Learning ability in aged beagle dogs is preserved by behavioral
enrichment and dietary fortification: a two-year longitudinal study
N.W. Milgram , E. Head , S.C. Zicker , C.J. Ikeda-Douglas , H. Murphey ,
B. Muggenburg , C. Siwak , D. Tapp , C.W. Cotman
a University of Toronto, Division of Life Sciences, Scarborough, Ont., Canada M1C 1A4
b Institute for Brain Aging and Dementia, 1226 Gillespie Dr, University of California, Irvine, CA 92697-4540, USA
c Science and Technology Center, Hill’s Pet Nutrition, Inc., P.O. Box 1658, Topeka, KS 66601-1658, USA
d Lovelace Respiratory Research Institute, 2452 Ridgecrest Dr, S.E., Albuquerque, NM 87108, USA
Received 26 September 2003; received in revised form 14 January 2004; accepted 17 February 2004
Abstract
The effectiveness of two interventions, dietary fortification with antioxidants and a program of behavioral enrichment, was assessed in a
longitudinal study of cognitive aging in beagle dogs. A baseline protocol of cognitive testing was used to select four cognitively equivalentgroups: control food-control experience (C-C), control food-enriched experience (C-E), antioxidant fortified food-control experience (A-C),and antioxidant fortified food-enriched experience(A-E). We also included two groups of young behaviorally enriched dogs, one receivingthe control food and the other the fortified food. Discrimination learning and reversal was assessed after one year of treatment with a sizediscrimination task, and again after two years with a black/white discrimination task. The four aged groups were comparable at baseline. At one and two years, the aged combined treatment group showed more accurate learning than the other aged groups. Discriminationlearning was significantly improved by behavioral enrichment. Reversal learning was improved by both behavioral enrichment and dietaryfortification. By contrast, the fortified food had no effect on the young dogs. These results suggest that behavioral enrichment or dietaryfortification with antioxidants over a long-duration can slow age-dependent cognitive decline, and that the two treatments together aremore effective than either alone in older dogs. 2004 Elsevier Inc. All rights reserved. Keywords: Antioxidants; Beagle; Mitochondrial co-factors; Discrimination and reversal learning; Behavioral enrichment; Aging
1. Introduction
aged animals are compared with selected groups of youngeranimals. This strategy has limitations, which include cohort
Over the past several years, our laboratories have been
effects and the possibility of selective bias in mortality. Co-
studying a novel model of cognitive aging, that of the aged
hort effects may occur because of factors extrinsic from ag-
beagle dog. We have previously established that dogs show
ing, which could result in scores that are either particularly
marked age-dependent decline in learning and memory,
low or particularly high In primate aging studies, for
example, aged animals often reside in the same lab for most
pattern of cognitive decline mirrors that seen in humans in
of their lives and have undergone considerable cognitive
several respects Aged dogs also develop neuropathol-
testing, which could enhance their cognitive performance,
ogy that is similar to that seen in both successfully aging
when compared to experimentally na¨ıve aged animals. Cog-
humans and patients with Alzheimer’s disease. Like hu-
nitive performance of aged dogs also is also enhanced by
mans, beta amyloid protein is deposited in the aging dog
brain and shows a selective brain distribution that
The present study sought to further extend the canine
model of cognitive aging with a two-year longitudinal in-
To date, our analysis of canine cognitive aging has been re-
vestigation of discrimination and reversal learning ability
stricted to cross sectional studies, in which selected groups of
in groups of young and aged beagle dogs. We had twomajor goals. The first was to obtain longitudinal data of
∗ Corresponding author. Tel.: +1-416-287-7402; fax: +1-416-287-7642.
age-dependent decline in learning ability. The second was
E-mail address: milgram@psych.utoronto.ca (N.W. Milgram).
to assess the effectiveness of two interventions in counter-
0197-4580/$ – see front matter 2004 Elsevier Inc. All rights reserved. doi:10.1016/j.neurobiolaging.2004.02.014
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
acting age-dependent decline, behavioral enrichment and a
and in the SAMP8 mouse In clinical trials, an-
maintenance food fortified with a broad spectrum of antiox-
tioxidant supplementation of Alzheimer’s patients with Vi-
tamin E was found to delay the onset of institutionalizationWe have also found that short-term maintenance on
1.1. Behavioral enrichment and age-dependent cognitive
an antioxidant fortified food improved discrimination learn-
ing in beagle dogs we have previouslyshown evidence of increased oxidative stress in the aged ca-
The behavioral enrichment intervention included three
components: increased exercise, environmental enrichment,
The present investigation started with a period of baseline
and possibly most important, a program of cognitive enrich-
testing, which was used to separate beagle dogs, approxi-
ment. Exercise was suggested primarily by studies indicating
mately 8–11 years of age, into four cognitively equivalent
that physical activity is associated with improved cognitive
groups, which differed in food provided and behavioral en-
function and lower risks of cognitive impairment and de-
richment. We hypothesized that both the behavioral enrich-
mentia The second component, environmental en-
ment and dietary supplementation treatments would have
richment, was suggested by evidence that rearing in enriched
beneficial effects on cognitive function, and that the two
environments improves learning ability, produces beneficial
treatments combined would be more effective than either by
changes in cellular structure and increases the résistance of
itself. To partially evaluate this hypothesis, one year after
neurons to injury effect can be sufficiently robust as
the treatment phase was initiated the animals were tested
to reduce or eliminate age-dependent cognitive decline
successively on a size discrimination learning task and a
The rationale for including a cognitive enrichment inter-
size discrimination reversal learning task. These tasks were
vention was based on retrospective studies of human sub-
selected because they were conceptually similar to the ob-
jects suggesting a link between cognitive experience and the
ject discrimination learning and object discrimination rever-
development of age-dependent cognitive dysfunction. Peo-
sal tasks used in assessing baseline cognitive function. Fur-
ple characterized as having a low level of cognitive func-
thermore, we have previously found the size discrimination
tion are more likely to develop severe cognitive dysfunction
and size discrimination reversal tasks to show age-sensitivity
than people characterized as having a high level of cogni-
The one-year results have been previously reported
tive function , several studies have reported an
Both the fortified food and behavioral enrichment im-
inverse relationship between amount of education and rate
proved learning, most notably in the reversal learning task.
