Activities of the dorsolateral and medial prefrontal cortices during oral function training with cognitive training elements: a NIRS study

BACKGROUND

Cognitive function plays a crucial role in human life, and its maintenance and improvement are essential in both young and older adults. Since cognitive decline can be associated with oral function decline, preventing the decline in both cognitive and oral functions is an urgent social issue. Several training methods to improve each function have been proposed. Previous studies have indicated that greater brain activity during training is associated with increased benefits for cognitive function. Although adding cognitive function elements to oral function training may promote the activation of brain activity during oral function training, the effects have not been validated. The main purpose of this study is to develop a novel training program that combines oral function training with cognitive training, which is expected to activate key brain regions involved in oral and cognitive functions, such as the left dorsolateral prefrontal cortex (DLPFC) and right medial prefrontal cortex (mPFC).

METHODS

Four types of training programs combining oral and cognitive training: PaTaKaRa × calculation, lip exercise × N-back, tongue exercise × inhibition, and tongue exercise × memory, were developed. Each program had seven levels of difficulty [level 0 (no cognitive load) and level 6 (maximum difficulty)]. Twelve healthy young adults participated in the study and were instructed to perform all four programs. Brain activity in the left DLPFC and right mPFC were measured during each training session using two-channel near-infrared spectroscopy (NIRS).

RESULTS

No significant brain activity was observed during training at level 0. Brain activity in the left DLPFC was significantly increased at levels 1 and 2 and in the left DLPFC and right mPFC at level 6 during PaTaKaRa × calculation training. Brain activity in the left DLPFC was significantly increased at level 6 during tongue exercise × inhibition training. Brain activity in the left DLPFC and right mPFC was significantly increased at level 6 during lip exercise × N-back training.

CONCLUSION

Oral function training did not significantly increase brain activity; nevertheless, oral function with cognitive training stimulated brain activity in the prefrontal cortex.

TRIAL REGISTRATION

UMIN-CTR. ID: UMIN000039678. date: 06/03/2020.

The effect of age on task switching: updated and extended meta-analyses

Cognitive flexibility is one of the crucial abilities for human survival. As people get older, whether their flexibility ability will be affected is one of the core research topics in aging research. Researchers have developed a task-switch paradigm in laboratories to mimic daily-life shifting task-set scenarios. However, the empirical evidence is equivocal. Considering every single study may have a biased sample; therefore, we hoped to combine smaller studies, making them into one extensive investigation, which may help show an actual effect. In the current study, we used two meta-analysis techniques, the Brinley plot (along with the State-trace plot) and conventional meta-analysis, to re-evaluate whether healthy aging influences cognitive flexibility. The results of the Brinley plot analysis showed no evidence of switch-specific age-related impairment as indexed by the local switch cost. Yet, older adults performed more slowly than younger adults across task conditions. The conventional meta-analysis further showed that the currently available findings were heterogenous and exhibited publication bias. Therefore, this study suggests that researchers should interpret their results cautiously while using a task-switching paradigm to address older adults' shifting abilities. More parametric variables must be considered and developed in a task-switching paradigm to enhance its sensitivity and reveal older adults' actual shifting ability.

Electrophysiological correlates of the effect of set size on object switching in working memory

Previous studies have revealed the effect of set size (the number of activated items) on object switching in working memory, but the underlying neural mechanism remains unclear. In this study, participants were asked to first remember two (small size) or three (large size) two-digit numbers and the corresponding geometrical figures as different references for numerical comparison and then compare a series of numbers (10-99) to the reference numbers cued by different geometrical figures. The cue repeated or switched across trials. Behavioral results revealed that the switch cost was greater in the large-size condition than in the small-size condition. Event-related potential results showed that in the N2 component, an interaction was observed between set size and transition, with a significant transition effect (switch minus repeat) in the large-size condition and a non-significant transition effect in the small-size condition. The same interaction was observed in the P3 component, with a larger amplitude difference (switch minus repeat) in the large-size condition than in the small-size condition. These results suggested that when set size is increased, the effort to inhibit the irrelevant items increases, resulting in large cost of object switching in working memory.

