大脑和认知储备是否由早期生活环境塑造?
Are Brain and Cognitive Reserve Shaped by Early Life Circumstances?
作者信息
de Rooij Susanne R
机构信息
Epidemiology and Data Science, University of Amsterdam, Amsterdam, Netherlands.
Aging and Later Life, Health Behaviors and Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.
出版信息
Front Neurosci. 2022 Jun 16;16:825811. doi: 10.3389/fnins.2022.825811. eCollection 2022.
When growing older, many people are faced with cognitive deterioration, which may even amount to a form of dementia at some point in time. Although neuropathological signs of dementia disorders can often be demonstrated in brains of patients, the degree to which clinical symptoms are present does mostly not accurately reflect the amount of neuropathology that is present. Sometimes existent pathology even goes without any obvious clinical presentation. An explanation for this phenomenon may be found in the concept of reserve capacity. Reserve capacity refers to the ability of the brain to effectively buffer changes that are associated with normal aging processes and to cope with pathological damage. A larger reserve capacity has been suggested to increase resilience against age-associated cognitive deterioration and dementia disorders. Traditionally, a division has been made between brain reserve, which is based on morphological characteristics of the brain, and cognitive reserve, which is based on functional characteristics of the brain. The present review discusses the premises that brain and cognitive reserve capacity are shaped by prenatal and early postnatal factors. Evidence is accumulating that circumstances during the first 1,000 days of life are of the utmost importance for the lifelong health of an individual. Cognitive deterioration and dementia disorders may also have their origin in early life and a potentially important pathway by which the early environment affects the risk for neurodegenerative diseases is by developmental programming of the reserve capacity of the brain. The basic idea behind developmental programming of brain and cognitive reserve is explained and an overview of studies that support this idea is presented. The review is concluded by a discussion of potential mechanisms, synthesis of the evidence and relevance and future directions in the field of developmental origins of reserve capacity.
随着年龄的增长,许多人面临认知能力衰退,在某些时候甚至可能发展为某种形式的痴呆症。尽管痴呆症的神经病理学迹象在患者大脑中常常能够得到证实,但临床症状的严重程度大多并不能准确反映存在的神经病理学程度。有时,已存在的病理学变化甚至没有任何明显的临床表现。这种现象的一种解释可能在于储备能力的概念。储备能力是指大脑有效缓冲与正常衰老过程相关的变化并应对病理损伤的能力。有人提出,更大的储备能力可以增强对与年龄相关的认知衰退和痴呆症的抵御能力。传统上,储备能力分为基于大脑形态特征的脑储备和基于大脑功能特征的认知储备。本综述讨论了脑储备和认知储备能力由产前和产后早期因素塑造的前提。越来越多的证据表明,生命最初1000天的环境对个体的终身健康至关重要。认知衰退和痴呆症也可能起源于生命早期,早期环境影响神经退行性疾病风险的一个潜在重要途径是通过对大脑储备能力的发育编程。本文解释了脑储备和认知储备发育编程背后的基本理念,并概述了支持这一理念的研究。综述最后讨论了潜在机制、证据综合以及储备能力发育起源领域的相关性和未来方向。
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