Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease

Abstract To investigate the possible association between educational level and previous professional occupation, and objective cognitive and functional evaluation in a sample of elderly patients with Alzheimer's disease. Methods: Through retrospective analysis of medical files, 174 patients wit...

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Main Authors: José Roberto Wajman, Paulo Henrique Ferreira F. Bertolucci
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642010000400320&lng=en&tlng=en
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author José Roberto Wajman
Paulo Henrique Ferreira F. Bertolucci
author_facet José Roberto Wajman
Paulo Henrique Ferreira F. Bertolucci
author_sort José Roberto Wajman
collection DOAJ
description Abstract To investigate the possible association between educational level and previous professional occupation, and objective cognitive and functional evaluation in a sample of elderly patients with Alzheimer's disease. Methods: Through retrospective analysis of medical files, 174 patients with probable Alzheimer disease were randomly selected, classified and submitted to analysis according to previous professional occupation and years of formal education. Results: Subjects with lower education and less intellectually-demanding occupations performed worse than higher educated subjects in all cognitive subtests and on the functional scale. Conclusions: Results indicate that not only the total years of education, but also professional occupation has an impact on cognition and functioning in accordance with the hypothesis of cognitive reserve. Our findings confirmed this hypothesis, where subjects with higher education/ higher intellectual demand manifested first symptoms later than low education/ low intellectual demand subjects, with the latter group also exhibiting faster disease progression.
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spelling doaj.art-d060e040f73c45718a91005c148049c02022-12-22T02:54:50ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57644432032410.1590/S1980-57642010DN40400011S1980-57642010000400320Intellectual demand and formal education as: cognitive protection factors in Alzheimer's diseaseJosé Roberto WajmanPaulo Henrique Ferreira F. BertolucciAbstract To investigate the possible association between educational level and previous professional occupation, and objective cognitive and functional evaluation in a sample of elderly patients with Alzheimer's disease. Methods: Through retrospective analysis of medical files, 174 patients with probable Alzheimer disease were randomly selected, classified and submitted to analysis according to previous professional occupation and years of formal education. Results: Subjects with lower education and less intellectually-demanding occupations performed worse than higher educated subjects in all cognitive subtests and on the functional scale. Conclusions: Results indicate that not only the total years of education, but also professional occupation has an impact on cognition and functioning in accordance with the hypothesis of cognitive reserve. Our findings confirmed this hypothesis, where subjects with higher education/ higher intellectual demand manifested first symptoms later than low education/ low intellectual demand subjects, with the latter group also exhibiting faster disease progression.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642010000400320&lng=en&tlng=eneducational levelneuropsychological assessmentAlzheimer's disease
spellingShingle José Roberto Wajman
Paulo Henrique Ferreira F. Bertolucci
Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
Dementia & Neuropsychologia
educational level
neuropsychological assessment
Alzheimer's disease
title Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
title_full Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
title_fullStr Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
title_full_unstemmed Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
title_short Intellectual demand and formal education as: cognitive protection factors in Alzheimer's disease
title_sort intellectual demand and formal education as cognitive protection factors in alzheimer s disease
topic educational level
neuropsychological assessment
Alzheimer's disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642010000400320&lng=en&tlng=en
work_keys_str_mv AT joserobertowajman intellectualdemandandformaleducationascognitiveprotectionfactorsinalzheimersdisease
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