The Cost of the Epistemic Step: Investigating Scalar Implicatures in Full and Partial Information Contexts

We present the first ERP experiments that test the online processing of the scalar implicature some ⇝ not all in contexts where the speaker competence assumption is violated. Participants observe game scenarios with four open cards on the table and two closed cards outside of the table, while listening to statements made by a virtual player. In the full access context, the player makes a fully informed statement by referring only to the open cards, as cards on the table; in the partial access context, she makes a partially informed statement by referring to the whole set of cards, as cards in the game. If all of the open cards contain a given object X (Fullset condition), then some cards on the table contain Xs is inconsistent with the not all reading, whereas it is unknown whether some cards in the game contain X is consistent with this reading. If only a subset of the open cards contains X (Subset condition), then both utterances are known to be consistent with the not all implicature. Differential effects are observed depending on the quantifier reading adopted by the participant: For those participants who adopt the not all reading in the full access context, but not in the partial access context (weak pragmatic reading), a late posterior negativity effect is observed in the partial access context for the Fullset relative to the Subset condition. This effect is argued to reflect inference-driven context retrieval and monitoring processes related to epistemic reasoning involved in evaluating the competence assumption. By contrast, for participants who adopt the logical interpretation of some (some and possibly all), an N400 effect is observed in the partial access context, when comparing the Subset against the Fullset condition, which is argued to result from the competition between the two quantifying expressions some cards on the table and some cards in the game functioning in the experiment as scalar alternatives.

Trait anxiety modulates the temporal dynamics of Stroop task switching: An ERP study

The current study aimed to find neural evidence that trait anxiety interferes with one's shifting function processing efficiency. Twenty-five high trait-anxiety (HTA) and twenty-five low trait-anxiety (LTA) participants were instructed to complete a cue-based Stroop task-switching assessment of shifting function. No group difference in behavioral performance was shown, though event-related potential (ERP) results in the cue-locked period showed that only the LTA group had a general switch benefit in contingent negative variation (CNV) amplitude, indicating the LTA group exerted less task preparation effort. In the subsequent target-locked period, compared to the LTA group, the local switch cost of target-P3 was higher in the HTA group in incompatible trials, suggesting inefficient attentional resource allocation in the HTA group in incompatible trials. These ERP findings indicated that the HTA group ultimately achieved comparable behavioral performance with the LTA group at the expense of using more compensatory strategies at the neural level.

Active Bilingualism in Aging: Balanced Bilingualism Usage and Less Frequent Language Switching Relate to Better Conflict Monitoring and Goal Maintenance Ability

OBJECTIVES

Experience-related neuroplasticity suggests that bilinguals who actively manage their two languages would develop more efficient neural organization at brain regions related to language control, which also overlap with areas involved in executive control. Our aim was to examine how active bilingualism-manifested as the regular balanced use of two languages and language switching-may be related to the different domains of executive control in highly proficient healthy older adult bilinguals, controlling for age, processing speed, and fluid intelligence.

METHODS

Participants were 76 community-dwelling older adults who reported being physically and mentally healthy and showed no signs of cognitive impairment. They completed a self-report questionnaire on their language background, two computer measures for previously identified covariates (processing speed as measured by two-choice reaction time (RT) task and fluid intelligence as measured by the Raven's Progressive Matrices), as well as a battery of computerized executive control tasks (Color-shape Task Switching, Stroop, Flanker, and Spatial 2-back task).

RESULTS

Regression analyses showed that, even after controlling for age, processing speed, and fluid intelligence, more balanced bilingualism usage and less frequent language switching predicted higher goal maintenance (nonswitch trials RT in Color-shape Task Switching) and conflict monitoring abilities (global RT in Color-shape Task Switching and Flanker task).

DISCUSSION

Results suggest that active bilingualism may provide benefits to maintaining specific executive control abilities in older adult bilinguals against the natural age-related declines.