of cognitive decline later in life. More direct evidence has
However, these findings were mainly attributable to the su-
been obtained in studies demonstrating that special training
perior performance of the combined treatment group (forti-
protocols improve cognitive performance in the elderly
fied food and enriched experience), when compared to the
other three groups. Approximately two years following thestart of the treatment phase, the animals were tested on a
1.2. Antioxidant supplementation and age-dependent
black/white discrimination and a black/white discrimination
reversal learning task, to provide a protocol for assessinglongitudinal changes in discrimination and reversal learning
The dietary intervention consisted of providing a dry
and the effectiveness of the fortified food and behavioral
maintenance dog food fortified with a broad spectrum of
enrichment interventions over two years.
antioxidants and mitochondrial cofactors. The food wasintended to reduce damage to tissue by reactive oxygenspecies as well as support mitochondrial function. Reac-
2. Materials and methods
tive oxygen species are formed as by-products of cellularmetabolism and, when produced in amounts in excess of
detoxification, are purported to cause oxidative stress Oxidative damage to proteins and lipids has been linked
Forty-eight old and 17 young beagle dogs were trained
to the development and accumulation of neuropathology
on a battery of cognitive tests over approximately 9 months.
associated with degenerative disease as well as normal ag-
Performance on the baseline testing was then used to divide
ing and is therefore a likely causal factor in
the aged dogs into four cognitively equivalent test groups
of 12 animals each, with two treatment conditions—dietary
There is also more direct evidence of beneficial effects
fortification and behavioral enrichment. Group, C-C, was
of dietary supplementation with antioxidants on cognition.
both fed the control food and provided with control experi-
In aged rats, antioxidants improved spatial learning
ence; group, C-E, received the control food and a program
motor learning and cerebellar function The effective-
of enriched experience. group A-C dogs were fed food forti-
ness of antioxidants in counteracting age-related cognitive
fied with antioxidants and mitochondrial cofactors and also
decline has also recently been demonstrated in mice defi-
given control experience: while group A-E received both the
cient in apolipoprotein Vitamin E deficient aged rats
fortified food and the enriched experience. N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
The young beagle dogs were divided into two cognitively
adjusted so that the animals maintained a relatively constant
equivalent groups, one of which was given the antioxidant
body weight throughout the duration of the study.
enriched food (N = 9) and the other the control food (N =
The aged subjects were all administered complete physi-
8). One control dog was subsequently dropped from the
cal and neurological examinations prior to the dietary inter-
study during the first treatment year because of motivational
vention and again every six months after the start of inter-
problems, reducing the size of the control group to seven.
vention. Dogs were also initially examined by slit-lamp for
Both young groups received the behavioral enrichment pro-
ocular abnormalities that might have impaired the animals’
visual capabilities. The initial physical examinations did not
One year after the start of the dietary manipulation, all
reveal neurological, musculoskeletal, ocular or physical ab-
dogs were tested on both a size discrimination and a rever-
normalities that justified exclusion from the study.
sal learning task. Prior to the one-year test, dogs in the en-riched environment groups had participated in a landmark
discrimination task an oddity discrimination taskThe size discrimination task evaluated ability to learn
The test apparatus was a 0.609 m × 1.15 m × 1.08 m
to distinguish two objects that differed only in size in order
wooden chamber that was based on a canine adaptation
to locate a food reward. In the size discrimination reversal
of the Wisconsin General Test Apparatus The testing
task, the association between the objects and reward was
chamber was equipped with a sliding Plexiglas food tray
switched. Thus, if an animal was rewarded for approaching
with three food wells. Vertical stainless steel bars covered
the smaller of two objects during the initial discrimination
the front of the box. The height of the bars was adjustable
learning task, it was rewarded for approaching the larger of
to allow the size of the opening to each food well to be
the two objects during the reversal task. The size discrimi-
uniquely adjusted for each dog. The experimenter was sepa-
nation results have been previously reported
rated visually from the dog, by a wooden screen containing
The enrichment condition between years 1 and 2 of treat-
a one-way mirror, and a hinged wooden door at the bottom.
ment consisted of training on a size concept learning task
Testing was conducted in darkness, except for a light with
on a repeated reversal learning task. At the com-
a 60 W bulb attached to the front of the box. Each test trial
pletion of the two-year enrichment phase, all animals were
commenced with the hinged door being opened for the pre-
trained on a black/white discrimination learning task, in
sentation of the tray. A 1 cm3 amount of Hill’s® Prescription
which the subjects were presented with two blocks that were
Diet® Canine p/d(tm) canned food was used as the reward.
identical in size and shape but differed in color, with oneobject painted black and the other white. The animals were
first trained to approach one of the two to obtain a food re-ward. After achieving a criterion level of performance, the
The control and antioxidant foods were formulated to
rewarded objects were then switched for the black/white dis-
meet the nutrient profile for the American Association of
Feed Control Officials recommendations for adult dogs(AAFCO 1999) two foods were identical, except for
the inclusion of a broad-based antioxidant and mitochondrialcofactor supplementation to the test food. The control and
Two groups of beagle dogs (Canis familiaris) served as
enriched foods had the following differences in formulation
subjects. The first consisted of 48 aged dogs (24 males and
on an as fed basis, respectively: d,l-alpha-tocopherol ac-
24 females) ranging from 7.2 to 11.6 years at the start of
etate (120 ppm versus approximately1000 ppm), l-carnitine
baseline testing, and from 8.05 to 12.04 years of age at the
(<20 ppm versus approximately 275 ppm), d,l-alpha-lipoic
start of the treatment phase. The second group consisted of
acid (<20 ppm versus approximately 125 ppm), ascorbic
17 young dogs (6 males and 11 females), 1.3–3.9 years of
acid as Stay-C (<30 ppm versus approximately 80 ppm),
age at the start of baseline testing testing and 1.95–4.6 at the
and 1% inclusions of each of the following (1:1 exchange
start of the treatment phase. Half the dogs (young and old)
for corn): spinach flakes, tomato pomace, grape pomace,
came from a closed colony of beagle dogs (Cohort 1). The
carrot granules and citrus pulp. The rationale for these in-
other half were obtained from a second, independent, closed
clusions is as follows: Vitamin E is lipid soluble and acts
colony (Cohort 2). Both groups were na¨ıve with respect to
to protect cell membranes from oxidative damage; Vitamin
cognitive test experience before starting the study.
