Brain pathology is related to total daily physical activity in older adults.

Abstract:

OBJECTIVE:To test the hypothesis that brain pathology is associated with total daily physical activity proximate to death in older adults. METHODS:We studied brain autopsies from 428 decedents of the Rush Memory and Aging Project. The quantity of all physical activity was measured continuously for up to 10 days with actigraphy (Actical; Philips Healthcare, Bend, OR). Multiple regression analyses controlling for age and sex were used to examine the relation of brain indexes to total daily physical activity and other clinical covariates proximate to death. RESULTS:Average total daily activity was 1.53 × 105 counts/d (SD 1.14 × 105 counts/d), and mean age at death was 90.6 (SD 6.12) years. Nigral neuronal loss (estimate -0.232, standard error [SE] = 0.070, p = 0.001) and macroinfarcts (estimate -0.266, SE 0.112, p = 0.017) were independently associated with total daily physical activity proximate to death, accounting for an additional 2.4% of the variance of total daily activity. Other postmortem indexes (Alzheimer disease, Lewy bodies, TAR DNA-binding protein 43, hippocampal sclerosis, microinfarcts, atherosclerosis, arteriolosclerosis, and cerebral amyloid angiopathy) were not associated with total daily activity. In 295 cases (70%), we derived a measure of white matter tissue integrity from postmortem brain MRI. This metric accounted for an additional 5.8% of the variance of total daily physical activity when controlling for age, sex, nigral neuronal loss, and macroinfarcts. CONCLUSION:Macroinfarcts, nigral neuronal loss, and white matter pathologies are related to total daily physical activity in older adults, but further studies are needed to explain its pathologic basis more fully.

journal_name

Neurology

journal_title

Neurology

authors

Buchman AS,Dawe RJ,Yu L,Lim A,Wilson RS,Schneider JA,Bennett DA

doi

10.1212/WNL.0000000000005552

subject

Has Abstract

pub_date

2018-05-22 00:00:00

pages

e1911-e1919

issue

21

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000005552

journal_volume

90

pub_type

杂志文章
  • Dialysis encephalopathy: a possible seizure disorder.

    abstract::Dialysis encephalopathy is a progressive, fatal condition that occurs in patients receiving hemodialysis. It is characterized by abnormalities in speech, myoclonic jerks, and striking changes on the electroencephalogram. We observed dramatic reversal of the clinical symptoms and electroencephalographic abnormalities i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.12.1130

    authors: Nadel AM,Wilson WP

    更新日期:1976-12-01 00:00:00

  • Sleep, major depressive disorder, and Alzheimer disease: A Mendelian randomization study.

    abstract:OBJECTIVE:To explore the causal relationships between sleep, major depressive disorder (MDD), and Alzheimer disease (AD). METHODS:We conducted bidirectional 2-sample Mendelian randomization analyses. Genetic associations were obtained from the largest genome-wide association studies currently available in UK Biobank (...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010463

    authors: Huang J,Zuber V,Matthews PM,Elliott P,Tzoulaki J,Dehghan A

    更新日期:2020-10-06 00:00:00

  • Branch occlusive disease: clinical and magnetic resonance angiography findings.

    abstract:BACKGROUND:We evaluated the clinicoradiologic characteristics of patients with branch occlusive disease (BOD)-type intracranial atherosclerotic stroke (ICAS) compared with those of patients with non-BOD-type ICAS or with small artery disease (SAD). METHODS:We analyzed 201 consecutive patients with acute infarcts withi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31824c4699

    authors: Ryoo S,Park JH,Kim SJ,Kim GM,Chung CS,Lee KH,Kim JS,Bang OY

    更新日期:2012-03-20 00:00:00

  • Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis.

