Differences in total cognition and cerebrovascular function in female breast cancer survivors and cancer-free women

Article


Downs, Tahnee L., Whiteside, Eliza J., Foot, Gaye, Mills, Dean E. and Bliss, Edward S.. 2023. "Differences in total cognition and cerebrovascular function in female breast cancer survivors and cancer-free women." The Breast. 69, pp. 358-365. https://doi.org/10.1016/j.breast.2023.03.018
Article Title

Differences in total cognition and cerebrovascular function in female breast cancer survivors and cancer-free women

ERA Journal ID15822
Article CategoryArticle
AuthorsDowns, Tahnee L., Whiteside, Eliza J., Foot, Gaye, Mills, Dean E. and Bliss, Edward S.
Journal TitleThe Breast
Journal Citation69, pp. 358-365
Number of Pages8
YearJun 2023
Place of PublicationUnited Kingdom
ISSN0960-9776
1532-3080
Digital Object Identifier (DOI)https://doi.org/10.1016/j.breast.2023.03.018
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0960977623004356
Abstract

Reduced cognition is often reported by breast cancer patients and survivors, but the mechanisms for this decline are yet to be determined. We compared the differences in cerebrovascular function and cognition in breast cancer survivors (n = 15) and cancer-free women (n = 15) matched by age and body mass index. Participants undertook anthropometric, mood, cardiovascular, exercise performance, strength, cerebrovascular, and cognitive measurements. Transcranial Doppler ultrasound was used to measure the cerebrovascular responsiveness (CVR) to physiological (hypercapnia; 5% carbon dioxide) and psychological stimuli. Breast cancer survivors had a lower CVR to hypercapnia (21.5 ± 12.8 vs 66.0 ± 20.9%, P < 0.001), CVR to cognitive stimuli (15.1 ± 1.5 vs 23.7 ± 9.0%, P < 0.001) and total composite cognitive score (100 ± 12 vs. 113 ± 7, P = 0.003) than cancer-free women. These parameters remained statistically different between the groups following adjustments for covariates using an analysis of co-variance. We observed significant correlations between multiple measures and exercise capacity the only variable positively correlated to all primary measures (CVR to hypercapnia, r = 0.492, P = 0.007; CVR to cognitive stimuli r = 0.555, P = 0.003; and total composite cognitive score, r = 0.625, P < 0.001). In this study, breast cancer survivors had lower cerebrovascular and cognitive function than age-matched cancer-free women, which may be attributable to the effects of cancer and cancer treatment on brain health.

KeywordsBreast cancer; Cerebral blood flow; Cerebrovascular function; Cognition; Survivor
Article Publishing Charge (APC) FundingProject Funding
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320199. Cardiovascular medicine and haematology not elsewhere classified
320999. Neurosciences not elsewhere classified
321199. Oncology and carcinogenesis not elsewhere classified
Byline AffiliationsSchool of Health and Medical Sciences
Centre for Future Materials
Centre for Health Research
University of Southern Queensland
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