C is essential in maintaining oxidative protection for the
The aged dogs were housed, either singly or in pairs, in
soluble phase of cells as well as preventing Vitamin E from
pens with continual access to fresh water. Because of space
propagating free radical production; alpha-lipoic acid is a
considerations, the young dogs were housed in a separate
cofactor for the mitochondrial respiratory chain enzymes,
animal facility, from two to four per room. In all other re-
pyruvate and alpha-ketoglutarate dehydrogenases, as well as
spects, the old and young animals were treated identically.
an antioxidant capable of redox recycling other antioxidants
All dogs were fed approximately 300 g of the control food
and raising intracellular glutathione levels; l-carnitine is a
once daily. In each case, however, the quantity of food was
precursor to acetyl-l-carnitine and is involved in mitochon-
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
drial lipid metabolism and maintaining efficient function;
fruits and vegetables are rich in flavonoids and carotenoids
Testing on the size discrimination learning task com-
and other antioxidants. The diet was produced by an ex-
menced approximately 20 months following the start of
trusion process and was fed for no more than six months
baseline testing, and approximately one year after the start
of the treatment phase. For the animals in the behaviorallyenriched group (group C-E and group A-E), a one-week
2.5. Behavioral enrichment intervention
non-test interval preceded the start of size discriminationlearning. The dogs in the control experience (A-C, C-C)
The behavioral enrichment condition commenced after
condition did not undergo any cognitive testing for approx-
completion of the baseline cognitive testing. The animals in
imately nine months after completing the baseline testing.
the enriched group were housed with kennel mates, exercised
The procedure followed in the size and size reversal learning
twice a week for 15 min intervals, and given sets of toys that
were alternated weekly. None of these were provided to thecontrol animals. The enrichment condition also included a
cognitive enrichment protocol. The first year of cognitive en-
Training on the black/white discrimination task started
richment started immediately after baseline with testing on
approximately two years after starting the treatment condi-
a series of landmark discrimination problems, as previously
tions. We used two wooden blocks that were identical in all
described After completing the landmark task, the sub-
respects except color: one was covered with white enamel
jects were tested on to a series of oddity discrimination lean-
paint and the other black enamel paint. The subjects were
ing problems After completing the oddity problems,
first administered a preference test, which consisted of a sin-
the dogs were then tested for retention of the landmark task.
gle test session of 10 trials used to establish object prefer-
The cognitive enrichment provided during the second year
ences; the total choices of one the blocks out of 10 provided
consisted of a series of nine discrimination learning tasks
the absolute preference score. On this and all subsequent test
that were intended to study size concept learning a
sessions, the objects were placed over the two lateral food
series of repeated reversal learning tasks that were intended
wells, and the location of the objects varied randomly, with
the constraint that each object was placed on each lateralfood well on exactly 50% of the trials. A customized com-
puter program controlled all timing and randomization pro-cedures. The program also assured that on each trial, the lo-
cations of the objects were the same for each animal. Before
All subjects underwent a standard pretraining cognitive
the beginning of each trial, the computer emitted a tone that
testing protocol. It consisted of reward approach and ob-
served as a cue for the dog and instructed the experimenter
ject approach learning were procedural learning
to present the food tray. Each trial was started when the ex-
tasks designed to train animals to displace an object on a tray
perimenter pressed a key and simultaneously presented the
to obtain a food reward consisting of approximately 1 g of
tray to the subject. The dogs’ responses to the two objects
Hill’s® Prescription Diet® Canine p/dTM canned food. The
were recorded by a key press, which also indicated the end
dogs responded to the objects by pushing them away from
of the trial and signalled the beginning of the inter-trial in-
the food well with their noses, and then eating the food.
After completing the procedural learning tasks, all subjects
Training on the black/white discrimination problem
were trained on an object discrimination learning task, which
started on the day following the preference test. The ani-
was followed by an object reversal learning task The
mals were given 10 trials per day, constituting one session,
animals were then tested on an object recognition memory
with an intertrial interval of 30 s. Testing was six days per
task delayed-non-matching-to-position task (DNMP)
week. The animals received a maximum of 40 training
The initial group assignment took into consideration
sessions to achieve a two-stage criterion. The first stage
age, sex, cohort and the subjects combined performance on
was successfully met once the animal either averaged 80%
the reversal learning task, the object recognition task, and
over two sessions, or at least 90% on a single session. To
the DNMP task. The baseline cognitive data has previously
complete the second stage, the dog was required to respond
been reported four test groups of aged dogs did not
correctly on at least 70% of the trials over three successive
differ on any of the baseline tests used in classification. Sim-
sessions. Thus, passing both stages took a minimum of four
ilarly, the two test groups of young animals did differ from
test sessions. One dog failed to learn the black/white dis-
each other on the baseline evaluations. There were, how-
crimination task within the 40 trials, and was consequently
ever, significant differences between the old and young ani-
administered a program of remedial training, so that the
mals in performance on the reversal and visuospatial tasks.
dog could be tested on the reversal task. During the reme-
All animals were maintained on the control food during the
dial training phase, an additional 13 training sessions were
pretraining period, which continued for approximately nine
allotted for each animal to reach the criterion performance
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
The black/white reversal task started on the day following
3.2. Effect of food and experience on learning a
completion of the black/white discrimination learning task. black/white discrimination and reversal task
The testing procedures were identical, except that the rewardcontingencies of the positive and negative block were re-
For the aged animals, the results of the black/white task
versed. Thus, if an animal was rewarded for approaching the
were first analyzed with a repeated measures analysis of
white block during the initial testing, it was now rewarded
variance, with discrimination and reversal learning as within
subject measures, and cohort, food, and behavioral enrich-ment as between subject measures. The results revealed sig-
nificant main effects of food (F(1, 34) = 4.678; P < 0.05),behavioral enrichment (F(1, 34) = 31.89, P < 0.01) and
For individual subjects, rate of learning was character-
task (F(1, 34) = 78.93; P < 0.01). As expected, the task
ized by error scores, which were calculated by adding the
effect was due to the reversal task being more difficult than
total number of errors to either pass the two-stage learn-
the original discrimination learning task.
ing criterion, or the total number of errors made over
To further breakdown the food and behavioral enrich-
40 training trials. The data were analyzed with factorial
ment effects, we performed separate factorial analyses for
and repeated measures analysis of variance (ANOVA)
the black/white discrimination task and for the black/white
When required, post hoc analysis was performed by
discrimination reversal task. On the black/white discrimina-
Tukey’s studentized range test (HSD), using the 0.05 level
tion task, the ANOVA revealed a significant main effect of
of significance. In addition, chi-square analysis was per-
behavioral enrichment (F(1, 38) = 22.35; P < 0.01), and
formed on the frequency of failure for the three assessment
no other significant effects or interactions. illus-
trates that each of the groups that received behavioral en-
The initial analyses took into consideration food, behav-
richment (group A-E and group C-E) made fewer errors than
ioral enrichment condition, cohort and sex. There were no
either of the two non-enriched groups (group A-C and group
significant effects of sex on any of the dependent variables
C-C). Tukey’s LSDs indicated that each behavioral enrich-
and sex was therefore dropped from all subsequent analyses.
ment groups performed significantly better than its respec-tive control enrichment group (group C-C versus group C-Eand group A-C versus group A-E). By contrast, the control
3. Results
groups did not differ from each other.