Age-related differences in the structural and effective connectivity of cognitive control: a combined fMRI and DTI study of mental arithmetic

Cognitive changes with aging are highly variable across individuals. This study investigated whether cognitive control performance might depend on preservation of structural and effective connectivity in older individuals. Specifically, we tested inhibition following working memory (WM) updating and maintenance. We analyzed diffusion tensor imaging and functional magnetic resonance imaging data in thirty-four young adults and thirty-four older adults, who performed an arithmetic verification task during functional magnetic resonance imaging. Results revealed larger arithmetic interference in older adults relative to young adults after WM updating, whereas both groups showed similar interference after WM maintenance. In both groups, arithmetic interference was associated with larger activations and stronger effective connectivity among bilateral anterior cingulate, bilateral inferior frontal gyrus, and left angular gyrus, with larger activations of frontal regions in older adults than in younger adults. In older adults, preservation of frontoparietal structural microstructure, especially involving the inferior frontaloccipital fasciculus, was associated with reduced interference, and stronger task-related effective connectivity. These results highlight how both structural and functional changes in the cognitive control network contribute to individual variability in performance during aging.

Aging of the frontal lobe

Healthy aging is associated with numerous deficits in cognitive function, which have been attributed to changes within the prefrontal cortex (PFC). This chapter summarizes some of the most prominent cognitive changes associated with age-related alterations in the anatomy and physiology of the PFC. Specifically, aging of the PFC results in deficient aspects of cognitive control, including sustained attention, selective attention, inhibitory control, working memory, and multitasking abilities. Yet, not all cognitive functions associated with the PFC exhibit age-related declines, such as arithmetic, comprehension, emotion perception, and emotional control. Moreover, not all older adults exhibit declines in cognition. Multiple life-course and lifestyle factors, as well as genetics, play a role in the trajectory of cognitive performance across the life span. Thus many adults retain cognitive function well into advanced age. Moreover, the brain remains plastic throughout life and there is increasing evidence that most age-related declines in cognition can be remediated by various methods such as physical exercise, cognitive training, or noninvasive brain stimulation. Overall, because cognitive aging is associated with numerous life-course and lifestyle factors, successful aging likely begins in early life, while maintaining cognition or remediating declines is a life-long process.

The shifting self in aging

BACKGROUND AND AIMS

This study investigated the ability of older adults to shift between self-images.

METHODS

We designed a shifting-self task in which older adults and younger adults were invited to produce statements describing their physical self (e.g., "I am tall") and psychological self (e.g., "I am cheerful"). Participants were invited to shift between physical-self statements and psychological-self statements and, on a control task, to produce two blocks of physical-self statements and psychological-self statements. They also performed a typical shifting task (i.e., the plus-minus task).

RESULTS

Analysis showed slower completion time on the shifting-self task in older adults than in younger adults. Time to complete the shifting-self task was longer than that for the control task in both older and younger adults. Performances on the shifting-self task were significantly correlated with performances on the plus-minus task.

DISCUSSION

We hypothesized that older adults take more time to shift between self-images because they enjoy self-stability. In other words, the tendency of older adults to shift between self-images more slowly than younger adults might be because they have more consistent or stable self-concepts, and are therefore less inclined to "change" their self-images.

Changes in executive function over time in bilingual and monolingual school-aged children

We examined the development of 3 executive function (EF) components-inhibition, updating, and task shifting-over time in monolingual and bilingual school-age children. We tested 41 monolingual and 41 simultaneous bilingual typically developing children (ages 8-12) on nonverbal tasks measuring inhibition (the Flanker task), updating (the Corsi blocks task), and task shifting (the Dimensional Change Card Sort task; DCCS) at 2 time points, 1 year apart. Three indexes of task shifting (shifting, switching, and mixing costs) were derived from the DCCS task. The 2 groups did not differ in their development of updating, but did demonstrate distinct patterns of development for inhibition. Specifically, while the bilingual group demonstrated a steep improvement in inhibition from Year 1 to Year 2, the monolingual group was characterized by stable inhibition performance over this time period. The 2 groups did not differ in their developmental patterns for shifting and switching costs, but for mixing costs, the bilingual children outperformed the monolingual children in both years. Together, the findings indicate that bilingual experience may modulate the developmental rates of some components of EF but not others, resulting in specific EF performance differences between bilinguals and monolinguals only at certain developmental time points. (PsycINFO Database Record

Aging and Sequential Strategy Interference: A Magnetoencephalography Study in Arithmetic Problem Solving

