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A Systematic Review for Functional Neuroimaging Studies of Cognitive Reserve Across the Cognitive Aging Spectrum
Open accessAbstract
OBJECTIVE: Cognitive reserve has been proposed to explain the discrepancy between clinical symptoms and the effects of aging or Alzheimer's pathology. Functional magnetic resonance imaging (fMRI) may help elucidate how neural reserve and compensation delay cognitive decline and identify brain regions associated with cognitive reserve. This systematic review evaluated neural correlates of cognitive reserve via fMRI (resting-state and task-related) studies across the cognitive aging spectrum (i.e., normal cognition, mild cognitive impairment, and Alzheimer's disease). METHOD: This review examined published articles up to March 2017. There were 13 cross-sectional observational studies that met the inclusion criteria, including relevance to cognitive reserve, subjects 60 years or older with normal cognition, mild cognitive impairment, and/or Alzheimer's disease, at least one quantitative measure of cognitive reserve, and fMRI as the imaging modality. Quality assessment of included studies was conducted using the Newcastle-Ottawa Scale adapted for cross-sectional studies. RESULTS: Across the cognitive aging spectrum, medial temporal regions and an anterior or posterior cingulate cortex-seeded default mode network were associated with neural reserve. Frontal regions and the dorsal attentional network were related to neural compensation. Compared to neural reserve, neural compensation was more common in mild cognitive impairment and Alzheimer's disease. CONCLUSIONS: Neural reserve and compensation both support cognitive reserve, with compensation more common in later stages of the cognitive aging spectrum. Longitudinal and intervention studies are needed to investigate changes between neural reserve and compensation during the transition between clinical stages, and to explore the causal relationship between cognitive reserve and potential neural substrates.
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“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”
From Maintenance, reserve and compensation: the cognitive neuroscience of healthy ageing (2018) · cites this paper as [66]
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“On the other hand, a systemic review by Anthony and Lin had suggested that both DMN and medial temporal regions are related to cognitive reserve, but they found few studies that focused on network connectivity as a compensation for cognitive deficits(Anthony and Lin, 2018).”
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BackgroundResultThe knowledge domain of cognitive neuroscience of aging: A Scientometric and bibliometric analysis
Jiang, J., Fan, L., & Liu, J. (2023) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2023.999594 · Cited by 8
“, 2017), neural correlates of cognitive reserve via fMRI (Anthony and Lin, 2018), and the development history of CA (Drag and Bieliauskas, 2010; Anderson and Craik, 2017).”
BackgroundEdge time series components of functional connectivity and cognitive function in Alzheimer’s disease
Chumin, E. J., Cutts, S. A., Risacher, S. L., Apostolova, L. G., Farlow, M. R., McDonald, B. C., Wu, Y., Betzel, R. F., Saykin, A. J., & Sporns, O. (2023) · Brain Imaging and Behavior · doi:10.1007/s11682-023-00822-1 · Cited by 9
“This is consistent with functional interactions of attentional systems and cognitive function, resource recruitment, and reserve (Anthony & Lin, 2018; Bastin et al., 2012; Gordon et al., 2015; Zhang et al., 2015).”
Thüss, N. S., Bittencourt-Villalpando, M., Balart-Sánchez, S. A., Spikman, J. M., Maurits, N. M., & van der Naalt, J. (2024) · Journal of Neurotrauma · doi:10.1089/neu.2024.0220 · Cited by 7
Investigating dynamic brain functional redundancy as a mechanism of cognitive reserve
Schwarz, J., Zistler, F., Usheva, A., Fix, A., Zinn, S., Zimmermann, J., Knolle, F., Schneider, G. H., & Nuttall, R. (2025) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2025.1535657 · Cited by 8
Zhou, L., Yang, W., Liu, Y., et al. (2024) · Frontiers in Neurology · doi:10.3389/fneur.2024.1355546 · Cited by 7
Health Behavior Change to Mitigate Dementia Risk: An Updated Review
Sanborn, V. E., Davis, J. D., & Korthauer, L. E. (2024) · Current Geriatrics Reports · doi:10.1007/s13670-024-00421-y · Cited by 6
“…processes directly, cognitive activity throughout the lifetime may boost cognitive reserve (i.e., the brain’s ability to compensate for injury) through increased connections between neurons and/or higher level of functioning in brain systems less impacted by neurodegenerative diseases [48].”
Ferré, P., Jarret, J., Brambati, S., Bellec, P., & Joanette, Y. (2020) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2020.535770 · Cited by 6
“So far, age-related changes in FC have mainly been explored using a resting-state condition (e.g., looking at a fixation cross; Dennis and Thompson, 2014; Anthony and Lin, 2018).”
