JAMA Sub-Journal: How important is it that people around you listen to you "Tucao"?

Studies have shown that not all elderly people with Alzheimer's and related diseases (ADRD) will develop dementia
.

Cognitive resilience is a theoretical concept that refers to the general ability to keep cognition unaffected under age or ADRD-related pathological changes

Cognitive resilience is a theoretical concept that refers to the general ability to keep cognition unaffected under age or ADRD-related pathological changes

consensus

Cognitive resilience refers to the cognitive performance that an individual observes is better than the expected brain structure
.

Conversely, low cognitive flexibility refers to a person's cognitive performance similar to or worse than expected

Cognitive resilience refers to the cognitive performance that an individual observes is better than the expected brain structure

Studies have shown that supportive social networks reduce the risk of ADRD by enhancing cognitive resilience, and factors such as loneliness and social isolation are related to cognitive decline and increased pathological risk of ADRD

JAMA

The researchers used prospectively collected data from Framingham study participants who did not have dementia, stroke, or other neurological diseases, and they underwent brain MRI and neuropsychological tests at the same time
.

Data for this large, population-based longitudinal cohort was collected from June 6, 1997 to December 13, 1999 (original cohort), and from September 11, 1998 to October 26, 2001 (offspring cohort)

The exposure factors are mainly the whole brain volume, and as a modified exposure variable, the self-reported availability of five types of social support as measured by the Berkman-Syme Social Network Index
.

The main result is a comprehensive measurement of cognitive function

The study included 2171 adults (164 in the original cohort, 2007 in the offspring cohort; mean [SD] age, 63 [10] years; 1183 [54%] were women)
.

Compared with fewer people around who can listen (β = 0.

Compared with fewer people around who can listen (β = 0.

Based on supportive listening, the relationship between brain capacity and global cognition of participants under 65 years of age

After adjusting for potential confounding factors, the above findings still hold true
.

Interestingly, some other social support that is conventionally considered to be very important is not a significant modifier (recommendation: β = -0.

Some other social support that is conventionally considered to be very important is not a significant modifier (recommendation: β = -0.
04; P = .
40; love-kinship: β = -0.
07, P = .
28; emotional support: β = -0.
02, P = .
73; full contact: β=-0.
08; P=.
11)
.
Some other social support that is conventionally considered to be very important is not a significant modifier (recommendation: β = -0.
04; P = .
40; love-kinship: β = -0.
07, P = .
28; emotional support: β = -0.
02, P = .
73; full contact: β=-0.
08; P=.
11)
.

In summary, social support in the form of supportive listening is related to greater cognitive resilience, and it independently changes the association between lower total brain capacity and poor cognitive function
.
A precise understanding of social support mechanisms may provide references for strategies to reduce the risk of ADRD and enhance cognitive resilience
.

In summary, social support in the form of supportive listening is related to greater cognitive resilience, and it independently changes the association between lower total brain capacity and poor cognitive function
.
A precise understanding of social support mechanisms may provide references for strategies to reduce the risk of ADRD and enhance cognitive resilience
.
In summary, social support in the form of supportive listening is related to greater cognitive resilience, and it independently changes the association between lower total brain capacity and poor cognitive function
.
A precise understanding of social support mechanisms may provide references for strategies to reduce the risk of ADRD and enhance cognitive resilience
.

 

references:

Association of Social Support With Brain Volume and Cognition.
JAMA Netw Open.
2021;4(8):e2121122.
doi:10.
1001/jamanetworkopen.
2021.
21122

Association of Social Support With Brain Volume and Cognition.

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