Evidence map›Paper›PMID 39372373›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2024

Linking cognitive and behavioral reserve: Evidence from the CAN-PROTECT study.

Dylan X Guan, Moyra E Mortby, G Bruce Pike, Clive Ballard, Byron Creese, Anne Corbett, Ellie Pickering, Adam Hampshire, Pamela Roach, Eric E Smith and 1 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Cognitive reserve and everyday functioning in cognitively unimpaired older adults: evidence from the CAN-PROTECT study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dylan X GuanGraduate Science Education University of Calgary Calgary Canada.
Moyra E MortbySchool of Psychology University of New South Wales Sydney Australia.
G Bruce PikeHotchkiss Brain Institute University of Calgary Calgary Canada.
Clive BallardClinical and Biomedical Sciences, Faculty of Health and Life Sciences University of Exeter Exeter UK.
Byron CreeseBrunel University London UK.
Anne CorbettClinical and Biomedical Sciences, Faculty of Health and Life Sciences University of Exeter Exeter UK.
Ellie PickeringClinical and Biomedical Sciences, Faculty of Health and Life Sciences University of Exeter Exeter UK.
Adam HampshireImperial College London UK.
Pamela RoachHotchkiss Brain Institute University of Calgary Calgary Canada.
Eric E SmithHotchkiss Brain Institute University of Calgary Calgary Canada.
Zahinoor IsmailHotchkiss Brain Institute University of Calgary Calgary Canada.ORCID https://orcid.org/0000-0002-5529-3731

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChanges to the brain due to Alzheimer's disease and other age-related neuropathologies may present with cognitive and behavioral symptoms, even during preclinical and prodromal stages. While cognitive reserve is known to mitigate cognitive decline in the preclinical stages of Alzheimer's disease, links between cognitive reserve and behavioral symptoms remain unclear. This study investigates the relationship between cognitive reserve and mild behavioral impairment (MBI), a neurodegenerative behavioral prodrome.

methodsWe analyzed cross-sectional data from 1204 participants in the Canadian Platform for Research Online to Investigate Health, Quality of Life, Cognition, Behavior, Function, and Caregiving in Aging (CAN-PROTECT) study. A cognitive reserve score (CRS) was generated based on education, occupation, and personal cognitive reserve proxies. MBI presence (MBI+) and MBI global and domain symptom severity were evaluated using the self-reported MBI Checklist. Initial analyses examined the convergent validity of the CRS through associations with objective neuropsychological test performance and self-reported cognitive symptoms (Everyday Cognition [ECog-II] scale). Models were also fitted to assess MBI status and severity as functions of the CRS.

resultsHigher CRS was associated with better neuropsychological test scores, lower odds of subjective cognitive decline (OR = 0.86, 95% CI: [0.76, 0.98], DISCUSSION: We provide preliminary evidence that engagement in activities known to preserve cognitive function in aging and disease may also preserve behavioral function. Future research should disentangle possible pathways through which cognitive reserve may preserve both cognition and behavior, explore common etiologies for these symptoms, and observe outcomes longitudinally to better understand these relationships. Highlights: Education, occupation, and personal activities are cognitive reserve proxies.Cognitive reserve is linked to lower subjective cognitive decline in older persons.Cognitive reserve is linked to lower mild behavioral impairment odds and severity.

Indexed as

agingAlzheimer's diseasecognitive reservemild behavioral impairment

Identifiers

PMID39372373
PMCPMC11450604

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.