The DOI matches its Crossref record; 123 of the 123 references it cites were found in a registry or an index; 39 of the 74 sources its claims cite were checked for support.
Maintenance, reserve and compensation: the cognitive neuroscience of healthy ageing
Open accessAbstract
Cognitive ageing research examines the cognitive abilities that are preserved and/or those that decline with advanced age. There is great individual variability in cognitive ageing trajectories. Some older adults show little decline in cognitive ability compared with young adults and are thus termed 'optimally ageing'. By contrast, others exhibit substantial cognitive decline and may develop dementia. Human neuroimaging research has led to a number of important advances in our understanding of the neural mechanisms underlying these two outcomes. However, interpreting the age-related changes and differences in brain structure, activation and functional connectivity that this research reveals is an ongoing challenge. Ambiguous terminology is a major source of difficulty in this venture. Three terms in particular - compensation, maintenance and reserve - have been used in a number of different ways, and researchers continue to disagree about the kinds of evidence or patterns of results that are required to interpret findings related to these concepts. As such inconsistencies can impede progress in both theoretical and empirical research, here, we aim to clarify and propose consensual definitions of these terms.
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Claims the paper makes
54 Own interpretation · 14 No full text of the sources · 12 Couldn’t confirm · 11 Partly supported · 8 No basis given · 2 Not checked yet · 1 Not supported · 1 Sources not found · accuracy not yet measured
At least one cited source doesn’t support this claim or points to a different paper, and none confirmed it — see the verdicts below.
In the paper
“However, it has been observed that when adults with high levels of reserve, as indicated by one or more reserve proxies, do eventually display cognitive decline, they do so at a rapid rate 69.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Disputedcites [69] Reed, B. R. et al. Measuring cognitive reserve based on the decomposition of episodic memory variance. Brain 133, 2196–2209 (2010). sourceExperimental — accuracy not yet measured
The Hypothesis 4 results report that higher baseline reserve predicted slower, not faster, decline in executive function. The Discussion likewise says higher reserve was associated with less decline. The paper does not report a separate analysis of decline after its onset that would support the citing sentence's qualification. (LLM, conf=0.81)
Checked by a reasoning model — may be wrong.
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Disputed
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“In addition, it is likely that proxy measures of reserve may engage different neural mechanisms, each important for a different aspect reserve, such neural capacity (the total amount of neural resources available for cognition) or neural efficiency (using less neural resources—often operationalized as neural activity—to perform a cognitive task).54,56”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Could not verifycites [54] Ghisletta, P., Rabbitt, P., Lunn, M. & Lindenberger, U. Two thirds of the age-based changes in fluid and crystallized intelligence, perceptual speed, and memory in adulthood are shared. Intelligence 40, 260–268 (2012). sourceExperimental — accuracy not yet measured
The Discussion considers shared and domain-specific mechanisms of age-related cognitive decline, but does not discuss proxy measures of reserve or distinguish neural capacity from neural efficiency. Searches for those terms and for cognitive-reserve proxies found no passage addressing the attributed claim; the Conclusions also say the behavioral evidence cannot establish the nature of the underlying factors. Page numbers were not available in our copy. (LLM, conf=0.74)
- Partly supportedcites [56] Piras, F., Cherubini, A., Caltagirone, C. & Spalletta, G. Education mediates microstructural changes in bilateral hippocampus. Hum. Brain Mapp. 32, 282–289 (2011). sourceExperimental — accuracy not yet measured
The Introduction (page not specified) distinguishes reserve capacity in a threshold model from more efficient use of brain networks in an active model. It also identifies education as a reserve proxy, but does not say that different proxy measures engage different neural mechanisms or correspond to different aspects of reserve. (LLM, conf=0.82)
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Diffusion MRI methods have shown age-related changes in white matter connectivity between prefrontal and posterior cortical regions, and within posterior sensory cortices.25–27”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
What the sources say
- Could not verifycites [25] Musiek, E. S. & Holtzman, D. M. Mechanisms linking circadian clocks, sleep, and neurodegeneration. Science 354, 1004–1008 (2016). sourceExperimental — accuracy not yet measured
The Sleep and Neurodegeneration section discusses sleep, synaptic function, and medial prefrontal amyloid pathology, while the Circadian function and neurodegeneration section discusses age-related circadian changes. Neither addresses diffusion MRI or the specified age-related white matter connectivity changes. Searches for diffusion MRI and for connectivity in posterior sensory cortices found no supporting passage in our copy; page numbers were unavailable. (LLM, conf=0.76)
- Could not verifycites [26] Hullinger, R. & Puglielli, L. Molecular and cellular aspects of age-related cognitive decline and Alzheimer’s disease. Behav. Brain Res. 322, 191–205 (2017). sourceExperimental — accuracy not yet measured
The Introduction and §5.1 discuss age-related brain and synaptic changes, but not diffusion MRI findings about the specified cortical connections. Searches for diffusion MRI, white matter, and prefrontal-to-posterior or posterior sensory connectivity found no passage addressing the claim. Page numbers are not available in our copy. (LLM, conf=0.76)
- Partly supportedcites [27] Mattson, M. P. & Arumugam, T. V. Hallmarks of brain aging: adaptive and pathological modification by metabolic states. Cell Metab. 27, 1176–1199 (2018). sourceExperimental — accuracy not yet measured
The 'Aberrant Neuronal Network Activity' section says white matter integrity is compromised during normal aging and describes age-related changes in functional connectivity. It does not say that diffusion MRI showed changes specifically between prefrontal and posterior cortical regions or within posterior sensory cortices. No page number is available in our copy. (LLM, conf=0.86)
boostedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“The development of expertise is associated with the presence of richer and more differentiated conceptual representations, which can attenuate age-related decline in the domain of expertise.54,65–67”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Could not verifycites [54] Ghisletta, P., Rabbitt, P., Lunn, M. & Lindenberger, U. Two thirds of the age-based changes in fluid and crystallized intelligence, perceptual speed, and memory in adulthood are shared. Intelligence 40, 260–268 (2012). sourceExperimental — accuracy not yet measured
The Abstract reports age-related cognitive decline, and the Discussion notes that some variation in decline is domain-specific. Neither passage addresses whether expertise produces richer conceptual representations or attenuates decline in an expert domain. Searches for expertise and domain-specific protection found no supporting passage in our copy. (LLM, conf=0.76)
- Not checked — no full text of the sourcecites [65] Alladi, S. et al. Bilingualism delays age at onset of dementia, independent of education and immigration status. Neurology 81, 1938–1944 (2013). source
- Partly supportedcites [66] Anthony, M. & Lin, F. A. Systematic review for functional neuroimaging studies of cognitive reserve across the cognitive aging spectrum. Arch. Clin. Neuropsychol. https://doi.org/10.1093/arclin/acx125 (2017). sourceExperimental — accuracy not yet measured
The Introduction (page not available) says cognitive reserve may help people tolerate or compensate for the effects of aging and discusses delaying cognitive decline. It does not address expertise, richer and more differentiated conceptual representations, or protection specifically within a domain of expertise. (LLM, conf=0.78)
- Partly supportedcites [67] Reed, B. R. et al. Cognitive activities during adulthood are more important than education in building reserve. J. Int. Neuropsychol. Soc. 17, 615–624 (2011). sourceExperimental — accuracy not yet measured
The Discussion (page not provided) links midlife cognitive activity to greater semantic-memory reserve and suggests that abilities may be maintained to different degrees in the face of dementia. It does not examine expertise or say that developing expertise produces richer, more differentiated conceptual representations; nor does it demonstrate reduced age-related decline specifically within a domain of expertise. (LLM, conf=0.79)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“A good example of a factor that promotes reserve is education, which improves neural resources during childhood and young adulthood, possibly by enhancing synaptic density 50”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Could not verifycites [50] Trahan, L. H., Stuebing, K. K., Fletcher, J. M. & Hiscock, M. The Flynn effect: a meta-analysis. Psychol. Bull. 140, 1332–1360 (2014). sourceExperimental — accuracy not yet measured
