Background The influence of hippocampal connectivity on memory performance is well established in individuals with high educational attainment. However, the role of hippocampal connectivity in illiterate populations remains poorly understood. Methods Thirty-five illiterate adults were administered a literacy assessment (Test of Functional Health Literacy in Adults - TOFHLA), structural and resting state functional MRI and an episodic memory test (Free and Cued Selective Reminding Test). Illiteracy was defined as a TOFHLA score below 53. We evaluated the correlation between hippocampal connectivity at rest and both free recall and literacy scores. Results Participants were mostly female (57.1%) and Black (84.8%), with a median age of 50 years. The median TOFHLA literacy score was 28.0 [21.0;42.5] out of 100 points and the median free recall score was 30.0 [26.2;35] out of 48 points. The median gray matter volume of both the left and right hippocampi was 2.3 [2.1; 2.4] cm3. We observed a significant connectivity between both hippocampi and the precuneus and the ventral medial prefrontal cortex. Interestingly, the right hippocampal connectivity positively correlated with the literacy scores (β = 0.58, p = 0.008). There was no significant association between episodic memory and hippocampal connectivity. Neither memory nor literacy scores correlated with hippocampal gray matter volume. Conclusions Low literacy levels correlate with hippocampal connectivity in illiterate adults. The lack of association with memory scores might be associated with low brain reserve in illiterate adults.
Background Higher education acquired through the lifespan is believed to buffer the cognitive decline associated with neurodegenerative diseases. However, whether acquiring education later in life can improve memory is unknown. Methods We recruited illiterate adults that enroll in a late‐life literacy program to determine the impact of literacy training in adulthood on memory. Participants underwent baseline literacy tests and episodic memory was assessed with the Free and Cued Selective Reminding test (with pictures). Results At baseline, 43 illiterate adults that did not know how to read and write participated in the study. They had a mean age of 50.3 (SD 14.3) year‐old, 19 (44%) were males, 37 (90%) were non‐Caucasians and 24 (57%) were from low‐socioeconomic background. The main reason they did not attended school when they were young was that they had to work (n=21, 49%). Baseline clinical characteristics of participants were smoking in 26%, depression in 25% and anxiety in 16%. The mean free delayed‐recall was 10.6 (SD 3.1), out of 16 figures. Conclusion Here we present the baseline characteristics of this group of illiterate adults that engage in a late‐life literacy program. The results show that the participants recruitment is feasible and representative of such illiterate adult populations. Although episodic memory is normal, there is room for memory improvement to be studied in the follow up visit.
BackgroundThe role of hippocampal connectivity for good memory performance is well known in persons with high educational level. However, it is understudied the role of hippocampal connectivity in illiterate populations.MethodsThirty‐nine illiterate adults from Brazil underwent a literacy assessment, structural and resting state functional MRI and an episodic memory test (Free and Cued Selective Reminding Test). We correlated the hippocampal connectivity at rest with the free recall scores and the literacy scores. Analyzes were done in SPM 12, corrected for head motion and physiological BOLD signal.ResultsParticipants were most female (66%) and black (79%) and the mean age was 49 years‐old (±13.9). The mean score on free recall was 27.2 (±10.7) out of 48 points and the mean literacy score was 34.9 (±21.1) out of 100 points. The median hippocampal gray matter volume was 2.4 [0.9, 2.3]cm3 in the left and 2.1 [2.1, 2.4] cm3 in the right side. There was a significant connectivity between both hippocampi and the precuneus and the ventral medial prefrontal cortex. However, this connectivity did not correlate with episodic memory scores, but the right hippocampal connectivity correlated with the literacy scores (R2 = 0.13, p = 0.014, CI 1.0‐1.0). Furthermore, the hippocampal gray matter volume did not correlate with memory scores.ConclusionsAlthough we did not find a significant correlation between memory and the connectivity between both hippocampi and the precuneus and ventral medial prefrontal cortex, we found that this connectivity correlated with literacy scores on the right side. The lack of association with memory scores might be associated with low brain reserve in illiterate adults. The association between hippocampal connectivity and low literacy scores suggest a room for improvement if those adults learn how to read later in life.
Background: The role of hippocampal connectivity for good memory performance is well known in persons with high educational level. However, it is understudied the role of hippocampal connectivity in illiterate populations. Objectives: To determine whether the hippocampal connectivity correlate with episodic memory in illiterate adults. Methods: Thirty-nine illiterate adults underwent resting state functional MRI and an episodic memory test (Free and Cued Selective Reminding Test). We correlated the hippocampal connectivity at rest with the free recall scores. Analyzes were corrected for head motion and physiological BOLD signal. Results: Participants were most female (66%) and black (79%) and the mean age was 49 years-old (±13.9). The mean score on free recall was 27.2 (±10.7) out of 48 points. We found a significant correlation between both hippocampi and the posterior cingulate and ventral medial prefrontal cortex. However, we did not find an association between the hippocampal connectivity and the memory scores. Conclusions: The lack of association with memory scores might be associated with low brain reserve in this group of individuals.
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