# Superager

> Mediated Wiki article. Canonical URL: https://mediated.wiki/source/Superager
> Markdown URL: https://mediated.wiki/source/Superager.md
> Source: https://en.wikipedia.org/wiki/Superager
> Source revision: 1350431565
> License: Creative Commons Attribution-ShareAlike 4.0 International (https://creativecommons.org/licenses/by-sa/4.0/)

{{Short description|Octogenarian who is cognitively much younger}}
thumb|alt=Brain images| Computer tomographies of medial temporal lobe, posterior atrophy  and frontal cortical atrophy. Superagers usually show less cortical atrophy.<ref name="McPhee"/>

A '''superager''' (also '''super-ager''') is a person of advanced biological age (80 years or older)<ref name="Wang">{{cite journal |last1=Mohammadiarvejeh |first1=Parvin |last2=Klinedinst |first2=Brandon |last3=Wang |first3=Qian |last4=Li |first4=Tianqi |last5=Larsen |first5=Brittany |last6=Pollpeter |first6=Amy |last7=Moody |first7=Shannin |last8=Willette |first8=Sara |last9=Mochel |first9=Jon |last10=Allenspach |first10=Karin |last11=Hu |first11=Guiping |last12=Willette |first12=Auriel |title=Bioenergetic and vascular predictors of potential super-ager and cognitive decline trajectories—a UK Biobank Random Forest classification study |journal=GeroScience |date=15 September 2022 |volume=45 |issue=1 |pages=491–505 |doi=10.1007/s11357-022-00657-6 |pmid=36104610 |pmc=9886787 }}</ref> who retains the cognitive performance of a much younger person.<ref name="Barrett">{{cite news |last1=BARRETT |first1=Lisa |title=How to Become a 'Superager' |url=https://go.gale.com/ps/i.do?id=GALE%7CA475993729&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=22699740 |access-date=27 June 2025 |work=International New York Times |publisher=International Herald Tribune |date=31 December 2016}}</ref> The term was coined by the neurologist Marsel Mesulam.<ref name="Barrett"/> Individuals of this range of age who show normal performance are called "typical-agers" to differentiate them from superagers.<ref name="McPhee">{{cite journal |last1=McPhee |first1=Matthew |last2=McKetton |first2=Larissa |last3=LaPlume |first3=Annalise |last4=Troyer |first4=Angela K |last5=Anderson |first5=Nicole D |title=Sex Matters: Association with Superager Classification and Risk Factors |journal=Archives of Clinical Neuropsychology |date=13 August 2024 |volume=40 |issue=1 |pages=13–21 |doi=10.1093/arclin/acae064 |pmid=39133886 |url=https://academic.oup.com/acn/article/40/1/13/7731852 |access-date=27 June 2025|pmc=11754649 }}</ref>

==Cause==
A study by Mohammadiarvejeh et al.<ref name="Wang"/> suggests that optimal cognitive aging may not be strictly related to age, but to biological factors due to lifestyle or pharmacological changes. Superaging would be an example of [successful ageing](/source/Ageing),<ref name="McPhee"/> also called [active ageing](/source/active_ageing). On the contrary, Milman et al.<ref name="Milman">{{cite journal |last1=Milman |first1=Sofiya |last2=Barzilai |first2=Nir |last3=Wilson |first3=Kara A. |last4=Van der Willik |first4=Odette |last5=Lederman |first5=Stephanie |last6=Perls |first6=Thomas |last7=Gao |first7=Tina |last8=Leahy |first8=Aoife |last9=Jain |first9=Praduman |last10=Montgomery |first10=Aisha |last11=Shuldiner |first11=Alan R. |title=SuperAger Initiative: unlocking the genetic potential of exceptional longevity |journal=Nature Aging |date=18 May 2023 |volume=3 |issue=6 |pages=627–628 |doi=10.1038/s43587-023-00429-7 |pmid=37202472 |url=https://www.nature.com/articles/s43587-023-00429-7 |access-date=27 June 2025|url-access=subscription }}</ref> state that exceptional longevity is strongly influenced by genetics, and comparisons of lifestyle habits do not show significant differences between super-agers and typical-agers. Pascual et al.<ref name="Pascual">{{cite journal |last1=Pascual |first1=Marta Garo |last2=Zhang |first2=Linda |last3=Calero |first3=Miguel |last4=Medina |first4=Miguel |last5=Defelipe |first5=Javier |last6=Strange |first6=Bryan A |title=Telomere length in the superager sample of the Vallecas Project cohort |journal=Alzheimer's & Dementia |date=25 December 2023 |volume=19 |article-number=e076263 |doi=10.1002/alz.076263 |url=https://alz-journals.onlinelibrary.wiley.com/doi/abs/10.1002/alz.076263 |access-date=27 June 2025}}</ref> measured [telomere](/source/telomere)s of 57 superagers and 48 typical-agers. Superagers had significantly shorter telomeres.