The “What is Rising?” section discusses formal education as a possible contributor to rising IQ scores, not as a means of improving neural resources. A search of our copy for neural resources, cognitive reserve, and synaptic density found no passage addressing the claimed mechanism during childhood or young adulthood. (LLM, conf=0.76)
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“For instance, one study found that greater cognitive reserve, as measured using IQ and education-occupation as proxies, was associated with lower activity during cognitive processing, suggesting more effective use of cerebral networks.30”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Partly supportedcites [30] Sampedro-Piquero, P., Alvarez-Suarez, P. & Begega, A. Coping with stress during aging: the importance of a resilient brain. Curr. Neuropharmacol. 16, 284–296 (2018). sourceExperimental — accuracy not yet measured
In “Effects on Neurobiological Resilient Mechanisms” (page unavailable), the paper reports lower metabolic activity in aged, enriched rats performing a spatial-learning task. It does not link that activity to cognitive reserve measured by IQ or education–occupation, and it proposes better stress coping rather than more effective use of cerebral networks. (LLM, conf=0.84)
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Also, cross-sectional designs can be contaminated by birth cohort effects, including inter-generational IQ increases (the ‘Flynn Effect’).43,44”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
What the sources say
- Partly supportedcites [43] Giorgio, A. et al. Age-related changes in grey and white matter structure throughout adulthood. Neuroimage 51, 943–951 (2010). sourceExperimental — accuracy not yet measured
The Discussion (page unavailable) says the study’s cross-sectional design compares different cohorts across age groups and may be less sensitive to lifespan brain changes than a longitudinal design. This supports the general concern about cohort effects, but our copy does not mention inter-generational IQ increases or the Flynn Effect. (LLM, conf=0.88)
- Partly supportedcites [44] Madden, D. J. et al. Adult age differences in functional connectivity during executive control. Neuroimage 52, 643–657 (2010). sourceExperimental — accuracy not yet measured
The Discussion’s Limitations section says cross-sectional age-group differences reflect cohort differences as well as chronological age. It does not mention inter-generational IQ increases or the Flynn Effect; searches for those terms found no supporting passage. Page numbers were not provided in our copy. (LLM, conf=0.87)
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Genetic55 and environmental factors,54,56 including longer education,32 greater physical activity,57 active participation in demanding leisure activities58 and bilingualism59,60 impact individual differences in reserve.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Supportedcites [55] Stern, Y., Gazes, Y., Razlighi, Q., Steffener, J. & Habeck, C. A task-invariant cognitive reserve network. Neuroimage 178, 36–45 (2018). source
The Introduction states that educational attainment, exercise, and leisure activities may account for individual differences in cognitive reserve. This supports the environmental-factors point to which this source is cited; the sentence separately cites other sources for genetics and bilingualism. (LLM, conf=0.90)
- Partly supportedcites [54] Ghisletta, P., Rabbitt, P., Lunn, M. & Lindenberger, U. Two thirds of the age-based changes in fluid and crystallized intelligence, perceptual speed, and memory in adulthood are shared. Intelligence 40, 260–268 (2012). sourceExperimental — accuracy not yet measured
The Discussion (page not provided) suggests that lifestyle and common genetic variation may contribute to individual differences in rates of cognitive decline. It does not establish that these factors affect individual differences in reserve. The specific examples in the sentence have separate citations and are not attributed to this paper. (LLM, conf=0.83)
- Supportedcites [56] Piras, F., Cherubini, A., Caltagirone, C. & Spalletta, G. Education mediates microstructural changes in bilateral hippocampus. Hum. Brain Mapp. 32, 282–289 (2011). source
The citation to this paper is attached to longer education, not to the other factors in the sentence. The Abstract links education to reserve and reports that higher education correlated with a hippocampal microstructural measure; the Introduction likewise describes education-dependent differences in brain structure and function. (LLM, conf=0.93)
- Not checked — no full text of the sourcecites [32] Morgan, D. G. The dopamine and serotonin systems during aging in human and rodent brain. A brief review. Prog. Neuropsychopharmacol. Biol. Psychiatry 11, 153–157 (1987). source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“Possibly, at some level, the burden of pathology becomes great enough to overcome this protective mechanism, resulting in rapid cognitive decline31,53.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Could not verifycites [31] Rosario, E. R., Chang, L., Head, E. H., Stanczyk, F. Z. & Pike, C. J. Brain levels of sex steroid hormones in men and women during normal aging and in Alzheimer’s disease. Neurobiol. Aging 32, 604–613 (2011). sourceExperimental — accuracy not yet measured
The Discussion describes a possible protective role for sex hormones against Alzheimer’s pathology, but does not discuss cognitive reserve, a pathology threshold that overcomes it, or rapid cognitive decline. Searches for reserve and pathology-threshold language found no passage addressing that proposed sequence. (LLM, conf=0.77)
- Could not verifycites [53] Raz, N. et al. Regional brain changes in aging healthy adults: general trends, individual differences and modifiers. Cereb. Cortex 15, 1676–1689 (2005). sourceExperimental — accuracy not yet measured
The Discussion says the study found no support for the brain reserve hypothesis, while noting that its cognitive measures were too narrow to settle the question. It discusses pathology and brain shrinkage, but does not address whether a threshold of pathology overcomes reserve and causes rapid cognitive decline (searched: pathology burden, reserve, protective mechanism, rapid cognitive decline). (LLM, conf=0.76)
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“One example of how increased capacity is associated with a proxy measure of reserve is the aforementioned effect of education on synaptic density.50”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Could not verifycites [50] Trahan, L. H., Stuebing, K. K., Fletcher, J. M. & Hiscock, M. The Flynn effect: a meta-analysis. Psychol. Bull. 140, 1332–1360 (2014). sourceExperimental — accuracy not yet measured
The “What is Rising?” section discusses education as a possible contributor to rising IQ scores, not its effect on synaptic density. Searches for synaptic density, neural capacity, and reserve found no passage in our copy addressing the claimed association. (LLM, conf=0.76)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Could not verify
- It may state two separate claims as one. 31
- Probably not a substantial claim. 38
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“magnetic resonance imaging (MRI) studies have shown that normal aging is associated with gray matter volume reductions and functional alterations in several regions critical for higher cognitive function: prefrontal, medial temporal and parietal cortices.21–24”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
What the sources say
- Not checked — no full text of the sourcecites [21] Roy, A. K. et al. Impacts of transcriptional regulation on aging and senescence. Ageing Res. Rev. 1, 367–380 (2002). source
- Could not verifycites [22] Foster, T. C. Role of estrogen receptor alpha and beta expression and signaling on cognitive function during aging. Hippocampus 22, 656–669 (2012). sourceExperimental — accuracy not yet measured
The paper’s section on ERα and ERβ expression and E2-induced synaptogenesis discusses age-related synaptic and memory changes, not MRI findings. Searches for gray-matter volume, MRI, and the specified cortical regions found no passage in our copy addressing the claimed regional volume reductions and functional alterations. (LLM, conf=0.75)
- Not checked — no full text of the sourcecites [23] Papenberg, G., Salami, A., Persson, J., Lindenberger, U. & Backman, L. Genetics and functional imaging: effects of APOE, BDNF, COMT, and KIBRA in aging. Neuropsychol Rev. 25, 47–62 (2015). source
- Could not verifycites [24] Campisi, J. Cellular senescence and apoptosis: how cellular responses might influence aging phenotypes. Exp. Gerontol. 38, 5–11 (2003). sourceExperimental — accuracy not yet measured
Section 2.1 (Apoptosis; page unavailable) discusses possible neuronal loss with aging, but does not report MRI findings, gray matter volume reductions, or functional changes in the named cortices. Searches for those cortical regions and for MRI and gray matter volume found no passage addressing the claim. (LLM, conf=0.76)
boostedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“It is worth noting that young adults may also upregulate activity in response to increased task demands, but that the demand threshold for upregulation may be higher in young, compared to older adults24,36.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
What the sources say
- Could not verifycites [24] Campisi, J. Cellular senescence and apoptosis: how cellular responses might influence aging phenotypes. Exp. Gerontol. 38, 5–11 (2003). sourceExperimental — accuracy not yet measured
Section 2.1 discusses apoptosis and neuronal compensation after cell loss; Figure 1 discusses thresholds at which tissue health becomes compromised. Neither addresses activity upregulation in response to task demands or compares the demand thresholds of young and older adults (searched for task demands and cognitive activity upregulation). Page numbers are unavailable in our copy. (LLM, conf=0.77)
- Could not verifycites [36] Sperling, R. Potential of functional MRI as a biomarker in early Alzheimer’s disease. Neurobiol. Aging 32 (Suppl. 1), S37–S43 (2011). sourceExperimental — accuracy not yet measured
The Abstract discusses increased fMRI activity in people with mild cognitive impairment or at risk of Alzheimer’s disease, but does not compare young and older adults’ responses to increasing task demands. Searches for young adults, task difficulty, and demand thresholds found no passage addressing the proposed difference in upregulation thresholds. (LLM, conf=0.72)
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Could not verify
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“For example, given the link between exercise and white-matter integrity,70 it is possible that individuals who exercise regularly maintain white-matter integrity better than other aspects of the brain.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
What the sources say
- Could not verifycites [70] Bernardi, G. et al. How skill expertise shapes the brain functional architecture: an fMRI study of visuo-spatial and motor processing in professional racing-car and naive drivers. PLOS ONE 8, e77764 (2013). sourceExperimental — accuracy not yet measured
The citation is attached to the asserted link between exercise and white-matter integrity. The Conclusions discuss psycho-physical training and functional brain efficiency, while the Methods mention white matter only as a signal used in fMRI processing; neither addresses white-matter integrity in people who exercise regularly (page numbers unavailable). Searched for white-matter integrity, exercise, and physical training. (LLM, conf=0.76)
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Could not verify
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“Linking compensation to successful performance (Box 1) helps distinguish compensation from activation differences due to inefficiency, dedifferentiation, or pathology (Box 2)80.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
What the sources say
- Could not verifycites [80] Gorbach, T. et al. Longitudinal association between hippocampus atrophy and episodic-memory decline. Neurobiol. Aging 51, 167–176 (2017). sourceExperimental — accuracy not yet measured
The Results (§3.3) link hippocampal change with episodic-memory change, and the Discussion (§4) relates preserved memory to brain maintenance. Neither addresses whether linking compensation to successful performance distinguishes it from inefficiency, dedifferentiation, or pathology. Searches for those terms and for activation differences found no relevant passage in our copy. (LLM, conf=0.76)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
- Could not verify
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“Although greater activity in older adults may merely reflect inefficiency,82 it is difficult to interpret greater activity as inefficient when it correlates positively with cognitive performance, which is one of our requirements for applying the term compensation.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
What the sources say
- Could not verifycites [82] Pudas, S. et al. Brain characteristics of individuals resisting age-related cognitive decline over two decades. J. Neurosci. 33, 8668–8677 (2013). sourceExperimental — accuracy not yet measured
The citation is attached to the suggestion that greater activity in older adults may reflect inefficiency, not to the citing authors’ subsequent argument about performance correlations. The Introduction and Discussion discuss greater activation as possible compensation, neural capacity, or a longstanding individual difference, but do not address inefficiency. Searches for “inefficiency” and “inefficient neural activity” found no supporting passage in our copy. (LLM, conf=0.72)
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Could not verify
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Similar to the concept of reserve, the mechanisms contributing to maintenance are also likely to have both genetic77 and environmental origins, with the latter including factors such as diet, exercise, and cognitive and social engagement33,57,78.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
What the sources say
- Not checked — no full text of the sourcecites [77] Vaci, N., Gula, B. & Bilalic, M. Is age really cruel to experts? Compensatory effects of activity. Psychol. Aging 30, 740–754 (2015). source
- Not checked — no full text of the sourcecites [33] Freeman, G. B. & Gibson, G. E. Dopamine, acetylcholine, and glutamate interactions in aging. Behavioral and neurochemical correlates. Ann. N. Y. Acad. Sci. 515, 191–202 (1988). source
- Partly supportedcites [57] Stern, Y. Cognitive reserve and Alzheimer disease. Alzheimer Dis. Assoc. Disord. 20, 112–117 (2006). sourceExperimental — accuracy not yet measured
In MEASURES OF RESERVE (p. 2), Stern discusses genetic and environmental influences on reserve and says that exercise and stimulating environments promote neurogenesis in animals. EPIDEMIOLOGIC EVIDENCE FOR CR (p. 2) links cognitive and social activities with lower dementia risk. The paper does not address diet or establish these factors as mechanisms of maintenance, rather than reserve. (LLM, conf=0.88)
- Not checked — no full text of the sourcecites [78] Stern, Y., Albert, S., Tang, M. & Tsai, W. Rate of memory decline in AD is related to education and occupation. Neurology 1, 1942–1947 (1999). source
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Several studies36,38–41 have found that, consistent with reduced neural resources, older adults show a greater increase in activity, a lower asymptote, and an earlier decline than younger adults”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
What the sources say
- Could not verifycites [36] Sperling, R. Potential of functional MRI as a biomarker in early Alzheimer’s disease. Neurobiol. Aging 32 (Suppl. 1), S37–S43 (2011). sourceExperimental — accuracy not yet measured
The Abstract discusses increased activation in people at risk for Alzheimer’s disease, followed by loss of activation as cognitive impairment worsens; it does not compare activation patterns in older and younger adults. Searches for “asymptote” and age-related activation under increasing task demand found no passage addressing the claimed lower asymptote or earlier decline. (LLM, conf=0.76)
- Not checked — no full text of the sourcecites [38] Tromp, D., Dufour, A., Lithfous, S., Pebayle, T. & Despres, O. Episodic memory in normal aging and Alzheimer disease: insights from imaging and behavioral studies. Ageing Res. Rev. 24, 232–262 (2015). source
- Could not verifycites [39] Walhovd, K. B. et al. Consistent neuroanatomical age-related volume differences across multiple samples. Neurobiol. Aging 32, 916–932 (2011). sourceExperimental — accuracy not yet measured
The Discussion reports age-related differences in brain volume, including accelerating white-matter volume loss after middle age. It does not address the claimed pattern of neural activity—a greater increase, lower asymptote, and earlier decline in older adults (searched: activity, neural resources, and functional activation). (LLM, conf=0.76)
- Not checked — no full text of the sourcecites [40] Rajah, M. N., Maillet, D. & Grady, C. L. in The Wiley Handbook of Cognitive Neuroscience of Memory (eds Addis, D., Barense, M. & Duarte, A.) 347–361 (Wiley Publishers, New York, 2015). source
- Partly supportedcites [41] Nyberg, L. et al. Longitudinal evidence for diminished frontal cortex function in aging. Proc. Natl Acad. Sci. USA 107, 22682–22686 (2010). sourceExperimental — accuracy not yet measured
The Results and Discussion report reduced frontal activity as older adults were followed over time, which supports an age-related reduction in recruitment. They do not establish the claimed greater increase in activity, lower asymptote, or earlier decline relative to younger adults; the Discussion cautions that cross-sectional signs of increased activity reflected a selected elderly sample. Page numbers are unavailable in our copy. (LLM, conf=0.85)
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- The authors state this as an assumption: The asymptote in neural activity reflects available neural resources, and the final decline reflects breakdown in cognitive performance when those resources are exceeded.