This study investigated age-related changes in the neural bases of sequential strategy interference. Sequential strategy interference refers to decreased strategy interference (i.e., poorer performance when the cued strategy is not the best) after executing a poorer strategy relative to after a better strategy. Young and older adults performed a computational estimation task (e.g., providing approximate products to two-digit multiplication problems, like 38 × 74) and were matched on behavioral sequential strategy interference effects. Analyses of magnetoencephalography (MEG) data revealed differences between young and older adults in brain activities underlying sequential strategy interference. More specifically, relative to young adults, older adults showed additional recruitments in frontal, temporal, and parietal regions. Also, age-related differences were found in the temporal dynamics of brain activations, with modulations occurring both earlier and later in older than young adults. These results suggest that highly functioning older adults rely on additional mechanisms to process sequential strategy interference as efficiently as young adults. Our findings inform mechanisms by which highly functioning older adults obtain as good performance as young adults, and suggest that these older adults may compensate deleterious effects of aging to efficiently execute arithmetic strategies.

Flexibility in task switching by monolinguals and bilinguals

Many bilinguals routinely switch between their languages, yet mixed evidence exists about the transfer of language switching skills to broader domains that require attentional control such as task switching. Monolingual and bilingual young adults performed a nonverbal task-switching paradigm in which they viewed colored pictures of animals and indicated either the animal or its color in response to a cue. Monolinguals and bilinguals performed similarly when switching between tasks (local switch cost) in a mixed-task block, but bilinguals demonstrated a smaller mixing effect (global switch cost) than monolinguals, indicating better ability to reconfigure stimulus-response associations. These results suggest that regular practice using multiple languages confers a broader executive function advantage shown as improved flexibility in task switching.

How older adults use cognition in sentence-final word recognition

This study examined the effects of executive control and working memory on older adults' sentence-final word recognition. The question we addressed was the importance of executive functions to this process and how it is modulated by the predictability of the speech material. To this end, we tested 173 neurologically intact adult native English speakers aged 55-84 years. Participants were given a sentence-final word recognition test in which sentential context was manipulated and sentences were presented in different levels of babble, and multiple tests of executive functioning assessing inhibition, shifting, and efficient access to long-term memory, as well as working memory. Using a generalized linear mixed model, we found that better inhibition was associated with higher accuracy in word recognition, while increased age and greater hearing loss were associated with poorer performance. Findings are discussed in the framework of semantic control and are interpreted as supporting a theoretical view of executive control which emphasizes functional diversity among executive components.

Age Differences in Memory-Based Task Switching With and Without Cues

The study investigated the neuronal mechanisms of age-related changes in mixing costs during memory-based task switching with two levels of working memory (WM) load. Forty-eight healthy younger and 45 healthy older participants performed a memory based (high WM load) and a memory plus cue based (low WM load) switching task while event-related brain potentials (ERPs) were registered. Older adults revealed larger mixing costs in both reaction time (RT) and accuracy at higher WM loads than younger adults. The presence of explicit cues substantially reduced age differences in mixing costs for accuracy but not for RT. Similarly, no age differences regarding local switch costs were found at lower WM load. Surprisingly, larger RT local costs in younger adults than in older adults were found in the memory-based block. The CNV was reduced under high WM load and positively correlated with accuracy mixing costs in older adults. The target-locked occipital N1 and fronto-central P2 were larger in older adults relative to younger adults irrespective of WM load. The P2 latency reflected the pattern of switch costs observed in behavioral data. Moreover, P2 latency positively correlated with RT mixing costs in older adults. Elderly also showed a delayed N2 and a delayed and reduced P3b. The results suggest that age-related differences in mixing costs may be partially due to a less efficient task preparation and task set maintenance (CNV) in elderly. However, elderly attempted to compensate for these deficits by permanent activation of mechanisms relating to stimulus encoding (N1) and task-set retrieval (P2). Finally, the delayed fronto-central N2 as well as the delayed and reduced parietal P3b strongly suggest delays of response selection and working memory updating in elderly due to an increase in selection threshold or in response selection variability constituting the performance decline.

