Cognitive reserve can impact trajectories in ageing: a longitudinal study.

Trajectories of decline from healthy aging to dementia are not linear; they may range from a more attenuated to a more accelerated cognitive worsening. This longitudinal study investigates the impact of Cognitive Reserve (CR) on task performance in a cohort of 117 individuals (mean age 74.89; SD = 7...

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Publicado en:Aging Clinical & Experimental Research Vol. 37; no. 1; pp. 1 - 8
Autores principales: Montemurro, Sonia, Rumiati, Raffaella Ida, Pucci, Veronica, Nucci, Massimo, Mondini, Sara
Formato: research tables/charts Journal Article
Publicado: Springer Nature 3/17/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/17/2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s40520-025-03000-z
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        atl: Cognitive reserve can impact trajectories in ageing: a longitudinal study.
      aug:
        au:
          Montemurro, Sonia
          Rumiati, Raffaella Ida
          Pucci, Veronica
          Nucci, Massimo
          Mondini, Sara
        affil: https://ror.org/00240q980 Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padua, Padua, Italy
      sug:
        subj:
          Task Performance and Analysis In Old Age
          Cognitive Aging
          Activities of Daily Living
          Referral and Consultation
          Neuropsychology
          Cognition Evaluation
          Human
          Aged
          Aged, 80 and Over
          Male
          Female
          Prospective Studies
          Educational Status
          Descriptive Statistics
          Post Hoc Analysis
          Funding Source
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Trajectories of decline from healthy aging to dementia are not linear; they may range from a more attenuated to a more accelerated cognitive worsening. This longitudinal study investigates the impact of Cognitive Reserve (CR) on task performance in a cohort of 117 individuals (mean age 74.89; SD = 7.43) who experienced difficulties in everyday life and referred to a neuropsychology unit for cognitive assessment. Only participants assessed three times were included in the study. CR was estimated for each participant based on educational level and occupational complexity. Results revealed a general decline in global cognitive performance over time, in particular from the second to the final assessment (mean years = 2.95 ± 2.11). The two groups (high CR vs. low CR) did not differ for sex or age across assessments. Individuals with high CR not only exhibited greater cognitive efficiency at baseline—consistent with Stern's (2009) construct—but also maintained a more stable cognitive state over time compared to those with low CR. Post-hoc analyses confirmed that while the two groups did not differ in task performance between the first and the second assessment, they significantly differed from the second to the third. Individuals with high CR (even those who were diagnosed with a major neurocognitive disorder) preserved their cognitive profile whereas the profile of those with low CR declined significantly. This study demonstrates that cognitive trajectories are shaped by CR and that, despite the plausible progression of brain deterioration, individuals with high CR may not experience an accelerated cognitive deterioration. Instead, they may exhibit a more gradual decline and sustain cognitive functioning for a longer period despite age-related changes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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