    abstract:OBJECTIVE:To test the diagnostic accuracy of the horizontal head impulse test (h-HIT) of vestibulo-ocular reflex (VOR) function in distinguishing acute peripheral vestibulopathy (APV) from stroke. Most patients with acute vertigo, nausea/vomiting, and unsteady gait have benign APV (vestibular neuritis or labyrinthitis)...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000314685.01433.0d

    authors: Newman-Toker DE,Kattah JC,Alvernia JE,Wang DZ

    更新日期:2008-06-10 00:00:00

  • Association of Time of Day When Endovascular Therapy for Stroke Starts and Functional Outcome.

    abstract:OBJECTIVE:To investigate the association between EVT start time in acute ischemic stroke (AIS) and mid-term functional outcome. METHODS:This retrospective cohort study included all AIS cases treated with EVT from two stroke center registries from January 2012 to December 2018. The primary outcome was the score on the ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011449

    authors: Hajdu SD,Kaesmacher J,Michel PP,Sirimarco G,Knebel JF,Bartolini B,Kurmann CC,Puccinelli F,Mosimann PJ,Bonvin C,Arnold PM,Niederhäuser J,Eskandari A,Mordasini P,Gralla PJ,Fischer PU,Saliou PG

    更新日期:2021-01-04 00:00:00

  • Right hippocampal sclerosis is more common than left after febrile seizures.

    abstract::Temporal lobe epilepsy (TLE) is frequently associated with hippocampal sclerosis (HS) and a history of febrile convulsions (HFC). The authors investigated 292 patients with TLE due to HS. Left HS occurred more frequently (57%) than right HS (43%, p = 0.01). Forty-seven percent of the patients had HFC. In patients with...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000052823.29467.a0

    authors: Janszky J,Woermann FG,Barsi P,Schulz R,Halász P,Ebner A

    更新日期:2003-04-08 00:00:00

  • Reduplicative paramnesia.

    abstract::A striking behavioral abnormality is described in three individuals who had severe head trauma. At a point when general mnestic capabilities had returned to a near normal level, the patients persistently relocated the hospital at another geographical site, even in the face of compelling counter-evidence. The strong pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.2.147

    authors: Benson DF,Gardner H,Meadows JC

    更新日期:1976-02-01 00:00:00

  • The search for a physiologic marker of Machado-Joseph disease.

    abstract::Machado-Joseph disease is a dominantly inherited, multisystem, degenerative disorder that lacks a proven genetic marker. Peripheral nerve conduction-refractory period, sensory evoked potentials, and quantified oculomotor recordings were studied in nine patients affected with this disease to look for a potential physio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.112

    authors: Hotson JR,Langston EB,Louis AA,Rosenberg RN

    更新日期:1987-01-01 00:00:00

  • Up-regulation of hippocampal serotonin metabolism in mild cognitive impairment.

    abstract:OBJECTIVE:Recent studies have suggested modifications of serotonin cerebral metabolism and of 5-HT(1A) receptors density in Alzheimer disease (AD). This study aims at exploring hippocampus 5-HT(1A) receptor density in patients at the amnesic mild cognitive impairment (aMCI) and mild AD dementia stages. METHODS:With us...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000271377.52421.4a

    authors: Truchot L,Costes SN,Zimmer L,Laurent B,Le Bars D,Thomas-Antérion C,Croisile B,Mercier B,Hermier M,Vighetto A,Krolak-Salmon P

    更新日期:2007-09-04 00:00:00

  • Defining the Lowest Threshold for Amyloid-PET to Predict Future Cognitive Decline and Amyloid Accumulation.

    abstract:INTRODUCTION:As clinical trials move toward earlier intervention, we sought to redefine the β-amyloid (Aβ)-PET threshold based on the lowest point in a baseline distribution that robustly predicts future Aβ accumulation and cognitive decline in 3 independent samples of clinically normal individuals. METHODS:Sequential...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000011214

    authors: Farrell ME,Jiang S,Schultz AP,Properzi MJ,Price JC,Becker JA,Jacobs HIL,Hanseeuw BJ,Rentz DM,Villemagne VL,Papp KV,Mormino EC,Betensky RA,Johnson KA,Sperling RA,Buckley RF,Alzheimer's Disease Neuroimaging Initiative and t

