Abstract

Cognitive reserve (CR) postulates that individual differences in task performance can be attributed to differences in the brain’s ability to recruit additional networks or adopt alternative cognitive strategies. Variables that are descriptive of lifetime experience such as socioeconomic status, educational attainment, and leisure activity are common proxies of CR. CR is mostly studied using neuroimaging techniques such as functional MRI (fMRI) in which case individuals with a higher CR were observed to activate a smaller brain network compared to individuals with a lower CR, when performing a task equally effectively (higher efficiency), and electroencephalography (EEG) where a particular EEG component (P300) that reflects the attention and working memory load, has been targeted. Despite the contribution of multiple factors such as age, education (formal and informal), working, leisure, and household activities in CR formation, most neuroimaging studies, and those using EEG in particular, focus on formal education level only. The aim of the current EEG study is to investigate how the P300 component, evoked in response to an oddball paradigm, is associated with other components of CR besides education, such as working and leisure activity in older adults. We have used hereto a recently introduced CR index questionnaire (CRIq) that quantifies both professional and leisure activities in terms of their cognitive demand and number of years practiced, as well as a data-driven approach for EEG analysis. We observed complex relationships between CRIq subcomponents and P300 characteristics. These results are especially important given that, unlike previous studies, our measurements (P300 and CRIq) do not require active use of the same executive function and, thus, render our results free of a collinearity bias.

Highlights

  • Cognitive reserve (CR) is a concept that was introduced to explain the discrepancy between an individual’s actual cognitive performance, measured by cognitive tests, and the expected one based on structural brain changes observed on neuroimaging scans (Stern, 2009)

  • We propose an attention task to evoke the P300 to ensure that the observed relationships between the latter and CR are not mediated via working memory but are rather genuine

  • Since the total score of CR index questionnaire (CRIq) (CRI-total) is composed of its subcomponents and, our aim was to investigate the effect of each subcomponent on P300 characteristics, we did not include the total score in the model

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Summary

Introduction

Cognitive reserve (CR) is a concept that was introduced to explain the discrepancy between an individual’s actual cognitive performance, measured by cognitive tests, and the expected one based on structural brain changes observed on neuroimaging scans (Stern, 2009). It was initially suggested that CR acts as a compensatory mechanism enabling the brain to recruit additional networks to improve task performance. EEG Proxy of Cognitive Reserve compensates for certain degrees of structural brain changes and aids in the development of alternative strategies to more efficiently (e.g., faster and more accurately) complete a cognitive task. When brain damage exceeds a certain threshold, the compensatory mechanism provided by CR fails and the clinical manifestation of brain damage comes into the picture (Stern et al, 1995; Van Loenhoud et al, 2019)

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