大脑老化的概念:抵抗、弹性、储备和补偿。

Concepts for brain aging: resistance, resilience, reserve, and compensation.

机构信息

Department of Pathology, Stanford University, Palo Alto, CA, USA.

Department of Neurology, UC Irvine, Irvine, CA, USA.

出版信息

Alzheimers Res Ther. 2019 Mar 11;11(1):22. doi: 10.1186/s13195-019-0479-y.

Abstract

A primary goal of research in cognitive impairment and dementia is to understand how some individuals retain sufficient cognitive function for a fulfilling life while many others are robbed of their independence, sometimes their essence, in the last years and decades of life. In this commentary, we propose operational definitions of the types of factors that may help individuals retain cognitive function with aging. We propose operational definitions of resistance, resilience, reserve, with an eye toward how these may be measured and interpreted, and how they may enable research aimed at prevention. With operational definitions and quantification of resistance, resilience, and reserve, a focused analytic search for their determinants and correlates can be undertaken. This approach, essentially a search to identify protective risk factors and their mechanisms, represents a relatively unexplored pathway toward the identification of candidate preventive interventions.

摘要

认知障碍和痴呆症研究的主要目标之一是了解为什么有些人在晚年和几十年的时间里保持着足够的认知功能,过着充实的生活,而另一些人却失去了独立性,甚至失去了自我。在这篇评论中,我们提出了有助于个体随着年龄增长保持认知功能的因素类型的操作性定义。我们提出了抵抗、弹性和储备的操作性定义,着眼于如何衡量和解释这些定义,以及它们如何能够促进旨在预防的研究。通过对抵抗、弹性和储备进行操作性定义和量化,可以对其决定因素和相关性进行集中分析。这种方法本质上是一种寻找保护风险因素及其机制的方法,代表了一种相对未被探索的途径,可以确定候选预防干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9612/6410486/916dcd149ffe/13195_2019_479_Fig1_HTML.jpg

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