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We undertook a systematic literature review followed by pooled effect size and activation likelihood estimates (ALE) meta\u2010analyses. Studies were retrieved from PubMed following the PRISMA guidelines. After reviewing 635 records, 21 studies with 22 independent samples (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u2009911 participants) were included in the pooled effect size analyses. Eight studies with eleven separate samples (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u2009713 participants) were included in the ALE analyses. Pooled effect sizes showed significantly lower cerebral metabolic rates of glucose for older versus younger adults for the whole brain, as well as for the frontal, temporal, parietal, and occipital lobes. Among the sub\u2010cortical structures, the caudate showed a lower metabolic rate among older adults. In sub\u2010group analyses controlling for changes in brain volume or partial volume effects, the lower glucose metabolism among older adults in the frontal lobe remained significant, whereas confidence intervals crossed zero for the other lobes and structures. The ALE identified nine clusters of lower glucose metabolism among older adults, ranging from 200 to 2640\u2009mm\n                    <jats:sup>3<\/jats:sup>\n                    . The two largest clusters were in the left and right inferior frontal and superior temporal gyri and the insula. Clusters were also found in the inferior temporal junction, the anterior cingulate and caudate. Taken together, the results are consistent with research showing less efficient glucose metabolism in the ageing brain. The findings are discussed in the context of theories of cognitive ageing and are compared to those found in neurodegenerative disease.\n                  <\/jats:p>","DOI":"10.1002\/hbm.26119","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T10:00:07Z","timestamp":1666346407000},"page":"1251-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Lower brain glucose metabolism in normal ageing is predominantly frontal and temporal: A systematic review and pooled effect size and activation likelihood estimates meta\u2010analyses"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1052-4516","authenticated-orcid":false,"given":"Hamish A.","family":"Deery","sequence":"first","affiliation":[{"name":"Turner Institute for Brain and Mental Health Monash University  Melbourne Australia"},{"name":"Monash Biomedical Imaging Monash University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Di Paolo","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health Monash University  Melbourne Australia"},{"name":"Monash Biomedical Imaging Monash University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Moran","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School Monash University  Frankston Victoria Australia"},{"name":"Department of Geriatric Medicine Peninsula Health  Frankston Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary F.","family":"Egan","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health Monash University  Melbourne Australia"},{"name":"Monash Biomedical Imaging Monash University  Melbourne Australia"},{"name":"Australian Research Council Centre of Excellence for Integrative Brain Function  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7222-7181","authenticated-orcid":false,"given":"Sharna D.","family":"Jamadar","sequence":"additional","affiliation":[{"name":"Turner Institute for Brain and Mental Health Monash University  Melbourne Australia"},{"name":"Monash Biomedical Imaging Monash University  Melbourne Australia"},{"name":"Australian Research Council Centre of Excellence for Integrative Brain Function  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1614362"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2015.00013"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(86)80002-2"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(16)30029-1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(92)91288-P"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1096\/fj.202001704RR"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","unstructured":"The Lancet 2015 386 10004 Frontotemporal dementia","DOI":"10.1016\/S0140-6736(15)00672-8"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurobiolaging.2019.05.010"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2005.1634"},{"key":"e_1_2_10_11_1","doi-asserted-by":"crossref","unstructured":"Neurology 2020 95 2 Longitudinal structural and metabolic changes in frontotemporal dementia","DOI":"10.1212\/WNL.0000000000009760"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573399815666190129155654"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2017.01.055"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpet.2013.10.006"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.1997.tb00294.x"},{"issue":"6","key":"e_1_2_10_16_1","first-page":"538","article-title":"Alternative formula for glucose utilization using labeled deoxyglucose","volume":"23","author":"Brooks R. 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