Cognitive-Cognitive Dual-task in aging: A cross-sectional online study

The prevalence of neurodegenerative disorders, particularly dementia, is on the rise across many countries worldwide. This negative trend calls for improving our understanding of cognitive aging. While motor-cognitive dual-task approaches have already been proven valuable for clinical diagnosis, comparatively less research is available on the application of Cognitive-Cognitive Dual-Tasking (CCDT), across several cognitive domains. Moreover, there is limited understanding about how healthy aging affects performance in such dual-tasks in the general population. CCDT entails engaging individuals in multiple cognitive tasks simultaneously and holds promise for remote e-Health interventions. In this cross-sectional study, our objective was to evaluate the suitability of a newly developed, self-administered, online tool for examining age-related differences in memory performance under dual-tasking. 337 healthy adults aged 50-90 underwent a visual memory test (Memo) under both single and dual-task conditions (attend to auditory letters). Additional measures included questionnaires on subjective memory complaints (MAC-Q), on cognitive reserve (CR), and a cognitive screening (auto-GEMS). As expected, the accuracy of visual memory performance exhibited a negative correlation with age and MAC-Q, and a positive correlation with CR and auto-GEMS scores. Dual-tasking significantly impaired performance, and its detrimental effect decreased with increasing age. Furthermore, the protective effect of cognitive reserve diminished with advancing age. These findings suggest that the commonly observed age-related increase in dual-task costs is not universally applicable across all tasks and cognitive domains. With further refinement, a longitudinal implementation of this approach may assist in identifying individuals with a distinct cognitive trajectory and potentially at a higher risk of developing cognitive decline.

Knowledge-based intervention improves older adult recognition memory for novel activity, but not event segmentation or temporal order memory

Although episodic memory declines with age, older adults are often able to make use of relevant knowledge to support episodic memory. More specifically, prior knowledge may support the perception of meaningful events through the process of event segmentation. We sought to test whether increasing older adults' knowledge for novel activities (i.e., Tai chi, making gyozas) would improve segmentation and memory. We conducted an online, pre-registered intervention in which eighty older adults were recruited based on being novices in each of the targeted activities. Participants completed segmentation and memory tests before and after being randomly assigned to one of two interactive virtual workshops (learning how to practice Tai chi or make gyozas). Each workshop consisted of two one-hour sessions during which an expert provided information about the activity and demonstrated it in a step-by-step fashion. We found that the intervention led to increased learning and recognition memory for the trained activity; however, there were no significant improvements in segmentation behavior, free recall, or memory of sequential information. These findings indicate that either more knowledge training is necessary to affect segmentation, or that segmentation is guided by perceptual features in the environment rather than one's conceptual understanding of the activity.

Effects of age on the neural correlates of encoding source and item information: An fMRI study

The effects of age on encoding-related neural activity predictive of accurate item and source memory judgments were examined with fMRI, with an a priori focus of the inferior frontal gyrus (IFG) and hippocampus. During a scanned study phase, young and older adults viewed a series of pictures of objects and made one of two judgments on each object. At test, which occurred outside of the scanner, an 'old/new' judgment on each test item was followed, for those items endorsed old, by a source judgment querying the study task. Neural activity predictive of accurate subsequent item and source memory judgments was identified in bilateral IFG, several other cortical regions and bilateral hippocampus. Cortical effects were graded in the young group (source > item > miss) but predicted item memory only in the older group. Hippocampal effects exclusively predicted source memory, and the magnitude of these effects did not reliably differ between the age groups. In the older group only, IFG and hippocampal encoding effects were positively correlated across participants with memory performance. Similar findings were evident in the extra-IFG regions demonstrating encoding effects. With the exception of the age-dependent relationship identified for hippocampal encoding effects, the present findings are broadly consistent with those from prior aging studies that employed verbal memoranda and tests of associative recognition. Thus, they extend these prior findings to include non-verbal materials and a different operationalization of episodic recollection. Additionally, the present findings suggest that the sensitivity in older adults of IFG encoding effects to subsequent memory performance reflects a more general tendency for cortical encoding effects to predict memory performance in this age group.

