The NAA/mIns ratio has been proposed as a marker of unhealthy ageing. We found that the NAA/mIns ratio is decreased in the hippocampus for middle-aged and old individuals compared to young individuals. For old individuals, declining NAA/mIns ratios are correlated with poorer performance on a spatial working memory task but this relationship is not found in middle-aged and young individuals. Our results suggest that the NAA/mIns ratio decrease in the hippocampus is observable before the negative functional effects.
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