Phonological and Semantic Fluency in Alzheimer’s Disease: A Systematic Review and Meta-Analysis

作者：Rocio Olmos-Villaseñor, Consuelo Sepulveda-Silva, Teresa Julio–Ramos, Eduardo Fuentes–López, David Toloza–Ramirez, Rodrigo A. Santibañez, David Andrew Copland, Carolina Méndez‐Orellana · 发表于：Journal of Alzheimer s Disease · 年份：2023 · DOI：10.3233/jad-221272 · 被引用次数：29 · 研究领域：Dementia and Cognitive Impairment Research、Neurobiology of Language and Bilingualism、Alzheimer's disease research and treatments

BACKGROUND: Semantic and Phonological fluency (SF and PF) are routinely evaluated in patients with Alzheimer's disease (AD). There are disagreements in the literature regarding which fluency task is more affected while developing AD. Most studies focus on SF assessment, given its connection with the temporoparietal amnesic system. PF is less reported, it is related to working memory, which is also impaired in probable and diagnosed AD. Differentiating between performance on these tasks might be informative in early AD diagnosis, providing an accurate linguistic profile. OBJECTIVE: Compare SF and PF performance in healthy volunteers, volunteers with probable AD, and patients with AD diagnosis, considering the heterogeneity of age, gender, and educational level variables. METHODS: A total of 8 studies were included for meta-analysis, reaching a sample size of 1,270 individuals (568 patients diagnosed with AD, 340 with probable AD diagnosis, and 362 healthy volunteers). RESULTS: The three groups consistently performed better on SF than PF. When progressing to a diagnosis of AD, we observed a significant difference in SF and PF performance across our 3 groups of interest (p = 0.04). The age variable explained a proportion of this difference in task performance across the groups, and as age increases, both tasks equally worsen. CONCLUSION: The performance of SF and PF might play a differential role in early AD diagnosis. These tasks rely on partially different neural bases of lang...