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@ARTICLE{Coors:281361,
author = {Coors, Annabell and Zeng, Weiyi and Ettinger, Ulrich and
Breteler, Monique M B},
title = {{N}europathology determines whether brain systems
segregation benefits cognitive performance.},
journal = {Imaging neuroscience},
volume = {3},
issn = {2837-6056},
address = {Cambridge, MA},
publisher = {MIT Press},
reportid = {DZNE-2025-01108},
pages = {IMAG.a.138},
year = {2025},
abstract = {The human brain is a large-scale network, containing
multiple segregated, functionally specialized systems. With
increasing age, these systems become less segregated, but
the reasons and consequences of this age-related
reorganization are largely unknown. Thus, after
characterizing age- and sex-specific differences in the
segregation of global, sensorimotor, and association systems
using resting-state functional MRI data, we analyzed how
segregation relates to cognitive performance in both
classical and eye movement tasks across age strata and
whether this is influenced by the degree of neuropathology.
Our analyses included 6,455 participants (30-95 years) of
the community-based Rhineland Study. System segregation
indices were based on functional connectivity within and
between 12 brain systems. We assessed cognitive performance
with tests for memory, processing speed, executive function,
and crystallized intelligence and oculomotor tasks.
Multivariable regression models confirmed that brain systems
become less segregated with age (e.g., global segregation:
standardized regression coefficient (ß) = -0.298; $95\%$
confidence interval [-0.299, -0.297], p < 0.001) and that in
older age this effect is stronger in women compared to men.
Higher segregation benefited memory (especially in young
individuals) and processing speed in individuals with mild
neuropathology (not significant after multiple testing
correction). Lower segregation benefited crystallized
intelligence in 46- to 55-year-olds. Associations between
segregation indices and cognition were generally weak (ß ~
0.01-0.06). This suggests that optimal brain organization
may depend on the degree of brain pathology. Age-related
brain reorganization could serve as a compensatory mechanism
and partly explain improvements in crystallized intelligence
and the decline in fluid cognitive domains from adolescence
to (late) adulthood.},
keywords = {aging (Other) / brain systems segregation (Other) /
cognition (Other) / neuroaxonal damage (Other) /
resting-state fMRI (Other)},
cin = {AG Breteler},
ddc = {610},
cid = {I:(DE-2719)1012001},
pnm = {354 - Disease Prevention and Healthy Aging (POF4-354)},
pid = {G:(DE-HGF)POF4-354},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40937157},
pmc = {pmc:PMC12421694},
doi = {10.1162/IMAG.a.138},
url = {https://pub.dzne.de/record/281361},
}