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Team Project Name                                  these methods will be validated using the identified

            Brain aging: Muscle-to-brain axis modulates        biological and neuroimaging biomarkers.
            physio-cognitive decline                           In collaboration with international partners,
            Research Project                                   including the Japan National Center for Geriatric

            Simultaneous declines in physical (walking         and Gerontology and the US NIH/NIA, we aim to
                                                               maintain Taiwan's leading position in this field of
            speed/grip strength) and cognitive function are    research.
            indicative of high risk for dementia among the
            older people. In order to promote healthy aging,   Key Words
            our pioneering research aims to elucidate the      Physio-cognitive decline syndrome, dementia,
            mechanism  linking  skeletal  muscle-to-brain      cerebellum,  skeletal muscle-to-brain axis,
            regulation that contributes to the decline in both
            physical and cognitive capabilities. The newly     sarcopenia,  cerebral  small  vessel  disease,
            discovered neurodegenerative pathway involves      microRNA, brain MRI, brain network, multi-domain
            the release of coding and non-coding RNA during    intervention randomized controlled trial
            muscle degeneration, which circulates to the brain,
            accelerating aging in specific brain networks,     Global Cooperation
            ultimately leading to dual physical and cognitive   1. Utilize data from other countries' cohort
            decline.                                              studies to validate the clinical applications, the
                                                                  mechanisms of brain structure and function, and
            Three teams, focused on (i) biochemistry, (ii)        treatment methods for physio-cognitive decline
            neuroimaging, and (iii) community interventional      syndrome.
            clinical trials, will investigate this phenomenon   2. Increase the quantity of brain imaging dataset
            using different approaches. The biochemistry team     to improve the accuracy of our established
            will utilize innovative models of muscle and neuron   predictive models and facilitate international
            aging to identify relevant factors and mechanisms.    commercialization.
            The large-scale brain imaging database will
            employ machine learning techniques to identify     Project Web Page
            the  corresponding  brain  regions/networks.
            Furthermore, integrating the results from the
            biochemistry and neuroimaging teams will facilitate
            the development of diagnostic and treatment
            methods to delay the simultaneous decline in
            physical and cognitive functions. The efficacy of


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