Centenarians
without dementia can be considered as a model of successful ageing and
resistance against age-related cognitive decline. Is there something
special about their brain functional connectivity that helps them
preserve cognitive function into the 11th decade of life? In a cohort of
57 dementia-free near-centenarians and centenarians (95–103 years old)
and 66 cognitively unimpaired younger participants (76–79 years old), we
aimed to investigate brain functional characteristics in the extreme
age range using resting-state functional MRI. Using group-level
independent component analysis and dual regression, results showed group
differences in the functional connectivity of seven group-level
independent component (IC) templates, after accounting for sex,
education years, and grey matter volume, and correcting for multiple
testing at family-wise error rate of 0.05. After Bonferroni correction
for testing 30 IC templates, near-centenarians and centenarians showed
stronger functional connectivity between right frontoparietal control
network (FPCN) and left inferior frontal gyrus (Bonferroni-corrected
p = 0.024), a core region of the left FPCN. The investigation of
between-IC functional connectivity confirmed the voxel-wise result by
showing stronger functional connectivity between bilateral FPCNs in
near-centenarians and centenarians compared to young-old controls. In
addition, near-centenarians and centenarians had weaker functional
connectivity between default mode network and fronto-temporo-parietal
network compared to young-old controls. In near-centenarians and
centenarians, stronger functional connectivity between bilateral FPCNs
was associated with better cognitive performance in the visuospatial
domain. The current study highlights the key role of bilateral FPCN
connectivity in the reserve capacity against age-related cognitive
decline.
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