A Systematic Review of the Application of Functional Near-Infrared Spectroscopy to the Study of Cerebral Hemodynamics in

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A Systematic Review of the Application of Functional Near-Infrared Spectroscopy to the Study of Cerebral Hemodynamics in Healthy Aging Michael K. Yeung 1

&

Agnes S. Chan 2,3

Received: 9 August 2019 / Accepted: 28 August 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) studies have shown that healthy aging is associated with functional brain deterioration that preferentially affects the prefrontal cortex. This article reviews the application of an alternative method, functional near-infrared spectroscopy (fNIRS), to the study of age-related changes in cerebral hemodynamics and factors that influence cerebral hemodynamics in the elderly population. We conducted literature searches in PudMed and PsycINFO, and selected only English original research articles that used fNIRS to study healthy individuals with a mean age of ≥ 55 years. All articles were published in peer-reviewed journals between 1977 and May 2019. We synthesized 114 fNIRS studies examining hemodynamic changes that occurred in the resting state and during the tasks of sensation and perception, motor control, semantic processing, word retrieval, attentional shifting, inhibitory control, memory, and emotion and motivation in healthy older adults. This review, which was not registered in a registry, reveals an age-related reduction in resting-state cerebral oxygenation and connectivity in the prefrontal cortex. It also shows that aging is associated with a reduction in functional hemispheric asymmetry and increased compensatory activity in the frontal lobe across multiple task domains. In addition, this article describes the beneficial effects of healthy lifestyles and the detrimental effects of cardiovascular disease risk factors on brain functioning among nondemented older adults. Limitations of this review include exclusion of gray and nonEnglish literature and lack of meta-analysis. Altogether, the fNIRS literature provides some support for various neurocognitive aging theories derived from task-based PET and fMRI studies. Because fNIRS is relatively motion-tolerant and environmentally unconstrained, it is a promising tool for fostering the development of aging biomarkers and antiaging interventions. Keywords near-infrared spectroscopy . NIRS . aging . older adults . brain . compensation

Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11065-020-09455-3) contains supplementary material, which is available to authorized users. * Michael K. Yeung [email protected] * Agnes S. Chan [email protected] 1

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, SAR, China

2

Neuropsychology Laboratory, Department of Psychology, The Chinese University of Hong Kong, Shatin, N.T, Hong Kong, SAR, China

3

Chanwuyi Research Center for Neuropsychological Well-being, The Chinese University of Hong Kong, Hong Kong, SAR, China

The