Educational inequalities in aging‐related declines in fluid cognition and the onset of cognitive pathology

Bibliographic Details
Title: Educational inequalities in aging‐related declines in fluid cognition and the onset of cognitive pathology
Authors: Sean A.P. Clouston, M. Maria Glymour, Graciela Muñiz Terrera
Source: Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring, Vol 1, Iss 3, Pp 303-310 (2015)
Publisher Information: Wiley, 2015.
Publication Year: 2015
Collection: LCC:Neurology. Diseases of the nervous system
LCC:Geriatrics
Subject Terms: Dementia, Aging, Neurology, Social medicine, Cognitive reserve, Educational status, Neurology. Diseases of the nervous system, RC346-429, Geriatrics, RC952-954.6
More Details: Abstract Background Education has been robustly associated with cognitive reserve and dementia, but not with the rate of cognitive aging, resulting in some confusion about the mechanisms of cognitive aging. This study uses longitudinal data to differentiate between trajectories indicative of healthy versus pathologic cognitive aging. Methods Participants included 9401 Health and Retirement Study respondents aged ≥55 years who completed cognitive testing regularly over 17.3 years until most recently in 2012. Individual‐specific random change‐point modeling was used to identify age of incident pathologic decline; acceleration is interpreted as indicating likely onset of pathologic decline when it is significant and negative. Results These methods detect incident dementia diagnoses with specificity/sensitivity of 89.3%/44.3%, 5.6 years before diagnosis. Each year of education was associated with 0.09 (95% confidence interval [CI], 0.087–0.096; P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2352-8729
Relation: https://doaj.org/toc/2352-8729
DOI: 10.1016/j.dadm.2015.06.001
Access URL: https://doaj.org/article/67fc5fd00e04433b86eda2cd3cf43e6f
Accession Number: edsdoj.67fc5fd00e04433b86eda2cd3cf43e6f
Database: Directory of Open Access Journals
More Details
ISSN:23528729
DOI:10.1016/j.dadm.2015.06.001
Published in:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Language:English