Functional connectivity changes in mild cognitive impairment: A meta-analysis of M/EEG studies

Objective: Early synchrony alterations have been observed through electrophysiological techniques in Mild Cognitive Impairment (MCI), which is considered the intermediate phase between healthy aging (HC) and Alzheimer’s disease (AD). However, the documented direction (hyper/hypo-synchronization), regions and frequency bands affected are inconsistent. This meta-analysis intended to elucidate existing evidence linked to potential neurophysiological biomarkers of AD. Methods: We conducted a random-effects meta-analysis that entailed the unbiased inclusion of Nonstatistically Significant Unreported Effect Sizes (‘‘MetaNSUE”) of electroencephalogram (EEG) and magnetoencephalogram (MEG) studies investigating functional connectivity changes at rest along the healthypathological aging continuum, searched through PubMed, Scopus, Web of Science and PsycINFO databases until June 2023. Results: Of the 3852 articles extracted, we analyzed 12 papers, and we found an alpha synchrony decrease in MCI compared to HC, specifically between temporal-parietal (d = -0.26) and frontalparietal areas (d = -0.25). Conclusions: Alterations of alpha synchrony are present even at MCI stage. Significance: Synchrony measures may be promising for the detection of the first hallmarks of connectivity alterations, even at the prodromal stages of the AD, before clinical symptoms occur.