Cognitive Status and Nutritional Markers in a Sample of Institutionalized Elderly People.

Background: Since many of the risk factors for cognitive decline can be modified by diet, the study of nutrition and its relationships with cognitive status in aging has increased considerably in recent years. However, there are hardly any studies that have assessed cognitive status using a comprehensive set of neuropsychological tests along with measures of functional capacity and mood and that have related it to nutritional status measured from several nutritional parameters that have shown its relationships with cognitive function. Objective: To test the differences in depressive symptomatology and in several measures of nutritional status between three groups classified according to their cognitive status (CS hereafter). Method: One hundred thirteen participants from nursing homes in Galicia, Spain, underwent a comprehensive neuropsychological examination, including a general screening test (MMSE) and tests for different cognitive domains along with measures of activities of daily living (ADL) and assessment of depressive symptomatology (GDS-SF). According to established clinical criteria, participants were divided into three CS groups, Cognitively Intact (CI), Mild Cognitive Impairment (MCI), and All-Cause Dementia (ACD). Nutritional status was also examined using blood-derived measures, body mass index (BMI) and a nutritional screening test (MNA-SF). Differences between CS groups in all nutritional variables were studied by one-way ANOVAs with post-hoc Bonferroni correction or Kruskal-Wallis with Games-Howell post-hoc correction when appropriate. Multinomial logistic regression was also applied to test the association between nutritional variables and CS. Results: Differences between CS groups were statistically significant for depressive symptomatology, vitamin A and D, albumin, selenium (Se), uric acid (UA), and BMI. The results of multinomial logistic regression found positive associations between groups with better CS and higher concentrations of vitamins A and D, transthyretin (TTR), albumin, Se, and UA, while negative associations were found for BMI. Conclusion: Higher serum levels of vitamin A, vitamin D, TTR, albumin, Se, and UA could act as protective factors against cognitive decline, whereas higher BMI could act as a risk factor.

Electrophysiological Anomalies in Face-Name Memory Encoding in Young Binge Drinkers.

A growing body of evidence indicates that the intake of large amounts of alcohol during one session may have structural and functional effects on the still-maturing brains of young people. These effects are particularly pronounced in prefrontal and hippocampal regions, which appear to be especially sensitive to the neurotoxic effects of alcohol. However, to date, few studies have used the event-related potentials (ERPs) technique to analyze the relationship between binge drinking (BD) and associative memory. The objective of this study was to examine brain activity during memory encoding using the Subsequent memory paradigm in subjects who have followed a BD pattern of alcohol consumption for at least 2 years. A total of 50 undergraduate students (mean age = 20.6 years), i.e., 25 controls (12 females) and 25 binge drinkers (BDs; 11 females), with no personal or family history of alcoholism or psychopathological disorders, performed a visual face-name association memory task. The task used enables assessment of the Difference due to memory effect (Dm), a measure of memory encoding based on comparison of the neural activity associated with subsequent successful and unsuccessful retrieval. In ERP studies, study items that are subsequently remembered elicit larger positive amplitudes at midline parieto-frontal sites than those items that are subsequently forgotten. The Dm effect generally appears in the latency range of about 300-800 ms. The results showed a Dm effect in posterior regions in the 350-650 ms latency range in the Control group. However, in the BD group, no significant differences were observed in the electrophysiological brain activity between remembered and forgotten items during the encoding process. No differences between groups were found in behavioral performance. These findings show that young BDs display abnormal pattern of ERP brain activity during the encoding phase of a visual face-name association task, possibly suggesting a different neural signature of successful memory encoding.

Attentional Modulation of Change Detection ERP Components by Peripheral Retro-Cueing.

Change detection is essential for visual perception and performance in our environment. However, observers often miss changes that should be easily noticed. A failure in any of the processes involved in conscious detection (encoding the pre-change display, maintenance of that information within working memory, and comparison of the pre and post change displays) can lead to change blindness. Given that unnoticed visual changes in a scene can be easily detected once attention is drawn to them, it has been suggested that attention plays an important role on visual awareness. In the present study, we used behavioral and electrophysiological (ERPs) measures to study whether the manipulation of retrospective spatial attention affects performance and modulates brain activity related to the awareness of a change. To that end, exogenous peripheral cues were presented during the delay period (retro-cues) between the first and the second array using a one-shot change detection task. Awareness of a change was associated with a posterior negative amplitude shift around 228-292 ms ("Visual Awareness Negativity"), which was independent of retrospective spatial attention, as it was elicited to both validly and invalidly cued change trials. Change detection was also associated with a larger positive deflection around 420-580 ms ("Late Positivity"), but only when the peripheral retro-cues correctly predicted the change. Present results confirm that the early and late ERP components related to change detection can be functionally dissociated through manipulations of exogenous retro-cueing using a change blindness paradigm.