- Could not verify
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The time-scale of maintenance processes likely varies depending on the neural level at which it takes place (molecules, cells or systems).”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Reserve is hypothesized to accumulate before neural resources demonstrate age-related decreases, over a period of years.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is worth noting that if reserve is defined merely as “the factor that individuals with greater reserve have,” and then this factor is used to explain why some individuals have greater reserve, the argument is clearly circular.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
boosted- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is important to emphasize that the mechanisms of reserve, maintenance, and compensation are not static but dynamic and modifiable, and they are likely not only responsible for modifying behavior, but are in turn modified by such changes.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Maintenance occurs throughout the lifespan but may become more critical in old age, as neural deterioration becomes more severe.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Presumably reserve accumulates most during childhood and young adulthood, but it may also build up in older age,9”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
What the sources say
- Not checked — no full text of the sourcecites [9] Rajah, M. N. & D’Esposito, M. Region-specific changes in prefrontal function with age: a review of PET and fMRI studies on working and episodic memory. Brain 128, 1964–1983 (2005). source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“For example, whereas older participants are typically recruited only from the sub-set of people who aged successfully, young adult samples are more heterogeneous.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: unclear — It is unclear why the paper says it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Although they have their own limitations,46 longitudinal designs avoid these problems and can consistently demonstrate large individual differences in rates of age-related decline.47,48”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
What the sources say
- Not checked — no full text of the sourcecites [46] Lindenberger, U. Human cognitive aging: corriger la fortune? Science 346, 572–578 (2014). source
- Not matchedcites [47] World Health Organisation. World Report on Ageing and Health (eds Beard, J., Officer, A. & Cassels, A.) (WHO, Luxembourg, 2015).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked — no full text of the sourcecites [48] Habib, R., Nyberg, L. & Nilsson, L. G. Cognitive and non-cognitive factors contributing to the longitudinal identification of successful older adults in the Betula study. Aging Neuropsychol. Cogn. 14, 257–273 (2007). source
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the ideal case, accumulated reserve is enough to completely offset age-related neural decline, whereas in the typical case, it only attenuates this decline.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: unclear — It is unclear why the paper says it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the optimal case, repair processes fully counteract decline. In the typical scenario, however, repair processes do not completely offset neural deterioration, leading to a gradual process of age-related neural deterioration.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, some individuals may be relatively spared from detrimental brain changes in the first place resulting in a high likelihood of displaying maintenance regardless of the capacity for repair.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Individual differences reflecting compensation, in contrast, might be expected to differ according to the nature of the cognitive challenge, and to correlate more with individual differences in task performance than with proxy measures of reserve”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: unclear — It is unclear why the paper says it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Differences related to reserve might be expected to manifest as ‘trait-like’ effects that are evident across a range of different cognitive domains, and to correlate with independent proxies of reserve, such as IQ or educational level.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Reserve
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the case of reserve and maintenance (FIGS. 1–B/C), processes of age-related ‘neural decline’ (such as brain atrophy, synaptic loss, white-matter degradation, etc.) are countered by processes of ‘neural enhancement,’ that is, the creation, replenishment, and repair of neural resources (brain anatomy and physiology mediating cognitive processes).”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“However, over the years, these terms have been used inconsistently, creating confusion and slowing progress.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Introduction
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
In the paper
“Whereas hippocampal maintenance has been associated with episodic memory maintenance, the maintenance of other brain regions is likely to be associated with the preservation of other cognitive abilities33.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
What the sources say
- Not checked — no full text of the sourcecites [33] Freeman, G. B. & Gibson, G. E. Dopamine, acetylcholine, and glutamate interactions in aging. Behavioral and neurochemical correlates. Ann. N. Y. Acad. Sci. 515, 191–202 (1988). source
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For example, PFC maintenance could be associated with the maintenance of cognitive control.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the context of aging, it is more appropriate to emphasize the loss in neural resources.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“This is a point on which our view departs from some uses of the term compensation in the literature, where the term is often applied to any age-related increase in brain activity, or to the recruitment of additional brain regions in older but not young adults, regardless of relationship with performance.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Therefore, although the concepts of reserve and maintenance are similar, we view them as complementary perspectives on how environmental and biological factors influence brain aging and cognition.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the case of reserve, these factors cumulative influence neural capacity and neural efficiency (and other mechanisms not yet identified due to limits of technology). In the case of maintenance, these factors influence neural mechanisms of repair and plasticity (and others not yet identified).”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The important point is that the process selected by older adults is also available to young adults, but less likely to be the one that supports their performance.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Also, older adults may show activation in a different region than young adults, but this region could be a different component of the same functional network recruited by younger adults, suggesting compensation by upregulation rather than selection.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We posit that these forms of compensation are not mutually exclusive such that one or more may co-occur within or across individuals.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Compensation by upregulation refers to the enhancement of cognitive performance by boosting a neural process in response to task demands.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“We acknowledge that reserve has an impact on later maintenance, and vice versa, as the accumulated reserve must be maintained.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is theoretically possible that the extent to which different maintenance mechanisms operate depends on initial brain measures.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In our view, without a link to performance, these findings should be simply described as age-related differences (increases or decreases) in activity, and not as compensatory activity.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The closest analogy to this type of compensation would be the development of new neural mechanisms following brain damage.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This gap may be due to an age-related reduction in neural resources (e.g., brain atrophy, reduced blood flow, neurotransmitter deficits, reduced neural specificity, etc.), due to an increase in task demands, or both.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“reserve is about enhancing and augmenting resources, whereas maintenance is about their up-keep.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Compensation by selection occurs when older adults recruit neural circuitry associated with cognitive processes that are available to but not engaged by young adults under the same objective task conditions.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Second, evidence should be available that the enhanced activation in older adults is related to a beneficial effect on cognitive performance.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
In the paper
“Finally, compensation by reorganization occurs when older adults use an alternative neural mechanism to respond to aging-induced losses that is not available to younger individuals76.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
What the sources say
- Not checked — no full text of the sourcecites [76] Morrow, D., Leirer, V., Altieri, P. & Fitzsimmons, C. When expertise reduces age-differences in performance. Psychol. Aging 9, 134–148 (1994). source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