Age-related neural dedifferentiation for individual stimuli: an across-participant pattern similarity analysis

Age-related neural dedifferentiation - reductions in the regional specificity and precision of neural representations - is proposed to compromise the ability of older adults to form sufficiently distinct neural representations to support episodic memory encoding. The computational model that spurred investigations of age-related neural dedifferentiation initially characterized this phenomenon as a reduction in the specificity of neural patterns for individual items or stimuli. Most investigations have focused on reductions in neural differentiation for patterns of neural activity associated with category-level information, such as reduced neural selectivity between categories of visual stimuli (e.g., scenes, objects, and faces). Here, I report a novel across-participant pattern similarity analysis method to measure neural distinctiveness for individual stimuli that were presented to participants on a single occasion. Measures of item-level pattern similarity during encoding showed a graded positive subsequent memory effect in younger, with no significant subsequent memory effect in older adults. These results suggest that age-related reductions in the distinctiveness of neural patterns for individual stimuli during age differences in memory encoding. Moreover, a measure of category-level similarity demonstrated a significant subsequent memory effect associated with item recognition (regardless of an object source memory detail), whereas the effect in older was associated with source memory. These results converge with predictions of computational models of dedifferentiation showing age-related reductions in the distinctiveness of neural patterns across multiple levels of representation.

Divided attention at retrieval does not influence neural correlates of recollection in young or older adults

Age-related decline in episodic memory has been partially attributed to older adults' reduced domain general processing resources. In the present study, we examined the effects of divided attention (DA) - a manipulation assumed to further deplete the already limited processing resources of older adults - on the neural correlates of recollection in young and older adults. Participants underwent fMRI scanning while they performed an associative recognition test in single and dual (tone detection) task conditions. Recollection effects were operationalized as greater BOLD activity elicited by test pairs correctly endorsed as 'intact' than pairs correctly or incorrectly endorsed as 'rearranged'. Detrimental effects of DA on associative recognition performance were identified in older but not young adults. The magnitudes of recollection effects did not differ between the single and dual (tone detection) tasks in either age group. Across the task conditions, age-invariant recollection effects were evident in most members of the core recollection network. However, while young adults demonstrated robust recollection effects in left angular gyrus, angular gyrus effects were undetectable in the older adults in either task condition. With the possible exception of this result, the findings suggest that DA did not influence processes supporting the retrieval and representation of associative information in either young or older adults, and converge with prior behavioral findings to suggest that episodic retrieval operations are little affected by DA.

Greater Neural Differentiation in the Ventral Visual Cortex Is Associated with Youthful Memory in Superaging

Superagers are older adults who maintain youthful memory despite advanced age. Previous studies showed that superagers exhibit greater structural and intrinsic functional brain integrity, which contribute to their youthful memory. However, no studies, to date, have examined brain activity as superagers learn and remember novel information. Here, we analyzed functional magnetic resonance imaging data collected from 41 young and 40 older adults while they performed a paired associate visual recognition memory task. Superaging was defined as youthful performance on the long delay free recall of the California Verbal Learning Test. We assessed the fidelity of neural representations as participants encoded and later retrieved a series of word stimuli paired with a face or a scene image. Superagers, like young adults, exhibited more distinct neural representations in the fusiform gyrus and parahippocampal gyrus while viewing visual stimuli belonging to different categories (greater neural differentiation) and more similar category representations between encoding and retrieval (greater neural reinstatement), compared with typical older adults. Greater neural differentiation and reinstatement were associated with superior memory performance in all older adults. Given that the fidelity of cortical sensory processing depends on neural plasticity and is trainable, these mechanisms may be potential biomarkers for future interventions to promote successful aging.

