Cognitive Reserve from the Perspective of Preclinical Alzheimer Disease: 2020 Update

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


The concept of cognitive reserve (CR) was proposed to account for the discrepancy between levels of brain pathologic process or damage and clinical and cognitive function. We provide a detailed review of prospective longitudinal studies that have investigated the interaction between CR and Alzheimer disease (AD) biomarkers on clinical and cognitive outcomes among individuals with normal cognition at baseline. Current evidence is consistent with the view that higher levels of CR are associated with a delay in the onset of symptoms of mild cognitive impairment and that there may be multiple pathways by which CR exerts its protective effects.

Original languageEnglish (US)
Pages (from-to)247-263
Number of pages17
JournalClinics in geriatric medicine
Issue number2
StatePublished - May 2020


  • Alzheimer disease
  • Amyloid
  • Atrophy
  • Biomarkers
  • Cognitive reserve
  • Mild cognitive impairment
  • Tau

ASJC Scopus subject areas

  • Geriatrics and Gerontology


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