““brain maintainers” include individuals who start with above-average brain measures in early adulthood (e.g., larger hippocampus) and maintain these high levels into older age, as well as individuals who start below average (e.g., smaller hippocampus) and maintaining functioning at that lower level.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“we found it necessary to distinguish among three different mechanisms or forms of compensation (all incorporating the two criteria above): upregulation, selection, and recruitment of additional processes (see FIG 3).”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Greater brain activity or connectivity is sometimes interpreted as being beneficial to older adults, without any additional supporting evidence.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Compensation is temporally linked to variations in cognitive demands and can occur rapidly, in a matter of seconds.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
In the paper
“In summary, we see maintenance as a dynamic process that engages neural mechanisms of cellular repair and may overlap to a large degree with mechanisms of brain plasticity in adulthood76.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
What the sources say
- Not checked — no full text of the sourcecites [76] Morrow, D., Leirer, V., Altieri, P. & Fitzsimmons, C. When expertise reduces age-differences in performance. Psychol. Aging 9, 134–148 (1994). source
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For example, older adults may engage a less effective but also a less demanding process, whereas younger adults prefer a more effective but more demanding one.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: unclear — It is unclear why the paper says it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, given the close interaction between different brain structures and processes, it is also possible to talk about general brain maintenance.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Although these alternative circuits may be less effective than the original ones, their recruitment may still benefit performance.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, we believe that two basic criteria must be fulfilled in order to attribute greater activity/connectivity in older adults to compensation.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Given that maintenance is operationalized as a relative lack of decline in one or more neural measures, and not in absolute terms”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Maintenance
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“In functional neuroimaging studies, compensation is often used to describe a situation in which brain activity, or functional connectivity, is greater, or more widespread, in older adults than in younger adults.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Although we have discussed reserve, maintenance, and compensation in separate sections, they can operate concurrently and affect each other.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Conclusions
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“That is, individuals with neurological disease or disorder may compensate for their disorder-related deficit in ways similar to those described here for healthy older adults.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Conclusions
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It is worth noting that although we compared reorganization due to aging and due to brain damage, they differ in several ways, including the fact that the time-course of aging is slow whereas the course of brain injury is fast.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Compensation
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Thus, when considering the potential effects of cognitive training on promoting reserve, one has to consider whether age-related deficits in maintenance will render these effects less effective.”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Conclusions
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In addition, we note that despite our focus on healthy aging, the concepts we have discussed also can be applied in other domains, including child development, acute brain injury, neurodegeneration, and psychiatric illness”
§ Cognitive neuroscience of healthy aging: Maintenance, reserve, and compensation > Conclusions
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
The authors state this as an assumption.
Mechanisms, understood as putative causal explanations of age-related changes, exist at multiple levels of analysis, such as genetic, cellular, and system levels.
“We assume that mechanisms, which refer to putative causal explanations of age-related changes, exist at multiple levels of analysis (genetic, cellular, system, etc.).”
The authors state this as an assumption.
Because of age-related neural decline, some older adults have difficulty implementing cognitive operations that would not have taxed them when younger.
“we assume that due to age-related neural decline, some older adults have difficulty implementing cognitive operations that would not have taxed their younger selves.”
The authors state this as an assumption.
The asymptote in neural activity reflects available neural resources, and the final decline reflects breakdown in cognitive performance when those resources are exceeded.
“It is assumed that the asymptote reflects available neural resources, and the final decline reflects the breakdown in cognitive performance when these resources are exceeded.”
The paper relies on this without support.
Reserve cannot be measured directly.
“Given that it is not possible to measure reserve directly, most studies of reserve have focused on a particular proxy and how it relates to the functioning brain.”
The paper relies on this without support.
Most cognitive aging research so far has used samples composed largely of healthy, well-educated, high-functioning older adults who are mostly Caucasian.
“We also note with caution that most studies of cognitive aging to date have been limited to testing samples of high functioning, highly educated, and mostly Caucasian healthy older adults.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Similar protective effects of education have been observed in Alzheimer’s disease and frontotemporal dementia50,51, indicating some commonality with other neurodegenerative conditions.”
From Locus for severity implicates CNS resilience in progression of multiple sclerosis (2023) · cites this paper as [51]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“We caution that neurocognitive reserve is a complex construct that is operationalized using proxies such as education, but it cannot be directly measured51.”
From Locus for severity implicates CNS resilience in progression of multiple sclerosis (2023) · cites this paper as [51]
The cited source says what the claim attributes to it.
In the citing paper
“These findings would be consistent with education promoting neurocognitive reserve51, increasing resilience to neuronal degeneration resulting from MS injury and aging.”
From Locus for severity implicates CNS resilience in progression of multiple sclerosis (2023) · cites this paper as [51]
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“Previous research has indicated that, compared with abstract verbal cues, photographs as concrete visual materials are more likely to stimulate memory retrieval and facilitate detailed event recall and narrative development (Benoit et al., 2015;Petrelli & Whittaker, 2010).”
From Designing for Reminiscence in Digital Photo Systems for Older Adults: A Scoping Review (2026) · cites this paper as Cabeza et al., 2018
Experimental — accuracy not yet measured
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Self-citation
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Cited by
Sorted by citations
Education and cognitive functioning across the life span
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“…the combined effects of disease progression for all pathologies that are co-occurring in the brain, offset by repair or replenishment and compensation (Barulli & Stern, 2013; Cabeza et al., 2018; Nyberg, Lövdén, Riklund, Lindenberger, & Bäckman, 2012; Stern, 2002, 2006; Stern et al., 2018).”
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“Cognitive reserve (CR) may be one mechanism through which individuals are protected against clinically significant cognitive decline even in the presence of neuropathology (Stern, 2002; 2009; Cabeza et al., 2018; Stern et al., 2020).”
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“Education has been suggested to promote cognitive reserve by enhancing cognitive flexibility, and factors such as lifestyle behaviors may moderate the beneficial effect of education on cognition in older age (Cabeza et al., 2018).”
BackgroundMethodInfluentialBiological and environmental predictors of heterogeneity in neurocognitive ageing
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“Aging is not only genetically determined, but also depen - dent on lifestyle and on how the brain is used and trained; for example, see ref 47.”
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Self-citationMultimodal brain-age prediction and cardiovascular risk: The Whitehall II MRI sub-study
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“Aging can be associated with impaired ability to maintain cognition at normal levels and loss of cognitive reserve (Figure 1) (14).”
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“…and task-negative neural networks is compensated for by mechanisms such as regional over-activation, a posterior-to-anterior shift in brain activity, and decreased asymmetry of hemispheric activity (Reuter-Lorenz & Park, 2010; Festini, Zahodne, & Reuter-Lorenz, 2018; Cabeza et al., 2018).”
