Experimental Gerontology

Introduction: Stair walking challenges balance and coordination in older people. Bench-stepping training improves stair climbing speed in healthy older women. This study assessed whether bench-stepping also improves dynamic balance and movement complexity during stair walking. Methods: Stair walking data were obtained from a previous study involving 45 healthy older women (69y+/-4) that assessed the effects of a 12-week bench-stepping intervention with non-training controls. Centre-of-mass acceleration was measured during stair ascent and descent. Linear dynamics included time, acceleration magnitude, and harmonic ratios (HR; indicating symmetry). Movement complexity was quantified using nonlinear dynamics including sample entropy (SE), recurrence quantification analysis (RQA), and fractal dimension (FD). Results: For stair ascent, increased speed (p =0.018, R2partial =0.093,) was accompanied by proportional increases in acceleration magnitudes (p=<0.039, R2partial =0.078-0.101). SE decreased more in the intervention group (p=<0.012, R2partial =0.049-0.101), indicating more predictable dynamics. In contrast, for stair descent, no changes in speed or acceleration magnitudes were observed. However, SE (p =0.001, R2partial =0.082) and maximum RQA line length (p= 0.008, R2partial =0.057) of vertical acceleration increased significantly compared to controls, indicating lower predictability and more persistent recurring patterns. No significant changes were found for other outcomes. Exploratory factor analysis revealed distinct differences in motor behaviour between stair ascent and descent. Conclusion: Bench-stepping training induced measurable changes in stair walking dynamics. Specifically, sample entropy shows potential as a sensitive marker of altered motor complexity, particularly of vertical accelerations. Interestingly, the direction of changes in unpredictability differed between stair ascent and descent, suggesting different underlying control strategies.

Background: Coronary artery disease (CAD) increases the risk of cognitive impairment, dementia, and brain structural alterations. This heart-brain connection suggests that exercise-induced cardiovascular responses may influence brain regions vulnerable to Alzheimer's disease (AD), the most common cause of dementia. This study aimed to examine the effects of 12-weeks of either high-intensity interval training (HIIT) plus resistance training (RT) or HIIT alone on AD brain signatures in individuals with CAD, to explore moderating factors, and to assess associations between changes in AD brain signatures and cognition and physical fitness. Methods: This secondary analysis of a single-site, three-arm, single-blinded randomized controlled trial included 105 individuals with CAD (50-75 years; 21% female) randomly allocated to HIIT+RT, HIIT, or usual care (UC) groups. T1- and diffusion-weighted magnetic resonance imaging were acquired before and after the 12-week intervention. Primary outcomes were thickness/volume and gray matter mean diffusivity (GMMD) signatures, derived from seven cortical regions and the hippocampus. Moderators included age, sex, education, and baseline AD brain signatures. Results: For the thickness/volume signature, no between-group differences in changes were observed between HIIT+RT and UC (+0.13 standardized mean difference [SMD]; 95% CI, -0.07 to 0.33) or between HIIT and UC (-0.1 SMD; 95% CI, -0.3 to 0.1); however, a small but significant between-group difference in change was found between HIIT+RT and HIIT, in favor of HIIT+RT (+0.23 SMD; 95% CI, 0.03 to 0.42). For the GMMD signature, no significant between-group differences in changes were found between HIIT+RT and UC (+0.08 SMD; 95% CI, -0.18 to 0.34), HIIT and UC (+0.1 SMD; 95% CI, -0.16 to 0.36), or HIIT+RT and HIIT (-0.02 SMD; 95% CI, -0.28 to 0.23). No moderation effects were identified, and no associations were observed between changes in AD brain signatures and cognition or physical fitness. Conclusion: A 12-week HIIT+RT intervention was more effective than HIIT alone in increasing the thickness/volume signature in individuals with CAD, yet no differences were observed compared to UC and the interventions did not affect the GMMD signature. These findings suggest that the intra-session inclusion of RT with HIIT may enhance AD-related brain macrostructure in individuals with CAD more than just HIIT training.