Analysis of black/white discrimination reversal learning,
on the other hand, revealed significant effects of both behav-ioral enrichment (F(1, 34) = 27.2094; P < 0.01) and food
shows the sample size and mean ages of each
(F(1, 34) = 5.11; P < 0.05). These results are largely due
group at the start of discrimination testing during baseline,
to the high level of performance of group A-E (see
after one year of treatment and after two years. As indi-
which received the combined treatment of antioxidant en-
cated in completed sets of discrimination and re-
riched food and behavioral enrichment. Further, post hoc
versal data were not obtained from four animals assigned
analysis revealed that group A-E did significantly better than
to group C-C, and 1 animal assigned to group C-E: Four of
group C-C and group A-C. The only other significant group
these died or had to be euthanized for medical reasons; the
differences were between group C-E and group C-C.
fifth was dropped from the study because of motivational
We also analyzed the data from the young animals using a
repeated measures ANOVA, and found a significant effect of
Table 1Mean age of groups at start of discrimination testing over three years
Mean ages and standard deviations of the four groups of old dogs and two groups of young dogs at the start of baseline discrimination learning testing,after one year of treatment, and after two years of treatment. N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
Fig. 2. Effect of antioxidant fortified food on acquisition of a black/white
discrimination and black/white discrimination reversal learning task inyoung beagle dogs. Error bars represent standard errors.
There were no significant differences in the black/white
discrimination learning task. On the black/white discrimina-tion reversal task, by contrast, there was a highly significant
effect of age (F(1, 34) = 17.12; P < 0.01). As indicated in
this was largely due to poor performance of the oldanimals on the control food. Post hoc analysis indicated this
group performed significantly more poorly than both groups
Fig. 1. Effect of antioxidant fortified food and behavioral enrichment onacquisition of a black/white discrimination learning task (A) and reversal
learning task (B) in aged beagle dogs. Error bars represent standard errors(C-C: control food-control experience, C-E: control food-enriched experi-
ence, A-C: antioxidant fortified food-control experience, A-E: antioxidant
fortified food-enriched experience). Bars with different superscripts are
significantly different by Tukey’s studentized range test (HSD).
task (F(1, 12) = 28.17; P < 0.01), but no other significant
Because the young animals all received behavioral en-
richment, age differences on both the black/white discrim-
ination and reversal tasks were assessed with the use of a
repeated measures ANOVA that compared the two younggroups with the old groups provided with behavioral enrich-
ment. In this analysis, task (discrimination versus reversallearning) served as the within subject variable and food and
age were between subject variables. The results revealed a
highly significant effect of task (F(1, 34) = 48.93; P <
0.01), age (F(1, 34) = 15.26; P < 0.01), and a significantage by task interaction. (F(1, 34) = 5.799; P ≤ 0.03). To
Fig. 3. Age differences in acquisition of black/white discrimination andblack/white discrimination reversal learning task. The old animal data
further clarify these results, we carried out separate factorial
was taken only from subjects in the behaviorally enriched groups. Error
analysis for the black/white discrimination and black/white
bars represent standard errors. Groups with different superscripts are
significantly different by Tukey’s studentized range test (HSD). N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
of young animals and than the old animals on the fortified
(F(2, 66) = 34.11, P < 0.01). ws that the task
effect reflects the animals showing a progressive slowingin learning over the three years. The interaction with expe-
3.4. Longitudinal changes in discrimination and reversal
rience reflects the behaviorally enriched group performing
learning between baseline and year 2 assessment
better than the non-enriched group over the third year only. Finally, the task by food effect reflects consistently better
3.4.1. Overall results with all animals, young and old
performance of the enriched animals over the controls on
the last two years, after the start of the antioxidant treat-
To evaluate longitudinal changes in discrimination and
reversal learning, the data over the three years were first an-
The reversal learning was first analyzed with a repeated
alyzed with an omnibus repeated measures ANOVA with
measure ANOVA over the three years and revealed signif-
age (young versus old) and food (enriched versus control)
icant main effects of behavioral enrichment (F(1, 34) =
as between subject variables and test year (object, size and
9.78 P < 0.001), food (F(1, 34) = 4.198, P < 0.05),
black/white) and task type (discrimination versus reversal)
and task (F(2, 68) = 52.11, P ≤ 0.001). There were
as within subject factors. There were highly significant main
also significant interactions between task and enrichment
effects of age (F(1, 54) = 44.277; P < 0.0001), test year
(F(2, 68) = 15.60, P ≤ 0.0001) and between task and
(F(2, 108) = 21.149) and task type (F(1, 54) = 273.67;
cohort (F(2, 68) = 3.37, P < 0.05). The behavioral en-
P < 0.0001). There were also significant interactions be-
richment effect is shown in which illustrates that
tween age and test year (F(2, 108) = 10.446; P ≤ 0.001)
the animals provided with the behavioral enrichment treat-
and age and task type (F(1, 54) = 24.76; P ≤ 0.00001).