BackgroundMethodInfluentialPereira, G. Á., Maruta, C., & Nunes, M. V. S. (2022) · IntechOpen eBooks · doi:10.5772/intechopen.104646 · Cited by 6
Hu, Z., Deng, Y., & Li, B. (2022) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2106170 · Cited by 6
“Neural compensation was suggested to be common in mild cognitive impairment and Alzheimer’s disease [43].”
BackgroundThe contribution of the left precuneus to emotion memory in migraine without aura patients
Li, M., Li, X., Zhu, W., Zhu, J., Wang, H., Gao, Z., Wu, X., Zhou, S., Wang, K., & Yu, Y. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.905942 · Cited by 4
“However, neural reserve and compensation support the cognitive reserve (Anthony and Lin, 2018).”
BackgroundNieto‐Vieites, A., Mallo, S. C., Pérez‐Blanco, L., Felpete, A., Lojo‐Seoane, C., Facal-Mayo, D., Juncos‐Rabadán, O., & Pereiro, A. X. (2023) · Behaviour and Information Technology · doi:10.1080/0144929x.2023.2220042 · Cited by 4
“Thus, CR has been associated with a delay in the onset and progression of cognitive impairment (Anthony and Lin 2018; Bherer 2015; Nelson et al. 2021).”
BackgroundCooley, S. (2020) · Wiley eBooks · doi:10.1002/9781119057840.ch34 · Cited by 5
Frau, L., Jonaitis, E. M., Langhough, R. E., Zuelsdorff, M. L., Okonkwo, O. C., & Bruno, D. (2024) · The Clinical Neuropsychologist · doi:10.1080/13854046.2024.2388904 · Cited by 4
“…in cognitive performance can be linked to the efficient and flexible recruitment of brain networks (neural reserve) or alternate (compensation), mostly involving prefrontal cortex processes (Anthony & Lin, 2018; Cabeza et al., 2004; Franzmeier et al., 2017) and associated EF (Tucker & Stern, 2011).”
Costello, N., Knight, S. P., Symonds, J. E., & Santos, F. H. (2025) · Aging & Mental Health · doi:10.1080/13607863.2025.2515183 · Cited by 3
“The connection between various life experiences (e.g. education, work, and social or leisure activities) and cognitive reserve has received increasing attention, with several reviews providing empirical support (Anthony & Lin, 2018; Kelly et al., 2014, 2017).”
Electrophysiological Proxy of Cognitive Reserve Index
Khachatryan, E., Wittevrongel, B., Perovnik, M., Tournoy, J., Schoenmakers, B., & Hulle, M. M. V. (2021) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2021.690856 · Cited by 3
“For these cases, functional neuroimaging techniques, such as functional MRI (fMRI), are being adopted to unveil the brain networks that are involved in the execution of a task (Anthony and Lin, 2017).”
BackgroundInfluentialNeyland, B. R., Lockhart, S. N., Lyday, R. G., Baker, L. D., Handing, E. P., Miller, M. E., Kritchevsky, S. B., Laurienti, P. J., & Hugenschmidt, C. E. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.05.20.492850 · Cited by 3
“In the context of cognitive reserve and resilience, regional analyses suggest that intrinsic connectivity of the default-mode network (DMN) during rest may play a role in the development of cognitive reserve and resilience with aging [15, 16].”
BackgroundAn Overview of Cognitive Reserve in Aging Based on Keyword Network Analysis
Kim, J., & Kim, M. S. (2022) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580221139374 · Cited by 2
Siciliano, L., Olivito, G., Urbini, N., Silveri, M. C., & Leggio, M. G. (2023) · Journal of Neurology · doi:10.1007/s00415-023-11855-3 · Cited by 2
“1 3 to neurodegenerative processes [2, 5].”
BackgroundInfluentialLuo, J., Wang, L., Wei, B., et al. (2025) · BMC Anesthesiology · doi:10.1186/s12871-025-03187-8 · Cited by 2
“Three of the four n-RCTs [8, 14, 16, 19] achieved a score of 8 stars on the NOS, where a study with seven or more stars was considered of high quality [30, 31].”
