| Literature DB >> 29615892 |
Charles-Olivier Martin1,2, Stéphanie Pontbriand-Drolet1,2, Valérie Daoust1,2, Eric Yamga1,2, Mahnoush Amiri2,3, Lilian C Hübner4, Bernadette Ska1,2.
Abstract
Discourse comprehension is at the core of communication capabilities, making it an important component of elderly populations' quality of life. The aim of this study is to evaluate changes in discourse comprehension and the underlying brain activity. Thirty-six participants read short stories and answered related probes in three conditions: micropropositions, macropropositions and situation models. Using near-infrared spectroscopy (NIRS), the variation in oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR) concentrations was assessed throughout the task. The results revealed that the older adults performed with equivalent accuracy to the young ones at the macroproposition level of discourse comprehension, but were less accurate at the microproposition and situation model levels. Similar to what is described in the compensation-related utilization of neural circuits hypothesis (CRUNCH) model, older participants tended to have greater activation in the left dorsolateral prefrontal cortex while reading in all conditions. Although it did not enable them to perform similarly to younger participants in all conditions, this over-activation could be interpreted as a compensation mechanism.Entities:
Keywords: NIRS; aging; cerebral plasticity; discourse comprehension; language
Year: 2018 PMID: 29615892 PMCID: PMC5864853 DOI: 10.3389/fnagi.2018.00069
Source DB: PubMed Journal: Front Aging Neurosci ISSN: 1663-4365 Impact factor: 5.750
Neuropsychological characteristics of the groups.
| Characteristics | Younger | Older | ||
|---|---|---|---|---|
| ( | ( | |||
| Mean (SD) | Mean (SD) | |||
| Edinburgh index | >80% | >80% | n/a | n/a |
| Near vision test card | Perfect 1.2 m | Perfect 1.2 m | n/a | n/a |
| MoCA | n/a | 28.11 (1.32) | n/a | n/a |
| RAVLT | ||||
| Encoding | 60.56 (5.40) | 49.83 (7.28) | 5.018 | 0.000 |
| Delayed recall | 13.89 (1.13) | 11.00 (3.74) | 3.135 | 0.005 |
| Stroop victoria | ||||
| Dot—Time | 10.57 (1.12) | 12.62 (2.32) | −3.381 | 0.002 |
| Word—Time | 12.04 (1.48) | 16.77 (3.89) | −4.831 | 0.000 |
| Color—Time | 16.48 (3.42) | 27.57 (13.43) | −3.396 | 0.002 |
| Trail making test | ||||
| A—Time | 17.51 (4.21) | 34.12 (8.22) | −7.634 | 0.000 |
| B—Time | 44.22 (13.77) | 80.88 (25.77) | −5.325 | 0.000 |
| B–A Time | 26.70 (10.78) | 46.76 (24.84) | −3.143 | 0.005 |
| Digit span | ||||
| Forward | 11.44 (1.85) | 9.83 (2.41) | 2.250 | 0.031 |
| Backward | 8.72 (2.02) | 6.89 (2.52) | 2.408 | 0.022 |
| Wisconsin card sorting task | ||||
| Categories | 4.56 (0.62) | 3.50 (1.20) | 3.319 | 0.003 |
| Errors | 10.06 (3.10) | 14.39 (4.53) | −3.353 | 0.002 |
| Digit symbol | ||||
| After 1 min | 47.22 (4.85) | 31.11 (6.25) | r8.645 | 0.000 |
| After 2 min | 96.28 (9.02) | 63.22 (14.29) | 8.302 | 0.000 |
| 2 min – 1 min | 49.06 (5.10) | 32.11 (8.42) | 7.304 | 0.000 |
| Matching | 16.06 (2.67) | 12.83 (2.75) | 3.569 | 0.001 |
| Free recall | 8.39 (0.70) | 7.50 (0.86) | 3.411 | 0.002 |
SD, Standard Deviation; MoCA, Montreal Cognitive Assessment; RAVLT, Rey Auditory Verbal Learning Test.
Figure 1Timeline and task design for each block of stimuli. Participants had 15 s to read the text. Then a probe was displayed for 5 s, as soon as the probe appeared, participants had 10 s to answer as fast and accurately as they could. When the probe disappeared, blank screen was displayed for 30 s (Nothing). Ten seconds before the next text presentation, a cross appeared to notify the participants of the upcoming text. This sequence was repeated 12 times.
Figure 2Positions of sources (S), detectors (D) and regions of interest (ROI).
Estimation of the Brodmann’s area covered by each region of interest (ROI).
| Region of interest | Estimated corresponding Brodmann’s area |
|---|---|
| ROI 1 | 46 – Dorsolateral prefrontal cortex |
| 10 – Frontopolar area | |
| ROI 2 | 9 – Dorsolateral prefrontal cortex |
| 44 – Pars opercularis, part of Broca’s area | |
| ROI 3 | 45 – Pars triangularis, part of Broca’s area |
| ROI 4 | 6 – Premotor and supplementary motor cortex |
| 48 – Retrosubicular area | |
| ROI 5 | 6 – Premotor and supplementary motor cortex |
| 43 – Subcentral area | |
| ROI 6 | 21 – Middle temporal gyrus |
| ROI 7 | 22 – Superior temporal gyrus |
| 40 – Supramarginal gyrus, part of Wernicke’s area | |
| ROI 8 | 37 – Fusiform gyrus |
Sociodemographic characteristics of the groups.
| Characteristics | Younger | Older | ||
|---|---|---|---|---|
| ( | ( | |||
| Mean (SD) | Mean (SD) | |||
| Age | 23.56 (1.82) | 72.33 (3.73) | −49.895 | 0.000 |
| Gender (Male/Female) | 7/11 | 6/12 | n/a | n/a |
| Education | 16.78 (1.11) | 16.67 (1.97) | 0.208 | 0.836 |
| Mill Hill vocabulary test | 25.28 (3.30) | 27.50 (4.61) | −1.663 | 0.105 |
Significant level was set at p ≤ 0.05. SD, Standard Deviation.
Figure 3Accuracy in each condition (MIC, micropropositions; MAC, macropropositions; SIT, situation model). Significant level was set at *p ≤ 0.05; **p ≤ 0.01.
Figure 4Response times (ms) in each condition (MIC, micropropositions; MAC, macropropositions; SIT, situation model). Significant level was set at *p ≤ 0.05; **p ≤ 0.01.
Figure 5Grand-averaged waveforms of oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR) concentrations during the reading portion of the task (15 s). Variation in hemoglobin concentration (μM) as a function of time (s). ROI with significant differences are highlighted in gray. R, Right; L, Left.
Figure 6Grand-averaged waveforms of HbO2 and HbR concentrations while participants answered the probes. Variation (10 s) in hemoglobin concentration (μM) as a function of time (s). R, Right; L, Left.