Longer Duration of Hypertension and MRI Microvascular Brain Alterations Are Associated with Lower Hippocampal Volumes in Older Individuals with Hypertension

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Triantafyllou, A (Author) Other; Ferreira, JP (Author) FMUP; Kobayashi, M (Author) Other; Micard, E (Author) Other; Xie, Y (Author) Other; Kearney Schwartz, A (Author) Other; Hossu, G (Author) Other; Rossignol, P (Author) Other; Bracard, S (Author) Other; Benetos, A (Author) Other

Journal

Title: Journal of Alzheimer's Disease

Vol. 74

Pages: 227-235

ISSN: 1387-2877

Publisher: IOS PRESS

Indexing

ISI Web of Knowledge - 10 Citations

Scopus - 10 Citations

Other information

Authenticus ID: P-00R-XDJ

DOI: 10.3233/jad-190842

Abstract (EN): Background: Hippocampal atrophy is associated with cognitive decline. Determining the clinical features associated with hippocampal volume (HV)/atrophy may help in tailoring preventive strategies. Objective: This study was aimed to investigate the association between HV (at visit 2) and vascular status (both at visit 1 and visit 2) in a cohort of individuals aged 60+ with hypertension and without overt cognitive impairment at visit 1 (visit 1 and visit 2 were separated by approximately 8 years). Methods: Hippocampal volume was estimated in brain MRIs as HV both clinically with the Scheltens' Medial Temporal Atrophy score, and automatically with the Free Surfer Software application. A detailed medical history, somatometric measurements, cognitive tests, leukoaraiosis severity (Fazekas score), vascular parameters including pulse wave velocity, central blood pressure, and carotid artery plaques, as well as several biochemical parameters were also measured. Results: 113 hypertensive patients, 47% male, aged 75.1 f 5.6 years, participated in both visit 1 and visit 2 of the ADE-LAHYDE study. Age (beta = -0.30) and hypertension duration (beta = -0.20) at visit 1 were independently associated with smaller HV at visit 2 (p < 0.05 for all). In addition to these variables, low body mass index (beta = 0.18), high MRI Fazekas score (beta = -0.20), and low Grober-Buschke total recall (beta = 0.27) were associated with smaller HV at visit 2 (p < 0.05 for all). Conclusion: In a cohort of older individuals without cognitive impairment at baseline, we described several factors associated with lower HV, of which hypertension duration can potentially be modified.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9