Skip to main content

Cognitive Reserve: A Life-Course Perspective

  • Chapter
  • First Online:
Neurobiological and Psychological Aspects of Brain Recovery

Part of the book series: Contemporary Clinical Neuroscience ((CCNE))

Abstract

The concept of reserve has been developed to account for the discontinuity between the extent of brain damage at its clinical manifestation in the form of cognitive decline or dementia. In this chapter, we discuss contributors to cognitive reserve from various stages of the life-course, including childhood, early adulthood, middle age, and late life. Evidence from observational, as well as intervention trials is presented and assessed. We conclude by arguing that reserve formation in dementia risk is a life-course process whereby baseline cognitive abilities are subjected to modulation by subsequent experiences at diverse stages over the entire life-course. Variations among individuals in their ability to withstand age-related brain changes is ultimately dependent on their life-time accumulation of mental, physical, and lifestyle inputs into cognitive reserve.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Andel R, Crowe M, Pedersen NL, Mortimer J, Crimmins E, Johansson B, et al. Complexity of work and risk of Alzheimer’s disease: a population-based study of Swedish twins. J Gerontol B Psychol Sci Soc Sci. 2005;60(5):P251–8.

    Article  PubMed  Google Scholar 

  • Andel R, Vigen C, Mack WJ, Clark LJ, Gatz M. The effect of education and occupational complexity on rate of cognitive decline in Alzheimer’s patients. J Int Neuropsychol Soc. 2006;12(01):147–52.

    Article  PubMed  Google Scholar 

  • Borroni B, Premi E, Agosti C, Alberici A, Garibotto V, Bellelli G, et al. Revisiting brain reserve hypothesis in frontotemporal dementia: evidence from a brain perfusion study. Dement Geriatr Cogn Disord. 2009;28(2):130–5.

    Article  CAS  PubMed  Google Scholar 

  • Brayne C, Ince PG, Keage HAD, McKeith IG, Matthews FE, Polvikoski T, et al. Education, the brain and dementia: neuroprotection or compensation? Brain. 2010;2210–6.

    Google Scholar 

  • Christensen H, Anstey KJ, Parslow RA, Maller J, Mackinnon A, Sachdev P. The brain reserve hypothesis, brain atrophy and aging. Gerontology. 2007;53(2):82–95.

    Article  PubMed  Google Scholar 

  • Cobb J, Wolf PA, Au R, White R. D’agostino R. The effect of education on the incidence of dementia and Alzheimer’s disease in the Framingham study. Neurology. 1995;45(9):1707–12.

    Article  CAS  PubMed  Google Scholar 

  • Crooks VC, Lubben J, Petitti DB, Little D, Chiu V. Social network, cognitive function, and dementia incidence among elderly women. Am J Public Health. 2008;98(7):1221–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Crystal H, Dickson D, Fuld P, Masur D, Scott R, Mehler M, et al. Clinico‐pathologic studies in dementia nondemented subjects with pathologically confirmed Alzheimer’s disease. Neurology. 1988;38(11):1682.

    Google Scholar 

  • Dartigues J-F, Gagnon M, Letenneur L, Barberger-Gateau P, Commenges D, Evaldre M, et al. Principal lifetime occupation and cognitive impairment in a French elderly cohort (Paquid). Am J Epidemiol. 1992;135(9):981–8.

    Article  CAS  PubMed  Google Scholar 

  • Deary IJ, Whiteman MC, Pattie A, Starr JM, Hayward C, Wright AF, et al. Apolipoprotein e gene variability and cognitive functions at age 79: a follow-up of the Scottish mental survey of 1932. Psychol Aging. 2004;19(2):367.

    Article  PubMed  Google Scholar 

  • Deary IJ, Gow AJ, Pattie A, Starr JM. Cohort profile: the Lothian birth cohorts of 1921 and 1936. Int J Epidemiol. 2012;41(6):1576–84.

    Google Scholar 

  • Dekhtyar S, Wang HX, Scott K, Goodman A, Koupil I, Herlitz A. A life-course study of cognitive reserve in dementia-from childhood to old age. Am J Geriatr Psychiatry. 2015a;23(9):885–96.

    Google Scholar 

  • Dekhtyar S, Wang H-X, Scott K, Goodman A, Koupil I, Herlitz A. Associations of head circumference at birth with early life school performance and later-life occupational prestige. Longitudinal Life Course Stud. 2015b;6(1):26–42.