Retinotopic mapping of visual event-related potentials.

Visual stimulation is frequently employed in electroencephalographic (EEG) research. However, despite its widespread use, no studies have thoroughly evaluated how the morphology of the visual event-related potentials (ERPs) varies according to the spatial location of stimuli. Hence, the purpose of this study was to perform a detailed retinotopic mapping of visual ERPs. We recorded EEG activity while participants were visually stimulated with 60 pattern-reversing checkerboards placed at different polar angles and eccentricities. Our results show five pattern-reversal ERP components. C1 and C2 components inverted polarity between the upper and lower hemifields. P1 and N1 showed higher amplitudes and shorter latencies to stimuli located in the contralateral lower quadrant. In contrast, P2 amplitude was enhanced and its latency was reduced by stimuli presented in the periphery of the upper hemifield. The retinotopic maps presented here could serve as a guide for selecting optimal visuo-spatial locations in future ERP studies.

Vertical asymmetries and inhibition of return: effects of spatial and non-spatial cueing on behavior and visual ERPs.

The mechanisms underlying inhibition of return (IOR) are still under debate. Besides the probable implication of several processes in its generation, a reason for this uncertainty may be related to experimental factors affecting the presence, time course, and magnitude of IOR. Two of them may be related to the arrangement of the stimuli in the visual field that could cause possible interactions between IOR and response conflict effects (horizontal arrangements) or between IOR and perceptual asymmetries (vertical arrangement). The purpose of the present study was to explore location and color cueing effects with a vertical arrangement of stimuli, free of S-R compatibility effects. To examine this possibility, a cue-back task with stimuli in the vertical meridian was employed. Targets could randomly and equiprobably appear at cued or uncued locations, or with cued or uncued color. These cueing effects were analyzed on behavior and ERPs separately for upper and lower visual fields (UVF and LVF). Under location cueing, behavioral responses were slower (spatial IOR) in both hemifields. In the ERPs, N1 reductions were observed in both visual fields although with different modulations in their latency and scalp distribution. In the P3 rising beginning, posterior negative deflections in the LVF (Nd) and anterior positive deflections (Pd) in the UVF were observed. Under color cueing, P3 amplitude was reduced in the UVF accompanied by no behavioral effects. These results suggest that different patterns of brain activation can be obtained in upper and lower visual fields under spatial- and non-spatial cueing conditions.

Response processing during visual search in normal aging: the need for more time to prevent cross talk between spatial attention and manual response selection.

It is still not well known whether the age-related behavioural slowing observed during visual search is due to changes in the allocation of attention, in response activation patterns, or to a combination of both. To help in clarifying it, attention-related (N2 posterior contralateral; N2pc, and N2 central contralateral; N2cc) and response-related (Motor Potential; MP, and Reafferent Potential; RAP) event-related potentials (ERPs) were obtained in healthy young and older participants executing a visual search task. Age was associated with N2pc and N2cc longer latencies, earlier MP onsets and longer MP rise times. Lower N2pc, higher MP and lower RAP amplitudes were also observed. Results suggest that older participants need more time to allocate spatial attention onto the target (N2pc) and to prevent cross talk between response selection and attention direction (N2cc), and that they are slower and need higher cortical activation when preparing and executing correctly selected responses (MP).

Oscillatory brain activity in the time frequency domain associated to change blindness and change detection awareness.

Despite the importance of change detection (CD) for visual perception and for performance in our environment, observers often miss changes that should be easily noticed. In the present study, we employed time-frequency analysis to investigate the neural activity associated with CD and change blindness (CB). Observers were presented with two successive visual displays and had to look for a change in orientation in any one of four sinusoid gratings between both displays. Theta power increased widely over the scalp after the second display when a change was consciously detected. Relative to no-change and CD, CB was associated with a pronounced theta power enhancement at parietal-occipital and occipital sites and broadly distributed alpha power suppression during the processing of the prechange display. Finally, power suppressions in the beta band following the second display show that, even when a change is not consciously detected, it might be represented to a certain degree. These results show the potential of time-frequency analysis to deepen our knowledge of the temporal curse of the neural events underlying CD. The results further reveal that the process resulting in CB begins even before the occurrence of the change itself.

Steady-state visual evoked potentials can be explained by temporal superposition of transient event-related responses.