==Epidemiology==
Superaging is more common in females.<ref name="McPhee"/> Men and women who are superagers have less [dementia](/source/dementia) risk.<ref name="McPhee"/> In the same way, having fewer modifiable dementia risk factors may be positively associated with superager status, which suggests ways to, at some extent, prevent dementia.<ref name="McPhee"/>

In 2012, Harrison and colleagues began the systematic study of individuals in their 80s with [episodic memory](/source/episodic_memory) comparable to people 20 to 30 years younger. The first group was named "superagers". This condition has since been associated with greater regional cerebral volumes,<ref>{{cite journal |last1=Harrison |first1=Theresa M. |last2=Maass |first2=Anne |last3=Baker |first3=Suzanne L. |last4=Jagust |first4=William J. |title=Brain morphology, cognition, and β-amyloid in older adults with superior memory performance |journal=Neurobiology of Aging |date=July 2018 |volume=67 |pages=162–170 |doi=10.1016/j.neurobiolaging.2018.03.024 |pmid=29665578 |pmc=5955827 }}</ref> slower rate of cortical atrophy,<ref>{{cite journal |last1=Cook |first1=Amanda H. |last2=Sridhar |first2=Jaiashre |last3=Ohm |first3=Daniel |last4=Rademaker |first4=Alfred |last5=Mesulam |first5=M.-Marsel |last6=Weintraub |first6=Sandra |last7=Rogalski |first7=Emily |title=Rates of Cortical Atrophy in Adults 80 Years and Older With Superior vs Average Episodic Memory |journal=JAMA |date=4 April 2017 |volume=317 |issue=13 |pages=1373–1375 |doi=10.1001/jama.2017.0627 |pmid=28384819 |pmc=5847263 }}</ref> less pathological burden associated with [Alzheimer's disease](/source/Alzheimer's_disease),<ref>{{cite journal |last1=Gefen |first1=Tamar |last2=Peterson |first2=Melanie |last3=Papastefan |first3=Steven T. |last4=Martersteck |first4=Adam |last5=Whitney |first5=Kristen |last6=Rademaker |first6=Alfred |last7=Bigio |first7=Eileen H. |last8=Weintraub |first8=Sandra |last9=Rogalski |first9=Emily |last10=Mesulam |first10=M.-Marsel |last11=Geula |first11=Changiz |title=Morphometric and Histologic Substrates of Cingulate Integrity in Elders with Exceptional Memory Capacity |journal=The Journal of Neuroscience |date=28 January 2015 |volume=35 |issue=4 |pages=1781–1791 |doi=10.1523/JNEUROSCI.2998-14.2015 |pmid=25632151 |pmc=4308613 }}</ref> and genetic mutations in memory signaling pathways.<ref>{{cite journal |last1=Huentelman |first1=Matthew J. |last2=Piras |first2=Ignazio S. |last3=Siniard |first3=Ashley L. |last4=De Both |first4=Matthew D. |last5=Richholt |first5=Ryan F. |last6=Balak |first6=Chris D. |last7=Jamshidi |first7=Pouya |last8=Bigio |first8=Eileen H. |last9=Weintraub |first9=Sandra |last10=Loyer |first10=Emmaleigh T. |last11=Mesulam |first11=M.-Marsel |last12=Geula |first12=Changiz |last13=Rogalski |first13=Emily J. |title=Associations of MAP2K3 Gene Variants With Superior Memory in SuperAgers |journal=Frontiers in Aging Neuroscience |date=29 May 2018 |volume=10 |article-number=155 |doi=10.3389/fnagi.2018.00155 |pmid=29896098 |doi-access=free |pmc=5987172 }}</ref><ref name="McPhee"/> The Rey Auditory Verbal Learning Test (RAVLT) is the most usual tool used to spot superagers.<ref name="McPhee"/>

== Prevention factors ==
In a 2021 study of 1,679 people,<ref>{{cite journal |last1=Maccora |first1=Janet |last2=Peters |first2=Ruth |last3=Anstey |first3=Kaarin J. |title=Gender Differences in Superior-memory SuperAgers and Associated Factors in an Australian Cohort |journal=Journal of Applied Gerontology |date=April 2021 |volume=40 |issue=4 |pages=433–442 |doi=10.1177/0733464820902943 |pmid=32003281 |hdl=1959.4/unsworks_67747 |hdl-access=free }}</ref> females superagers had higher education, more units of weekly alcohol intake, and more participation in cognitively engaging activities relative to typical-agers. In males, superagers also had higher education, but reported more social activities per week and less depressive symptoms.<ref name="McPhee"/>

Superagers engage more in social interactions.<ref>{{cite journal |last1=Cook Maher |first1=Amanda |last2=Kielb |first2=Stephanie |last3=Loyer |first3=Emmaleigh |last4=Connelley |first4=Maureen |last5=Rademaker |first5=Alfred |last6=Mesulam |first6=M.-Marsel |last7=Weintraub |first7=Sandra |last8=McAdams |first8=Dan |last9=Logan |first9=Regina |last10=Rogalski |first10=Emily |title=Psychological well-being in elderly adults with extraordinary episodic memory |journal=PLOS ONE |date=23 October 2017 |volume=12 |issue=10 |article-number=e0186413 |doi=10.1371/journal.pone.0186413 |pmid=29059208 |pmc=5653294 |bibcode=2017PLoSO..1286413C |doi-access=free }}</ref> Factors such as [body mass index](/source/body_mass_index), diabetes, hypertension, dyslipidemia, and smoking status were not found significant.<ref name="McPhee"/>

==See also==
* [Supercentenarian](/source/Supercentenarian)

==References==
{{reflist}}

{{Authority control}}

Category:Ageing

---
Adapted from the Wikipedia article [Superager](https://en.wikipedia.org/wiki/Superager) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/Superager?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.
