Evidence map›Paper›PMID 41021484›Full record

Observational studyNeuropsychology2026

Pathway analysis of cognitive resilience factors and cognitive function in the Long Life Family Study (LLFS).

Nicole Roth, Stephanie Cosentino, Thomas T Perls, Paola Sebastiani, Stacy L Andersen

Abstract readObservational Study
In one paragraph

Observational study in Neuropsychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicole RothDepartment of Medicine, Boston University, Chobanian and Avedisian School of Medicine.ORCID 0009-0004-0343-0257
Stephanie CosentinoDepartment of Neurology, Gertrude H. Sergievsky Center, Columbia University.ORCID 0000-0001-5684-143X
Thomas T PerlsDepartment of Medicine, Boston University, Chobanian and Avedisian School of Medicine.ORCID 0000-0002-2492-4334
Paola SebastianiTufts Medical Center, School of Medicine, Institute for Clinical Research and Health Policy Studies, Tufts University.ORCID 0000-0001-6419-1545
Stacy L AndersenDepartment of Medicine, Boston University, Chobanian and Avedisian School of Medicine.ORCID 0000-0002-2442-6386

Funding

The Long Life Family StudyU19AG063893 · NIA · WASHINGTON UNIVERSITY · PI Michael A. Province · 2019 to 2026
$125.4M
Research Education CoreP30AG066462 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI James McCallum Noble · 2020 to 2026
$30.1M
The Long Life Family StudyU01AG023755 · NIA · BOSTON MEDICAL CENTER · PI PERLS, THOMAS T · 2004 to 2018
$13.2M
Digital Markers of Cognition Across the Spectrum of Preclinical Cognitive Impairment to DementiaK01AG057798 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ANDERSEN, STACY · 2018 to 2022
$596k
National Institutes of Health; National Institute on AgingNIA NIH HHS K01 AG057798NIA NIH HHS P30 AG066462NIA NIH HHS U01 AG023755NIA NIH HHS U19 AG063893
6 · The paper itself

Abstract

objectiveFamilial longevity, educational attainment, and engagement in cognitively stimulating activities are independently protective for cognitive aging, yet little is known about how these factors relate with one another. We explored the interplay between familial longevity, life exposures that confer cognitive resilience, and cognitive function in the Long Life Family Study.

methodA series of Bayesian hierarchical regression models was used to examine the associations among familial longevity, educational attainment, participation in cognitively stimulating activities, and neuropsychological test performance in several cognitive domains in an ancillary observational study of Long Life Family Study family members and a referent cohort (

resultsReferents had greater engagement in cognitive activities, and in turn, those with higher levels of education and cognitive activity exhibited better neuropsychological performance. Greater cognitive activity was specifically associated with better executive functioning, episodic memory, and language scores. Although Long Life Family Study family members engaged in cognitive activities less often than referents, they performed better on tests of episodic memory, and matched performance on tests of executive function, language, and visuoconstruction.

conclusionsThese results suggest that familial longevity and engagement in cognitively stimulating activities represent two distinct pathways that contribute to preserved cognition in older adulthood, though these findings should be replicated in more diverse samples. Furthermore, these unique pathways differ across tests and cognitive domains. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

CognitionCognitive AgingExecutive FunctionFamilyLongevityResilience, PsychologicalAgedAged, 80 and overBayes TheoremEducational StatusFemaleHumansMaleMemory, EpisodicMiddle AgedNeuropsychological Tests

Identifiers

PMID41021484
PMCPMC12797154

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.