    更新日期:2021-01-26 00:00:00

  • Familial language network vulnerability in primary progressive aphasia.

    abstract:OBJECTIVE:To investigate evidence of the potential role of early cortical vulnerability in the development of primary progressive aphasia (PPA). METHOD:A woman with a diagnosis of PPA and her 9 adult siblings, 7 with developmental language disabilities, underwent neuropsychological testing, structural MRI, and resting...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009842

    authors: Weintraub S,Rader B,Coventry C,Sridhar J,Wood J,Guillaume KA,Coppola G,Ramos EM,Bonakdarpour B,Rogalski EJ,Mesulam MM

    更新日期:2020-08-18 00:00:00

  • The role of surgical biopsy in the diagnosis of glioma in individuals with neurofibromatosis-1.

    abstract::Most gliomas in neurofibromatosis type 1 (NF1) are pilocytic astrocytomas (PAs) of the optic pathway occurring in young children. However, some individuals develop gliomas that lack the typical NF1-associated clinical features or radiographic appearance. We identified 17 atypical presentations from a review of 100 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000240076.31298.47

    authors: Leonard JR,Perry A,Rubin JB,King AA,Chicoine MR,Gutmann DH

    更新日期:2006-10-24 00:00:00

  • A study of congenital nystagmus: waveforms.

    abstract::Eighteen patients with congenital nystagmus were studied with the techniques of electronystagmography and computer analysis. We found several complex wave forms of congenital nystagmus in the primary position of gaze above those of jerk and pendular nystagmus as defined clinically. An etiologic classification of motor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.4.326

    authors: Yee RD,Wong EK,Baloh RW,Honrubia V

    更新日期:1976-04-01 00:00:00

  • Treatment of pseudobulbar affect in ALS with dextromethorphan/quinidine: a randomized trial.

    abstract:BACKGROUND:Patients with ALS commonly exhibit pseudobulbar affect. METHODS:The authors conducted a multicenter, randomized, double-blind, controlled, parallel, three-arm study to test a defined combination of dextromethorphan hydrobromide (DM) and quinidine sulfate (Q) (AVP-923) for the treatment of pseudobulbar affec...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000142042.50528.2f

    authors: Brooks BR,Thisted RA,Appel SH,Bradley WG,Olney RK,Berg JE,Pope LE,Smith RA,AVP-923 ALS Study Group.

    更新日期:2004-10-26 00:00:00

  • MRI in juvenile ALS: a patient report.

    abstract::We describe the MR images of a patient with juvenile ALS. MRI of the brain showed bilateral hyperintensities along the corticospinal tracts extending from the corona radiata to the brainstem on T2-weighted images. These findings should be differentiated from the slight hyperintensities seen in the posterior limbs of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.6.1879

    authors: Midani H,Truwit CL,Parry GJ

    更新日期:1998-06-01 00:00:00

  • Progress in pursuit of therapeutic A2A antagonists: the adenosine A2A receptor selective antagonist KW6002: research and development toward a novel nondopaminergic therapy for Parkinson's disease.

    abstract::Research and development of the adenosine A2A receptor selective antagonist KW6002 have focused on developing a novel nondopaminergic therapy for Parkinson's disease (PD). Salient pharmacologic features of KW6002 were investigated in several animal models of PD. In rodent and primate models, KW6002 provides symptomati...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000095219.22086.31

    authors: Kase H,Aoyama S,Ichimura M,Ikeda K,Ishii A,Kanda T,Koga K,Koike N,Kurokawa M,Kuwana Y,Mori A,Nakamura J,Nonaka H,Ochi M,Saki M,Shimada J,Shindou T,Shiozaki S,Suzuki F,Takeda M,Yanagawa K,Richardson PJ,Jenner P

    更新日期:2003-12-09 00:00:00

  • Idiopathic cervical dystonia: an overview.