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Educational attainment does not influence brain aging
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“Prominent accounts of heterogeneity in neural and behavioral aging postulate that this is the case, arguing that education acts as a modifiable protective factor (1) or cognitive reserve (2, 3) of human neurocognitive aging.”
Self-citationA shared neural basis underlying psychiatric comorbidity
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“However, Cabeza et al. 41 argued that, when associated with cognitive deficits, hyperfunctioning prefrontal circuits might not necessarily represent a protective compensation effect but rather a disruption of the efficacy of executive control.”
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“Several hypothesis have been described and there is still no consensus regarding definitions of several concepts (Cabeza et al., 2018).”
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“Attempts have been made to form a consensus of terminology and constructs (Cabeza et al., 2018; Stern et al., 2020).”
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“The use of RSFA as a mechanism to adjust for confounds in BOLD-fMRI, or as a predictor, will allow the development of better models of ageing and age-related disorders (Cabeza et al., 2018; Tsvetanov et al., 2018).”
Improving the resistance and resilience framework for aging and dementia studies
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“There are several mechanisms that may lead to greater resilience in later life: higher neurobiological capital to start with (initial brain reserve [7]), maintaining brain structure and function [4, 5], or showing greater adaptability of cognitive strategies to perform a task (cognitive reserve [3] or compensation see…”
BackgroundUnderstanding the interplay of sleep and aging: Methodological challenges
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Brain Plasticity in Human Lifespan Development: The Exploration–Selection–Refinement Model
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“Also, the ways in which senescence takes its toll on the brains of aging individuals may depend on individuals’ experiential and maturational histories (Cabeza et al. 2018, Koen & Rugg 2019).”
BackgroundSelf-citationBOLD and EEG signal variability at rest differently relate to aging in the human brain
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Early-life environmental enrichment generates persistent individualized behavior in mice
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“While brain reserve refers to the accumulation of neural resources during early life that attenuate later functional decline during aging, brain maintenance describes the preservation of brain integrity over time ( 42 , 43 ).”
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“This cerebral compensation can be achieved through adjustment processes, such as selective recruitment of processes designated for other actions or upregulation of mechanisms dedicated to that task (Cabeza et al. 2018).”
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Executive function abilities in cognitively healthy young and older adults—A cross-sectional study
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“In addition, the comparatively high level of cognitive reserve in the older participants may have contributed to the study findings by reducing the level of their cognitive decline, and hence resulting in better performance of some or all of the tasks (Meng and D’Arcy, 2012; Barulli et al., 2013; Cabeza et al., 2018).”
BackgroundNeural ageing and synaptic plasticity: prioritizing brain health in healthy longevity
Navakkode, S., & Kennedy, B. K. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1428244 · Cited by 75
“Evidence from multiple sources, including neuroimaging, cognitive psychology, neuropathology, metabolic, cellular and molecular studies points to the adaptability and resilience of the ageing brain (Jack et al., 1997; Cabeza et al., 2018; Stern et al., 2019).”
BackgroundProkopidis, K., Giannos, P., Ispoglou, T., Witard, O. C., & Isanejad, M. (2022) · The American Journal of Medicine · doi:10.1016/j.amjmed.2022.03.022 · Cited by 77
Kremen, W. S., Elman, J. A., Panizzon, M. S., Eglit, G. M. L., Sanderson‐Cimino, M. E., Williams, M. E., Lyons, M. J., & Franz, C. E. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.834765 · Cited by 80
“Parallel Concepts for Cognition and Brain Some researchers argue that we should use a single term for reserve without differentiating between cognitive and brain reserve because all cognition arises from the brain (Cabeza et al., 2018).”
BackgroundThe Protective Role of Cognitive Reserve in Mild Cognitive Impairment: A Systematic Review
Corbo, I., Marselli, G., Ciero, V. D., & Casagrande, M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12051759 · Cited by 86
“Neural capacity refers to the neural resources available for cognition, while neural efficiency represents the ability to use these resources efficiently [45].”
BackgroundResultInfluentialVascular cognitive impairment – Past, present, and future challenges
Badji, A., Youwakim, J., Cooper, A., Westman, E., & Marseglia, A. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.102042 · Cited by 84
“leading to better-preserved cognition (Cabeza et al., 2018; Nyberg et al., 2012).”
Depression and episodic memory across the adult lifespan: A meta-analytic review.
James, T., Weiss-Cowie, S., Hopton, Z. W., Verhaeghen, P., Dotson, V. M., & Duarte, A. (2021) · Psychological Bulletin · doi:10.1037/bul0000344 · Cited by 96
Self-citationAge differences in semantic network structure: Acquiring knowledge shapes semantic memory.
Cosgrove, A. L., Beaty, R. E., Diaz, M. T., & Kenett, Y. N. (2023) · Psychology and Aging · doi:10.1037/pag0000721 · Cited by 73
George, R. J. S., Hinder, M. R., Puri, R., Walker, E., & Callisaya, M. L. (2020) · Neuroscience · doi:10.1016/j.neuroscience.2020.10.027 · Cited by 79
Millar, P. R., Gordon, B. A., Luckett, P. H., Benzinger, T. L. S., Cruchaga, C., Fagan, A. M., Hassenstab, J. J., Perrin, R. J., Schindler, S. E., Allegri, R., et al. (2023) · eLife · doi:10.7554/elife.81869 · Cited by 72
Physical Activity, Sports Practice, and Cognitive Functioning: The Current Research Status
Hernández-Mendo, A., Reigal, R. E., Walle, J. M. L., Serpa, S., Samdal, O., Morales‐Sánchez, V., de Mier, R. J.-R., Rodríguez, J. L. T., Rosado, A. F. B., & Falcó, C. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02658 · Cited by 72
Socioeconomic status impacts cognitive and socioemotional processes in healthy ageing
Migeot, J., Calivar, M., Granchetti, H. N., Ibáñez, A. M., & Fittipaldi, S. (2022) · Scientific Reports · doi:10.1038/s41598-022-09580-4 · Cited by 66
Aron, L., Zullo, J., & Yankner, B. A. (2021) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2021.09.009 · Cited by 70
Environmental enrichment preserves a young DNA methylation landscape in the aged mouse hippocampus
Zocher, S., Overall, R. W., Lesche, M., Dahl, A., & Kempermann, G. (2021) · Nature Communications · doi:10.1038/s41467-021-23993-1 · Cited by 69
25 years of neurocognitive aging theories: What have we learned?
McDonough, I. M., Nolin, S. A., & Visscher, K. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.1002096 · Cited by 68
“Recently, the idea of neural compensation has been refined into different forms depending on when and where in the brain they occur (Cabeza et al., 2018).”
