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000169201 0247_ $$2doi$$a10.3389/fpsyg.2022.957308
000169201 0247_ $$2pmid$$apmid:36571008
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000169201 037__ $$aDZNE-2023-00080
000169201 041__ $$aEnglish
000169201 082__ $$a150
000169201 1001_ $$0P:(DE-2719)2812139$$aKleineidam, Luca$$b0$$eFirst author
000169201 245__ $$aMidlife occupational cognitive requirements protect cognitive function in old age by increasing cognitive reserve.
000169201 260__ $$aLausanne$$bFrontiers Research Foundation$$c2022
000169201 3367_ $$2DRIVER$$aarticle
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000169201 520__ $$aSeveral lifestyle factors promote protection against Alzheimer's disease (AD) throughout a person's lifespan. Although such protective effects have been described for occupational cognitive requirements (OCR) in midlife, it is currently unknown whether they are conveyed by brain maintenance (BM), brain reserve (BR), or cognitive reserve (CR) or a combination of them.We systematically derived hypotheses for these resilience concepts and tested them in the population-based AgeCoDe cohort and memory clinic-based AD high-risk DELCODE study. The OCR score (OCRS) was measured using job activities based on the O*NET occupational classification system. Four sets of analyses were conducted: (1) the interaction of OCR and APOE-ε4 with regard to cognitive decline (N = 2,369, AgeCoDe), (2) association with differentially shaped retrospective trajectories before the onset of dementia of the Alzheimer's type (DAT; N = 474, AgeCoDe), (3) cross-sectional interaction of the OCR and cerebrospinal fluid (CSF) AD biomarkers and brain structural measures regarding memory function (N = 873, DELCODE), and (4) cross-sectional and longitudinal association of OCR with CSF AD biomarkers and brain structural measures (N = 873, DELCODE).Regarding (1), higher OCRS was associated with a reduced association of APOE-ε4 with cognitive decline (mean follow-up = 6.03 years), consistent with CR and BR. Regarding (2), high OCRS was associated with a later onset but subsequently stronger cognitive decline in individuals converting to DAT, consistent with CR. Regarding (3), higher OCRS was associated with a weaker association of the CSF Aβ42/40 ratio and hippocampal volume with memory function, consistent with CR. Regarding (4), OCR was not associated with the levels or changes in CSF AD biomarkers (mean follow-up = 2.61 years). We found a cross-sectional, age-independent association of OCRS with some MRI markers, but no association with 1-year-change. OCR was not associated with the intracranial volume. These results are not completely consistent with those of BR or BM.Our results support the link between OCR and CR. Promoting and seeking complex and stimulating work conditions in midlife could therefore contribute to increased resistance to pathologies in old age and might complement prevention measures aimed at reducing pathology.
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000169201 650_7 $$2Other$$aAlzheimer's disease
000169201 650_7 $$2Other$$abrain maintenance
000169201 650_7 $$2Other$$abrain reserve
000169201 650_7 $$2Other$$acognitive reserve
000169201 650_7 $$2Other$$amid-life cognitive demands
000169201 650_7 $$2Other$$aoccupation
000169201 693__ $$0EXP:(DE-2719)DELCODE-20140101$$5EXP:(DE-2719)DELCODE-20140101$$eLongitudinal Cognitive Impairment and Dementia Study$$x0
