Correlation between retinal vessel rarefaction and psychometric measures in an older Southern Italian population

Giuliani, Gianluigi, Sborgia, Giancarlo, Niro, Alfredo, Castellana, Fabio, Lampignano, Luisa, Puzo, Pasquale, Pascale, Angelo, Pastore, Valentina, Buonamassa, Rosa, Galati, Roberta
et al (show 12 more authors) (2022) Correlation between retinal vessel rarefaction and psychometric measures in an older Southern Italian population. FRONTIERS IN AGING NEUROSCIENCE, 14. 999796-.

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<h4>Objective</h4>To explore the linear association between inner retinal layers thickness and macular capillary density compared to variations of global cognition evaluated by psychometric measures in a cohort of Mediterranean subjects aged 65+ years.<h4>Materials and methods</h4>We performed a cross-sectional analysis of 574 participants aged 65 years+ drawn from a population-based Southern Italian study. All subjects underwent neurological evaluations, including global cognitive screening, the Mini-Mental State Examination (MMSE) and frontal assessment battery (FAB), together with an ophthalmic examination including optical coherence tomography (OCT) and OCT-Angiography. We assessed the average thickness of the ganglion cell complex (GCC) and the retinal nerve fiber layer (RNFL), the foveal avascular zone area, and vascular density (VD) of superficial (SVD) and deep (DVD) capillary plexi at the foveal and parafoveal area. Linear regression was applied to assess associations of ocular measurements with MMSE and FAB scores.<h4>Results</h4>In the linear regression model, foveal DVD (beta = 0.01, 95% CI:0.004-0.052), whole DVD (beta = 0.04, 95% CI:0.02-0.08), and whole SVD (beta = 0.04, 95% CI:0.02-0.07) showed a positive association with MMSE. In addition, foveal SVD (beta = 0.01, 95% CI:0.003-0.05) and whole SVD (beta = 0.03, 95% CI:0.004-0.08) were positively associated with the FAB score. We found no further significant association between the MMSE score or the FAB score and the average thickness of the GCC and RNFL, and FAZ area.<h4>Conclusion</h4>A direct linear association between the VD of the macular capillary plexi with global and frontal cognitive functions was observed in elderly subjects.

Item Type: Article
Uncontrolled Keywords: retina, imaging, older (diseased) population, cognitive function, vessel density
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 02 Feb 2023 09:36
Last Modified: 27 Apr 2023 12:13
DOI: 10.3389/fnagi.2022.999796
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