The role of cognitive reserve on prefrontal and premotor cortical activity in visuo-motor response tasks in healthy old adults

Cognitive reserve (CR) is a key factor to mitigate the cognitive decline during the aging process. Here, we used event-related potentials to target the preparatory brain activities associated with different levels of CR during visuo-motor simple response tasks (SRTs) and discriminative response tasks (DRTs). EEG was recorded from 28 healthy old (Age: 72.2 ± 4.7 years) and 14 young (Age: 22.2 ± 2.4 years) individuals during an SRT and a DRT. Depending on the CR median score, old participants were divided into either a high (High-CR) or a low CR (Low-CR) group. Behavioral performance and electrophysiological data were compared across the 3 groups. Compared with the Low-CR, the High-CR group showed larger prestimulus prefrontal (prefrontal negativity) and premotor activity (Bereitschaftspotential-BP), in the SRT, and increased premotor readiness (BP), in the DRT. The High-CR was faster and more accurate than the Low-CR group in the DRT and SRT, respectively. The High-CR group revealed enhanced brain preparatory activities that, paralleled to their behavioral performance, might reflect neural compensation and maintenance effects possibly counteracting the age-related decline in cognitive functioning.