    abstract::Idiopathic cervical dystonia (CD) is the most common of the adult-onset focal dystonias. It manifests as involuntary muscle contractions that cause twisting or turning of the neck. The resulting abnormal head and neck postures are heterogeneous in their presentation. Because of the variable presentation of the disease...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Stacy M

    更新日期:2000-01-01 00:00:00

  • Alterations in bcl-2 and caspase gene family protein expression in human temporal lobe epilepsy.

    abstract:OBJECTIVE:To address the role of cell death regulatory genes of the bcl-2 and caspase families in the neuropathology of human epilepsy using tissue extracted from patients undergoing temporal lobectomy for intractable seizures. METHODS:Using Western blotting and immunohistochemistry, the authors investigated the expre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.2.250

    authors: Henshall DC,Clark RS,Adelson PD,Chen M,Watkins SC,Simon RP

    更新日期:2000-07-25 00:00:00

  • Reciprocal inhibition in cerebral palsy.

    abstract::We studied reciprocal inhibition by recording the changes in firing probability of single motor units of the tibialis anterior muscle following stimulation of low-threshold afferents in the posterior tibial nerve. In 15 patients with cerebral palsy, the inhibition was as great or greater than normal. We found no evide...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.4.653

    authors: Berbrayer D,Ashby P

    更新日期:1990-04-01 00:00:00

  • Cutaneous neurofibromas: Current clinical and pathologic issues.

    abstract:OBJECTIVE:To present the current terminology and natural history of neurofibromatosis 1 (NF1) cutaneous neurofibromas (cNF). METHODS:NF1 experts from various research and clinical backgrounds reviewed the terms currently in use for cNF as well as the clinical, histologic, and radiographic features of these tumors usin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005792

    authors: Ortonne N,Wolkenstein P,Blakeley JO,Korf B,Plotkin SR,Riccardi VM,Miller DC,Huson S,Peltonen J,Rosenberg A,Carroll SL,Verma SK,Mautner V,Upadhyaya M,Stemmer-Rachamimov A

    更新日期:2018-07-10 00:00:00

  • Altered functional connectivity in the motor network after traumatic brain injury.

    abstract:BACKGROUND:A large proportion of survivors of traumatic brain injury (TBI) have persistent cognitive impairments, the profile of which does not always correspond to the size and location of injuries. One possible explanation could be that TBI-induced damage extends beyond obvious lesion sites to affect remote brain net...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181e7ca58

    authors: Kasahara M,Menon DK,Salmond CH,Outtrim JG,Taylor Tavares JV,Carpenter TA,Pickard JD,Sahakian BJ,Stamatakis EA

    更新日期:2010-07-13 00:00:00

  • Management and outcome of CSF-JC virus PCR-negative PML in a natalizumab-treated patient with MS.

    abstract:OBJECTIVE:To describe the diagnosis and management of a 49-year-old woman with multiple sclerosis (MS) developing a progressive hemiparesis and expanding MRI lesion suspicious of progressive multifocal leukoencephalopathy (PML) 19 months after starting natalizumab. RESULTS:Polyomavirus JC (JCV)-specific qPCR in CSF wa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31823b9b27

    authors: Kuhle J,Gosert R,Bühler R,Derfuss T,Sutter R,Yaldizli O,Radue EW,Ryschkewitsch C,Major EO,Kappos L,Frank S,Hirsch HH

    更新日期:2011-12-06 00:00:00

  • Botulinum toxin for simple motor tics: a randomized, double-blind, controlled clinical trial.

    abstract:OBJECTIVE:To determine the effect of injections of botulinum toxin on simple motor tics. BACKGROUND:Case series with unblinded assessments have reported improvement in tic frequency and associated urge with botulinum toxin. METHODS:Patients with suitable simple motor tics were randomized to receive botulinum toxin an...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.56.5.605

    authors: Marras C,Andrews D,Sime E,Lang AE

    更新日期:2001-03-13 00:00:00

  • Efficacy and safety of tizanidine in the treatment of spasticity in patients with spinal cord injury. North American Tizanidine Study Group.

