Prospective study of bilingualism and cognitive reserve in the aging brain of hispano adults with MCI

Active Project Grant Awarded Last action

Award ID
R01AG080468
Recipient
Awarding agency
Obligated
$9,452,348

Award facts

Assistance listing
93.866 Aging Research
Completion date 74% complete
Place of performance
Boca Raton, FL 33431, USA

Award details come from USAspending.gov.

Description

Abstract
Estimates from the alzheimer's association indicate that approximately one in ten older adults in the US have alzheimer's disease (ad) while 15 to 20% have mild cognitive impairment (MCI), projecting that about a third of those will develop dementia within five years. Several variables have been associated with delaying the onset and rate of cognitive decline in ad and have been grouped under the cognitive reserve/ resilience (CR/r) theory; IT postulates that complex mental activity throughout the lifetime creates resistance to cognitive decline despite the biological risk (brain loss). Emerging evidence shows that bilingualism may be one of these neuroprotective factors in the aging brain, but results in bilingualism and CR/r remain inconsistent. Our objective is to analyze the contribution of bilingualism to CR/r in a large cohort of aging spanish/english bilinguals and spanish monolinguals with amnestic MCI (amci). To overcome limitations in previous research, we will use a longitudinal design, operational characterization of bilingualism, refined sociocultural measures, and multimodal neuroimaging. The current study will leverage and extend a large ongoing NIH cohort prospective study from the 1FLORIDA alzheimer's disease research center (1FLORIDA adrc), in which spanish/english bilingual hispanics with amci are well-represented (n = 120), but spanish monolinguals are underrepresented although they comprise approximately 40% of foreign-born hispanics in the US. In the present study, we directly address this by deploying an intensive, culturally-informed, community-engaged research approach in the miami area to increase outreach and recruit 120 hispanic monolinguals with amci. We will make the adrc MCI bilingual and monolingual groups ethnically equivalent and create a longitudinal data set (n=240), ensuring that we are well-powered to determine the contribution of bilingualism to CR in the amci population. As CO-investigators on the 1FLORIDA adrc, our research team is well-positioned to execute the proposed study. We will collect neuropsychological data at years 1, 2, and 3 and neuroimaging data (MRI and DTI) at years 1 and 3. The neuropsychological battery will include the loewenstein-acevedo scale for semantic interference and learning (lassi-l), a cognitive stress test that evaluates failure to recover from proactive semantic interference (frpsi) and is highly sensitive to subtle cognitive changes in early ad. The innovation lies in studying the relationship between brain diffusivity measures of WM and frpsi, as measured by the lassi-l in combination with volumetric brain data; the use of bilingual indexes of language proficiency and degrees of acculturation, and levels of education. Our findings will advance our understanding of the complex interactions between neural, environmental, and sociocultural factors and the role of bilingualism in CR/r in ad/adrd, paving the way for new targets for interventions and providing fundamental insight into the role of language(s) in the aging brain.

Transactions

Action Obligated Date
Amendment $118,054
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Amendment Diversity supplement: neuropsychological norms for bilingual spanish speaking hispanic/latinos $40,672
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Amendment Diversity supplement: neuropsychological norms for bilingual spanish speaking hispanic/latinos $58,440
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Amendment Diversity supplement: neuropsychological norms for bilingual spanish speaking hispanic/latinos $525,969
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Amendment $615,996
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Original award $615,996
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Subawards

Subrecipient Amount Awarded
Mount Sinai Medical Center Of Florida Inc. Participants will be screened for this study by FAU staff at various sites in Miami Dade and Broward counties. There will be an emphasis on recruiting… $228,010
University Of Florida Dr. Coombes (Co-PI) and his post-doc will be responsible for analyzing and interpreting the neuroimaging data. Data interpretation will occur in direct… $613,660

Quick answers

Who received award R01AG080468?

R01AG080468 was awarded to Florida Atlantic University by National Institute on Aging (National Institutes of Health) on February 15, 2023.

How much is award R01AG080468 worth?

$9,452,348 has been obligated on R01AG080468.

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