BackgroundThe distinction between healthy and pathological ageing has led to the concept of vitality capacity (VC), which can be understood as the bodys physiological reserve. An individuals VC can be estimated using 12 biomarkers spread across 3 domains: immune and stress response, energy and metabolism and neuromuscular function. Vitality capacity may be preserved by lifelong physical activity. This cross-sectional study aimed to examine the relationship between lifelong aerobic physical activity and VC. MethodsVC of 20 lifelong active and 19 inactive healthy adults aged >55 years was assessed using 12 biomarkers across the three VC domains. Domain-specific z-scores were calculated and averaged to derive a global VC score. Principal component analysis was performed and loadings extracted to estimate domains weight, and multiple correlations were conducted to identify associations among biomarkers, domains and VC scores. ResultsVC was higher in lifelong active participants (+0.2 z-score units, p = 0.006) and correlated with age (r = -0.53, p < 0.001). Neuromuscular domain contributed most to VC variability, and the immune and stress response domain was higher in the active group (+0.4 z-score units, p = 0.001) as energy/metabolism among female participants (+0.5 z-score units, p.adj = 0.006). ConclusionLifelong aerobic physical activity is associated with higher VC in older adults, particularly within the immune and stress response domain. These findings highlight the role of physical activity in preserving the physiological reserve and reinforce the relevance of lifelong aerobic physical activity as a driver of healthy ageing.

ObjectiveLoss of skeletal muscle mass and performance is a hallmark of ageing. Mitochondrial function has been suggested as a critical determinant of skeletal muscle performance. However, mixed results have been reported regarding mitochondrial function in older individuals. Therefore, the primary objective of this systematic review is to determine whether 31P-MRS-derived {tau}PCr, reflecting mitochondrial oxidative capacity, is reduced in ageing skeletal muscle. MethodsA preregistered systematic literature review was performed using the databases MEDLINE, EMBASE, SPORTDiscus, and Cochrane Central Register of Controlled Trials (CENTRAL). Papers were included if they reported {tau}PCr as measured by 31P-MRS; and studied individuals over 65 years of age in combination with a younger control group. Differences between young and older groups were assessed using random effects meta-analysis. ResultsWe included 20 papers in total, of which 2 measured 2 muscles, 5 focused on the tibialis anterior (TA) muscle, 11 on the calf muscles, 5 on the quadriceps, and 1 on the flexor digitorum longus. No statistically-significant differences were found in {tau}PCr between older and younger adults for all muscles combined (Hedges g=0.11 (p=0.487). Inter-study heterogeneity was high ({tau}2=0.36, I2=72.49%, H2=3.64). Sub-analyses for the individual muscles showed longer {tau}PCr in the quadriceps (g=0.65, p<0.001) in older adults, but shorter {tau}PCr in the TA muscle (g=-0.64, p<0.001). For the calf muscles, no differences were detected between older and young individuals (g=0.20, p=0.377). ConclusionNo uniform age-related decline was found for {tau}PCr when comparing all studies together. Substantial heterogeneity was observed between the individual muscles, with {tau}PCr being prolonged in the upper leg muscles in older adults, but shortened in the tibialis anterior. This suggests more work using standardised settings and well-defined cohorts is needed.

Introduction Frailty is an ageing-related state associated with disability and mortality. Women often experience higher frailty but lower mortality than men, a pattern described as the male-female health-survival paradox. Evidence from low- and middle-income settings is limited. We examined sex differences in frailty trajectories and terminal decline in Mexico. Methods We analysed five waves (2001-2018) of the nationally representative Mexican Health and Aging Study (MHAS) including 12,440 adults ([&ge;]50 years at baseline). Frailty was measured using a 31-deficit frailty index (FI score; 0-1). We used survey-weighted linear mixed-effects models with time interactions, adjusted for sociodemographic, behavioural and health covariates to model sex differences in frailty trajectories. Terminal decline in FI was modelled among those who died using mixed-effects models on the time-to-death scale. Results A total of 12,440 adults aged 50 to 105 years were included, with a mean age of 62.1 years (SD 9.6); 5,698 men (45.8%) and 6,742 women (54.2%). Mean baseline FI was 0.17 (SD 0.12), higher in women than men (0.19 vs 0.16; P<0.001). After adjusting, women had a 0.014 higher mean FI than men at baseline (adjusted mean difference; 95%CI 0.008, 0.020), with difference widening over follow-up, increasing from 0.016 at 2 years to 0.029 at 17 years. Analysis of terminal decline found that accumulation of frailty accelerated in the years preceding death; with results suggesting that women reached death with higher frailty than men (difference 0.029; 95%CI 0.009, 0.048). Conclusion Women experienced higher and more rapidly increasing frailty compared to men and carried a greater frailty burden in the years preceding death. These findings underscore the importance of considering sex differences in frailty trajectories when developing healthy ageing strategies that address the life-course vulnerabilities disproportionately driving frailty accumulation in women in low- and middle-income countries.

