Bilingualism and "brain reserve": a matter of age

Neurobiol Aging. 2019 Sep:81:157-165. doi: 10.1016/j.neurobiolaging.2019.05.021. Epub 2019 Jun 5.

Abstract

There is a lively debate whether bilingualism as a state of permanent cognitive control contributes to so-called brain reserve, thus delaying the onset of symptoms associated with neurodegeneration by up to 5 years. Here, we address this question in a large-scale (n = 399) population-based study. We compared the gray matter volume of monolinguals versus bilinguals in the left inferior frontal gyrus and inferior parietal lobule cortex and its modulation by biological age. Three core findings emerged: (1) Brain volume was systematically higher in bilinguals than monolinguals. (2) This difference disappeared at higher ages, and the slope of decline was steeper for bilinguals than monolinguals. (3) The volume difference between age groups disappeared in the inferior frontal gyrus at earlier ages than in the inferior parietal lobule. Thus, bilingualism might indeed contribute to brain reserve in older age, with posterior regions showing a particular resilience to atrophy and thus less necessity for functions to shift to anterior control regions.

Keywords: Advantage; Broca's region; Cognition; Cortical thickness; Gray matter volume; Language; Monolingual; Multilingual; Neurodegeneration; Wernicke's region.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging*
  • Cognitive Reserve*
  • Female
  • Gray Matter / diagnostic imaging
  • Gray Matter / pathology*
  • Gray Matter / physiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Multilingualism*
  • Neurodegenerative Diseases
  • Organ Size