ment learned more accurately than the animals providedwith control experience, and the differences increased over
3.4.2. Effects of age within behaviorally enriched groups
repeated testing. illustrates that the food effect is
To examine the effects of age, we next performed the same
due to improved performance of the group given both the
analysis on the behaviorally enriched dogs only, which in-
antioxidant fortified food in the second treatment year on
cluded all of the young dogs and half of the old dogs. The re-
sults revealed a highly significant effects of food (F(1, 34) =
The subjects tested in these experiments were allowed a
7.22; P ≤ 0.02), test year (F(2, 68) = 15.34; P < 0.0001)
maximum of 40 sessions to solve the reversal learning task,
and task type (F(1, 34) = 142.04; P < 0.0001). There
and some of the animals were unsuccessful. The error score
were also significant interactions between age and test year
assigned to the subjects that failed was based on the 40 test
(F(2, 68) = 7.75; P ≤ 0.001) and between age and task
sessions administered, which underestimated the true error
type (P(1, 34) = 18.9153; P < 0.001). As illustrated in
rate because of a ceiling effect. The number of failures for
4, the task and age effects are attributable to animals gen-
each of the test groups is shown in The contrast
erally showing faster learning of the black/white discrimi-
between the animals given the combined treatment and the
nation task than of the black/white discrimination reversal
animals in the control-control group was notable. All 12 of
task, and second, consistently more accurate learning by the
the animals in the combined treatment condition were able
to solve all of the reversal learning problems, while onlytwo of eight control-control animals showed learning. The
3.4.3. Effects of food and experience on aged animals
chi-squared value obtained by comparing frequency of fail-
We then looked at treatment effects in the aged ani-
ure for the discrimination reversal learning over all time pe-
mals alone, looking at discrimination and discrimination
riods with expected frequencies was highly significant (P =
reversal learning separately. For the discrimination learn-
0.02). Subsequent chi-square analysis of the failure at each
ing task, there were highly significant main effects of task
measured point showed no significant difference at base-
(F(2, 68) = 34.11, P < 0.0001) and behavioral enrich-
line or the first year of assessment. However, the second
ment (F(1, 34) = 17.95, P < 0.001) and significant two
year of assessment revealed a highly significant chi-square
way interactions between task and behavioral enrichment
of 0.0033. This could be attributed to the high failure rate
(F(2, 66) = 7.475, P < 0.001) and between task and food
in the C-C group compared to the other groups.
Table 2Reversal learning failures as a function of task and treatment group
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
Fig. 4. Longitudinal changes in discrimination (A) and reversal learning (B) in young and old beagle dogs. The aged group included in the figure waslimited to the subjects in the behaviorally enriched groups. 4. Discussion
task after two years receiving one of four treatment condi-tions: control food-control experience; fortified food-control
This project had three goals: to evaluate the cognitive
experience; control food-enriched experience; and fortified
effectiveness of long-term maintenance on an antioxidant-
food-enriched experience. We also tested two groups of dogs
fortified food; to evaluate the effectiveness of a long-term
that were young at the start of the study. One group received
program of behavioral enrichment, and; to assess cogni-
the control food and the other the fortified food. Both groups
tive decline in the beagle dog in a longitudinal study. The
of young dogs received behavioral enrichment.
data presented in this report was obtained from aged dogs
Both treatment conditions improved performance of the
tested on a black/white discrimination learning and reversal
aged group. However, the effectiveness of the various treat-
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
Fig. 5. Performance on discrimination learning tasks as a function of antioxidant fortification and behavioral enrichment in aged dogs. (A) Learningaccuracy over three years for the animals in the enriched experience and control experience groups. (B) Comparison of the aged animals on the antioxidantfortified and control foods at baseline and over the next two years. As indicated in the figure captions, the dogs were tested on an object discriminationtask at baseline, a size discrimination task after one treatment year and a black/white discrimination task after two treatment years.
ment combinations varied as a function of both experience
By contrast, all 12 animals in the combined treatment con-
and food. Performance of the black/white discrimination
dition successfully achieved the a priori learning criterion.
learning task was significantly improved in the aged dogs
Finally, on both tasks, the two treatments combined were
provided with behavioral enrichment, relative to the control
more effective than either treatment alone.
enrichment condition. The reversal task, by contrast, was
The performance of the subjects in the young group by
significantly affected by both experience and food. Further-
contrast, was unaffected by the dietary manipulation, which
more, because the experimental design limited the number
was not unexpected. The effectiveness of the food is theoret-
of the training trials, the magnitude of the treatment effects
ically linked to its’ ability to arrest or reverse cellular dys-
was likely underestimated. Eight of 18 animals in the control
function produced by excessive free radicals and imiprove-
food condition failed the reversal test in the allotted 40 ses-
ment of aged mitochondrial function. However, free-radical
sions and 10 of 20 animals in the control experience failed.
based brain damage is minimal in younger animals
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
Fig. 6. Performance on discrimination reversal learning tasks as a function of antioxidant fortification and behavioral enrichment over three years in agedsubjects. (A) The scores over three years for the animals in the enriched experience and control experience groups. Group differences are apparent inthe first test year, after one year of treatment. (B) Comparison of the aged animals on the antioxidant fortified and control foods at baseline and overthe next two years.
The results of this study extend our previous report on
one year. We have also found, however, that dietary forti-
the effects of the antioxidant fortification and behavioral en-
fication has significant beneficial effects after a short time
richment on size discrimination and reversal learning, which
frame among animals provided with behavioral enrichment
was carried out after one year of treatment. Whereas the
present study revealed a significant main effect of food byitself on the reversal learning, the one-year results indicated
4.1. Effects of behavioral enrichment
that antioxidant supplementation was only effective when itwas combined with behavioral enrichment present
The behavioral enrichment condition included a program
results indicate that the effect of fortified food on cognition
of cognitive enrichment, increased physical activity and en-
is more robust after two years on the food than after only
vironmental enrichment. The present results do not allow
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
us to distinguish the relative importance of each of these
provement, and also were able to erase other age-dependent
interventions. We suspect, however, that the cognitive en-
richment was particularly important. First, previous animalstudies in which aged subjects are provided with environ-
4.3. Cross sectional age differences
mental enrichment have had small inconsistent effects oncognition By contrast, training animals on particular
The analysis of age-dependent cognitive decline was
tasks early in life can produce long-lasting changes in the
partially confounded by the absence of a non-enriched
animals’ abilities to learn those tasks later in life
young-animal group. The young animals, consequently,
Cognitive enrichment protocols have also been found to
could only be compared with the behaviorally enriched aged
produce beneficial effects in elderly human subjects. Ball
animals. The results revealed significant differences be-
et al. xamined the effect of three distinct cognitive in-
tween the age groups on the reversal learning, but not on the
terventions (memory training, reasoning training, and speed
discrimination learning. The absence of an age-dependent
of processing training). They were all effective, but the ef-
difference in discrimination learning contrasts with data ob-
fectiveness was selective, and improved only the targeted
tained from these animals after only one year of treatment
cognitive ability. These results from human subjects suggest
with other studies showing age-dependent deficits
that cognitive enrichment protocols produce task-specific
in complex discrimination learning tasks e attribute
improvement. The present results are consistent with this
these results to two factors: the first is the extensive test ex-
suggestion. Although the cognitive enrichment protocol con-
perience given to our behaviorally enriched aged animals.
sisted of a broad range of tasks, they could all be solved with
The second relates to the age range of the young group. Al-
a discrimination learning strategy. This was also true of the
though we have used the term young, the mean age of the
black/white discrimination task, and the discrimination re-
young group at the time of final testing was greater than
versal task, which requires two cognitive skills: learning to
five and some of the animals were over seven, which we
inhibit the response to a previously rewarded stimulus and
have previously considered to be middle aged
learning to respond to a previously non-rewarded stimulus.