The study aimed to evaluate the metabolic flexibility of sedentary elderly women in response to resistance training (RT) plus photobiomodulation therapy (PBMT) or RT alone, after two months of intervention. Nineteen elderly women were allocated into two groups, RT (n = 9, 68.44 {+/-} 5.27 years old) and RT plus PBMT (RTPT) (n = 10, 69.40 {+/-} 5.21 years old). The RTPT group received the PBMT, while for the RT group, the equipment was turned off. An incremental treadmill test together with a gas analyzer was performed to record variables such as heart rate (HR), oxygen consumption (VO2), carbon dioxide production (VCO2) and power output (PO) at the anaerobic threshold (AT), respiratory compensation point (RCP) and maximal oxygen consumption (VO2max), and thus indirectly verify metabolic flexibility. In comparison with baseline RTPT displayed significant differences in VO2max (pre: 18.32 {+/-} 3.01; post: 21.89 {+/-} 2.35), carbohydrate oxidation (CHox) (pre: 1.54 {+/-} 0.61; post: 2.45 {+/-} 0.91), CHox/FFM (fat-free mass) (pre: 36.12 {+/-} 12.28; post: 55.92 {+/-} 16.74) and energy expenditure normalized to FFM, EE/FFM (pre: 147.00 {+/-} 49.95; post: 227.56 {+/-} 68.08) during maximum effort incremental testing, while the RT group did not demonstrate a significant difference in these variables.The intervention with RT plus PBMT seems to result in a positive impact on metabolic variables in sedentary elderly women when compared with RT alone, making this approach a viable alternative to improve VO2max, CHox, CHox/FFM and EE/FFM during maximal effort testing. Author summaryAn aging-related decline in metabolic flexibility may reduce the ability to efficiently use energy during exercise, contributing to lower physical capacity and increased health risks in older adults. Resistance training is widely recommended for elderly populations, but additional strategies may further improve metabolic and physiological adaptations. This study investigated whether combining resistance training with photobiomodulation therapy could improve metabolic responses in sedentary elderly women more effectively than resistance training alone. Participants completed two months of supervised training, and metabolic responses were evaluated during an incremental exercise test. Women who received both resistance training and photobiomodulation therapy showed greater improvements in maximal oxygen consumption, carbohydrate oxidation, and energy expenditure during maximal exercise compared with those who performed resistance training alone. These findings suggest that photobiomodulation therapy may enhance the physiological adaptations associated with resistance training. The results indicate that combining resistance training with photobiomodulation therapy may represent a promising non-invasive strategy to improve exercise metabolism and functional capacity in sedentary elderly women. Further studies with larger samples are needed to confirm these findings and clarify the mechanisms involved.

Alzheimers Disease and Related Dementias (ADRDs) are linked to reduced bone integrity and increased fracture risk, but the mechanisms that underlie this risk remain poorly defined. Current research suggests that environmental factors, such as diet, sleep, and light exposure can modulate the brain-bone axis, increasing susceptibility to bone loss and fractures. Circadian disruption (CD) associated with ADRDs may exacerbate the effects of disease and aging in the bone. In particular, regulation of bone marrow progenitors may be acutely susceptible to disruption along this axis. Here, we explore the interplay among genetic and environmental factors that influence bone structure, marrow progenitor cell activity, and monocyte-derived macrophages. The APP/PS1 transgenic mouse model (AP) is used as an in vivo model of amyloid-beta deposition. High-resolution micro-computed tomography (CT) identified sex- and genotype-specific responses in trabecular morphometry. Follow-up analysis with Raman spectroscopy (RS) found accumulation of non-enzymatic modifications of the organic matrix and notched three-point bending identified concomitant loss of bone toughness due to both CD and AP. Single-cell RNA sequencing (scRNA-seq) confirmed the presence of oxidative stress signals in the cellular populations of the bone marrow. We further mapped significantly differentially expressed genes (DEGs) from monocytes in the bone marrow to circadian-regulated proteins in monocyte-derived macrophages, revealing dysregulation of circadian timing in macrophages in vitro. These findings offer new insights into how environmental disruptions can exacerbate the progression of neurodegenerative disease and bone degradation. LAY SUMMARYPatients with Alzheimers disease have an increased bone fracture risk, but the biological link between brain and bone disease is not well understood. Everyday factors such as altered light exposure (shift work, screens late at night, etc.) can worsen outcomes in the brain and skeleton. Using a mouse model of Alzheimers disease, we found that both genetic risk and circadian disruption contribute to weaker bone and altered bone quality. We also identified inflammation and stress responses in bone marrow cells, suggesting that bone marrow may play a key role in linking brain disease to bone fragility.

