Publications by authors named "Ben Lam"

Background: Social connections are associated with brain health, but the extent to which social connections are heritable remains unclear. Using longitudinal twin data, we explored the heritable and environmental contributions to social connections. We hypothesised that social connections patterns would be moderately heritable and would be associated with better cognitive and mental health over time.

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Objectives: Functional impairment can be an early indicator of cognitive decline. However, its predictive utility in cognitively normal (CN) older adults remains unclear. This study aimed to determine whether mild functional impairment (MFI) in CN older adults could predict incident dementia over 6 years, in addition to assessing its association with cognitive performance.

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  • Previous studies suggest that using antihypertensive medication in older adults may lower the overall risk of dementia, but the effects on different types of dementia, particularly Alzheimer’s disease (AD), are still uncertain.
  • This research analyzed data from over 31,000 participants across multiple countries, focusing on how history of hypertension and blood pressure levels impact the risk of developing AD and non-AD types of dementia.
  • The findings indicated that untreated hypertension significantly increases the risk of developing AD and non-AD dementia compared to healthy individuals, while treated hypertension showed a similar risk for non-AD but not a significant difference between treated and untreated groups.
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  • A study involving 7,801 older adults examined the connection between fruit and vegetable consumption and the development of depression, finding that higher fruit intake was linked to a lower risk of depression.
  • Over a follow-up period of 3 to 9 years, 21% of participants developed depression, with fruit intake showing a significant protective effect, while vegetable intake did not show a notable association.
  • The authors noted limitations due to varied measurement methods and the relatively modest sample size, suggesting further research is needed on fruit and vegetable consumption in larger, more standardized studies among older adults in low- and middle-income countries.
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  • - The COVID-19 pandemic has heavily impacted mental health globally, with studies showing that social beliefs, or social axioms, influence how people cope with crises.
  • - A multinational study with over 18,000 participants in 35 cultures explored the relationship between social axioms and psychological reactions to the pandemic, revealing that personal stress and societal norms correlated with negative mental health outcomes.
  • - The research found that cultures with higher levels of fate control, religiosity, and reward for application softened the negative effects of personal worry on mental health, highlighting the need to consider cultural context in understanding psychological responses.
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Background: The disruption of the neurovascular unit (NVU), which maintains the integrity of the blood brain barrier (BBB), has been identified as a critical mechanism in the development of cerebrovascular and neurodegenerative disorders. However, the understanding of the pathophysiological mechanisms linking NVU dysfunction to the disorders is incomplete, and reliable blood biomarkers to measure NVU dysfunction are yet to be established. This systematic review and meta-analysis aimed to identify biomarkers associated with BBB dysfunction in large vessel disease, small vessel disease (SVD) and vascular cognitive disorders (VCD).

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Background: Gray matter (GM) and white matter (WM) impairments are both associated with raised blood pressure (BP), although whether elevated BP is differentially associated with the GM and WM aging process remains inadequately examined.

Methods: We included 37 327 participants with diffusion-weighted imaging (DWI) and 39 630 participants with T1-weighted scans from UK Biobank. BP was classified into 4 categories: normal BP, high-normal BP, grade 1, and grade 2 hypertension.

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As the brain ages, it almost invariably accumulates vascular pathology, which differentially affects the cerebral white matter. A rich body of research has investigated the link between vascular risk factors and the brain. One of the less studied questions is that among various modifiable vascular risk factors, which is the most debilitating one for white matter health? A white matter specific brain age was developed to evaluate the overall white matter health from diffusion weighted imaging, using a three-dimensional convolutional neural network deep learning model in both cross-sectional UK biobank participants (n = 37,327) and a longitudinal subset (n = 1409).

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Objectives: Physical decline can be associated with the onset of depressive symptoms in later life. This study aimed to identify physical and lifestyle risk factors for depressive symptom trajectories in community-dwelling older adults.

Methods: Participants were 553 people aged 70-90 years who underwent baseline physical, psychological and lifestyle assessments.

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Aim: Recovery from stroke is adversely affected by neuropsychiatric complications, cognitive impairment, and functional disability. Better knowledge of their mutual relationships is required to inform effective interventions. Network theory enables the conceptualization of symptoms and impairments as dynamic and mutually interacting systems.

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Objectives: To investigate the frequency of exceptional cognition (cognitive super-aging) in Australian older adults using different published definitions, agreement between definitions, and the relationship of super-aging status with function, brain imaging markers, and incident dementia.

Design: Three longitudinal cohort studies.

Setting: Participants recruited from the electoral roll, Australian Twins Registry, and community advertisements.

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The benefits of religion have predominantly focused on personal religious identities and experiences, while the broader context of religious worldviews remains understudied. Across two quantitative studies, we showed the incremental predictive power of religious worldview and its mechanism among young adults in two societies-the USA (N = 179) and Hong Kong (N = 164). The mediation mechanism with social connectedness was further inferred from a 12-month study among Hong Kong Chinese (N = 133).

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  • - Trust is vital for successful public health interventions during the COVID-19 pandemic, influencing vaccination rates and excess mortality across countries.
  • - Two studies showed that higher interpersonal trust correlates with increased vaccination rates and lower mortality, while trust in social media can lead to the opposite effects.
  • - The research involved data from over 80,000 participants globally, reinforcing that stronger trust in local healthcare systems leads to better health outcomes, alongside controlling for various country-level factors.
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Importance: The utility of antihypertensives and ideal blood pressure (BP) for dementia prevention in late life remains unclear and highly contested.

