Differential brain activity in visuo-perceptual regions during landmark-based navigation in young and healthy older adults

Older adults exhibit prominent impairments in their capacity to navigate, reorient in unfamiliar environments or update their path when faced with obstacles. This decline in navigational capabilities has traditionally been ascribed to memory impairments and dysexecutive function whereas the impact of visual aging has often been overlooked. The ability to perceive visuo-spatial information such as salient landmarks is essential to navigate in space efficiently. To date, the functional and neurobiological factors underpinning landmark processing in aging remain insufficiently characterized. To address this issue, this study used functional magnetic resonance imaging (fMRI) to investigate the brain activity associated with landmark-based navigation in young and healthy older participants. Twenty-five young adults (=25.4 years, {sigma}=4.7; 7F) and twenty-one older adults (=73.0 years, {sigma}=3.9; 10F) performed a virtual navigation task in the scanner in which they could only orient using salient landmarks. The underlying whole-brain patterns of activity as well as the functional roles of scene-selective regions, the parahippocampal place area (PPA), the occipital place area (OPA), and the retrosplenial cortex (RSC) were analyzed. We found that older adults navigational abilities were diminished compared to young adults and that the two age groups relied on distinct navigational strategies to solve the task. Better performance during landmark-based navigation was found to be associated with increased neural activity in an extended neural network comprising several cortical and cerebellar regions. Direct comparisons between age groups further revealed that young participants had enhanced anterior temporal activity. In addition, young adults only were found to recruit occipital areas corresponding to the cortical projection of the central visual field during landmark-based navigation. The region-of-interest analysis revealed increased OPA activation in older adult participants. There were no significant between-group differences in PPA and RSC activations. These results hint at the possibility that aging diminishes fine-grained information processing in occipital and temporal regions thus hindering the capacity to use landmarks adequately for navigation. This work helps towards a better comprehension of the neural dynamics subtending landmark-based navigation and it provides new insights on the impact of age-related visuo-spatial processing changes on navigation capabilities.