We did get significant age differences in the reversal learn-
ing task, as expected based on our previous work
4.2. Effects of dietary intervention
studies with non-human primates owever, thedifferences were largely a result of poorer performance of
The finding of improved performance in the groups on
the aged group that received the control food, suggesting
the antioxidant fortified food is consistent with our previous
that the antioxidant food was able to reduce age-dependent
reports, which were obtained in animals provided with the
fortified food for under a year The present resultsextend these findings to indicate that the fortified food re-
4.4. Longitudinal changes in cognitive ability in the young
mains an effective therapeutic after two years of treatment.
The dietary intervention used in this study has been previ-ously described and discussed , the food was
The other aim of this study was to obtain longitudinal
enriched with a cocktail containing both antioxidants and mi-
evidence of changes in discrimination and reversal learn-
tochondrial cofactors. Because of the numerous ingredients,
ing ability in the beagle dog. To characterize cognitive de-
we do not know which if any specific component is partic-
cline, we studied two groups of beagle dogs, an aged group
ularly important, or, alternatively, whether beneficial effects
and a young group. The aged group consisted of 48 dogs
depend on the use of a broad spectrum of ingredients. The
that ranged from approximately 8–10 years of age. The
latter interpretation is consistent with the moderately large
young group consisted of 17 dogs. The results demonstrated
literature on the effects of antioxidant supplementation on
progressive deterioration in performance over three years
cognition. In several studies, in which only a limited group of
in both discrimination and reversal learning in the aged
antioxidants were used, the effects on cognition were small
and restricted. Thus, Sano et al. that supplemen-
At the start of the study, the old group performed signif-
tation with ␣-tocopherol over two years did not improve
icantly worse than the young on object discrimination re-
scores on cognitive measures, such as on the mini-mental
versal learning, but not on object discrimination learning,
state examination, in moderately demented Alzheimer’s dis-
suggesting overall cognitive impairment in 8- to 10-year-old
ease patients. Socci et al. no effect on passive
beagle dogs. As a group, the aged animals showed progres-
avoidance memory of long-term antioxidant supplementa-
sively poorer performance throughout the course of the study
tion with Vitamin E, phenyl-␣-tert-butylnitrone and ascorbic
on both discrimination and reversal tasks. The performance
acid, although the antioxidant treatment did improve rate of
differences between the size and black/white tasks are likely
water maze learning. Finally, Joseph et al. not find
due to marked age-dependent decline over the course of the
differences between control treatment and a variety of an-
study, rather than to differences in task difficulty. In a pre-
tioxidants on water maze learning, although they reported
vious experiment, we used a crossover design to compare
evidence suggesting that supplements resulted in greater im-
acquisition of a size discrimination and black/white discrim-
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
ination tasks and found that the size task was significantly
This suggested time frame for cognitive aging in the bea-
more difficult than the black/white task for aged beagle dogs
gle dog is consistent with imaging studies of aged dogs and
In the present study, by contrast, the aged dogs did
time course studies of beta amyloid deposition. Su et al.
more poorly on the black/white discrimination, which was
found that after the age of 10, ventricular volume increases
tested in the second year of the study, than they did on
exponentially. Head et al. found that neuropathogy,
the size discrimination task, which was tested in the first
manifested by the occurrence of beta amyloid deposition,
year of the study. Since this is the opposite of what we
first appears when the beagle dog at about eight years, when
have seen previously, it’s likely that the poorer performance
it is most prominent in the prefrontal cortex. At this time,
reflects age differences (the animals were one year older)
many cognitive functions are unimpaired, although deficits
rather than differences in task difficulty. This conclusion is
are manifested in functions, such as reversal learning, that
further reinforced by the data from the young dogs, which
are likely frontal lobe dependent. After 10 years of age, beta
performed comparably on the black/white, size and size dis-
amyloid accumulation is also notable in entorhinal, parietal,
crimination tasks, as well as on the discrimination reversal
and occipital cortices, which is also the time frame when
more severe and widespread cognitive dysfunction occurs.
Another notable observation was the high incidence of
The suggestion of an increasing proportion of subjects
failures with increased age—particularly by the control
severe cognitive decline after about 12 is also consistent
group on the reversal learning task. Because these tasks
with observational data obtained from studies of pet dogs,
are not particularly difficult for young or middle aged
in which cognitive impairment characterized by disorienta-
beagle dogs, learning failures provide strong evidence of
tion, disturbances in social interactions, impairment in house
age-associated cognitive decline or dementia. The present
training and disruption of sleep–wake cycles shows an in-
results, therefore, suggest that the likelihood of cognitive
creasing prevalence with advanced age. Thirty percent of
decline increases precipitously after the age of 10. This
11- to 12-year-old animals show impairment in one or more
conclusion is also consistent with the results of Patronek
category and 10% show impairments in two or more of these
et al. in which a 10-year-old beagle was found to be
categories. In animals between 15 and 16, the percentages
equivalent in physiological age to a 66.6-year-old human.
