Self-perceived word-finding difficulties are common in aging individuals as well as in Alzheimer's Disease (AD). Language and speech deficits are difficult to objectify with neuropsychological... Show moreSelf-perceived word-finding difficulties are common in aging individuals as well as in Alzheimer's Disease (AD). Language and speech deficits are difficult to objectify with neuropsychological assessments. We therefore aimed to investigate whether amyloid, an early AD pathological hallmark, is associated with speech-derived semantic complexity. We included 63 individuals with subjective cognitive decline (age 64 ± 8, MMSE 29 ± 1), with amyloid status (positron emission tomography [PET] scans n = 59, or Aβ1-42 cerebrospinal fluid [CSF] n = 4). Spontaneous speech was recorded using three open-ended tasks (description of cookie theft picture, abstract painting and a regular Sunday), transcribed verbatim and subsequently, linguistic parameters were extracted using T-scan computational software, including specific words (content words, frequent, concrete and abstract nouns, and fillers), lexical complexity (lemma frequency, Type-Token-Ratio) and syntactic complexity (Developmental Level scale). Nineteen individuals (30%) had high levels of amyloid burden, and there were no differences between groups on conventional neuropsychological tests. Using multinomial regression with lin- guistic parameters (in tertiles), we found that high amyloid burden is associated with fewer concrete nouns (ORmiddle (95%CI): 7.6 (1.4–41.2), ORlowest: 6.7 (1.2–37.1)) and content words (ORlowest: 6.3 (1.0–38.1). In addition, we found an interaction for education between high amyloid burden and more abstract nouns. In conclusion, high amyloid burden was modestly associated with fewer specific words, but not with syntactic complexity, lexical complexity or conventional neuropsychological tests, suggesting that subtle spontaneous speech deficits might occur in preclinical AD. Show less
Viviano, R.P.; Hayes, J.M.; Pruitt, P.J.; Fernandez, Z.J.; Rooden, S. van; Grond, J. van der; ... ; Damoiseaux, J.S. 2019
Subjective cognitive decline, a perceived worsening of cognitive functioning without objective deficit onassessment, could indicate incipient dementia. However, the neural correlates of subjective... Show moreSubjective cognitive decline, a perceived worsening of cognitive functioning without objective deficit onassessment, could indicate incipient dementia. However, the neural correlates of subjective cognitive decline asassessed by magnetic resonance imaging remain somewhat unclear. Here, we evaluated differences in functionalconnectivity across memory regions, and cognitive performance, between healthy older adults aged 50 to 85 with(n¼35,Age¼68.57.7, 22 female), and without (n¼48,Age¼67.08.8, 29 female) subjective cognitivedecline. We also evaluated neurite density, fractional anisotropy, and mean diffusivity of the parahippocampalcingulum, cingulate gyrus cingulum, and uncinatefiber bundles in a subsample of participants (n¼37). Partic-ipants with subjective cognitive decline displayed lower average functional connectivity across regions of a pu-tative posterior memory system, and lower retrosplenial-precuneus functional connectivity specifically, than thosewithout memory complaints. Furthermore, participants with subjective cognitive decline performed poorer thancontrols on visual working memory. However, groups did not differ in cingulum or uncinate diffusion measures.Our results show differences in functional connectivity and visual working memory in participants with subjectivecognitive decline that could indicate potential incipient dementia. Show less
