# Late Life Learning, Dementia, and Overall Health: An Investigation of The University for Seniors in Beirut.

> **NIH NIH R01** · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2022 · $755,639

## Abstract

Abstract
As the aging population is growing worldwide, identifying factors that may confer protection for Alzheimer’s
disease and related dementias (ADRD) is a global public health priority. Yet, several key social determinants of
ADRD, such as years of education, are completed earlier in the lifecourse and are thus unamenable to change
in older age. In parallel, growing evidence suggests that engaging in cognitively stimulating activities across
the lifecourse is associated with improved cognition and overall health. These data put forward a compelling
hypothesis that late life learning (LLL, non-formal educational activities outside formal credentialed learning)
may provide a window of opportunity, in older age, to mitigate ADRD risk by providing prospects for intellectual
stimulation and social engagement. Yet, very few studies have evaluated the benefits of LLL. The long-term
goal of our research is to pinpoint how we can intervene to prevent or delay ADRD, especially in low-resourced
settings where opportunities for engaged aging are limited such as in Lebanon, a low to middle income country
(LMIC). Lebanon has the largest proportion of older adults in the Arab region, and Lebanese older adults are
exposed to a host of lifecourse psychosocial adversities (e.g., war stressors, financial hardship) all of which
would be expected to increase ADRD risk. The current project moves towards our long-term goal by proposing
an innovative study in which we capitalize on an ongoing LLL program at the American University of Beirut,
The University for Seniors (UfS), to evaluate the influence of LLL on cognitive and overall health. The UfS has
been running for the last 11 years and its registry includes 1,300 participants, providing a well-established
platform from which to launch our study. Information on LLL will be abstracted from UfS records. Assessments
at the baseline and follow-up visits will include a life history questionnaire, a cognitive battery, among other
measures. This research application, which builds on existing collaborations between investigative teams in
the US and Lebanon, (Aim 1) is embedded within a detailed capacity building program aimed at enhancing
research capacity in several needed areas such as cognitive aging and ADRD, social and lifecourse
epidemiology, and quantitative methods, while also providing a networking and support base for researchers in
Lebanon and the region. For this project, we propose to (Aim 2) design a community-based study, the 3LC
(Late Life Learning, Cognition and Aging), by including 500 previously enrolled UfS participants, 200 newly
enrolled UfS participants, and 700 age- and sex-matched non-UfS-participating community residents; and
(Aim 3) apply rigorous analytical techniques to determine the strength of associations of LLL with cognition
and related outcomes, examine mediating mechanisms, and whether LLL may modify the influence of prior
psychosocial exposures on cognition and other health measures....

## Key facts

- **NIH application ID:** 10539122
- **Project number:** 1R01AG074076-01A1
- **Recipient organization:** COLUMBIA UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** Martine  Elbejjani
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $755,639
- **Award type:** 1
- **Project period:** 2022-09-01 → 2027-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10539122

## Citation

> US National Institutes of Health, RePORTER application 10539122, Late Life Learning, Dementia, and Overall Health: An Investigation of The University for Seniors in Beirut. (1R01AG074076-01A1). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10539122. Licensed CC0.

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