ArticleFrontiers in aging neuroscience2025
Is cognitive reserve associated with cognitive function across stroke severity? A longitudinal study among Chinese stroke patients.
Article in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- What should we be measuring when we measure cognitive reserve? Distinguishing proxies, prediction, and mechanism.Frontiers in psychology · 2026Review
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9 authors.
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Abstract
Background: Cognitive decline is common after stroke. This study assessed the longitudinal associations between cognitive reserve and post-stroke cognitive function and tested whether these associations differ across patients' stroke severity. Methods: A longitudinal survey was conducted among 371 patients with acute ischemic stroke from four stroke centers in China from 2022 to 2023. Eligible patients were recruited at acute stage and followed up at 3 and 6 months after onset. Cognitive reserve was assessed by Cognitive Reserve Index questionnaire within 7 days after stroke onset. Cognitive function was assessed by Montreal Cognitive Assessment, Changsha Version at each time point. Stroke severity was assessed using the National Institutes of Health Stroke Scale at admission. Linear mixed models were applied to assess associations between cognitive reserve and cognitive function across stroke severity. Results: Among stroke survivors, cognitive function improved over time after the onset ( Conclusion: Cognitive reserve can potentially mitigate the impact of stroke on long-term cognitive decline in Chinese patients with acute ischemic stroke. Targeting cognitive reserve may be a viable strategy to prevent or slow post-stroke cognitive decline. The study supports a more nuanced assessment of cognitive reserve as a standard in clinical studies.
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