    Google Scholar 

  • Del Ser T, Hachinski V, Merskey H, Munoz DG. An autopsy-verified study of the effect of education on degenerative dementia. Brain. 1999;122:2309–19.

    Article  PubMed  Google Scholar 

  • Fratiglioni L, Wang HX. Brain reserve hypothesis in dementia. J Alzheimer’s Dis. 2007;12(1):11–22.

    Article  Google Scholar 

  • Fratiglioni L, Wang H-X, Ericsson K, Maytan M, Winblad B. Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000;355(9212):1315–9.

    Article  CAS  PubMed  Google Scholar 

  • Fratiglioni L, Paillard-Borg S, Winblad B. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol. 2004;3(6):343–53.

    Article  PubMed  Google Scholar 

  • Gottfredson LS. Intelligence: is it the epidemiologists’ elusive “fundamental cause” of social class inequalities in health? J Pers Soc Psychol. 2004;86(1):174.

    Article  PubMed  Google Scholar 

  • Gow AJ, Johnson W, Pattie A, Brett CE, Roberts B, Starr JM, et al. Stability and change in intelligence from age 11 to ages 70, 79, and 87: the lothian birth cohorts of 1921 and 1936. Psychol Aging. 2011;26(1):232–40.

    Article  PubMed  Google Scholar 

  • Gow AJ, Johnson W, Mishra G, Richards M, Kuh D, Deary IJ. Is age kinder to the initially more able?: yes, and no. Intelligence. 2012;40(1):49–59.

    Google Scholar 

  • Gow AJ, Avlund K, Mortensen EL. Occupational characteristics and cognitive aging in the glostrup 1914 cohort. J Gerontol Ser B Psychol Sci Soc Sci. 2014;69(2):228–36.

    Google Scholar 

  • Herlitz A, Dekhtyar S. A life-span approach to dementia. In: Nilsson L-G, Ohta N, editors. Dementia and memory. Hove and New York: Psychology Press; 2013. p. 110–23.

    Google Scholar 

  • Karp A, Paillard-Borg S, Wang H-X, Silverstein M, Winblad B, Fratiglioni L. Mental, physical and social components in leisure activities equally contribute to decrease dementia risk. Dement Geriatr Cogn Disord. 2006;21(2):65–73.

    Article  PubMed  Google Scholar 

  • Karp A, Andel R, Parker MG, Wang H-X, Winblad B, Fratiglioni L. Mentally stimulating activities at work during midlife and dementia risk after age 75: follow-up study from the Kungsholmen project. Am J Geriatr Psychiatry. 2009;17(3):227–36.

    Article  PubMed  Google Scholar 

  • Katzman R. Education and the prevalence of dementia and Alzheimer’s disease. Neurology. 1993;43(1):13–20.

    Article  CAS  PubMed  Google Scholar 

  • Koepsell TD, Kurland BF, Harel O, Johnson EA, Zhou XH, Kukull WA. Education, cognitive function, and severity of neuropathology in Alzheimer disease. Neurology. 2008;70(19 Pt 2):1732–9.

    Article  CAS  PubMed  Google Scholar 

  • Kröger E, Andel R, Lindsay J, Benounissa Z, Verreault R, Laurin D. Is complexity of work associated with risk of dementia? the Canadian study of health and aging. Am J Epidemiol. 2008;167(7):820–30.

    Article  PubMed  Google Scholar 

  • Langa KM. Is the risk of Alzheimer’s disease and dementia declining? Alzheimers Res Ther. 2015;7(1):34.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lovden M, Xu W, Wang HX. Lifestyle change and the prevention of cognitive decline and dementia: what is the evidence? Curr opin psychiatry. 2013;26(3):239–43.

    Article  PubMed  Google Scholar 

  • Mahncke HW, Bronstone A, Merzenich MM. Brain plasticity and functional losses in the aged: scientific bases for a novel intervention. Prog Brain Res. 2006;157:81–109.

    Article  PubMed  Google Scholar 

  • Massimo L, Zee J, Xie SX, McMillan CT, Rascovsky K, Irwin DJ, et al. Occupational attainment influences survival in autopsy-confirmed frontotemporal degeneration. Neurology. 2015;84(20):2070–5.

    Article  PubMed  PubMed Central  Google Scholar 

  • McGurn B, Deary IJ, Starr JM. Childhood cognitive ability and risk of late-onset Alzheimer and vascular dementia. Neurology. 2008;71(14):1051–6.

