Finding the Words: How Does the Aging Brain Process Language? A Focused Review of Brain Connectivity and Compensatory Pathways

Author:

Baciu Monica12,Roger Elise134

Affiliation:

1. LPNC, Psychology Department Grenoble Alps University

2. Neurology Department Grenoble Alps University Hospital

3. Communication and Aging Laboratory Research Center of the University Institute of Geriatrics of Montreal

4. Faculty of Medicine University of Montreal

Abstract

AbstractAs people age, there is a natural decline in cognitive functioning and brain structure. However, the relationship between brain function and cognition in older adults is neither straightforward nor uniform. Instead, it is complex, influenced by multiple factors, and can vary considerably from one person to another. Reserve, compensation, and maintenance mechanisms may help explain why some older adults can maintain high levels of performance while others struggle. These mechanisms are often studied concerning memory and executive functions that are particularly sensitive to the effects of aging. However, language abilities can also be affected by age, with changes in production fluency. The impact of brain changes on language abilities needs to be further investigated to understand the dynamics and patterns of aging, especially successful aging. We previously modeled several compensatory profiles of language production and lexical access/retrieval in aging within the Lexical Access and Retrieval in Aging (LARA) model. In the present paper, we propose an extended version of the LARA model, called LARA‐Connectivity (LARA‐C), incorporating recent evidence on brain connectivity. Finally, we discuss factors that may influence the strategies implemented with aging. The LARA‐C model can serve as a framework to understand individual performance and open avenues for possible personalized interventions.

Publisher

Wiley

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