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Alice Cronin-Golomb, Ph.D.

(Boston University)


Improving Vision to Enhance Cognition in Aging and Alzheimer's Disease

A strong predictor of dysfunctional visual cognition and daily function in normal aging and in Alzheimer's disease (AD) is reduced spatial frequency contrast sensitivity. A goal of our recent research has been to ameliorate deficits in contrast sensitivity in aging and AD by enhancing the signal strength of a visual target, and by so doing lead to improvements in visual cognition and daily function. We have found improved AD cognitive performance on lab-based tests in which contrast sensitivity is enhanced. In a more naturalistic long-term care setting, we have found significantly increased food and liquid intake in a sample of AD patients when we enhanced the contrast between the food/liquid and the tableware on which they were presented. The results indicate that certain AD-EC differences in cognition directly reflect contrast sensitivity differences between the groups. Enhancement of stimulus strength can reduce vision-based deficits and lead to improvement in some aspects of cognitive performance. These results suggest new non-pharmacological avenues to explore in the attempt to improve daily function in elderly adults and especially in individuals with AD.