Age-Related Atrophy and Compensatory Neural Networks in Reading Comprehension

J Int Neuropsychol Soc. 2019 Jul;25(6):569-582. doi: 10.1017/S1355617719000274. Epub 2019 Apr 29.

Abstract

Objectives: Despite changes to brain integrity with aging, some functions like basic language processes remain remarkably preserved. One theory for the maintenance of function in light of age-related brain atrophy is the engagement of compensatory brain networks. This study examined age-related changes in the neural networks recruited for simple language comprehension.

Methods: Sixty-five adults (native English-speaking, right-handed, and cognitively normal) aged 17-85 years underwent a functional magnetic resonance imaging (fMRI) reading paradigm and structural scanning. The fMRI data were analyzed using independent component analysis to derive brain networks associated with reading comprehension.

Results: Two typical frontotemporal language networks were identified, and these networks remained relatively stable across the wide age range. In contrast, three attention-related networks showed increased activation with increasing age. Furthermore, the increased recruitment of a dorsal attention network was negatively correlated to gray matter thickness in temporal regions, whereas an anterior frontoparietal network was positively correlated to gray matter thickness in insular regions.

Conclusions: We found evidence that older adults can exert increased effort and recruit additional attentional resources to maintain their reading abilities in light of increased cortical atrophy.

Keywords: Aging; atrophy; compensation; frontal attention; functional MRI; language.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Aging* / pathology
  • Aging* / physiology
  • Atrophy / pathology
  • Attention / physiology*
  • Cerebral Cortex* / diagnostic imaging
  • Cerebral Cortex* / pathology
  • Cerebral Cortex* / physiology
  • Comprehension / physiology*
  • Female
  • Humans
  • Language*
  • Male
  • Middle Aged
  • Nerve Net* / diagnostic imaging
  • Nerve Net* / pathology
  • Nerve Net* / physiology
  • Reading
  • Young Adult