ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Does education promote resilience and brain health in those with exceptional longevity? The LifeAfter90 study.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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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.
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Who cites it
3 citing papers in PubMed.
- Predictors of cognitive resilience in the old-old: An observational study using real-world electronic health record data.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Observational
- Math and verbal fluency across adulthood provide insights into aging and individual differences.Scientific reports · 2026Article
- Does education promote resilience and brain health in those with exceptional longevity? The LifeAfter90 study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
introductionEducational attainment is associated with better memory performance and greater hippocampal volume, but it is unknown if it is protective after age 90.
methodsIn 277 participants (mean age 93.1 ± 2.2, 54.5% women), we examined associations among education, hippocampal volume, and episodic memory. We further assessed whether the mediation of hippocampal volume on education and memory was moderated by race/ethnicity.
resultsHigher education was associated with better episodic memory performance (b = 0.042, [0.009, 0.074]). The association between education and hippocampal volume was positive in Black participants (b = 0.07, [0.011, 0.132]) but negative in Latinx participants (b = -0.04, [-0.074, -0.003]). In a mediation, higher education was directly associated with better memory performance (b = 0.044, [0.011, 0.077]). In Latinx participants, higher education was associated with lower hippocampal volume, which was associated with worse memory (indirect effect: b = -0.011, [-0.027, -0.001]). DISCUSSION: Education has a protective effect on memory even in the oldest-old. The contribution of education to hippocampal volume is heterogeneous across race/ethnic groups. HIGHLIGHTS: Higher education was associated with better episodic memory performance. Higher education was related to greater hippocampal volume among Black adults. Higher education was related to lower hippocampal volume among Latinx adults. In Latinx adults, hippocampal volume mediated the effect of education on memory.
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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.