Effects of age on goal-dependent modulation of episodic memory retrieval

Retrieval gating refers to the ability to modulate the retrieval of features of a single memory episode according to behavioral goals. Recent findings demonstrate that younger adults engage retrieval gating by attenuating the representation of task-irrelevant features of an episode. Here, we examine whether retrieval gating varies with age. Younger and older adults incidentally encoded words superimposed over scenes or scrambled backgrounds that were displayed in one of three spatial locations. Participants subsequently underwent fMRI as they completed two memory tasks: the background task, which tested memory for the word's background, and the location task, testing memory for the word's location. Employing univariate and multivariate approaches, we demonstrated that younger, but not older adults, exhibited attenuated reinstatement of scene information when it was goal-irrelevant (during the location task). Additionally, in younger adults only, the strength of scene reinstatement in the parahippocampal place area during the background task was related to item and source memory performance. Together, these findings point to an age-related decline in the ability to engage retrieval gating.

Effects of Age on Prestimulus Neural Activity Predictive of Successful Memory Encoding: An fMRI Study

Prestimulus subsequent memory effects (SMEs)-differences in neural activity preceding the onset of study items that are predictive of later memory performance-have consistently been reported in young adults. The present functional magnetic resonance imaging experiment investigated potential age-related differences in prestimulus SMEs. During study, healthy young and older participants made one of two semantic judgments on images, with the judgment signaled by a preceding cue. In test phase, participants first made an item recognition judgment and, for each item judged old, a source memory judgment. Age-invariant prestimulus SMEs were observed in left dorsomedial prefrontal cortex, left hippocampus, and right subgenual cortex. In each case, the effects reflected lower blood oxygen level dependent signal for later recognized items, regardless of source accuracy, than for unrecognized items. A similar age-invariant pattern was observed in left orbitofrontal cortex, but this effect was specific to items attracting a correct source response compared to unrecognized items. In contrast, the left angular gyrus and fusiform cortex demonstrated negative prestimulus SMEs that were exclusive to young participants. The findings indicate that age differences in prestimulus SMEs are regionally specific and suggest that prestimulus SMEs reflect multiple cognitive processes, only some of which are vulnerable to advancing age.

Age differences in the neural correlates of the specificity of recollection: An event-related potential study

In young adults, the neural correlates of successful recollection vary with the specificity (or amount) of information retrieved. We examined whether the neural correlates of recollection are modulated in a similar fashion in older adults. We compared event-related potential (ERP) correlates of recollection in samples of healthy young and older adults (N = 20 per age group). At study, participants were cued to make one of two judgments about each of a series of words. Subsequently, participants completed a memory test for studied and unstudied words in which they first made a Remember/Know/New (RKN) judgment, followed by a source memory judgment when a word attracted a 'Remember' (R) response. In young adults, the 'left parietal effect' - a putative ERP correlate of successful recollection - was largest for test items endorsed as recollected (R judgment) and attracting a correct source judgment, intermediate for items endorsed as recollected but attracting an incorrect or uncertain source judgment, and, relative to correct rejections, absent for items endorsed as familiar only (K judgment). In marked contrast, the left parietal effect was not detectable in older adults. Rather, regardless of source accuracy, studied items attracting an R response elicited a sustained, centrally maximum negative-going deflection relative to both correct rejections and studied items where recollection failed (K judgment). A similar retrieval-related negativity has been described previously in older adults, but the present findings are among the few to link this effect specifically to recollection. Finally, relative to correct rejections, all classes of correctly recognized old items elicited an age-invariant, late-onsetting positive deflection that was maximal over the right frontal scalp. This finding, which replicates several prior results, suggests that post-retrieval monitoring operations were engaged to an equivalent extent in the two age groups. Together, the present results suggest that there are circumstances where young and older adults engage qualitatively distinct retrieval-related processes during successful recollection.

