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Recent studies indicate that middle-aged individuals with a more profound sense of purpose in life (PiL) might enhance their cognitive resilience. Cognitive resilience pertains to the brain's ability to handle stressors, injuries, and pathologies, and withstand the emergence of symptoms or disabilities. Moreover, leading a purposeful life involves alterations in the brain's configuration, as evidenced by the dorsal Default Mode Network displaying heightened functional associations among its constituents and other brain regions. This could signify a neuroprotective mechanism that ultimately guarantees improved cognitive abilities throughout the aging process.
The outcomes outlined above were reported in the research paper titled "Purpose In Life Promotes Resilience To Age-Related Brain Burden And Neuroprotection Through Functional Connectivity In Middle-Aged Adults," which was published in the journal Alzheimer's Research & Therapy.
Dr. Kilian Abellaneda-Pérez, who is affiliated with the Department of Medicine, Faculty of Medicine and Health Sciences, Institute of Neuroscience at the University of Barcelona in Spain, stated that "The present data extend previous findings found in advanced age and pathological aging, such as Alzheimer's Disease, revealing that having a strong sense of purpose might confer resilience already in middle age." Dr. Abellaneda-Pérez made this statement as the author of the article "Purpose In Life Promotes Resilience To Age-Related Brain Burden And Neuroprotection Through Functional Connectivity In Middle-Aged Adults," published in the journal Alzheimer's Research & Therapy.
According to Dr. Alvaro Pascual-Leone, who serves as the Medical Director of the Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife and is affiliated with the Department of Neurology at Harvard Medical School, the fact that individuals with a higher sense of purpose in life exhibited increased connectivity between certain nodes in the Dorsal default-mode network, which was associated with better cognitive performance, suggests that changes in the functional organization of the brain could be the mechanism by which a stronger sense of purpose promotes brain health and safeguards against dysfunction, even in the presence of stress, adversity, and illness. Dr. Pascual-Leone concludes that what is equally exciting is that anyone can cultivate and maintain a robust sense of purpose with the appropriate guidance and support, thereby contributing to their brain health and overall well-being.
Background
The search for disease-modifying treatments to combat cognitive decline in older adults has yet to yield significant results. As a result, identifying adaptable factors that promote brain reserve and resilience is crucial. Education and occupation have traditionally been used as proxies for reserve in Alzheimer's disease. However, there is a growing recognition of the importance of psychological factors, as their biological mechanisms become more evident. Purpose in life, which is one of the pillars of psychological well-being, has previously been shown to mitigate the negative effects of Alzheimer's Disease-related pathological changes on cognitive functioning. Nevertheless, it is unclear whether purpose in life serves as a cognitive resilience factor in middle-aged individuals, and the neural mechanisms underlying this effect remain to be determined.
Methods
The study collected data from 624 middle-aged adults (mean age 53.71±6.9, 303 women) who were part of the Barcelona Brain Health Initiative cohort. The participants were divided into two groups based on their purpose in life (PiL) rates: those with lower PiL rates (N=146) and those with higher PiL rates (N=100), according to the division of this variable into quintiles. The study then compared these two groups in terms of cognitive status, which reflects brain burden (white matter lesions; WMLs), and resting-state functional connectivity (rs-FC), by examining system segregation (SyS) parameters using 14 common brain circuits.
Results
The study found no significant differences in neuropsychological status and WMLs burden between the PiL groups. However, in the lower PiL group, greater WMLs burden was associated with a negative impact on executive functions. In contrast, individuals in the higher PiL group showed lower SyS of the dorsal default mode network (dDMN), indicating lesser segregation of this network from other brain circuits. Specifically, individuals with higher PiL had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Furthermore, greater functional connectivity in some of these nodes positively correlated with cognitive performance.
Authors
Kilian Abellaneda-Pérez1,2,3, Gabriele Cattaneo3, María Cabello-Toscano1,2,3, Javier Solana3, Lídia Mulet-Pons1,2, Lídia Vaqué-Alcázar1,2, Cristina Solé-Padullés1,2, Núria Bargalló4,5, Josep M. Tormos3, Alvaro Pascual-Leone6,7, David Bartrés-Faz1,2,3
Affiliations
1Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain.
2Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
3Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain.
4Neuroradiology Section, Radiology Department, Diagnostic Image Center, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
5Magnetic Resonance Image Core Facility (IDIBAPS), Barcelona, Spain.
6Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA.
7Department of Neurology, Harvard Medical School, Boston, MA, USA.
Ethics approval and consent to participate|
This study was approved by the Comité d’Ètica i Investigació Clínica de la Unió Catalana d’Hospitals (ref. CEIC 17/06). All study participants provided signed informed consent.
Competing interests
A.P.-L. is listed as an inventor on several issued and pending patents on the real-time integration of transcranial magnetic stimulation with electroencephalography and magnetic resonance imaging. He is co-founder of Linus Health and TI Solutions AG and serves on the scientific advisory boards for Starlab Neuroscience, Magstim Inc., Hearts Radiant, MedRhythms, TetraNeuron, and Skin2Neuron.
Funding
The research leading to these results has received funding from “la Caixa” Foundation (grant agreement n° LCF/PR/PR16/11110004). This study is also partly supported by the Spanish Ministry of Science and Innovation (RTI2018-095181-B-C2), and the National Institutes of Health (R24AG06142, and P01AG031720).
About Hebrew SeniorLife
Hebrew SeniorLife, an affiliate of Harvard Medical School, is a national senior services leader uniquely dedicated to rethinking, researching, and redefining the possibilities of aging. Hebrew SeniorLife cares for more than 3,000 seniors a day across six campuses throughout Greater Boston. Locations include: Hebrew Rehabilitation Center-Boston and Hebrew Rehabilitation Center-NewBridge in Dedham; NewBridge on the Charles, Dedham; Orchard Cove, Canton; Simon C. Fireman Community, Randolph; Center Communities of Brookline, Brookline; and Jack Satter House, Revere. Founded in 1903, Hebrew SeniorLife also conducts influential research into aging at the Hinda and Arthur Marcus Institute for Aging Research, which has a portfolio of more than $63 million, making it the largest gerontological research facility in the U.S. in a clinical setting. It also trains more than 1,000 geriatric care providers each year. For more information about Hebrew SeniorLife, visit our website or follow us on our blog, Facebook, Instagram, Twitter, and LinkedIn.
About the Hinda and Arthur Marcus Institute for Aging Research
Scientists at the Marcus Institute seek to transform the human experience of aging by conducting research that will ensure a life of health, dignity, and productivity into advanced age. The Marcus Institute carries out rigorous studies that discover the mechanisms of age-related disease and disability; lead to the prevention, treatment, and cure of disease; advance the standard of care for older people; and inform public decision-making.
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