Keyword search (4,163 papers available)

"Lam K" Authored Publications:

Title Authors PubMed ID
1 Probing cognitive reserve with resting state functional connectivity in subcortical ischemic vascular cognitive impairment Gu Y; Hsu CL; Boa Sorte Silva NC; Tam RC; Alkeridy WA; Lam K; Liu-Ambrose T; 41929984
HKAP
2 Developing Topics Silva NCBS; Stein RG; Gu Y; Hsu CL; Tam RC; Salluzzi M; McCreary CR; Alkeridy WA; Lam K; MacKay AL; Kolind S; Cossette B; Griffith LE; Hogan DB; McMillan JM; Raina P; Smith EE; Liu-Ambrose T; 41434542
CONCORDIA
3 Physical activity may protect myelin via modulation of high-density lipoprotein Boa Sorte Silva NC; Balbim GM; Stein RG; Gu Y; Tam RC; Dao E; Alkeridy W; Lam K; Kramer AF; Liu-Ambrose T; 39989020
HKAP

 

Title:Probing cognitive reserve with resting state functional connectivity in subcortical ischemic vascular cognitive impairment
Authors:Gu YHsu CLBoa Sorte Silva NCTam RCAlkeridy WALam KLiu-Ambrose T
Link:https://pubmed.ncbi.nlm.nih.gov/41929984/
DOI:10.1177/25424823251409395
Publication:Journal of Alzheimer s disease reports
Keywords:Alzheimer's diseasecognitive reservefunctional connectivityvascular cognitive impairment
PMID:41929984 Category: Date Added:2026-04-03
Dept Affiliation: HKAP
1 Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
2 The Centre for Aging SMART at Vancouver Coastal Health, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
3 Djavad Mowafaghian Centre for Brain Health, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
4 Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
5 Department of Health, Kinesiology, and Applied Physiology, Faculty of Arts and Science, Concordia University, Montréal, Québec, Canada.
6 School of Biomedical Engineering, University of British Columbia, Vancouver, British Columbia, Canada.
7 Department of Medicine, Division of Geriatric Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
8 Department of Medicine, King Saud University, Riyadh, Saudi Arabia.
9 Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, British Columbia, Canada.

Description:

Background: Subcortical ischemic vascular cognitive impairment (SIVCI) is characterized by white matter hyperintensities (WMH) that contribute to executive dysfunction and increased risk of Alzheimer's disease. Cognitive reserve (CR) is the brain's ability to maintain cognitive performance despite pathology. Resting-state functional connectivity (FC) of default mode network (DMN), fronto-executive network (FEN), and fronto-parietal network (FPN) may support CR. Whether WMH and FC interact on executive functions in SIVCI remains unknown.

Objective: To examine whether WMH volume interacts with resting-state FC within DMN, FEN, or FPN on executive functions in SIVCI.

Methods: A cross-sectional analysis of 38 community-dwelling older adults with SIVCI enrolled in a 12-month randomized controlled trial. Three executive processes were assessed: set-shifting by Trail Making Test (B-A), working memory by Digit Span Forward and Backward, and response inhibition by Stroop Colour-Word Test. WMH volume was quantified via T2-weighted and proton-density-weighted MRI and log-transformed. Resting-state FC was computed from resting-state functional MRI using region-of-interest masks. We assessed bivariate associations between WMH volume and each executive process; for significant bivariate associations, we then assessed interactions of WMH × FC on executive functions.

Results: Log-transformed WMH volume was significantly associated with set-shifting (p = 0.006). There were significant WMH × FC interactions for set-shifting. Specifically, higher within-network FC of DMN (b = -2914.10, p < 0.001), lower within-network FC of FEN (b = 1706.23, p = 0.019), and lower within-network FC of FPN (b = 1806.43, p = 0.003) were associated with better set-shifting at high WMH volume.

Conclusions: Within-network FC of DMN, FEN, and FPN interacts with WMH on set-shifting, suggesting a potential neural basis for CR in SIVCI.Trial registry name: Reshaping the Path of Vascular Cognitive Impairment (VCI)Registration ID: ClinicalTrials.gov NCT02669394 URL: https://clinicaltrials.gov/study/NCT02669394.





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