Why some people stay mentally sharp at 100

Resilience and Resistance Phenotypes

NIH-funded research Boston University Medical Campus · NIH-11190870

This project compares cognitively healthy centenarians, their adult children, and spouse controls to find biological and lifestyle signs that help protect against Alzheimer's and related dementias.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionBoston University Medical Campus NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11190870 on NIH RePORTER

What this research studies

From my perspective as a potential participant, researchers are enrolling nearly 500 cognitively intact people aged 100+, about 600 of their adult children, and 120 spouse controls to learn why some people remain sharp at extreme ages. They will combine brain MRI scans with blood and other biomarker tests collected over time to look for mismatches between brain changes and thinking skills. When available, the study will also compare cognitive history with brain tissue findings after death to look for resistance to Alzheimer's pathology. The team uses these multiple angles to identify patterns of resilience that might point to protective biology or helpful lifestyle factors.

Who could benefit from this research

Good fit: Ideal candidates are cognitively healthy centenarians, their adult offspring (with or without cognitive impairment), and spouse controls without parental longevity.

Not a fit: People seeking immediate symptomatic treatment for Alzheimer's, those without links to the centenarian cohorts, or those unable to travel for scans and visits may not receive direct benefit from participating.

Why it matters

Potential benefit: If successful, this work could reveal protective factors or biomarkers that lead to new prevention strategies or targets to keep people cognitively healthy longer.

How similar studies have performed: Prior 'superager' and centenarian studies have suggested biological and lifestyle differences linked to preserved cognition, but this large, integrated study combining MRI, longitudinal biomarkers, and neuropathology is relatively novel.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.