Background: Elevated C-Reactive Protein (CRP), interleukin-6 (IL-6) and testosterone deficiency are associated with advanced age and chronic inflammatory diseases; while normal testosterone levels have been shown to decrease inflammation through several mechanisms. Cross-sectional studies have shown an inverse relationship between CRP, IL-6 and total testosterone (TT) levels, yet mixed findings have been reported when individual components of metabolic syndrome are considered. We evaluated the relationship between CRP, IL-6 and TT levels in men from 2004-2018 using the Baltimore Longitudinal Study of Aging to determine if low testosterone status is associated with a high inflammatory profile. Methods: Participants were selected from the Baltimore Longitudinal Study of Aging. Male participants with serum TT level measured during at least three visits were included in our cohort. Common measures of inflammatory disease such as CRP, High-Density Lipoprotein (HDL) and Triglyceride levels were collected via blood specimens. Comorbidity data were documented at each visit. Panel regression was used to analyze the relationship of a series of independent variables collected in pooled cross-sectional observations over time with a dependent variable for modeling. Results: A total of 347 patients were included in this study (median age = 70, IQR = 18, average follow up time = 6.7 +/- 3.2 years). Participants had a median CRP level of 1.0 mg/dL, median IL-6 level of 3.6, a median TT level of 446 ng/dL. On univariable analysis, increasing TT and HDL levels were associated with a decline in CRP, while high Body Mass Index (BMI), congestive heart failure (CHF), Diabetes, and increased serum triglycerides were associated with increased CRP. Age was not associated with CRP. On multivariable analysis, we found that increasing TT level was associated with a decline in CRP levels, independent of comorbidities (p = 0.018; Table 1). As expected, increased BMI was associated with a significant increase in CRP (p = 0.001, Table 1). Age, CHF, Diabetes, HDL, and Triglycerides were not significant predictors of CRP on multivariable analysis. Similarly, on multivariable analysis, increasing TT levels were independently associated with lower IL-6 levels. Higher HDL cholesterol levels were also associated with lower IL-6 levels, whereas increasing age was associated with higher IL-6 levels. BMI, CHF, diabetes, and triglycerides were not significant predictors of IL-6. Conclusions: Lower levels of serum total testosterone are associated with an increase in CRP in older men over time, independent of chronic inflammatory disease. Given the importance of CRP in pathogenesis of chronic disease, we highlight the potential benefits of using total testosterone as a biomarker of chronic inflammatory states.

Ambient temperature is emerging as an environmental factor that may influence cognitive performance in ageing populations. This is particularly relevant in Australia, where people live across diverse climatic regions spanning alpine to tropical conditions. We examined daily temperatures and cognitive performance in 1,873 midlife and older adults (1,297 women, mean age 61.0 years) who completed the Creyos online battery (formerly Cambridge Brain Sciences). Twelve tasks assessed memory, visuospatial processing, language, attention, and executive function. Task scores were linked to postcode-level contemporaneous weather data. The scores were analysed in relation to maximum and minimum air and wet-bulb temperatures and postcode- and month-relative temperature percentiles. Regression models adjusted for age, sex, education, socioeconomic status, and climate zone, with season included for air and wet-bulb measures. Higher minimum, but not maximum, temperature was associated with poorer performance on Paired Associates, a task assessing associative memory. This pattern was observed for air temperature, wet-bulb temperature, and temperature percentile, suggesting poorer memory performance after warmer nights, both in absolute terms and relative to local seasonal norms. Temperature was not significantly associated with performance on any other task, including measures of short-term/working memory, visuospatial processing, language, attention, or executive function. These findings suggest a task-specific association between higher overnight temperature and poorer associative memory performance, rather than a general reduction in cognition. Further studies incorporating personal exposure and sleep measures are needed to clarify whether night-time thermal conditions affect cognitive health in midlife and older populations.