BACKGROUND: One common criterion for classifying electrophysiological brain responses is based on the distinction between transient (i.e. event-related potentials, ERPs) and steady-state responses (SSRs). The generation of SSRs is usually attributed to the entrainment of a neural rhythm driven by the stimulus train. However, a more parsimonious account suggests that SSRs might result from the linear addition of the transient responses elicited by each stimulus. This study aimed to investigate this possibility. METHODOLOGY/PRINCIPAL FINDINGS: We recorded brain potentials elicited by a checkerboard stimulus reversing at different rates. We modeled SSRs by sequentially shifting and linearly adding rate-specific ERPs. Our results show a strong resemblance between recorded and synthetic SSRs, supporting the superposition hypothesis. Furthermore, we did not find evidence of entrainment of a neural oscillation at the stimulation frequency. CONCLUSIONS/SIGNIFICANCE: This study provides evidence that visual SSRs can be explained as a superposition of transient ERPs. These findings have critical implications in our current understanding of brain oscillations. Contrary to the idea that neural networks can be tuned to a wide range of frequencies, our findings rather suggest that the oscillatory response of a given neural network is constrained within its natural frequency range.

Neocortical reorganization in spina bifida.

Normal brain development throughout childhood and adolescence is usually characterized by decreased cortical thickness in the frontal regions as well as region-specific patterns of increased white matter myelination and volume. We investigated total cerebral volumes, neocortical surface area, and neocortical thickness in 16 children with a neural tube defect, spina bifida myelomeningocele (SB), and 16 age-matched typically developing controls using a semi-automated, quantitative approach to MRI-based brain morphometry. The results revealed no significant group differences in total cerebral volume. However, group differences were observed in the global distribution of distinct tissue classes within the cerebrum: the SB group demonstrated a significant 15% reduction in total white matter and a 69% increase in cerebrospinal fluid, with no differences in total gray matter. Group comparisons of neocortical surface area assessments were significantly smaller in the occipital regions for SB, with no significant group differences in the frontal regions. Group comparisons of cortical thickness measurements demonstrated reduced cortical thickness in all regions except the frontal regions, where the SB group exhibited an increase relative to the PC group. Although regional patterns of thinning may be associated with the mechanical effects of hydrocephalus, the overall reduction in white matter and increased neocortical thickness in the frontal regions suggest that SB reflects a long-term disruption of brain development that extends far beyond the neural tube defect in the first weeks of gestation.

Vertical asymmetries in pre-attentive detection of changes in motion direction.

Stimulus localization affects visual motion processing. Vertical asymmetries favouring lower visual field have been reported in event-related potentials (ERPs) and behavioural studies under different attention conditions. However, there are no studies examining such asymmetries to non-attended motion changes. The present study investigated whether the asymmetry in processing information from the upper and lower visual fields also affects the automatic detection of motion-direction changes as indexed by visual Mismatch Negativity (vMMN). We recorded vMMN to changes in sinusoidal gratings differing in motion direction presented in the periphery of visual field in three different locations: upper and lower (ULVF), upper (UVF) and lower (LVF) along the vertical meridian. The N2 component elicited to peripheral motion presented lower amplitudes when the UVF was stimulated. The vMMN elicited to infrequent motion-direction changes was present in all stimulation conditions. However, it was reduced to UVF stimulation. These results suggest that the visual system automatically detects motion-direction changes presented at both upper-lower visual fields; however they also indicate that the process is favoured when stimuli are presented in the LVF alone.

Pre-attentive detection of motion direction changes in normal aging.

Effects of normal aging on pre-attentive detection of changes in motion direction were evaluated. Young, middle-aged, and older subjects performed a visual central task while standard and deviant gratings varying in motion direction were presented outside the focus of attention. A greater negativity in the event-related potentials (ERPs) to deviants was observed in all groups at posterior sites within the N2 latency range. Visual mismatch negativity (vMMN) reached its peak between 145 and 165 ms irrespective of age. However, significant age-related changes observed in vMMN mean amplitude may suggest that the pre-attentive visual detection become less efficient in older subjects. This could lead to age-related deficits in switching attention to potentially salient visual changes.

Effects of stimulus location on automatic detection of changes in motion direction in the human brain.

We extended the results of a previous report by further exploring the underlying mechanisms of an electrophysiological index of attention-free memory-based detection mechanism to motion-direction changes in the human visual system. By means of presenting bilateral, right- and left-hemifield stimulation in separate conditions, we tried to assess whether the location of the stimuli within the peripheral visual field affected the processing of motion-direction deviations, and to identify brain regions involved in the detection of unattended infrequent changes of motion direction using low-resolution brain electromagnetic tomography (LORETA). Results indicated that the ERP component related to visual change was not affected by stimulus location, and that bilateral temporal and medial regions were activated during this deviance-related response regardless of the hemifield stimulated. The bilateral activation foci observed in this study suggest that brain generators of this deviance-related component could be located at the vicinity of motion processing areas.