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Table 1 Summary of studies on cognitive reserve in PD

From: Mild cognitive impairment in Parkinson’s disease: a distinct clinical entity?

Authors

Participants

CR measure

Outcome measure

Key findings

Sánchez et al. (2002)[72]

33 PDs 46 HCs

Education, occupation, and premorbid IQ

MMSE, IQ, memory, attention, language, visuospatial ability, and EF

• PDs with higher CR > PDs with lower CR: MMSE, verbal IQ, EF, memory, language, and visuospatial ability

• PDs with higher CR= HCs with low CR: all tests, except one of the EF tests

Hindle et al. (2014)[69]a

PDs and HCs from 34 studies

Education

Global cognition, MCI, EF, attention, visuospatial ability, memory

• (+) corr between education and all the outcome measures

• (-) corr between education and reduced cognitive decline

• No corr between education and the onset of dementia

Hindle et al. (2015) [73]

57 monolingual English PDs

46 bilingual English PDs

Bilingualism

EF

• Bilingualism did not affect EF performance

Lucero et al. (2015)[70]

155 PDs

Education

MMSE, CDR, CDR-SB

• No corr between β-amyloid deposition and the cognition (MMSE & CDR) in high-education group

• (+) corr between β-amyloid deposition and worse cognition (MMSE, CDR) in low-education group

Hindle et al. (2016)[71]

525 PDs

Education, SES, social engagement

Global cognition

CDR

• (+) corr between education, SES, social engagement and global cognition at baseline and follow-up (+) corr between age and low social engagement and the risk of dementia

Hindle et al. (2017) [74]

69 non-demented PDs

Lifelong cognitive lifestyle (education, occupation, social engagement)

EF

• (+) corr between lifetime cognitive lifestyle and EF

• No difference in executive function between high and low CR groups

Rouillard et al. (2017) [75]

49 PDs 47 HCs

Education, occupation, leisure and physical activities

Global cognition, episodic memory, visuospatial ability, attention, processing speed, and EF

• In HCs, (+) corr between CR and cognition

• In PDs, education and occupation contributed to better cognition, but to a lesser extent than in HCs.

• CR modulated the relationship between cognition and brain atrophy in PDs with less brain atrophy

  1. a: a meta-analysis study, (+) corr positive correlation, (-) corr negative correlation, CDR Clinical Dementia Rating, CDR-SB Clinical Dementia Rating-sum of boxes, CR cognitive reserve, EF executive function, HCs healthy controls, IQ intelligence quotient, MMSE Mini-Mental State Exam; No corr: no significant correlation, PD-NCs cognitively normal PD patients; PDDs demented PD patients, SES socio-economic status