Major international sporting events frequently impose exogenous demands that challenge adult circadian rhythms, often leading to the misalignment of sleep-wake cycles and social schedules. This cross-sectional study investigated the impact of the FIFA 2022 World Cup on adult sleep patterns to assess the prevalence and determinants of tournament-associated circadian disruption. Through an online survey, we captured data on sleep duration, timing, and subjective quality from a diverse adult population using Pittsburgh Sleep Quality Index (PSQI) score. The results indicate that 81.3% had high problematic sleep according to PSQI scores, while only 9% perceived that their sleep pattern was impacted by watching matches during the tournament. While 83.7% of the participants had low or mild anxiety according to GAD-7 scores, we found that GAD-7 scores correlated significantly with PSQI scores. Married participants had significantly lower PSQI scores (RR 0.856, p = .005), while those who reported that their sleep hours had changed during the tournament had significantly higher PSQI scores (1.180, P-value <0.001). Males reported a significantly high impact of the tournament on their sleep (OR 2.622, P-value <0.001). In conclusion, our data demonstrate a discrepancy between self-perception of sleep quality and self-rated assessment by PSQI scores, as well as the substantial impact of major international sporting events on adult sleep hygiene. The results provide data-driven insights helpful in evaluating potential circadian risks and informing public health strategies for major sporting events such as the FIFA world cup.

Intrinsic capacity (IC) summarizes functional health across multiple domains in healthy aging research, yet evidence on whether IC can be measured and tracked before older age remains limited. Using data from the 1958 British birth cohort at ages 50 and 62 (N = 7,804), we examined whether IC could be measured as a coherent, valid and longitudinally comparable construct from midlife to early old age. A second-order model applied to 30 indicators across sensory, cognitive, physical, psychological and vitality domains supported a five-domain IC construct, with scalar invariance across sweeps enabling comparison of scores over time. IC scores showed graded associations with self-rated health and chronic disease burden in the expected directions. Mean IC declined by 6.3 points on a 0-100 scale from age 50 to 62. These findings establish a basis for studying IC trajectories from midlife, before functional decline is usually clinically apparent.

Background The study aimed to estimate healthcare costs associated with malnutrition in Swedish older adults. Methods We conducted a cohort study using data from the population-based Swedish National Study on Aging and Care in Kungsholmen (SNAC-K, N = 2982), a geriatric inpatient cohort of complex patients (N = 7680), and a cohort of individuals with cognitive impairment from the Swedish Register of Cognitive/Dementia Disorders (SveDem, N = 64192). At risk of malnutrition and malnutrition were ascertained by the Mini-Nutritional Assessment in SNAC-K and the geriatric inpatient cohort. In SveDem, body mass index was used for identifying malnutrition. Healthcare resource use was derived from regional and national registers. Associations between malnutrition and healthcare costs in 2024 Swedish kronor (SEK) were analyzed using two-part models and generalized linear regression models, adjusting for demographic and clinical factors. Findings In the community, at risk of malnutrition and malnutrition were associated with an increase in annual healthcare costs of 2267 SEK (95% CI: 64,4469) and 1846 SEK (95% CI: -6802,10493), respectively. In geriatric patients, healthcare costs over 6 months in individuals at risk of malnutrition and individuals with malnutrition were 60205 SEK (45613,74798) and 86619 SEK (68362,104875) higher than those without malnutrition. In people with cognitive impairment, malnutrition was associated with higher annual healthcare costs (22170 SEK, 95% CI: 15152,29188). Interpretation Both at risk of malnutrition and malnutrition are associated with higher healthcare costs in Swedish older adults. The study findings are important for informing future economic evaluations of malnutrition interventions in Swedish older adults.

Birds exhibit longer lifespans than similarly sized mammals, despite having higher mass-adjusted blood glucose levels. This makes them a valuable model for the comparative study of the metabolic and physiological aspects of aging. Circulating glucose contributes to multiple pathological processes, primarily through glycation reactions and the formation of advanced glycation end-products (AGEs), as well as by promoting oxidative stress. These mechanisms are interconnected by feedback loops and play a key role in the development of age-related pathologies. To explore the causal role of glycaemia in avian ageing, we conducted a one-year dietary supplementation experiment in captive zebra finches. Birds received either glucose- or methylglyoxal-enriched water. Previously, we observed that chronic glucose supplementation in zebra finches increased mortality, an effect that did not appear to be mediated by the associated increase in plasma protein glycation or AGE levels. Therefore, the mechanisms underlying increased mortality in the glucose group remained unclear. In the present study, we investigated how glucose and methylglyoxal supplementation affect blood oxidative status and red blood cell telomere dynamics and apoptosis. We found that methylglyoxal supplementation decreased the non-enzymatic antioxidant capacity (OXY) of plasma and increased DNA damage, while glucose supplementation had no significant effect on oxidative stress, although circulating glucose levels influenced oxidative status in a sex-dependent manner. Males exhibited a positive correlation between glucose levels and organic hydroperoxides and protein carbonyls. Additionally, we report, for the first time in birds, a seasonal variation in telomere length, which was more pronounced in glucose-supplemented individuals, yet seemed independent of oxidative status. Apoptosis probability increased with both treatments, particularly with the methylglyoxal supplementation. These results highlight that glucose and methylglyoxal trigger different glucotoxicity-related pathways, with distinct effects on bird health and aging. However, the relationship between glucose supplementation and mortality remains still unclear and warrants further investigation.

