Relationship between Cognitive Reserve and Cognitive Impairment in Autonomous and Institutionalized Older Adults

Int J Environ Res Public Health. 2020 Aug 10;17(16):5777. doi: 10.3390/ijerph17165777.

Abstract

It is necessary to determine which variables help prevent the presence of decline or deterioration during the aging process as a function of advancing age. This research analyses the relations between cognitive reserve (CR) and cognitive impairment in 300 individuals. It also aims to confirm the influence of different variables (gender, age, level of studies and institutionalization) in CR and in deterioration in a population of older adults. The results indicate that people with higher CR present less deterioration. Regarding the role of the sociodemographic variables in the level of deterioration and CR, there are no differences between men and women, but there are differences in the variables age, level of studies and institutionalization, in such a way that the older age the greater the cognitive deterioration, the higher the level of studies, the more RC and less deterioration and it was found that the non-institutionalized people present less deterioration and greater CR. It is affirmed that two people with similar clinical characteristics may present different levels of pathology, being the CR the explanation of this fact. The results obtained allow us to affirm that the measurement of CR is considered an essential variable for the diagnosis of neurodegenerative diseases.

Keywords: active aging; cognitive impairment; cognitive reserve; education level.

MeSH terms

  • Aged
  • Cognition Disorders*
  • Cognitive Dysfunction* / epidemiology
  • Cognitive Reserve*
  • Female
  • Humans
  • Institutionalization
  • Male
  • Personal Autonomy