Brain and language: evidence for neural multifunctionality

This review paper presents converging evidence from studies of brain damage and longitudinal studies of language in aging which supports the following thesis: the neural basis of language can best be understood by the concept of neural multifunctionality. In this paper the term "neural multifunctionality" refers to incorporation of nonlinguistic functions into language models of the intact brain, reflecting a multifunctional perspective whereby a constant and dynamic interaction exists among neural networks subserving cognitive, affective, and praxic functions with neural networks specialized for lexical retrieval, sentence comprehension, and discourse processing, giving rise to language as we know it. By way of example, we consider effects of executive system functions on aspects of semantic processing among persons with and without aphasia, as well as the interaction of executive and language functions among older adults. We conclude by indicating how this multifunctional view of brain-language relations extends to the realm of language recovery from aphasia, where evidence of the influence of nonlinguistic factors on the reshaping of neural circuitry for aphasia rehabilitation is clearly emerging.

Déficits na memória de trabalho em idosos com depressão maior: uma revisão sistemática

A depressão em idosos é associada com prejuízos cognitivos, entretanto a extensão destes à Memória de Trabalho (MT) ainda não é consensual. Portanto, o objetivo deste estudo é revisar sistematicamente as associações encontradas entre MT e depressão em idosos. Para tanto conduzimos uma revisão sistemática dos artigos publicados entre 2000 e 2011 nas principais bases de dados internacionais. Posteriormente a aplicação dos critérios de exclusão, 17 artigos foram revisados integralmente. Os resultados apresentam evidências da associação entre depressão geriátrica e prejuízos da MT, que em alguns trabalhos ainda foram mantidos mesmo após a remissão da sintomatologia de humor.

The contribution of set switching and working memory to sentence processing in older adults

This study evaluates the involvement of switching skills and working-memory capacity in auditory sentence processing in older adults. The authors examined 241 healthy participants, aged 55 to 88 years, who completed four neuropsychological tasks and two sentence-processing tasks. In addition to age and the expected contribution of working memory, switching ability, as measured by the number of perseverative errors on the Wisconsin Card Sorting Test, emerged as a strong predictor of performance on both sentence-processing tasks. Individuals with both low working-memory spans and more perseverative errors achieved the lowest accuracy scores. These findings are consistent with compensatory accounts of successful performance in older age.

Task practice differentially modulates task-switching performance across the adult lifespan

Cued-trials task-switching paradigms have been used extensively to examine ageing-related changes in cognitive control. Many studies report an increase in mixing cost (i.e., cost of repeating the same task in a single-task vs. a mixed-task block) and a less reliable increase in switch cost (i.e., cost of switching vs. repeating tasks in a mixed-task block) in old as compared to young adults. However, there is substantial variability between studies in the emergence and size of age effects on mixing and/or switch cost. In this study, we examined variation in mixing cost and switch cost as a function of task practice and preparation interval across the adult lifespan (18-79 years) using a paradigm that promotes advance preparation and reduces cue encoding differences between switch and repeat trials. Both preparation interval and task practice modulated mixing cost and switch cost-but task practice mediated the effects of preparation interval and age differentially for mixing cost and switch cost. Mixing cost was consistently larger in older participants, reduced with preparation and varied little with task practice. In contrast, the effect of preparation interval on switch cost varied with task practice. Reduction in switch cost with preparation interval emerged in younger participants by the second practice session and even later in older participants. When fully practiced, older participants showed greater mixing cost but less switch cost than younger participants. Age effects on both mixing cost and switch cost were mediated by changes in processing of repeat trials, indicative of reduced differentiation between switch and repeat trials in mixed-task blocks. This is consistent with reduced cognitive flexibility with increasing age.

Variability in proactive and reactive cognitive control processes across the adult lifespan

Task-switching paradigms produce a highly consistent age-related increase in mixing cost [longer response time (RT) on repeat trials in mixed-task than single-task blocks] but a less consistent age effect on switch cost (longer RT on switch than repeat trials in mixed-task blocks). We use two approaches to examine the adult lifespan trajectory of control processes contributing to mixing cost and switch cost: latent variables derived from an evidence accumulation model of choice, and event-related potentials (ERP) that temporally differentiate proactive (cue-driven) and reactive (target-driven) control processes. Under highly practiced and prepared task conditions, aging was associated with increasing RT mixing cost but reducing RT switch cost. Both effects were largely due to the same cause: an age effect for mixed-repeat trials. In terms of latent variables, increasing age was associated with slower non-decision processes, slower rate of evidence accumulation about the target, and higher response criterion. Age effects on mixing costs were evident only on response criterion, the amount of evidence required to trigger a decision, whereas age effects on switch cost were present for all three latent variables. ERPs showed age-related increases in preparation for mixed-repeat trials, anticipatory attention, and post-target interference. Cue-locked ERPs that are linked to proactive control were associated with early emergence of age differences in response criterion. These results are consistent with age effects on strategic processes controlling decision caution. Consistent with an age-related decline in cognitive flexibility, younger adults flexibly adjusted response criterion from trial-to-trial on mixed-task blocks, whereas older adults maintained a high criterion for all trials.

