Females Derive Greater Neuroprotective Benefits from Social Connectedness than Males

Abstract

AbstractBackgroundSocial connectedness is associated with better cognitive performance among older adults. Previously, we found that bridging (access to an expansive network of diverse and loosely connected individuals) and bonding (close and supportive relationships to familiar others) associated with preserved gray matter density (GMD). We sought to examine whether sex modulates these relationships in the Social Networks and Alzheimer’s Disease study (SNAD).MethodWe analyzed baseline data of 176 SNAD participants (58 male, 118 female; 117 cognitively‐unimpaired, 59 cognitively‐impaired; average age 68.57+/‐12.26 years). Bridging and bonding metrics were collected via in‐person interviews. We ran analyses in the pooled sample split by sex. Demographics and biomarkers between sexes were compared. Correlations between MRI regions of interest and bridging and bonding in males and females were performed. Voxel‐wise covaried for age, education, and intracranial volume in SPM12 yielded statistical maps for males and females which were corrected for family‐wise errors at p<0.01.ResultTable 1 shows demographic and biomarker comparisons between males and females. In females greater social bridging was significantly associated with (left p = 0.004, right p<0.001), as well as left frontal lobe thickness (p = 0.002), putamen (p = 0.011), and thalamus volumes (p = 0.002). No significant associations were observed for social bridging in males. Greater social bonding was significantly associated with preserved right frontal pole (p = 0.018) and caudal anterior cingulate thickness (p = 0.017) in females and greater right orbitofrontal thickness (p<0.001) in males (Figure 1). Our 3D voxel‐wise regression maps showed that in females greater social bridging was associated with preserved GMD of the frontal, temporal and parietooccipital lobes, while males showed no significant associations (Figure 2). In females greater social bonding was associated with preserved GMD in the lateral temporal and parietal lobes, while in males the associations were localized to the medial frontal and right orbitofrontal lobe (Figure 2).ConclusionWomen compared to men showed stronger effects of social enrichment on GMD and subcortical structures. Social bridging and bonding were associated to different brain regions in males and females. These results suggest that females may have a greater social‐based protection against neurodegeneration compared to their male counterparts.