Healthy older adults and individuals with Alzheimer?s disease and related dementias show the most severe memory deficits for associative memory (AM), in which multiple elements must be remembered as one cohesive event (e.g., items on a grocery list). Neuroimaging research has separately related age-related declines in AM to increased neural activity in the hippocampus and lower integrity of white matter tracts directly emanating from the hippocampus (e.g., fornix). However, very few aging studies have assessed interactions between these functional and structural neural substrates and none have done so in relation to AM. In addition, because most prior AM research has used paradigms that involve remembering at most only pairs of stimuli, the effect of aging on more demanding associations remains unknown. Neurocognitive aging theories predict that older adults cannot recruit sufficient neural resources under more demanding cognitive loads, leading to lower neural activity and poorer cognitive performance than younger adults. Whereas this theory has mainly been tested with working memory paradigms and in relation to neural activity, it follows that a similar mechanism may underlie effects of AM load, and that the behavioral and neural responses may be mediated by brain structure. To address these limitations, we propose to characterize age differences in AM and the functional and structural neural substrates of AM as a function of Associative Load. Forty younger and 40 older healthy adults will perform an AM task with word pairs (low load) and triplets (high load) during functional magnetic resonance imaging (fMRI) acquisition followed by a multicompartment diffusion imaging (MDI) sequence. We will assess age group differences in hippocampal activity during low and high load conditions using fMRI (Specific Aim 1) and in fornix integrity using MDI (Specific Aim 2), and how these neural substrates individually relate to AM performance. To test our novel hypothesis that the neural response to AM load is constrained by white matter structural integrity, we further propose to explore the moderating effects of age group and AM load on the direct relationship between hippocampal activity and fornix integrity (Specific Aim 3). In addition to advancing our understanding of AM deficits in healthy aging and the contribution of the fornix and hippocampus to memory performance, this proposal will support the applicant?s training aims of learning additional theoretical (e.g., cognitive neuroscience of aging), statistical (e.g., univariate and multivariate approaches), and methodological (e.g., advanced diffusion imaging) skills. Ultimately, this work will identify behavioral and neural markers of memory declines in healthy aging, thereby informing future work using these markers to detect older adults at-risk for Alzheimer?s disease and related dementias. By focusing on complex structure-function interactions, this work will also inform the field as it moves toward large-scale, multimodal imaging datasets.
Declines in associative memory are a chief complaint by healthy older adults. This proposal will identify neural substrates that support associative memory in healthy aging, focusing on the unique contributions of brain structure and function as well as their interactions. Results will help identify the cognitive and neural markers of normal aging-related memory loss, thereby informing future research using these markers to detect older adults at-risk for Alzheimer?s disease and related dementias.