Aging and task switching: a meta-analysis

A meta-analysis of 26 published articles (with 36 independent participant groups) was conducted to analyze the relationship between task-switching effects and aging. Latency served as the dependent measure. Multilevel modeling was used to test for additive and multiplicative complexity effects in local and global switch costs. Global task switching was found to add 1 or more stages to processing and resulted in a marked age deficit. Local task-switching costs, on the other hand, showed a multiplicative complexity effect but no specific attention-related age deficits. Cueing or switch predictability did not affect age differences.

Can older adults enhance task-switching performance by verbal self-instructions? The influence of working-memory load and early learning

In this study we examined (a) whether verbal self-instructions can enhance task-switching performance in younger and older adults, and (b) whether verbal self-instruction benefits on task switching are smaller when memory demands on keeping track of the task sequence are reduced by spatial task cueing. Task-switching ability was measured as the difference in performance between single-task and mixed-task blocks (termed mixing costs), in which participants switched between two tasks A and B. One group of participants performed the switching tasks with spatial task cues, indicating which of the two tasks has to be performed, thereby reducing demands on the endogenous control of serial task order (low task-sequencing load). The other group switched between tasks without external task cues (high task-sequencing load). To investigate the influence of verbal self-instructions on task switching, participants either named aloud the next task during task preparation (task-naming condition) or they did not verbalize (control condition). Results indicated that age differences in verbalization benefits on mixing costs depend on early learning whereby benefits were generally larger when subjects had some prior practice in task switching alone, and that verbalization benefits did not differ between the two task-sequencing load conditions. These findings suggest that task naming is a suitable cognitive intervention for enhancing the control of task switching in younger and older adults, even if memory load is reduced, and that for the efficient application of this strategy it first has to be coordinated with task switching, which is easier when task switching is already practiced.

Neural correlates of task and source switching: similar or different?

Controlling everyday behaviour relies on the ability to configure appropriate task sets and guide attention towards information relevant to the current context and goals. Here, we ask whether these two aspects of cognitive control have different neural bases. Electrical brain activity was recorded while sixteen adults performed two discrimination tasks. The tasks were performed on either a visual input (letter on the screen) or self-generated information (letter generated internally by continuing the alphabetical sequence). In different blocks, volunteers either switched between (i) the two tasks, (ii) the two sources of information, or (iii) tasks and source of information. Event-related potentials differed significantly between switch and no-switch trials from an early point in time, encompassing at least three distinct effects. Crucially, although these effects showed quantitative differences across switch types, no qualitative differences were observed. Thus, at least under the current circumstances, switching between different tasks and between perceptually derived or self-generated sources of information rely on similar neural correlates until at least 900 ms after the onset of a switch event.

Age differences in reaction time and attention in a national telephone sample of adults: education, sex, and task complexity matter

This study demonstrated effects of age, education, and sex on complex reaction time in a large national sample (N = 3,616) with a wide range in age (32-85) and education. Participants completed speeded auditory tasks (from the MIDUS [Midlife in the U.S.] Stop and Go Switch Task) by telephone. Complexity ranged from a simple repeated task to an alternating task that involved central executive processes including attention switching and inhibitory control. Increased complexity was associated with slower responses in older adults, those with lower education, and women, even after controlling for differences in health status. Higher levels of education were associated with greater central executive efficiency across adulthood: Overall, adults with college degrees performed on complex tasks like less educated individuals who were 10 years younger, up to age 75. These findings suggest that advanced education can moderate age differences on complex speeded tasks that require central executive processes, at least up to the point in old age at which biological declines predominate. The approach demonstrates the utility of combining laboratory paradigms with survey methods to enable the study of larger, more diverse and representative samples across the lifespan.