BackgroundClinical severity in Parkinson’s disease is determined by decline in cortical compensation
Johansson, M. E., Toni, I., Kessels, R. P. C., Bloem, B. R., & Helmich, R. C. G. (2023) · Brain · doi:10.1093/brain/awad325 · Cited by 69
Cognitive Training for Reduction of Delirium in Patients Undergoing Cardiac Surgery
Yu, J., Xie, Y., Fang, P., Shang, Z., Chen, L., Zhou, J., Yang, C., Zhu, W., Hao, X., Ding, J., et al. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.7361 · Cited by 74
Hokett, E., Arunmozhi, A., Campbell, J., Verhaeghen, P., & Duarte, A. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.05.010 · Cited by 60
Self-citationCognitive Reserve in Model Systems for Mechanistic Discovery: The Importance of Longitudinal Studies
McQuail, J. A., Dunn, A. R., Stern, Y., Barnes, C. A., Kempermann, G., Rapp, P. R., Kaczorowski, C. C., & Foster, T. C. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.607685 · Cited by 67
Qi, D., Wong, N. M. L., Shao, R., Man, I. S. C., Wong, C. H. Y., Yuen, L. P., Chan, C. C. H., & Lee, T. M. C. (2021) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2021.04.011 · Cited by 68
“, 2011) have been consistently reported to undergo significant reduction of gray matter volume (GMV) in older adults in relation to their cognitive decline (Cabeza et al., 2018; Grady, 2012; Shaw, Sachdev, Anstey, & Cherbuin, 2016).”
Functional network resilience to pathology in presymptomatic genetic frontotemporal dementia
Rittman, T., Borchert, R. J., Jones, S., Swieten, J. C. V., Borroni, B., Galimberti, D., Masellis, M., Tartaglia, M. C., Graff, C., Tagliavini, F., et al. (2019) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2018.12.009 · Cited by 62
“Our definition of functional resilience is closely alignedwith cognitive reserve, which is a multifaceted concept positing that educational, social, and exercise lead to maintained cognitive abilities in the context of aging or neurodegeneration (Cabeza et al., 2018).”
BackgroundTsvetanov, K. A., Gazzina, S., Jones, P. S., Swieten, J. C. V., Borroni, B., Sánchez‐Valle, R., Moreno, F., Laforce, R. J., Graff, C., Synofzik, M., et al. (2020) · Alzheimer s & Dementia · doi:10.1002/alz.12209 · Cited by 62
“Conversely, the loss of neural systems’ modularity mirrors the loss of functional 328 specialization with age [45] and dementia [44].”
BackgroundVascular and haemodynamic issues of brain ageing
Beishon, L., Clough, R. H., Kadicheeni, M., Chithiramohan, T., Panerai, R. B., Haunton, V. J., Minhas, J. S., & Robinson, T. G. (2021) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-020-02508-9 · Cited by 70
“For example, whilst localised responses may be impaired, compensatory rises may be seen in other brain regions as a result of upregulation of existing processes, recruitment of additional neural circuits (selection) or the generation of novel neural circuits (re-organisation) [8, 16, 101].”
BackgroundCognitive and neuroscientific perspectives of healthy ageing
Prince, J. B., Davis, H. L., Tan, J., Muller-Townsend, K. L., Markovic, S. J., Lewis, D. M. G., Hastie, B., Thompson, M. B., Drummond, P. D., Fujiyama, H., et al. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105649 · Cited by 77
“With advancing age, the brain undergoes significant structural and functional changes (Cabeza et al., 2018).”
Trelle, A. N., Carr, V. A., Guerin, S. A., Thieu, M. K., Jayakumar, M., Guo, W., Nadiadwala, A., Corso, N. K., Hunt, M. P., Litovsky, C. P., et al. (2020) · eLife · doi:10.7554/elife.55335 · Cited by 59
“Identifying the neural factors driving this variability is a clear emerging 103 aim of cognitive aging research (38,40).”
BackgroundBrain Entropy During Aging Through a Free Energy Principle Approach
Cieri, F., Zhuang, X., Caldwell, J., & Cordes, D. (2021) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2021.647513 · Cited by 57
Pragmatic Language Disorder in Parkinson’s Disease and the Potential Effect of Cognitive Reserve
Montemurro, S., Mondini, S., Signorini, M., Marchetto, A., Bambini, V., & Arcara, G. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01220 · Cited by 61
“In the present study, instead, we employed a cross-sectional approach (without longitudinal assessment), relying only on a questionnaire based on individual features that are known to be associated with the Cognitive Reserve (Stern, 2002; Cabeza et al., 2018).”
MethodBehfar, Q., Behfar, S. K., von Reutern, B., Richter, N., Dronse, J., Fassbender, R. V., Fink, G. R., & Onur, O. A. (2020) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.576627 · Cited by 63
Cognitive aging and the life course: A new look at the Scaffolding theory
Reuter‐Lorenz, P. A., & Park, D. C. (2023) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2023.101781 · Cited by 76
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Dash, T., Berroir, P., Joanette, Y., & Ansaldo, A. I. (2019) · Frontiers in Neurology · doi:10.3389/fneur.2019.01122 · Cited by 57
“Neurofunctional patterns in older adults fit well with the previous literature on aging (55, 56), showing that frontoparietal activity increases with age.”
ResultXifra‐Porxas, A., Ghosh, A., Mitsis, G. D., & Boudrias, M. (2021) · NeuroImage · doi:10.1016/j.neuroimage.2021.117822 · Cited by 60
Cognitive Function in Older Adults With Cancer: Assessment, Management, and Research Opportunities
Magnuson, A. M., Ahles, T. A., Chen, B. T., Mandelblatt, J. S., & Janelsins, M. C. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.21.00239 · Cited by 62
Bernard, J. A. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104639 · Cited by 57
Predicting brain age from functional connectivity in symptomatic and preclinical Alzheimer disease
Millar, P. R., Luckett, P. H., Gordon, B. A., Benzinger, T. L. S., Schindler, S. E., Fagan, A. M., Cruchaga, C., Bateman, R. J., Allegri, R., Jucker, M., et al. (2022) · NeuroImage · doi:10.1016/j.neuroimage.2022.119228 · Cited by 60
Neural Dedifferentiation across the Lifespan in the Motor and Somatosensory Systems
Cassady, K. E., Ruitenberg, M. F. L., Reuter‐Lorenz, P. A., Tommerdahl, M., & Seidler, R. D. (2019) · Cerebral Cortex · doi:10.1093/cercor/bhz336 · Cited by 54
“In the cognitive domain, evidence is mostly observed for the compensation account (Cabeza et al. 2018).”
BackgroundSelf-citationCognitive interventions for memory and psychological well-being in aging and dementias
Dinius, C. J., Pocknell, C. E., Caffrey, M. P., & Roche, R. A. P. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1070012 · Cited by 62
“Compensation refers to the ability of the brain to increase activation or recruit additional resources to cope with heightened demand (Cabeza et al., 2018).”
BackgroundInfluentialA perspective on brain-age estimation and its clinical promise
Gaser, C., Kalc, P., & Cole, J. H. (2024) · Nature Computational Science · doi:10.1038/s43588-024-00659-8 · Cited by 65
“The brain has a remarkable capacity for plasticity, adaptation and compensation, which can help maintain normal cognitive abilities even in the presence of substantial brain atrophy 103,104 .”