Autophagy is a hallmark of aging, but autophagy-related proteins have not been exclusively targeted to attenuate the progressive decline in physical function associated with aging. Here, we combined Tat-Beclin1, an autophagy agonist, and endurance training to determine whether Tat-Beclin1 enhances exercise adaptation in old male mice. Tat-Beclin1 was administered intraperitoneally (TB group, 15 mg/kg, 2x/week) as a standalone therapy, or in combination with endurance training (TB+Exe group, 70% of maximal running speed 3x/week) for 1 month in 23-month-old male C57BL/6J mice. Control groups were age-matched cage controls and exercise-only groups. Animals were assessed for grip strength, endurance capacity on a treadmill, and balance and coordination on a rotarod. Gastrocnemius/plantaris (G/P) and tibialis anterior muscles were harvested for western blotting, myofiber typing, and proteomic profiling (G/P only). TB+Exe led to significant increases in grip strength, endurance capacity, and balance and coordination performance beyond those observed in the TB and Exe groups alone. Autophagy markers, including Beclin1, the LC3B-II/I ratio, and p62, did not differ among groups. A proteomic analysis of the G/P muscle revealed that TB upregulated biological processes involved in muscle contraction and adaptation, whereas TB+Exe increased mitochondrial bioenergetic processes and, surprisingly, upregulated acute inflammatory responses, including proteins such as haptoglobin and orosomucoid-1. We conclude that combining Tat-Beclin1 and endurance training may represent a new approach to attenuate aging-related decline in physical function. New & NoteworthyWe show evidence that combining Tat-Beclin1 and endurance training (TB+Exe) resulted in greater improvements in physical function in 24-month-old male mice than either standalone therapy. We also show that TB+Exe upregulates traditional exercise-like biological processes and unexpectedly upregulates acute-inflammatory proteins (e.g., orosomucoid-1), which are thought to improve physical function in preclinical studies. Our study suggests that TB may be a new drug enhancing physical function, especially when combined with endurance training in old male mice.

Evidence from many countries shows that later life cognitive health is shaped by childhood poverty. However, whether it is associated with neurodegenerative biomarkers measured in population settings remains unclear. Methods We conducted a pooled analysis of 5,473 adults aged [&ge;]50 years from Denmark, Sweden and Germany participating in Wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe. Neurodegenerative biomarkers (neurofilament light chain, glial fibrillary acidic protein and phosphorylated tau) were assayed from dried blood spots. Childhood poverty was constructed as a latent variable from retrospective life histories. Weighted Poisson regression models estimated associations adjusting for age, sex, education, marital status and wealth in later life. Marginal predictions along age and across country were derived. Results Childhood poverty was strongly associated with higher NfL concentrations ({beta}=1.66, p<0.001), but not with GFAP or p-tau217. Predicted values indicated substantially elevated NfL among the childhood poor (10.3 pg/mL vs 2.0 pg/mL for the non-poor). Age profiles showed widening disparities: the childhood poor in midlife exhibited higher NfL levels than the oldest old who grew up not poor. No consistent differences were observed for GFAP or p-tau217. Findings were robust and similar across all three countries with different histories and health systems. Conclusions Childhood poverty is associated with markedly elevated levels of NfL in later life, suggesting long-term neuroaxonal injury consistent with life course shaping of brain health. Moreover, the evidence implies substantial acceleration of neurobiological ageing. These findings emphasise the importance of early-life interventions for brain health in ageing populations.