Objectives: To assess the associations of hypertension history, antihypertensive use, and baseline measured BP in late life (age >60 years) with dementia and the moderating factors of age, sex, and racial group.

Data Source And Study Selection: Longitudinal, population-based studies of aging participating in the Cohort Studies of Memory in an International Consortium (COSMIC) group were included.

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  • The UK Biobank study utilized a mendelian randomization approach to investigate the true association between blood pressure and cognitive function, aiming to reduce previous confounding factors.
  • The analysis involved 448,575 participants, revealing that genetic predisposition to high systolic blood pressure (SBP) correlated with poorer fluid intelligence, especially influenced by age, and that both high and low BP genetic risk scores affected attention and reaction time.
  • The findings suggest that while a genetic tendency toward low BP might help preserve performance in nontimed cognitive tests, it could lead to poorer attention scores and reaction times in midlife individuals.
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Social factors are major determinants of the success of retirement transitions. However, we do not yet fully understand the nature and basis of this impact, particularly as it relates to social group belonging. To address this issue the present article investigated the role that social group memberships play in supporting people's health and well-being in the early phase of transitioning to retirement.

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Objectives: Olfactory dysfunction and depression are common in later life, and both have been presented as risk factors for dementia. Our purpose was to investigate the associations between these two risk factors and determine if they had an additive effect on dementia risk.

Design: Olfactory function was assessed using the Brief Smell Identification Test (BSIT), and depression was classified using a combination of the 15-item Geriatric Depression Scale (GDS) score and current antidepressant use.

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COVID-19 has drastically changed human behaviors and posed a threat to globalism by spurring a resurgence of nationalism. Promoting prosocial behavior within and across borders is of paramount importance for global cooperation to combat pandemics. To examine both self-report and actual prosocial behavior, we conducted the first empirical test of global consciousness theory in a multinational study of 35 cultures ( = 18,171 community adults stratified by age, gender, and region of residence).

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  • Previous analyses indicated a link between social connections and cognitive health, but this study utilized individual data from a diverse international sample of over 39,000 participants to assess these impacts more comprehensively.
  • Findings showed that strong social connections—both in terms of structure (like marriage and community engagement) and quality (feeling connected)—are tied to reduced risks of mild cognitive impairment, dementia, and mortality.
  • Unique to Asian participants, being married or in a relationship significantly contributed to lower dementia risk, highlighting the varying importance of social factors across different cultures.
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Background And Objectives: Past studies on poststroke cognitive function have focused on the average performance or change over time, but few have investigated patterns of cognitive trajectories after stroke. This project used latent class growth analysis (LCGA) to identify clusters of patients with similar patterns of cognition scores over the first-year poststroke and the extent to which long-term cognitive outcome is predicted by the clusters ("trajectory groups").

Methods: Data were sought from the Stroke and Cognition consortium.

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  • * A study with 873 older adults and their informants found that 70% of participants reported SCCs, which increased over time, while only 22% of informants reported SCCs at baseline, with a more significant increase annually.
  • * Informant-reported SCCs (both initial impressions and changes over time) were strong predictors of future dementia risk, while participant-reported SCCs mainly reflected initial reporting and did not change the risk significantly.
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  • * A study of 546 older Australians found that cognitive activity during young adulthood was significantly related to better cognitive performance later in life, while social activity in young adulthood and cognitive activity in later life helped reduce cognitive decline.
  • * The analysis revealed that formal education during young adulthood is a crucial factor contributing to improved cognitive performance in late life, contrasting with a lack of association between physical activity and cognitive outcomes.
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  • The study investigates how hormonal factors influence the relationship between vascular risk factors and white matter hyperintensities in both men and women, using data from the UK Biobank.
  • In men with above-average testosterone levels, smoking significantly increased the volume of white matter hyperintensities by 27.8%, while in women with shorter post-menopause duration, diabetes and higher pulse wave velocity were linked to increases of 28.8% and 2.0% respectively in deep white matter hyperintensities.
  • The results emphasize the need to consider hormonal influences when addressing the prevention and treatment of white matter hyperintensities.
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  • Understanding dementia requires data from various global sources, focusing on different ethnic and regional groups to capture a comprehensive picture of the issue.
  • The analysis of this data is complicated by methodological differences, necessitating harmonization to ensure comparability and accuracy in research findings.
  • The discussion emphasizes both the advantages and challenges of harmonization, particularly with neuropsychological tests and neuroimaging data, while providing examples from current research initiatives.
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Background: Self-administered computerized neuropsychological assessments (CNAs) provide lower cost, more accessible alternatives to traditional in-person assessments but lack critical information on psychometrics and subjective experience of older adults in remote testing environments.

Objective: We used an online brief battery of computerized tasks selected from the Cogstate Brief Battery (CBB) and Cambridge Brain Sciences (CBS) to 1) determine test-retest reliability in an unsupervised setting; 2) examine convergent validity with a comprehensive 'gold standard' paper-and-pencil neuropsychological test battery administered in-person; and 3) explore user-experience of remote computerized testing and individual tests.

Methods: Fifty-two participants (mean age 65.

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