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Whitepaper: Defining and investigating cognitive reserve, brain reserve, and brain maintenance

  • and the Reserve, Resilience and Protective Factors PIA Empirical Definitions and Conceptual Frameworks Workgroup
  • Columbia University
  • Mayo Clinic Rochester, MN
  • Faculty of Medicine and Health Sciences
  • University of Barcelona
  • August Pi i Sunyer Biomedical Research Institute
  • University of Montreal
  • Rutgers - The State University of New Jersey, New Brunswick
  • Université Normandie
  • Ludwig Maximilian University of Munich
  • Technische Universität Dresden
  • University of California at San Diego
  • University of Wisconsin-Madison
  • National and Kapodistrian University of Athens
  • Johns Hopkins University
  • Imperial College London
  • The University of Sydney
  • University of Helsinki
  • RWJ Medical School
  • CITA-Alzheimer Foundation
  • University of Kentucky
  • Brown University
  • Pontifícia Universidade Católica do Rio Grande do Sul
  • Florey Institute of Neuroscience and Mental Health
  • Istituto Nazionale Per la Ricerca Sul Cancro
  • Vrije Universiteit Amsterdam
  • Palo Alto VAHCS/Stanford SOM
  • Surrey Memorial Hospital

Research output: Contribution to journalReview articlepeer-review

1412 Scopus citations

Abstract

Several concepts, which in the aggregate get might be used to account for “resilience” against age- and disease-related changes, have been the subject of much research. These include brain reserve, cognitive reserve, and brain maintenance. However, different investigators have use these terms in different ways, and there has never been an attempt to arrive at consensus on the definition of these concepts. Furthermore, there has been confusion regarding the measurement of these constructs and the appropriate ways to apply them to research. Therefore the reserve, resilience, and protective factors professional interest area, established under the auspices of the Alzheimer's Association, established a whitepaper workgroup to develop consensus definitions for cognitive reserve, brain reserve, and brain maintenance. The workgroup also evaluated measures that have been used to implement these concepts in research settings and developed guidelines for research that explores or utilizes these concepts. The workgroup hopes that this whitepaper will form a reference point for researchers in this area and facilitate research by supplying a common language.

Original languageEnglish
Pages (from-to)1305-1311
Number of pages7
JournalAlzheimer's and Dementia
Volume16
Issue number9
DOIs
StatePublished - Sep 1 2020

Keywords

  • Alzheimer's disease
  • Cognition
  • Epidemiology
  • Functional imaging
  • Structural imaging

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