BackgroundFrom Molecular to Behavior: Higher Order Occipital Cortex in Major Depressive Disorder
Liu, D., Ju, X., Gao, Y., Han, J., Li, Z., Hu, X., Tan, Z., Northoff, G., & Song, X. M. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab343 · Cited by 59
Determinants of cognitive and brain resilience to tau pathology: a longitudinal analysis
Bocancea, D. I., Svenningsson, A. L., van Loenhoud, A. C., Groot, C., Barkhof, F., Strandberg, O. T., Smith, R. A., Initiative, A. D. N., Weiner, M. W., Aisen, P., et al. (2023) · Brain · doi:10.1093/brain/awad100 · Cited by 59
From exploration to exploitation: a shifting mental mode in late life development
Spreng, R. N., & Turner, G. R. (2021) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2021.09.001 · Cited by 61
Cerebral hyperactivation across the Alzheimer’s disease pathological cascade
Corriveau‐Lecavalier, N., Adams, J. N., Fischer, L., Molloy, E. N., & Maaß, A. (2024) · Brain Communications · doi:10.1093/braincomms/fcae376 · Cited by 71
GABA levels in ventral visual cortex decline with age and are associated with neural distinctiveness
Chamberlain, J. D., Gagnon, H. C., Lalwani, P., Cassady, K. E., Simmonite, M., Seidler, R. D., Taylor, S. F., Weissman, D. H., Park, D. C., & Polk, T. A. (2021) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2021.02.013 · Cited by 55
Self-citationPhysical Activity and Cognitive Functioning
Latino, F., & Tafuri, F. (2024) · Medicina · doi:10.3390/medicina60020216 · Cited by 81
“According to a conceptualization model proposed by many authors [4–6], this inter-dependence is mainly related to the changes that occur in brain function and structure as a consequence of motor activity.”
MethodIssues and recommendations for the residual approach to quantifying cognitive resilience and reserve
Elman, J. A., Vogel, J. W., Bocancea, D. I., Ossenkoppele, R., van Loenhoud, A. C., Tu, X. M., Kremen, W. S., & Initiative, T. A. D. N. (2022) · Alzheimer s Research & Therapy · doi:10.1186/s13195-022-01049-w · Cited by 64
Determinants of Social Cognitive Aging: Predicting Resilience and Risk
Henry, J. D., Grainger, S. A., & von Hippel, W. (2022) · Annual Review of Psychology · doi:10.1146/annurev-psych-033020-121832 · Cited by 56
A longitudinal study on cognitive aging in autism
Torenvliet, C., Groenman, A. P., Radhoe, T. A., van Rentergem, J. A. A., van der Putten, W., & Geurts, H. M. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115063 · Cited by 54
“Such compensatory mechanisms show parallels to cognitive reserve, which is known to mitigate the effects of neural decline (Cabeza et al., 2018; Stern et al., 2019).”
BackgroundTipping points in neurodegeneration
Simons, M., Levin, J., & Dichgans, M. (2023) · Neuron · doi:10.1016/j.neuron.2023.05.031 · Cited by 52
Cognitive aging is associated with redistribution of synaptic weights in the hippocampus
Buss, E. W., Corbett, N. J., Roberts, J. G., Ybarra, N., Musial, T. F., Simkin, D., Molina-Campos, E., Oh, K.-J., Nielsen, L. L., Ayala, G. D., et al. (2021) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1921481118 · Cited by 52
Social health, social reserve and dementia
Sachdev, P. S. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000779 · Cited by 62
“It can also be used to explain the interindividual variation one sees in ageing-related cognitive changes [4].”
BackgroundMusic Engagement as a Source of Cognitive Reserve
Wolff, L., Quan, Y., Perry, G., & Thompson, W. F. (2023) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/15333175231214833 · Cited by 53
“…and structural neural degradation during aging often leads to impaired recruitment of task-relevant brain regions and global cognitive processes, 4 participation in musical activities, whether passive listening, music coordinated movement (physical activity or dance), singing or playing an…”
BackgroundWhole-Brain Dynamics in Aging: Disruptions in Functional Connectivity and the Role of the Rich Club
Escrichs, A., Biarnés, C., Garre‐Olmo, J., Fernández‐Real, J. M., Ramos, R., Pamplona, R., Brugada, R., Serena, J. L., Ramió‐Torrentà, L., de Tuero, G. C., et al. (2020) · Cerebral Cortex · doi:10.1093/cercor/bhaa367 · Cited by 46
Episodic memory consolidation during sleep in healthy aging
Muehlroth, B. E., Rasch, B., & Werkle‐Bergner, M. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101304 · Cited by 57
Left frontal connectivity attenuates the adverse effect of entorhinal tau pathology on memory
Neitzel, J., Franzmeier, N., Rubinski, A., & Ewers, M. (2019) · Neurology · doi:10.1212/wnl.0000000000007822 · Cited by 37
Corriveau‐Lecavalier, N., Mellah, S., Clément, F., & Belleville, S. (2019) · NeuroImage Clinical · doi:10.1016/j.nicl.2019.101958 · Cited by 50
“The presence of compensation mechanisms does not guarantee that the newly deployed or increased neural resources will totally eliminate the gap between task demands and available resources, and in fact, it is unlikely to be the case in most circumstances, especially in individuals with severe clinical impairments (Cab…”
Self-citationAge-Dependent Contribution of Domain-General Networks to Semantic Cognition
Martin, S., Saur, D., & Hartwigsen, G. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab252 · Cited by 46
“The nature of this upregulation in brain activity in older adults has been the subject of some debate (Morcom and Johnson 2015; Cabeza et al. 2018).”
BackgroundAgbangla, N. F., Audiffren, M. F., Pylouster, J., & Albinet, C. T. (2019) · Brain Sciences · doi:10.3390/brainsci9020038 · Cited by 49
“would have to be accompanied by and related to preserved or increased cognitive performance (for a recent position paper, see [22]).”
Background
Metadata
- Authors
- Cabeza, R., Albert, M., Belleville, S., Craik, F. I. M., Duarte, A., Grady, C. L., Lindenberger, U., Nyberg, L., Park, D. C., Reuter-Lorenz, P. A., Rugg, M. D., Steffener, J., & Rajah, M. N.
- Affiliations
- Duke University (US)
- Johns Hopkins University (US)
- Institut Universitaire de Gériatrie de Montréal (CA)
- Baycrest Hospital (CA)
- Georgia Institute of Technology (US)
- Max Planck Institute for Human Development (DE)
- Umeå University (SE)
- The University of Texas at Dallas (US)
- University of Ottawa (CA)
- Douglas Mental Health University Institute (CA)
- Corresponding author
- Cabeza, Roberto
- ORCID
- Venue
- Nature Reviews Neuroscience
- Published
- 2018-10-10
- Volume
- 19
- Issue
- 11
- Pages
- 701-710
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- PMC
- PMC6472256
- OpenAlex
- W2896204498
- Cited by
- 1,298
- References
- 123
- Citations by year
- 2026: 235 · 2025: 181 · 2024: 168 · 2023: 185 · 2022: 162 · 2021: 168 · 2020: 123 · 2019: 68 · 2018: 5
- FWCI
- 14.60
- Type
- journal article
- Language
- en
- Update notices
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion, other-oa)
- Funders
- Canadian Institutes of Health Research
- National Institute on Aging (RF1AG039103, RF1AG006265)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Keywords
- cognitive aging, cognitive reserve, cognitive compensation, cognitive maintenance, dementia, brain aging, functional connectivity, terminology definitions
- MeSH terms
- Cognitive Aging, Cognitive Neuroscience, Healthy Aging, Brain, Humans, Cognitive Reserve
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