Flórez, J. F. M., Sandoval, L. M. B., Santander, Ó. A. E., & Zuluaga, C. A. M. (2025) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbaf131 · Cited by 3
Zhao, K., Xie, H., Fonzo, G. A., Carlisle, N. B., Jacobs, T., Osorio, R. S., Church, A., Lin, F. V., Zhang, Y., & the ADNI Study Group (2026) · Science Advances · doi:10.1101/2025.07.20.665707 · Cited by 2
Self-citationLee, P.-L., Chung, C.-P., Chou, K.-H., Lee, W.-J., Lin, C.-P., Liang, C.-K., & Chen, L.-K. (2025) · NeuroImage · doi:10.1016/j.neuroimage.2025.121668 · Cited by 1
Ricci, V., Martinotti, G., & Maina, G. (2026) · The European Journal of Psychiatry · doi:10.1016/j.ejpsy.2025.100332 · Cited by 1
RetractedUšacka, A., Skrule, M., Šneidere, K., Freibergs, Z., Kaupužs, A., & Stepens, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1795165 · Cited by 1
Education and neurocognitive aging - is there a relation?
Nyberg, L. H., & Lövdén, M. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818630-5.14062-x · Cited by 1
Kim, J., & Chung, M.-J. (2020) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2020.21.9.358
“각 개인에게 나타나는 인지 예비능의 차이 는 IQ처럼 선천적인 부분도 있지만 일생에 걸친 교육이 나 직업, 여가활동 등 평생에 걸친 다양한 인지적 활동의 경험들이 인지 예비능을 높일 수 있다고 알려져 있다 [5,6].”
Ontology-Based Bibliometric Analysis of PubMed Publications Related to Cognitive Reserves
Bakaev, M., & Разумникова, О. М. (2020) · Communications in computer and information science · doi:10.1007/978-3-030-65218-0_36
Cohen, R. A., & Gullett, J. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-22009-9_674
Cohen, R. A., & Gullett, J. M. (2019) · Springer eBooks · doi:10.1007/978-3-319-69892-2_674-1
Hatta, T., Kimura, T., Hatta, T., & Iwahara, A. (2022) · The American Journal of Psychology · doi:10.5406/19398298.135.2.02 · Cited by 1
Crescentini, C., & Feruglio, S. (2023) · Contemporary clinical neuroscience · doi:10.1007/978-3-031-24930-3_7
Single-value fMRI scores reflect both stage and risk across the Alzheimer’s disease continuumPreprint
Soch, J., Richter, A., Kizilirmak, J. M., Schütze, H., Ziegler, G., Altenstein, S., Brosseron, F., Dechent, P., Fließbach, K., Freiesleben, S. D., et al. (2023) · medRxiv · doi:10.1101/2023.10.11.23296891
“Participants were asked to provide a recognition-confidence rating for each image, using a five-point Likert scale ranging from “sure new” (1) over “don’t know” (3) to “sure old” (5).”
MethodEncoding and decoding multimodal brain images for disease biomarker discovery
Chan, Y. H. (2023) · DR-NTU (Nanyang Technological University) · doi:10.32657/10356/173338
Öztürk, G., Harı, E., Yıldırım, K., Bayram, A., Yıldırım, Z., Demıralp, T., & Gurvit, H. I. (2025) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2025.109082
Salvador, L. D. S., Giatti, L., de Souza, L. C., Suemoto, C. K., Bertola, L., Brunoni, A. R., Barreto, S. M., & Caramelli, P. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5237809
Wei, W., Wei, S., Han, W., Wang, K., Zhang, H., Engström, G., Emami, A., & Li, Z. (2025) · GeroScience · doi:10.1007/s11357-025-01918-w · Cited by 1
“…review of fMRI studies examining cognitive reserve mechanisms in MCI and AD reported sample sizes ranging from 11 to 25 participants (not including studies that used large neuroimaging databases) [28], and Ansado et al. [29] included 16 older adults in their fMRI study of neural compensation.”
Metadata
- Authors
- Anthony, M., & Lin, F.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Lin, Feng
- Venue
- Archives of Clinical Neuropsychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-12-13
- Volume
- 33
- Issue
- 8
- Pages
- 937-948
- ISSN
- 0887-6177 (ISSN-L)
- 1873-5843
- PMC
- PMC6246379
- OpenAlex
- W2772804633
- Cited by
- 109
- References
- 63
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 9 · 2023: 19 · 2022: 14 · 2021: 18 · 2020: 15 · 2019: 7 · 2018: 5
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Archives of Clinical Neuropsychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (NR015452, AG053193)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Keywords
- cognitive reserve, neural reserve, neural compensation, cognitive aging, mild cognitive impairment, Alzheimer's disease, default mode network, cingulate cortex, dorsal attention network, frontal cortex, medial temporal lobe, brain regions, cognitive decline
- MeSH terms
- Cognitive Aging, Alzheimer Disease, Cognition Disorders, Humans, Image Processing, Computer-Assisted, Functional Neuroimaging
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