000169201 7001_ $$0P:(DE-2719)2810544$$aWolfsgruber, Steffen$$b1
000169201 7001_ $$0P:(DE-2719)9002221$$aWeyrauch, Anne Sophie$$b2$$udzne
000169201 7001_ $$aZulka, Linn E$$b3
000169201 7001_ $$aForstmeier, Simon$$b4
000169201 7001_ $$0P:(DE-2719)2810395$$aRoeske, Sandra$$b5
000169201 7001_ $$avan den Bussche, Hendrik$$b6
000169201 7001_ $$aKaduszkiewicz, Hanna$$b7
000169201 7001_ $$aWiese, Birgitt$$b8
000169201 7001_ $$aWeyerer, Siegfried$$b9
000169201 7001_ $$aWerle, Jochen$$b10
000169201 7001_ $$aFuchs, Angela$$b11
000169201 7001_ $$aPentzek, Michael$$b12
000169201 7001_ $$aBrettschneider, Christian$$b13
000169201 7001_ $$aKönig, Hans-Helmut$$b14
000169201 7001_ $$aWeeg, Dagmar$$b15
000169201 7001_ $$aBickel, Horst$$b16
000169201 7001_ $$aLuppa, Melanie$$b17
000169201 7001_ $$0P:(DE-2719)9000725$$aRodriguez, Francisca S$$b18
000169201 7001_ $$0P:(DE-2719)2812392$$aFreiesleben, Silka Dawn$$b19
000169201 7001_ $$0P:(DE-2719)9001856$$aErdogan, Selin$$b20
000169201 7001_ $$0P:(DE-2719)9001894$$aUnterfeld, Chantal$$b21
000169201 7001_ $$0P:(DE-2719)2811024$$aPeters, Oliver$$b22
000169201 7001_ $$0P:(DE-2719)2812446$$aSpruth, Eike J$$b23
000169201 7001_ $$0P:(DE-2719)2811720$$aAltenstein, Slawek$$b24
000169201 7001_ $$0P:(DE-2719)2811189$$aLohse, Andrea$$b25$$udzne
000169201 7001_ $$0P:(DE-2719)2811122$$aPriller, Josef$$b26
000169201 7001_ $$0P:(DE-2719)2811326$$aFliessbach, Klaus$$b27
000169201 7001_ $$0P:(DE-2719)9001475$$aKobeleva, Xenia$$b28
000169201 7001_ $$0P:(DE-2719)2812035$$aSchneider, Anja$$b29
000169201 7001_ $$0P:(DE-2719)9000444$$aBartels, Claudia$$b30$$udzne
000169201 7001_ $$0P:(DE-2719)2814326$$aSchott, Björn H$$b31
000169201 7001_ $$0P:(DE-2719)2811317$$aWiltfang, Jens$$b32
000169201 7001_ $$aMaier, Franziska$$b33
000169201 7001_ $$0P:(DE-2719)2811614$$aGlanz, Wenzel$$b34
000169201 7001_ $$0P:(DE-2719)9001517$$aIncesoy, Enise I$$b35
000169201 7001_ $$0P:(DE-2719)9001011$$aButryn, Michaela$$b36
000169201 7001_ $$0P:(DE-2719)2000005$$aDüzel, Emrah$$b37
000169201 7001_ $$0P:(DE-2719)2811351$$aBürger, Katharina$$b38
000169201 7001_ $$0P:(DE-2719)9002557$$aJanowitz, Daniel$$b39$$udzne
000169201 7001_ $$0P:(DE-2719)9000543$$aEwers, Michael$$b40
000169201 7001_ $$0P:(DE-2719)9001808$$aRauchmann, Boris Stephan$$b41$$udzne
000169201 7001_ $$0P:(DE-2719)2812234$$aPerneczky, Robert$$b42
000169201 7001_ $$0P:(DE-2719)2810394$$aKilimann, Ingo$$b43
000169201 7001_ $$0P:(DE-2719)2812583$$aGörß, Doreen$$b44$$udzne
000169201 7001_ $$0P:(DE-2719)2000026$$aTeipel, Stefan$$b45
000169201 7001_ $$0P:(DE-2719)2000055$$aLaske, Christoph$$b46
000169201 7001_ $$0P:(DE-2719)9001516$$aMunk, Matthias H J$$b47
000169201 7001_ $$0P:(DE-2719)2811324$$aSpottke, Annika$$b48
000169201 7001_ $$0P:(DE-2719)2812341$$aRoy, Nina$$b49
000169201 7001_ $$0P:(DE-2719)2810593$$aBrosseron, Frederic$$b50
000169201 7001_ $$0P:(DE-2719)2000008$$aHeneka, Michael T$$b51
000169201 7001_ $$0P:(DE-2719)2812825$$aRamirez, Alfredo$$b52
000169201 7001_ $$0P:(DE-2719)2812398$$aYakupov, Renat$$b53
000169201 7001_ $$aScherer, Martin$$b54
000169201 7001_ $$0P:(DE-2719)2000015$$aMaier, Wolfgang$$b55$$udzne
000169201 7001_ $$0P:(DE-2719)2000032$$aJessen, Frank$$b56
000169201 7001_ $$aRiedel-Heller, Steffi G$$b57
000169201 7001_ $$0P:(DE-2719)2000057$$aWagner, Michael$$b58$$eLast author
000169201 773__ $$0PERI:(DE-600)2563826-9$$a10.3389/fpsyg.2022.957308$$gVol. 13, p. 957308$$p957308$$tFrontiers in psychology$$v13$$x1664-1078$$y2022
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