the last decade, highlighting a need to understand the effects of cannabis in this age group. Pre-clinical models suggest that cannabinoids affect the brain and cognition in an age-dependent fashion, having generally beneficial effects on older animals and deleterious effects on younger ones. However, there is little research on how cannabis affects the brains of older adults or how older adults differ from younger adults who use cannabis. Resting state functional connectivity (rsFC) measures provide sensitive metrics of age-related cognitive decline. Here we compared rsFC in older adults who are either regular users of cannabis or non-users. We found stronger connectivity between sources in the hippocampus and parahippocampal cortex, and targets in the anterior lobes of the cerebellum in older adult cannabis users relative to non-users. A similar pattern of strengthened connectivity between hippocampal and cerebellar structures was also present in 25–35 year old non-users in comparison to 60–88 year old non-users. These findings suggest that future studies should examine both the potential risks of cannabinoids, as well as a potential benefits, on cognition and brain health for older adults.

Highlights

  • The last decade has seen unprecedented shifts in cannabis availability, products, and patterns of use

  • We describe differences in Resting state functional connectivity (rsFC) in older adult cannabis users relative to non-users

  • The alterations in rsFC in the cerebellum with the hippocampus and with the parahippocampal cortex are consistent with anatomical studies that identified high levels of cannabinoid receptors in these regions (Herkenham et al, 1990)

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Summary

Introduction

The last decade has seen unprecedented shifts in cannabis availability, products, and patterns of use. Many legal markets offer cannabis products with ever-increasing variety and potencies. The 9-tetrahydrocannabinol (THC) potency of confiscated cannabis flower tripled from 1995 to 2012 (4–12% THC), and legal markets sell cannabis flower that often exceeds 20% THC (ElSohly et al, 2016). It is unknown how widely available forms of cannabis are used by, or affect, individuals differentially across the lifespan. Several lines of evidence suggest that older adults (aged 65+) sharply increased their cannabis use during this period, highlighting a need to understand the effects of cannabis among this age group.

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