    Article  PubMed  Google Scholar 

  • Meng X, D’Arcy C. Education and dementia in the context of the cognitive reserve hypothesis: a systematic review with meta-analyses and qualitative analyses. PLoS ONE. 2012;7(6):e38268.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Morris JC, Storandt M, McKeel DW Jr, Rubin EH, Price JL, Grant EA, et al. Cerebral amyloid deposition and diffuse plaques in “normal” aging: Evidence for presymptomatic and very mild Alzheimer’s disease. Neurology. 1996;46(3):707–19.

    Article  CAS  PubMed  Google Scholar 

  • Mortimer JA, Snowdon DA, Markesbery WR. Head circumference, education and risk of dementia: findings from the nun study. J Clin Exp Neuropsychol. 2003;25(5):671–9.

    Article  PubMed  Google Scholar 

  • Neuropathology Group. Pathological correlates of late-onset dementia in a multicentre, community-based population in England and Wales. Neuropathology Group of the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS). Lancet. 2001;357(9251):169–75.

    Article  Google Scholar 

  • Ngandu T, von Strauss E, Helkala EL, Winblad B, Nissinen A, Tuomilehto J, et al. Education and dementia: what lies behind the association? Neurology. 2007;69(14):1442–50.

    Article  CAS  PubMed  Google Scholar 

  • Ngandu T, Lehtisalo J, Solomon A, Levälahti E, Ahtiluoto S, Antikainen R, et al. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet. 2015;385(9984):2255–63.

    Article  PubMed  Google Scholar 

  • Norton S, Matthews FE, Barnes DE, Yaffe K, Brayne C. Potential for primary prevention of Alzheimer’s disease: an analysis of population-based data. Lancet Neurol. 2014;13(8):788–94.

    Article  PubMed  Google Scholar 

  • Paillard-Borg S, Fratiglioni L, Winblad B, Wang HX. Leisure activities in late life in relation to dementia risk: principal component analysis. Dement Geriatr Cogn Disord. 2009;28(2):136–44.

    Article  PubMed  Google Scholar 

  • Price JL, Morris JC. Tangles and plaques in nondemented aging and “preclinical” Alzheimer’s disease. Ann Neurol. 1999;45(3):358–68.

    Article  CAS  PubMed  Google Scholar 

  • Qiu C, Backman L, Winblad B, Aguero-Torres H, Fratiglioni L. The influence of education on clinically diagnosed dementia incidence and mortality data from the Kungsholmen project. Arch Neurol. 2001;58(12):2034–9.

    Article  CAS  PubMed  Google Scholar 

  • Qiu C, Karp A, von Strauss E, Winblad B, Fratiglioni L, Bellander T. Lifetime principal occupation and risk of Alzheimer’s disease in the Kungsholmen project. Am J Ind Med. 2003;43(2):204–11.

    Article  PubMed  Google Scholar 

  • Richards M, Deary IJ. A life course approach to cognitive reserve: a model for cognitive aging and development? Ann Neurol. 2005;58(4):617–22.

    Article  PubMed  Google Scholar 

  • Richards M, Shipley B, Fuhrer R, Wadsworth M. Cognitive ability in childhood and cognitive decline in mid-life: longitudinal birth cohort study. BMJ. 2004;328(7439):552.

    Article  PubMed  PubMed Central  Google Scholar 

  • Riley KP, Snowdon DA, Desrosiers MF, Markesbery WR. Early life linguistic ability, late life cognitive function, and neuropathology: findings from the nun study. Neurobiol Aging. 2005;26(3):341–7.

    Article  PubMed  Google Scholar 

  • Roe CM, Xiong C, Miller JP, Cairns NJ, Morris JC. Interaction of neuritic plaques and education predicts dementia. Alzheimer Dis Assoc Disord. 2008;22(2):188–93.

    Article  PubMed  PubMed Central  Google Scholar 

  • Salthouse TA. Theoretical perspectives on cognitive aging. Psychology Press; 1991.

    Google Scholar 

  • Salthouse TA. Mental exercise and mental aging: evaluating the validity of the “Use It or Lose It” hypothesis. Perspect Psychol Sci. 2006;1(1):68–87.

    Article  PubMed  Google Scholar 

  • Satz P. Brain reserve capacity on symptom onset after brain injury: a formulation and review of evidence for threshold theory. Neuropsychology. 1993;7(3):273.

    Article  Google Scholar 

  • Schooler C, Mulatu MS, Oates G. The continuing effects of substantively complex work on the intellectual functioning of older workers. Psychol Aging. 1999;14(3):483.