Age Differences in Encoding-Related Alpha Power Reflect Sentence Comprehension Difficulties

When sentence processing taxes verbal working memory, comprehension difficulties arise. This is specifically the case when processing resources decline with advancing adult age. Such decline likely affects the encoding of sentences into working memory, which constitutes the basis for successful comprehension. To assess age differences in encoding-related electrophysiological activity, we recorded the electroencephalogram from three age groups (24, 43, and 65 years). Using an auditory sentence comprehension task, age differences in encoding-related oscillatory power were examined with respect to the accuracy of the given response. That is, the difference in oscillatory power between correctly and incorrectly encoded sentences, yielding subsequent memory effects (SME), was compared across age groups. Across age groups, we observed an age-related SME inversion in the alpha band from a power decrease in younger adults to a power increase in older adults. We suggest that this SME inversion underlies age-related comprehension difficulties. With alpha being commonly linked to inhibitory processes, this shift may reflect a change in the cortical inhibition-disinhibition balance. A cortical disinhibition may imply enriched sentence encoding in younger adults. In contrast, resource limitations in older adults may necessitate an increase in cortical inhibition during sentence encoding to avoid an information overload. Overall, our findings tentatively suggest that age-related comprehension difficulties are associated with alterations to the electrophysiological dynamics subserving general higher cognitive functions.

The effect of ageing on the neural substrates of incidental encoding leading to recollection or familiarity

It is well-known that the ageing process disrupts episodic memory. The aim of this study was to use an fMRI visual recognition task to characterize age-related changes in cerebral regions activated, during encoding, for images that would subsequently lead to a recollection-based or to a familiarity-based recognition. Results show that, for subsequent recollection, young adults activated regions related to semantic processing more extensively than older ones. On the other hand, despite putatively producing less semantic elaboration, older adults activated contralateral regions supplementary to those found in young adults (which might represent attempted compensation), as well as regions of the default-mode network. These results suggest older adults could achieve subsequent recollection through different processes, for instance an appraisal of the self-relevance of the stimuli. For subsequent familiarity, the comparisons only revealed greater activations in young adults, in the dorsal frontoparietal attention system as well as in the hippocampus, again suggesting that, even if older adults are able to produce recollection- and familiarity-based recognition, the semantic processing might still be weaker in old adults, who might nonetheless use qualitatively different strategies in order to produce such responses. Further studies are necessary in order to characterize those strategies.

Age-related Differences in Prestimulus Subsequent Memory Effects Assessed with Event-related Potentials

Prestimulus subsequent memory effects (preSMEs)-differences in neural activity elicited by a task cue at encoding that are predictive of later memory performance-are thought to reflect differential engagement of preparatory processes that benefit episodic memory encoding. We investigated age differences in preSMEs indexed by differences in ERP amplitude just before the onset of a study item. Young and older adults incidentally encoded words for a subsequent memory test. Each study word was preceded by a task cue that signaled a judgment to perform on the word. Words were presented for either a short (300 msec) or long (1000 msec) duration with the aim of placing differential benefits on engaging preparatory processes initiated by the task cue. ERPs associated with subsequent successful and unsuccessful recollection, operationalized here by source memory accuracy, were estimated time-locked to the onset of the task cue. In a late time window (1000-2000 msec after onset of the cue), young adults demonstrated frontally distributed preSMEs for both the short and long study durations, albeit with opposite polarities in the two conditions. This finding suggests that preSMEs in young adults are sensitive to perceived task demands. Although older adults showed no evidence of preSMEs in the same late time window, significant preSMEs were observed in an earlier time window (500-1000 msec) that was invariant with study duration. These results are broadly consistent with the proposal that older adults differ from their younger counterparts in how they engage preparatory processes during memory encoding.

Neuropsychology of aging, past, present and future: Contributions of Morris Moscovitch

In this review we provide a broad overview of major trends in the cognitive neuroscience of aging and illustrate their roots in the pioneering ideas and discoveries of Morris Moscovitch and his close collaborators, especially Gordon Winocur. These trends include an on-going focus on the specific and dissociable contributions of medial temporal and frontal lobe processes to cognitive aging, especially in the memory domain, the role of individual variability stemming from different patterns of underlying neural decline, the possibility of compensatory neural and cognitive influences that alter the expression of neurobiological aging, and the investigation of lifestyle and psychosocial factors that affect plasticity and may contribute to the rate and level of neurocognitive decline. These prescient ideas, evident in the early work of Moscovitch and Winocur, continue to drive on-going research efforts in the cognitive neuroscience of aging.