ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2012
Education and occupation provide reserve in both ApoE ε4 carrier and noncarrier patients with probable Alzheimer's disease.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Beneficial Effect of Societal Factors on APOE-ε2 and ε4 Carriers' Brain Health: A Systematic Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Pooled it
- Personality as a moderator of cognitive stimulation in older adults at high risk for cognitive decline.Research in gerontological nursingTrial
- Cognitive Reserve in Amyotrophic Lateral Sclerosis: A 2-[European journal of neurology · 2025Article
- Does Employment Complexity Promote Healthy Cognitive Aging in Down Syndrome?Journal of intellectual disabilities : JOID · 2024Article
- Cognitive resilience/reserve: Myth or reality? A review of definitions and measurement methods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Review
- Turning Back the Clock: A Retrospective Single-Blind Study on Brain Age Change in Response to Nutraceuticals Supplementation vs. Lifestyle Modifications.Brain sciences · 2023Article
- Executive function deficits and medial temporal lobe atrophy in late-life depression and Alzheimer's disease: a comparative study.Frontiers in psychiatry · 2023Article
- Quantifying and Examining Reserve in Symptomatic Former National Football League Players.Journal of Alzheimer's disease : JAD · 2022Article
- Life-Course Pathways to Cognitive Aging: The Significance of Intellectual Stimulation in the Form of Education and Occupation for Public Policy and Prevention Plans.Frontiers in psychiatry · 2021Article
- Activation of the Brain to Postpone Dementia: A Concept Originating from Postmortem Human Brain Studies.Neuroscience bulletin · 2019Review
- The dual role of cognitive reserve in subjective cognitive decline and mild cognitive impairment: a 7-year follow-up study.Journal of neurology · 2019Article
- A Brief Review of Paradigm Shifts in Prevention of Alzheimer's Disease: From Cognitive Reserve to Precision Medicine.Frontiers in psychiatry · 2019Review
- Occupational Patterns of Structural Brain Health: Independent Contributions Beyond Education, Gender, Intelligence, and Age.Frontiers in human neuroscience · 2019Article
- Article
- Low cortical iron and high entorhinal cortex volume promote cognitive functioning in the oldest-old.Neurobiology of aging · 2018Article
- The Role of Cognitive Reserve in Alzheimer's Disease and Aging: A Multi-Modal Imaging Review.Journal of Alzheimer's disease : JAD · 2018Review
- The effects of apolipoprotein E genotype, α-synuclein deficiency, and sex on brain synaptic and Alzheimer's disease-related pathology.Alzheimer's & dementia (Amsterdam, Netherlands) · 2018Article
- Cardiovascular Pharmacogenomics and Cognitive Function in Patients with Schizophrenia.Pharmacotherapy · 2017Article
- Cognitive Reserve and Brain Maintenance: Orthogonal Concepts in Theory and Practice.Cerebral cortex (New York, N.Y. : 1991) · 2017Article
- Education is associated with sub-regions of the hippocampus and the amygdala vulnerable to neuropathologies of Alzheimer's disease.Brain structure & function · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
According to the reserve hypothesis, a high educational/occupational attainment can modulate Alzheimer's disease (AD) clinical expression. The impact of the Apolipoprotein E (ApoE) ε4 allele on the reserve mechanism in AD has not been assessed. Aim of this European multicenter study was to evaluate the metabolic correlates of reserve and ApoE genotype in early probable AD. 51 AD subjects, 27 ε4 carriers, and 24 noncarriers, underwent FDG-PET brain imaging. We used the general linear model as implemented in SPM2 to test for the linear correlation of a reserve index, accounting for both educational and occupational level, with brain glucose metabolism, controlling for demographic variables (age and gender) and for cognitive performance. We found an inverse correlation between a reserve index, accounting for educational/occupational level, and metabolism in the posterior cingulate cortex and precuneus in both ε4 carriers and noncarriers, and no significant difference between the groups. We show that education and occupation act as proxies for reserve in ε4 carriers, compensating for an unfavorable genetic background; we also show that the degree of compensation does not differ significantly by ApoE ε4 status.
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