Cognitive Reserve Mitigates Decline in Executive Functioning Following Hepatobiliary Diseases

Author:

Ihle Andreas123,Gouveia Élvio R.245,Gouveia Bruna R.2567,Haas Maximilian12,Zuber Sascha123,Orsholits Dan23,Cheval Boris89,Sieber Stefan310,Cullati Stéphane1112,Kliegel Matthias123

Affiliation:

1. Cognitive Aging Lab, Department of Psychology, University of Geneva, Geneva, Switzerland

2. Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland

3. Swiss National Centre of Competence in Research LIVES – Overcoming Vulnerability: Life Course Perspectives, Lausanne and Geneva, Switzerland

4. Department of Physical Education and Sport, University of Madeira, Funchal, Portugal

5. LARSyS, Interactive Technologies Institute, Funchal, Portugal

6. Health Administration Institute, Secretary of Health of the Autonomous Region of Madeira, Funchal, Portugal

7. Saint Joseph of Cluny Higher School of Nursing, Funchal, Portugal

8. Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland

9. Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland

10. Institute of Demography and Socioeconomics, University of Geneva, Geneva, Switzerland

11. Population Health Laboratory, Department of Community Health, University of Fribourg, Fribourg, Switzerland

12. Quality of Care Service, Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland

Abstract

Abstract. The cognitive reserve hypothesis postulates that lifelong cognitive stimulation establishes a buffer that is instrumental in maintaining cognitive health. To examine this conceptual proposition in detail, we applied a novel, more general conceptual view that included recent models of vulnerability and examined whether the longitudinal association between hepatobiliary diseases and later decline in executive functioning across 6 years varied by cognitive reserve. For this purpose, we investigated longitudinal data from 897 older individuals ( M = 74.33 years) tested using the Trail Making Test (TMT) in two waves 6 years apart. Individuals reported information on key commonly used indicators of lifelong cognitive reserve build-up (i.e., education, work, and participation in leisure activity) and hepatobiliary diseases. The results revealed a significant interaction of hepatobiliary diseases with participation in leisure activity on latent change in executive functioning. Specifically, only in individuals with little (but not greater) participation in leisure activity did hepatobiliary diseases significantly predict a steeper decline in executive functioning over 6 years (i.e., increases in TMT finishing time). In conclusion, the unfavorable aftereffects of hepatobiliary diseases on a later decline in executive functioning seem to be mitigated in individuals who have built up greater cognitive reserve via participation in leisure activity during their life.

Publisher

Hogrefe Publishing Group

Subject

General Psychology

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Ageing and Reserves;Withstanding Vulnerability throughout Adult Life;2023

2. The End of an Era;Swiss Journal of Psychology;2020-12

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