We have also found evidence of cognitive deterioration inthe performance of dogs used in this study on a delayednon-matching to position task, a measure of visuospatial
5. Conclusions
function, which will be reported separately. Several ageddogs failed the task in the third year of the study, despite
To conclude, the present results demonstrates that both
the fact that they had successfully learned the task when
discrimination and reversal learning ability decline progres-
sively with advanced age in beagle dogs, but that the rate of
We have focused primarily on longitudinal changes in the
decline can be delayed by both behavioral enrichment and
old dogs. We also found evidence of cognitive deterioration
antioxidant supplementation. Possibly the most important
in the young dogs. The performance of the young group
outcome of this study was the demonstration that the behav-
showed an overall, but not significant, decline in the second
ioral enrichment and the antioxidant supplementation con-
year of the study (on black/white discrimination and rever-
dition combined were more effective than either alone. This
sal), when compared to the first (size discrimination and re-
study is the first that we know of to look at both interven-
versal). However, we expected the dogs to do better on the
tions in combination. The dietary intervention was based on
black/white test than on the size discrimination based on
a cocktail of compounds, and it will be important in future
previous findings In fact, by the second treatment year
studies to determine which of the ingredients are most effec-
of the study, the designation of the group as young dogs was
tive, and whether the cocktail can be improved. The behav-
no longer appropriate, as the mean age of the dogs was now
ioral intervention also involved a cocktail of treatments (ac-
over five years. One possibility is that the performance on
tivity, environmental enrichment and cognitive enrichment),
the black/white discrimination task actually represents im-
and the contribution of each to the present results remains
paired performance, relative to younger dogs.
Collectively, these results suggest a possible time frame
for the development of cognitive deterioration in the bea-gle dog. The data from the young dogs suggests that max-imal performance is typically reached between about two
6. Conflict of interest statement
and four years of age, and that performance begins to falloff around five years of age. By eight years of age, there
The following conflict of interest was declared by the
are clear and consistent age-dependent impairments. Subse-
authors with respect to publication of this paper: Steven
quently, cognitive decline increases at an accelerated rate,
Zicker is an employee of Hill’s Pet Nutrition Inc., which
and after about 12, an increasing proportion of animals show
has commercialized the antioxidant fortified food used in
severe decline and can be characterized as demented. N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90Acknowledgments
[17] Fukui K, Omoi NO, Hayasaka T, Shinnkai T, Suzuki S, Abe K, et
al. Cognitive impairment of rats caused by oxidative stress and agingand its prevention by Vitamin E. Ann NY Acad Sci 2002;959:275–
This project was sponsored by funds provided by
the National Institute of Aging (Grant AG12694) and
[18] Gabbita SP, Lovell MA, Markesbery WR. Increased nuclear DNA
by the U.S. Department of the Army, Contract No.
oxidation in the brain in Alzhemier’s disease. J Neurochem
[19] Giaccone G, Verga L, Finazzi M, Pollo B, Taglaivini F, Frangione
B, et al. Cerebral preamyloid deposits and congophilic angiopathyin aged dogs. Neurosci Lett 1990;114:178–83. References
[20] Greiner PA, Snowdon DA, Schmitt FA. The loss of independence in
activities of daily living: the role of low normal cognitive function
[1] Adams B, Chan ADF, Callahan H, Siwak CT, Tapp D, Ikeda-Douglas
in elderly nuns. Am J Pub Health 1996;86(1):62–6.
C, et al. Spatial learning and memory in the dog as a model of
[21] Head E, Callahan H, Muggenburg BA, Cotman CW, Milgram NW.
cognitive aging. Behav Brain Res 2000;108:47–56.
Visual-discrimination learning ability and beta-amyloid accumulation
[2] Adams B, Chan A, Callahan H, Milgram NW. The canine
in the dog. Neurobiol Aging 1998;19(5):415–25.
as a model of aging and dementia: recent developments. Prog
[22] Head E, McCleary R, Hahn FF, Milgram NW, Cotman CW.
Neuro-Psychopharmacol Biol Psychiatry 2000;5:675–92.
Region-specific age at onset of -amyloid in dogs. Neurobiol Aging
[3] Aksenova MV, Aksenova MY, Payne RM, Trojanowski JQ, Schmidt
ML, Carney JM, et al. Oxidation of cytosolic proteins and expression
[23] Head E, Liu J, Hagen TM, Muggenburg BA, Milgram NW, Ames
of creatine kinase B in frontal lobe in different neurodegenerative
BN, et al. Oxidative damage increases with age in a canine model
disorders. Dement Geriatr Cogn Disord 1999;10:158–65.
of human brain aging. J Neurochem 2002;82(2):375–81.
[4] Association of American Feed Control Officials: AAFCO dog and cat
[24] Ikeda-Douglas CJ, Zicker SC, Estrada J, Jewell DE, Milgram NW.
food nutrient profiles. In: 1999 Official Publication of American Feed
Prior experience, antioxidants and mitochondrial cofactors improve
Control Officials Incorporate. West Lafayette, IN: AAFCO;1999.
cognitive function in aged beagles. Vet Ther 2004;5(1):5–16.
[25] Joseph JA, Shukitt-Hale B, Denisova NA, Bielinski D, Martin A,
[5] Ball K, Berch DB, Helmer KF, Jobe JB, Leveck MD, Marsiske M,
McEwen JJ, et al. Reversals of age-related declines in neuronal
et al. Effect of cognitive training interventions with older adults.
signal transduction, cognitive, and motor behavioral deficits with
blueberry, spinach or strawberry dietary supplementation. J Neurosci1999;19:8114–21.
[6] Bartus RT, Dean RL, Fleming DL. Aging in the rhesus monkey:
[26] Lai ZC, Moss MB, Killiany RJ, Rosene DL, Herndon JG. Executive
effects on visual discrimination learning and reversal learning. J
system dysfunction in the aged monkey: spatial and object reversal
learning. Neurobiol Aging 1995;16:947–54.
[7] Beckman KB, Ames BN. The free radical theory of aging matures.
[27] Markesbery WR, Lovell MA. Four-hydroxynonenal, a product of
lipid peroxidation is increased in the brain of Alzheimer’s disease.
[8] Bickford PC, Gould T, Briederick L, Chadman K, Pollock A, Young
D, et al. Antioxidant-rich diets improve cerebellar physiology and
[28] Mattson MP, Duan W, Lee J, Guo Z. Suppression of brain
motor learning in aged rats. Brain Res 2000;866:211–7.
aging and neurodegenerative disorders by dietary restriction and
[9] Callahan H, Ikeda-Douglas C, Head E, Cotman CW, Milgram
environmental enrichment: molecular mechanisms. Mech Ageing Dev
NW. Development of a protocol for studying object recognition
memory in the dog. Prog Neuro-Psychopharmacol Biol Psychiatry
[29] Milgram NW, Head E, Weiner E, Thomas E. Cognitive functions
and aging in the dog: acquisition of non spatial visual tasks. Behav
[10] Cartford MC, Gemma C, Bickford PC. Eighteen-month-old Fischer
344 rats fed a spinach-enriched diet show improved delay classical
[30] Milgram NW, Siwak CT, Gruet P, Atkinson P, Woehrlé F, Callhan
eyeblink conditioning and reduced expression of tumor necrosis
H. Oral administration of adrafinil improves discrimination learning
factor alpha (TNFalpha) and TNFbeta in the cerebellum. J Neurosci
in aged beagle dogs. Pharmacol Biochem Behav 2000;66:301–5.
