AI Article Synopsis

  • - This study investigates how brain frailty, specifically in the hippocampus, affects quality of life in COPD patients, with a focus on the relationship between hippocampal volumes, frailty, and depression.
  • - Researchers assessed 40 COPD patients using various tools to measure frailty (KCL), depressive symptoms (HADS), and quality of life (WHO/QOL-26), while also using MRI to analyze brain structure.
  • - Findings indicate that frailty and depression have significant ties to quality of life, and specific brain volume changes in the hippocampus are linked to these factors in COPD patients.

Article Abstract

Brain frailty may be related to the pathophysiology of poor clinical outcomes in chronic obstructive pulmonary disease (COPD). This study examines the relationship between hippocampal subfield volumes and frailty and depressive symptoms, and their combined association with quality of life (QOL) in patients with COPD. The study involved 40 patients with COPD. Frailty, depressive symptoms and QOL were assessed using Kihon Checklist (KCL), Hospital Anxiety and Depression Scale (HADS), and World Health Organization Quality of Life Assessment (WHO/QOL-26). Anatomical MRI data were acquired, and volumes of the hippocampal subfields were obtained using FreeSurfer (version 6.0). Statistically, HADS score had significant association with WHO/QOL-26 and KCL scores. KCL scores were significantly associated with volumes of left and right whole hippocampi, presubiculum and subiculum, but HADS score had no significant association with whole hippocampi or hippocampal subfield volumes. Meanwhile, WHO/QOL-26 score was significantly associated with volume of the left CA1. There was a significant association between frailty, depression, and QOL. Hippocampal pathology was related to frailty and, to some extent, with QOL in patients with COPD. Our results suggest the impact of frailty on hippocampal volume and their combined associations with poor QOL in COPD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8468719PMC
http://dx.doi.org/10.3390/biomedicines9091103DOI Listing

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