認知功能儲存能力的假說

The Hypothesis of Cognitive Reserve

基於臨床的常見現象，發現病人的認知功能，與腦部的病理學上受傷程度，沒有明顯的 直接關係，這就是「認知功能儲存能力」的假說。在本綜論中，作者一開始就指出亞洲社 會人口老化的速度及程度。然後介紹「成功的老年化」以及「失智」（即「不成功的老年 化」），來說明如何達到增加認知功能儲存能力。他建議讀者除了追求良好的健康生活習 慣，保持身體健康外、也應該增強社會參與度、多做有氧運動、保持舒適狀態、及注意健康 飲食。這些建議可以促進每個人之成功的老年化，或增強認知功能儲存能力的機會。

The hypothesis of “cognitive reserve” against brain pathology is mainly based on repeated observations that the clinical manifestation of the brain damage is not directly related to the degree of brain pathology. In this overview, the authors start with laying out the phenomenon magnitude of becoming aging, or aged, or even super-aged societies of people in Asian counties. Then, “successful aging” contrasting “dementia” (unsuccessful aging) is described in the context of attempting to achieve best cognitive reserve. At the end, the authors suggest some important points in lifestyle changes in being physically healthy, being socially active, athletically active, and feeling satisfi ed, being conscientious of eating healthy diet. Some selective study data are also reviewed to make the case of cognitive reserve to convince the readers to pursue the lifestyle to achieve successful aging, or maximizing cognitive reserve.