[31] Milgram NW, Head E, Muggenburg B, Holowachuk D, Murphey
[11] Chan ADF, Nippak P, Murphey H, Ikeda-Douglas C, Muggenberg B,
H, Estrada CJ, et al. Landmark discrimination learning in the dog:
Head E, et al. Visuospatial impairments in aged canines: the role of
effects of age, an antioxidant fortified diet, and cognitive strategy.
cognitive-behavioral flexibility. Behav Neurosci 2002;116:443–54.
Neurosci Biobehav Rev 2002;26:679–95.
[12] Churchill JD, Galvez R, Colcombe S, Swain RA, Kramer AF,
[32] Milgram NW, Zicker SC, Head E, Muggenburg BA, Murphey H,
Greenough WT. Exercise, experience and the aging brain. Neurobiol
Ikeda-Douglas C, et al. Dietary enrichment counteracts age-associated
cognitive dysfunction in canines. Neurobiol Aging 2002;23:737–45.
[13] Cotman CW, Berchtold NC. Exercise: a behavioral intervention to
[33] Milgram NW. Cognitive experience and its effect on age-dependent
enhance brain health and plasticity. Trends Neurosci 2002;25:295–
cognitive decline in beagle dogs. Neurochem Res 2003;28:1677–82.
[34] Milgram NW, Head E, Zicker S, Ikeda-Douglas CJ, Murphey H,
[14] Cummings BJ, Head E, Ruehl W, Milgram NW, Cotman CW. The
Muggenburg B, et al. Dietary antioxidant fortification and behavioural
canine as an animal model of human aging and dementia. Neurobiol
enrichment combined improve cognitive performance of aged beagles
on visual discrimination learning and reversal, Expt Gerontol 2004,
[15] Escorihuela RM, Tobena A, Fernandez-Teruel A. Environmental
enrichment and postnatal handling prevent spatial learning deficits
[35] Miranda S, Opazo C, Larrondo LF, Munoz FJ, Ruiz F, Leighton F,
in aged hypoemotional (roman high-avoidance) and hyperemotional
et al. The role of oxidative stress in the toxicity induced by amyloid
(roman low-avoidance) rats. Learn Mem 1995;2:40–8.
beta-peptide in Alzheimer’s disease. Prog Neurobiol 2000;62:633–
[16] Farr SA, Poon HF, Dogrukol-Ak D, Drake J, Banks WA, Eyerman E,
et al. The antioxidants alpha-lipoic acid and N-acetylcysteine reverse
[36] Moore S, Sandman CA, McGrady K, Kesslak JP. Memory training
memory impairment and brain oxidative stress in aged SAMP8 mice.
improves cognitive ability in patients with dementia. Neuropsychol
N.W. Milgram et al. / Neurobiology of Aging 26 (2005) 77–90
[37] Neilson JC, Hart BL, Cliff KD, Ruehl WW. Prevalence of behavioural
[45] Tapp PD, Siwak CT, Estrada J, Muggenburg BA, Head E, Cotman
changes associated with age-related cognitive impairment in dogs.
CW, et al. Size and reversal learning in the beagle dog as a measure
of executive function and inhibitory control in aging. Learn Mem
[38] Patronek GJ, Waters DJ, Glickman LT. Comparative longevity of pet
dogs and humans: implications for gerontology research. J Gerontol
[46] Tapp PD, Siwak CT, Head E, Cotman CW, Murphey H, Muggenberg
A Biol Sci Med Sci 1997;52(3):B171–8.
BA, et al. Concept abstraction in the dog: development of a protocol
[39] Rapp PR. Visual discrimination and reversal learning in the aged
using successive discrimination and size concept tests. Behav Brain
monkey (Macaca mulatta). Behav Neurosci 1990;104:876–84.
[40] Rowe JW, Kahn RL. Human aging: usual and successful. Science
[47] Van Gool WA, Mirmiran M, van Haaren F. Spatial memory and
visual evoked potentials in young and old rats after housing in an
[41] Sano M, Ernesto C, Thomas RG, Klauber MR, Schafer K, Grundman
enriched environment. Behav Neural Biol 1985;44:454–69.
M, et al. A controlled trial of selegiline, alpha-tocopherol, or both
[48] Veinbergs I, Mallory M, Sagara Y, Masliah E. Vitamin E
as treatment for Alzheimer’s disease. The Alzheimer’s Disease
supplementation prevents spatial learning deficits and dendritic
Cooperative Study. N Engl J Med 1997;336(17):1216–22.
alterations in aged apolipoprotein E-deficient mice. Eur J Neurosci
[42] SAS/STAT® users guide, version 6, vol. 2. 4th ed. Cary NC: SAS
[49] Vicens P, Redolat R, Carrasco MC. Effects of early spatial training on
[43] Socci DJ, Crandall BM, Arendash GW. Chronic antioxidant treatment
water maze performance: a longitudinal study of mice. Exp Gerontol
improves the cognitive performance of aged rats. Brain Res
[50] Voytko ML. Impairments in acquisition and reversals of two-choice
[44] Su M-Y, Head E, Brooks WM, Wang Z, Muggenberg BA, Adam
GE, et al. MR imaging of anatomicand vascular characteristics in
a canine model of human aging. Neurobiol Aging 1998;19:479–85.
MEDIKAMENTOESE UND CHIRURGISCHE MOEGLICHKEITENKOPFHAAR ZU ERHALTEN UND WIEDERHERZUSTELLEN Was verursacht Haarausfall? Es gibt viele Ursachen für Haarausfall bei Frauen und Männern. Die meisten Männer mit Haarausfall leidet unter genetisch bedingter androgenetischer Alope-zie, der “maennlichen Kahlheit”. Das Hormon Dihydrotestosteron (DHT) ist bei praedisponier-ten Maennern fuer dieses P
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