    abstract::Tizanidine, an imidazoline that acts as an agonist at alpha 2-adrenergic receptors, has been shown to be effective in reducing spasticity caused by MS. This multicenter study (14 sites) assessed the efficacy and safety of oral tizanidine in patients who had spinal cord injury of > 12 months' duration. Of the 124 patie...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Nance PW,Bugaresti J,Shellenberger K,Sheremata W,Martinez-Arizala A

    更新日期:1994-11-01 00:00:00

  • Hemifacial spasm due to contralateral acoustic neuroma: case report.

    abstract::A patient with a large acoustic neuroma had contralateral hemifacial spasm. On CT, the brainstem was markedly displaced and distorted by the tumor. After total removal of the tumor the hemifacial spasm was temporarily worse, but disappeared 14 days after the operation. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.2.339

    authors: Nishi T,Matsukado Y,Nagahiro S,Fukushima M,Koga K

    更新日期:1987-02-01 00:00:00

  • Cerebral hemodynamics in the diagnosis of normal pressure hydrocephalus.

    abstract::We studied the effect of CSF drainage on cerebral blood flow (CBF) in normal pressure hydrocephalus (NPH) and non-NPH dementia using the 133Xenon inhalation technique. Dementia patients had lower CBF than matched elderly normals. Flow values for NPH and non-NPH patients did not differ before or after CSF drainage. CBF...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.1.96

    authors: Kushner M,Younkin D,Weinberger J,Hurtig H,Goldberg H,Reivich M

    更新日期:1984-01-01 00:00:00

  • Hemiballism and metastatic brain tumor.

    abstract::We describe a 78-year-old man with right hemiballism as the presenting symptom of a metastatic occult adenocarcinoma of the lung. CT demonstrated two contrast-enhancing lesions: one in the left subthalamic region and the other in the left parietal region. Metastatic tumor was confirmed at autopsy. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.2.204

    authors: Glass JP,Jankovic J,Borit A

    更新日期:1984-02-01 00:00:00

  • The relevance of VGKC positivity in the absence of LGI1 and Caspr2 antibodies.

    abstract:OBJECTIVE:To assess the clinical relevance of a positive voltage-gated potassium channel (VGKC) test in patients lacking antibodies to LGI1 and Caspr2. METHODS:VGKC-positive patients were tested for LGI1 and Caspr2 antibodies. Patients lacking both antibodies were matched (1:2) to VGKC-negative patients. Clinical and ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002637

    authors: van Sonderen A,Schreurs MW,de Bruijn MA,Boukhrissi S,Nagtzaam MM,Hulsenboom ES,Enting RH,Thijs RD,Wirtz PW,Sillevis Smitt PA,Titulaer MJ

    更新日期:2016-05-03 00:00:00

  • Cardiac electrical instability in newly diagnosed/chronic epilepsy tracked by Holter and ECG patch.

    abstract:OBJECTIVE:We hypothesized that cardiac electrical instability and abnormal autonomic tone result from cumulative cardiac injury sustained in recurrent seizures. We tested this hypothesis by comparing T-wave alternans (TWA) and heart rate variability (HRV), both established markers of sudden cardiac death (SCD) risk, in...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008077

    authors: Pang TD,Nearing BD,Krishnamurthy KB,Olin B,Schachter SC,Verrier RL

    更新日期:2019-09-03 00:00:00

  • Effects of valproic acid in cultured mammalian neurons.

    abstract::Valproic acid (VPA) has been postulated to exert its anticonvulsant effects by interaction with the postsynaptic GABA receptor. To test that hypothesis, we applied VPA in clinically appropriate concentrations to cortical neurons in dissociated cell culture. VPA did not enhance the postsynaptic effect of GABA, but did ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.2.259

    authors: Buchhalter JR,Dichter MA

    更新日期:1986-02-01 00:00:00