BACKGROUND: Aging is associated with a progressive decline in cognitive performance and functional autonomy, both closely related to frailty. Understanding the interrelation between these domains is essential to identify modifiable factors influencing cognitive impairment in older adults. OBJECTIVES: To evaluate the relationship between physical frailty, cognitive performance, and functional dependence, and to identify sociodemographic and clinical variables associated with cognitive impairment in community-dwelling older adults. DESIGN: Cross-sectional study. SETTING: FREEDOM-LNA cohort, a population-based study conducted by the University Hospital of Limoges, France. PARTICIPANTS: A total of 753 community-dwelling older adults aged [&ge;]75 years, or [&ge;]65 years with at least two comorbidities, were included. MEASUREMENTS: Cognitive function was assessed using the Mini Mental State Examination (MMSE), 5-word test (5WT), clock drawing test (CDT), and verbal fluency tests. Frailty was defined according to Frieds physical criteria, and functional independence was evaluated using ADL and IADL scales. Sociodemographic, clinical, and lifestyle factors were analyzed using multivariate models to identify predictors of cognitive impairment. RESULTS: Of the participants, 34.4% had a pathologic MMSE, 46.0% failed the CDT, 68.0% the verbal fluency test, and 17.0% the 5WT. Cognitive performance was significantly lower among frail compared to prefrail and robust individuals. Older adults with pathologic cognition were more frequently dependent in activities of daily living. Independent predictors of poor cognitive performance included non-modifiable factors (age, sex, education) and modifiable ones (low BMI, hypertension, alcohol consumption, smoking, and polypharmacy). CONCLUSIONS: Cognitive impairment was highly prevalent among frail older adults and was strongly associated with loss of independence. Interventions targeting modifiable risk factors such as low BMI, hypertension, alcohol consumption, and smoking may help preserve cognitive and functional abilities in aging populations. Interventions to improve BMI and reduce alcohol consumption, smoking, and hypertension may preserve cognition in older adults.

BACKGROUNDAlong with advancing age comes declines in physical, cognitive, and cardiovascular function. This diminished capacity may lead to decreased ability to perform activities of daily living, disability onset, and loss of independence. Exercise is a regenerative medicine therapy that can mitigate this loss of function. High intensity interval training (HIIT) is an aerobic exercise paradigm consisting of intense activity periods interspersed with bouts of active recovery. Previously we demonstrated that HIIT preserved physical function in adult, middle-aged, and older male mice. However, whether HIIT preserves physical, cognitive, and cardiovascular function, mitigates frailty, and improves brain and heart health in older adult female mice remains unknown. HYPOTHESISCognitive, physical, and cardiovascular function in older adult female C57BL/6 will be preserved in exercised mice (HIIT) versus sedentary control (SED). METHODSMice (HIIT and SED, both n=9, 24m at end) were tested pre/post-intervention for physical (rotarod, treadmill, grip meter, inverted cling, voluntary wheel running, activity monitor), cognitive (open field, novel object recognition, puzzle box, y-maze), and cardiovascular (blood pressure, echocardiogram) function, body composition, and whole body calorimetry. The mice underwent 14-weeks of HIIT training with progressive volume and intensity. RESULTSHIIT significantly (p<0.05) increased or preserved function in many tests including: aerobic capacity (+71% HIIT versus, vs, no change, NC, in SED), four limb strength/endurance (-67% SED vs -28% HIIT), forelimb strength (-16% SED vs NC HIIT), overall motor function (NC SED vs +39% HIIT), executive function (NC SED vs +73% HIIT), and exploratory behavior, which improved across multiple tests with HIIT while remaining unchanged in SED. HIIT also reduced both systolic blood pressure by 12% (-17 mmHg) and mean arterial pressure by -16 mmHg. In addition, HIIT significantly reduced cardiac fibrosis, increased muscle fiber type 2a percentage, reduced IL-1{beta} expression in the hypothalamus, and mitigated frailty onset. CONCLUSIONHIIT significantly reduced age-related functional loss in all three domains assessed while preventing frailty onset in older adult females and improving markers of brain and heart health.

