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Some people have the biological hallmarks of Alzheimer’s – proteins called amyloid and tau that gum up the brain – but have no disease symptoms. Researchers suggest that this could be because some people build up a “cognitive reserve” – the brain’s ability to find new ways to handle and overcome problems. People with greater cognitive reserve seem to be better at staving off dementia symptoms, but when stress levels are high or persistent, they can weaken this reserve by making it less likely that they will socialise and less likely that they will be physically active – both of which are known to protect against dementia.

Stress itself has also been linked to faster cognitive decline and an increased risk of developing Alzheimer’s disease . In a recent study , we examined the relationship of cognitive reserve with cognition, and Alzheimer’s disease biomarkers – the previously mentioned tau and amyloid. We assessed whether the potential benefits of cognitive reserve vary by stress.



For our study, we looked at 113 participants from a memory clinic in Sweden. They were part of the Cortisol and Stress in Alzheimer’s Disease cohort study. There are many ways cognitive reserve can be built up, such as staying mentally active throughout life.

This could be by spending more years in formal education, playing bridge, learning a new language or having a complex job. Being physically active and maintaining healthy social relationships are important too. To get an.

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