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Low level of education

A low level of education refers to a low degree of formal schooling, where basic knowledge in important areas such as reading, writing, mathematics, and general knowledge is insufficient or absent.

Häufig definiert sich das geringe Bildungsniveau durch weniger als zehn bis zwölf Bildungsjahre oder auf der Basis des höchsten Bildungsabschlusses (kein Abitur oder keine abgeschlossene Berufsausbildung).

Quellen

1.) Maccora, J., Peters, R., & Anstey, K. J. (2020). What does (low) education mean in terms of dementia risk? A systematic review and meta-analysis highlighting inconsistency in measuring and operationalising education. SSM-population health, 12, 100654. https://doi.org/10.1016/j.ssmph.2020.100654

2.) World Health Organization (WHO). Risk reduction of cognitive decline and dementia: WHO guidelines, second edition. Geneva: World Health Organization; 2026. Licence: CC BY-NC-SA 3.0 IGO. ISBN 978-92-4-012355-7

Why is a low level of education a risk factor for dementia? 
BackgroundWith a low level of education, the ability to, to maintain cognitive performance, low and thereby the Dismantling of functional brain parts is bigger.. Man spricht an dieser Stelle auch von einer geringeren cognitive reserve.
Mechanisms:A low level of education is associated with a lower professional position and a lower income situation (e.g. fewer options for choosing a place of residence). 
This results in:– a lower level of health awareness,
– a rather unhealthy behavior,
– lower cognitive stimulation and monotonous cognitive demands over an extended period of time in the workplace,
– and poorer access to healthcare.
Quellen

1.) Livingston G, Huntley J, Liu KY, Costafreda SG, Selbæk G, Alladi S, Ames D, Banerjee S, Burns A, Brayne C, Fox NC, Ferri CP, Gitlin LN, Howard R, Kales HC, Kivimäki M, Larson EB, Nakasujja N, Rockwood K, Samus Q, Shirai K, Singh-Manoux A, Schneider LS, Walsh S, Yao Y, Sommerlad A, Mukadam N. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet. 2024 Aug 10;404(10452):572-628. doi: 10.1016/S0140-6736(24)01296-0. Epub 2024 Jul 31. PMID: 39096926.

2.) World Health Organization (WHO). Risk reduction of cognitive decline and dementia: WHO guidelines, second edition. Geneva: World Health Organization; 2026. Licence: CC BY-NC-SA 3.0 IGO. ISBN 978-92-4-012355-7


What can I do?

The educational qualification is usually achieved at an early age and is therefore no longer directly influenceable in later life. 

Nevertheless, there are measures that can have a positive impact: 

  • Use cognitive training (e.g., brain games) to increase your cognitive reserve.
  • Lifelong learning: Actively participate in educational opportunities that are available to you. Look for workshops, lectures, or courses (e.g., at local adult education centers (VHS)) to expand your skills and knowledge.
  • Creating everyday routines: Try to incorporate cognitive stimulation into your daily routine regularly.
Quellen

1.) Gates, N. J., Rutjes, A. W., Di Nisio, M., Karim, S., Chong, L. Y., March, E., Martínez, G., & Vernooij, R. W. (2020). Computerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life. The Cochrane database of systematic reviews, 2(2), CD012277. https://doi.org/10.1002/14651858.CD012277.pub3

2.) Morris-Foster JM. The Influence of Lifelong Learning on Life Satisfaction and Successful Aging in Older Adults: A Narrative Literature Review. J Gerontol Nurs. 2024 Aug;50(8):11-17. doi: 10.3928/00989134-20240702-02. Epub 2024 Aug 1. PMID: 39088052.


Test your knowledge:
Which of the following statements best describes the relationship between low educational attainment and cognitive performance?

Which of the following causes contributes most strongly to a lower educational attainment being associated with a higher risk of dementia?

3. How does educational attainment in older age affect the ability to increase cognitive reserve?

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