Cancer, one of the worlds leading causes of death, is characterized by a complex metabolic reprogramming that features the Warburg effect as one of its hallmarks. The Warburg effect involves increased glucose and amino acid metabolism, which promotes tumor proliferation and progression. Although cancer has historically been attributed to genetic mutations, recent studies suggest a possible metabolic origin. However, a key characteristic of cancer cells is their greater adaptability than normal cells, as evidenced by their resistance to chemotherapy, which stems from their high mutability. This underscores the need to examine the relationship between metabolic reprogramming and cancer development from both metabolic and evolutionary perspectives. In this context, Saccharomyces cerevisiae snf1{Delta} strain has emerged as an ideal cellular model for studying the Warburg effect. This study aimed to determine whether deletion of the SNF1 gene in S. cerevisiae affects its chronological aging and competitiveness in a glucose and amino acid-dependent manner. Herein, we provide evidence that the snf1{Delta} strain changes the chronological aging depending on nutrimental condition, under low-nutrient levels shortens (0.1% glucose + 0.1x amino acids), and increases under high-nutrient levels (5% glucose + 3x amino acids). Competitiveness of the snf1{Delta} strain in co-cultivation with wild-type was also improved in 5% glucose + 3x amino acids, by approximately 2 Log10. These results indicate that snf1{Delta} strain aging and competitiveness are also sensitive to nutrimental status, as was observed in cancer cells.

Objectives: Physical and cognitive aging do not occur uniformly, yet associations between specific physical function and cognitive domains in sedentary older adults remain unclear. This exploratory cross-sectional study examined associations between multiple physical function domains and cognitive outcomes in sedentary, community-dwelling, cognitively unimpaired older adults. Methods: Fifty-eight older adults (70.7{+/-}4.7 years; 84.5% Female) completed handgrip strength, 30-second chair stand, timed up and go (TUG), brisk walk, and 6-minute walk (6MWT) assessment. Cognitive outcomes included global cognition using the Montreal Cognitive Assessment (MoCA), and working memory, episodic memory, attentional inhibition, and cognitive flexibility using the NIH Toolbox. Linear regression models adjusted for age, sex, education, body mass index, and brachial pulse pressure. False discovery rate (FDR) correction was applied. Results: Greater 6MWT distance was associated with better episodic memory performance after FDR correction ({beta}=0.49, pa=0.028). Additional inverse associations were observed between TUG performance and global cognition ({beta}=-0.34, pa=0.166) and attentional inhibition ({beta}=-0.32, pa=0.180), and between gait speed and global cognition ({beta}=-0.33, pa=0.166) and episodic memory performance ({beta}=-0.32, pa=0.166), however, these did not survive FDR correction. Handgrip strength and chair stand performance were not associated with cognitive outcomes. Conclusions: These exploratory findings suggest that locomotor-based functional tasks may demonstrate stronger cognitive associations than strength measures in sedentary, cognitively unimpaired older adults. Tasks involving sustained locomotion and adaptive movement may place greater cognitive-motor demands, potentially increasing sensitivity to subtle cognitive variation. Larger longitudinal and multimodal studies are needed to determine whether these associations reflect reliable differential patterns across physical and cognitive domains.

Age related cerebral atrophy is one of the most prevalent radiological findings in ageing populations, yet its clinical significance particularly its correlation with specific neurological presenting symptoms remains insufficiently characterised in South Asian contexts. This retrospective cross sectional study was conducted at THQ Hospital Wazirabad and Chattha Hospital, Gujranwala, Pakistan over a six month period, enrolling 66 adult patients ([&ge;]40 years) who underwent non contrast computed tomography (CT) of the brain. CT scans were evaluated for Evans index, ventricular enlargement (graded 1 to 3), cerebral atrophy severity (graded 1 to 3), early ischaemic changes, and the hyperdense vessel sign. Presenting neurological symptoms headache, seizures, slurred speech, ataxia, and numbness were extracted from medical records and correlated with imaging findings using chi square tests, Spearmans rank correlation, and binary logistic regression in SPSS v31.0. The mean patient age was 52.1 to 14.3 years (range 35 83) with a male predominance (72.7%). Moderate to severe atrophy was present in 50.0% of patients. Seizures (74.2%), slurred speech (63.6%), and ataxia (62.1%) were the most prevalent symptoms. Significant positive correlations were found between atrophy grade and age (r = 0.72, p < 0.001), slurred speech (r = 0.48, p < 0.001), ataxia (r = 0.44, p < 0.001), and numbness (r = 0.39, p = 0.001). Headache showed no significant correlation with atrophy severity (p = 0.42). Logistic regression revealed that each one grade increase in atrophy severity raised the odds of motor/speech symptoms by 2.8 fold (95% CI: 1.6 to 4.9, p <0.001), independent of age. These findings support the integration of standardised CT based atrophy reporting into routine radiology practice for older adults, especially in resource limited settings where MRI is not readily accessible.