School of Public Health

Permanent URI for this communityhttp://hdl.handle.net/1903/1633

The collections in this community comprise faculty research works, as well as graduate theses and dissertations.

Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.

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Now showing 1 - 3 of 3
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    Physical Activity and Brain Function in Older Adults at Increased Risk for Alzheimer’s Disease
    (MDPI, 2013-01-14) Smith, J. Carson; Nielson, Kristy A.; Woodard, John L.; Seidenberg, Michael; Rao, Stephen M.
    Leisure-time physical activity (PA) and exercise training are known to help maintain cognitive function in healthy older adults. However, relatively little is known about the effects of PA on cognitive function or brain function in those at increased risk for Alzheimer’s disease through the presence of the apolipoproteinE epsilon4 (APOE-ε4) allele, diagnosis of mild cognitive impairment (MCI), or the presence of metabolic disease. Here, we examine the question of whether PA and exercise interventions may differentially impact cognitive trajectory, clinical outcomes, and brain structure and function among individuals at the greatest risk for AD. The literature suggests that the protective effects of PA on risk for future dementia appear to be larger in those at increased genetic risk for AD. Exercise training is also effective at helping to promote stable cognitive function in MCI patients, and greater cardiorespiratory fitness is associated with greater brain volume in early-stage AD patients. In APOE-ε4 allele carriers compared to non-carriers, greater levels of PA may be more effective in reducing amyloid burden and are associated with greater activation of semantic memory-related neural circuits. A greater research emphasis should be placed on randomized clinical trials for exercise, with clinical, behavioral, and neuroimaging outcomes in people at increased risk for AD.
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    Hippocampal and Cerebral Blood Flow after Exercise Cessation in Master Athletes
    (Frontiers, 2016-08-05) Alfini, Alfonso J.; Weiss, Lauren R.; Leitner, Brooks P.; Smith, Theresa J.; Hagberg, James M.; Smith, J. Carson
    While endurance exercise training improves cerebrovascular health and has neurotrophic effects within the hippocampus, the effects of stopping this exercise on the brain remain unclear. Our aim was to measure the effects of 10 days of detraining on resting cerebral bloodflow (rCBF) in gray matter and the hippocampus in healthy and physically fit older adults. We hypothesized that rCBF would decrease in the hippocampus after a 10-day cessation of exercise training. Twelve master athletes, defined as older adults (age ≥ 50 years) with long-term endurance training histories (≥ 15 years), were recruited from local running clubs. After screening, eligible participants were asked to cease all training and vigorous physical activity for 10 consecutive days. Before and immediately after the exercise cessation period, rCBF was measured with perfusion-weighted MRI. A voxel-wise analysis was used in gray matter, and the hippocampus was selected a priori as a structurally defined region of interest (ROI), to detect rCBF changes overtime. Resting CBF significantly decreased in eight gray matter brain regions. These regions included: (L) inferior temporal gyrus, fusiform gyrus, inferior parietal lobule, (R) cerebellar tonsil, lingual gyrus, precuneus, and bilateral cerebellum (FEW p < 0.05). Additionally, rCBF within the left and right hippocampus significantly decreased after 10 days of no exercise training. These findings suggest that the cerebrovascular system, including the regulation of resting hippocampal blood flow, is responsive to short-term decreases in exercise training among master athletes. Cessation of exercise training among physically fit individuals may provide a novel method to assess the effects of acute exercise and exercise training on brain function in older adults.
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    Aging Related Differences in Hand Intrinsic and Extrinsic Muscles for Hand Dexterity: An MRI Investigation
    (2009) Hsu, Jeffrey; Shim, Jae Kun; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Hand dexterity is crucial for humans to interactions with the external environment. Many activities of daily living (ADLs) such as pressing, grasping, writing and typing would be unattainable without a skillfully and proficiently functioning hand. Sexagenarians and older often experience difficulties in hand dexterity, which seriously impair their ability to perform ADLs. This study described the aging-related changes in hand muscle size and dexterity; and addressed the conflicting literature regarding the extent of atrophy to either the intrinsic or extrinsic hand muscles in the elderly. The overall hypotheses for this study were 1) that elderly adults show an aging-related decrease in hand muscle size and strength, especially a greater decrease in the intrinsic hand muscles, 2) elderly adults show an aging-related decrease in hand dexterity and 3) hand muscle size and strength are positively related to hand dexterity. This study examined hand muscle sizes with magnetic resonance imaging (MRI) and examined hand strength and other functional measures. This study found aging-related decreases in muscle size, muscle strength, hand dexterity. Furthermore, intrinsic muscles showed a greater aging-related decrease in volume and strength as compared to the extrinsic muscles. When examining relationships, muscle strength was positively correlated to multi-finger synergy and finger dependence. Also, muscle size was positively related to performance on clinical hand dexterity tests. This supports the strength-dexterity equivalence hypothesis.