継続は力:高齢期に始めた楽器練習の効果~4年の追跡研究で見えた脳・認知機能維持~

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2025-06-30 京都大学

高齢者(平均73歳)が初心者として始めた楽器練習を継続することで、4年後もワーキングメモリや脳構造・機能の低下を防げることを、積山薫教授らの追跡研究が初めて実証しました。2020年に4か月介入を行った参加者を再評価した結果、楽器継続群では被殻(ワーキングメモリに関与)の萎縮や小脳機能の低下が見られず、一方で練習をやめ他の趣味に移った中止群では明らかな認知・構造的低下が確認されました。運動が難しい高齢者でも始めやすい楽器演奏が、長期的な認知機能維持に寄与することが、国際誌「Imaging Neuroscience」にて報告されました。

継続は力:高齢期に始めた楽器練習の効果~4年の追跡研究で見えた脳・認知機能維持~
本研究の概要(画像出典:Wikipedia「Putamen」 ©  CC BY-SA 4.0(一部改変あり))

<関連情報>

楽器トレーニングに遅すぎることはない: 健康な高齢者におけるワーキングメモリと皮質下保存に対する4年間の効果 Never too late to start musical instrument training: Effects on working memory and subcortical preservation in healthy older adults across 4 years

Xueyan Wang,Masatoshi Yamashita,Xia Guo,Lars Stiernman,Marcelo Kakihara,Nobuhito Abe,Kaoru Sekiyama
Imaging Neuroscience  Published:June 17 2025
DOI:https://doi.org/10.1162/IMAG.a.48

Abstract

Studies have shown the beneficial effects of musical instrument on memory and executive function in healthy aging. However, few studies investigated these long-term benefits. In this regard, the current study tracked a cohort of older adults (n = 53) over 4 years after they have initially participated in a musical instrument training program. Out of the initial sample, 13 of them voluntarily continued participating in the musical instrument training (continue group: 77.85 ± 4.30 years, 10 female, 3 male), while 19 of them discontinued their participation in the music program and instead engaged in other forms of leisure activities (stop group: age: 76.00 ± 5.44 years, 13 female, 6 male). At baseline, behavioral measures of verbal working memory (WM), verbal memory, and executive control were collected. In addition, participants completed a visual WM task (face n-back task) during fMRI scanning. Four years later, the same battery of tests was administered, with the addition of a digit n-back task to examine changes in verbal WM. Region-of-interest structural analyses focused on the striatum and cerebellum, based on previously reported intervention effects and the advantages observed in musicians. The continue group demonstrated better preservation of verbal WM performance (a composite score of Digit Span and Verbal Fluency tasks) and right putamen gray matter volume (GMV) over 4 years. During verbal WM processing, this group exhibited lower cerebellum–pons functional connectivity (FC), which significantly correlated with improved verbal WM performance. Moreover, the continue group also showed greater cerebellar activation during the digit task, increased intra-cerebellar FC, and decreased cerebellar–cortical FC during the face task. The combined evidence suggested enhanced cerebellar function and thus reduced reliance on other brain regions such as the cortical areas and brainstem for compensation. Taken together, these results suggested the musical instrument training effects in mitigating age-related decline in verbal WM and subcortical structure (putamen) and function (cerebellum). This study provides longitudinal evidence that initiating musical instrument training in older adulthood can counteract age-related cognitive and brain decline.

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