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[认知衰老与认知储备:接触点。]

[Cognitive aging and cognitive reserve: point of contact.].

作者信息

Myakotnykh V S, Sidenkova A P, Ostapchuk E S, Kulakova I A, Belikh N A, Borovkova T A

机构信息

Ural State Medical University, 3 Repin str., Yekaterinburg 620028, Russian Federation, e-mail:

出版信息

Adv Gerontol. 2020;33(2):256-264.

Abstract

The high risk of cognitive disorders in the elderly and senile age makes, on the one hand, to look for their causes, on the other - the possibility of prevention. In this regard, in recent years, the concept of cognitive reserve has become widespread, implying a set of quantitative parameters of the brain and its ability to maintain high functional activity in the process of aging and against the background of age-related brain pathology. The material presented in the article on the basis of the review of scientific literature highlights two main points concerning the possibility of preserving the cognitive reserve-gender and educational factors. It is pointed to the different opportunities of women and men associated with the structural and functional characteristics of the Central nervous system in representatives of different sexes and the special role of the educational process supported throughout life. The author's position on the need to separate the concepts of education and the level of General culture, and the creation of a convenient tool for determining the latter is indicated. This, in turn, would help in the development of a cognitive reserve model aimed at preventing the transformation of physiological cognitive aging into pathological aging.

摘要

老年人和高龄人群认知障碍的高风险,一方面促使人们寻找其病因,另一方面也促使人们探索预防的可能性。在这方面,近年来,认知储备的概念已广泛传播,它意味着大脑的一组定量参数及其在衰老过程中以及在与年龄相关的脑部病变背景下保持高功能活动的能力。本文基于对科学文献的综述所呈现的材料,突出了关于保持认知储备可能性的两个要点——性别和教育因素。文中指出,不同性别的代表由于中枢神经系统的结构和功能特征而具有不同的机会,以及终身支持的教育过程所起的特殊作用。文中还表明了作者关于区分教育和一般文化水平概念的必要性,以及创建一种方便工具来确定后者的立场。反过来,这将有助于开发一种旨在防止生理性认知衰老转变为病理性衰老的认知储备模型。

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