    Article  CAS  PubMed  Google Scholar 

  • Schooler C, Mulatu MS, Oates G. Occupational self‐direction, intellectual functioning, and self‐directed orientation in older workers: findings and implications for individuals and societies. Am J Sociol. 2004;110(1):161–97.

    Google Scholar 

  • Seeman TE. Social ties and health: the benefits of social integration. Ann Epidemiol. 1996;6(5):442–51.

    Article  CAS  PubMed  Google Scholar 

  • Smart EL, Gow AJ, Deary IJ. Occupational complexity and lifetime cognitive abilities. Neurology. 2014;83(24):2285–91.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smyth KA, Fritsch T, Cook TB, McClendon MJ, Santillan CE, Friedland RP. Worker functions and traits associated with occupations and the development of AD. Neurology. 2004;63(3):498–503.

    Article  CAS  PubMed  Google Scholar 

  • Snowdon DA, Kemper SJ, Mortimer JA, Greiner LH, Wekstein DR, Markesbery WR. Linguistic ability in early life and cognitive function and Alzheimer’s disease in late life: findings from the nun study. JAMA. 1996;275(7):528–32.

    Article  CAS  PubMed  Google Scholar 

  • Spreng RN, Drzezga A, Diehl-Schmid J, Kurz A, Levine B, Perneczky R. Relationship between occupation attributes and brain metabolism in frontotemporal dementia. Neuropsychologia. 2011;49(13):3699–703.

    Article  PubMed  Google Scholar 

  • Steffener J, Stern Y. Exploring the neural basis of cognitive reserve in aging. Biochim Biophys Acta (BBA)-Mol Basis Dis. 2012;1822(3):467–73.

    Google Scholar 

  • Stern Y. What is cognitive reserve? theory and research application of the reserve concept. J Int Neuropsychol Soc. 2002;8(03):448–60.

    Article  PubMed  Google Scholar 

  • Stern Y. Cognitive reserve. Neuropsychologia. 2009;47(10):2015–28.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stern Y, Gurland B, Tatemichi TK, Tang MX, Wilder D, Mayeux R. Influence of education and occupation on the incidence of Alzheimer’s disease. JAMA. 1994;271(13):1004–10.

    Article  CAS  PubMed  Google Scholar 

  • Stern Y, Alexander GE, Prohovnik I, Stricks L, Link B, Lennon MC, et al. Relationship between lifetime occupation and parietal flow: implications for a reserve against Alzheimer’s disease pathology. Neurology. 1995;45(1):55–60.

    Article  CAS  PubMed  Google Scholar 

  • Tolppanen A-M, Solomon A, Kulmala J, Kåreholt I, Ngandu T, Rusanen M, et al. Leisure-time physical activity from mid- to late life, body mass index, and risk of dementia. Alzheimer’s Dementia. 2015;11(4):434–43.

    Google Scholar 

  • Tuokko H, Garrett DD, McDowell I, Silverberg N, Kristjansson B. Cognitive decline in high-functioning older adults: reserve or ascertainment bias? Aging Ment Health. 2003;7(4):259–70.

    Article  CAS  PubMed  Google Scholar 

  • Verghese J, Lipton RB, Katz MJ, Hall CB, Derby CA, Kuslansky G, et al. Leisure activities and the risk of dementia in the elderly. N Engl J Med. 2003;348(25):2508–16.

    Article  PubMed  Google Scholar 

  • Wang H-X, Xu W, Pei J-J. Leisure activities, cognition and dementia. Biochim Biophys Acta (BBA)-Mol Basis Dis. 2012a;1822(3):482–91.

    Google Scholar 

  • Wang H-X, Wahlberg M, Karp A, Winblad B, Fratiglioni L. Psychosocial stress at work is associated with increased dementia risk in late life. Alzheimer’s Dement. 2012b;8(2):114–20.

    Google Scholar 

  • Wang H-X, Jin Y, Hendrie HC, Liang C, Yang L, Cheng Y, et al. Late life leisure activities and risk of cognitive decline. J Gerontol Ser A Biol Sci Med Sci. 2013;68(2):205–13.

    Article  Google Scholar 

  • Whalley LJ, Starr JM, Athawes R, Hunter D, Pattie A, Deary IJ. Childhood mental ability and dementia. Neurology. 2000;55(10):1455–9.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hui-Xin Wang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Dekhtyar, S., Wang, HX. (2017). Cognitive Reserve: A Life-Course Perspective. In: Petrosini, L. (eds) Neurobiological and Psychological Aspects of Brain Recovery. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-319-52067-4_5

Download citation

Publish with us

Policies and ethics