Age, Multidomain Lifestyle Intervention, and White Matter Integrity: Secondary Analysis of the POINTER - Takeaways - MDSpire

Age, Multidomain Lifestyle Intervention, and White Matter Integrity: Secondary Analysis of the POINTER

  • By

  • Pauline Maillard

  • Prashanthi Vemuri

  • Danielle J. Harvey

  • Theresa M. Harrison

  • Ashritha L. Reddy

  • Hwamee Oh

  • Stephen Salloway

  • Simin Mahinrad

  • Thomas M. Holland

  • Rachel Whitmer

  • Mark A. Espeland

  • Laura D. Baker

  • Susan M. Landau

  • Charles DeCarli

  • July 13, 2026

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  • 1

    The POINTER study investigates the effects of multidomain lifestyle interventions on white matter integrity in older adults at risk for cognitive decline.

  • 2

    Cerebrovascular pathologies, including white matter hyperintensity and microstructural damage, significantly contribute to cognitive impairment in late life.

  • 3

    The study analyzes MRI outcomes to assess the impact of structured versus self-guided interventions on white matter injury and small vessel disease.

  • 4

    Participants aged 60 to 79 years were selected based on specific risk factors and were cognitively unimpaired but at risk for decline.

  • 5

    The POINTER Imaging study aims to identify individuals at higher risk for lesion progression using diffusion MRI measures.

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