cognitive aging

认知衰老
  • 文章类型: Journal Article
    墨西哥正在迅速老龄化,这使得确定影响认知的生命过程因素成为公共卫生的优先事项。我们评估了墨西哥儿童的数量与认知的关系,一个快速老龄化的国家,在最近的老年人群中经历了生育率下降。
    我们分析老年人(50岁以上,n=11,380)来自2015年墨西哥健康与老龄化研究。受访者按出生儿童数量(0-1、2-3、4-5、6+)进行分类。使用普通最小二乘回归,我们估计生育史和认知之间的独立关联,社会经济,健康,和社会心理因素。
    我们观察到儿童数量(在2-3个儿童达到峰值)与认知功能之间呈倒U形关系,不分性别。在针对混杂变量进行调整的回归分析中,只有女性有0-1名(与2-3名儿童相比)与认知功能较差有关。不管性别,有6+(vs2-3名儿童)与认知功能较差相关。即使考虑到社会经济因素,这些协会仍然很重要。健康,employment,和社会心理因素。
    我们的结果表明,生育史可能在晚年认知健康中起作用,并提供证据表明,低生育率和高生育率可能与认知功能较差有关。我们讨论性别差异。
    Mexico is aging rapidly, which makes identification of life-course factors influencing cognition a public health priority. We evaluate how the number of children one has relates to cognition in Mexico, a rapidly aging country that experienced fertility declines across recent cohorts of older people.
    We analyze older adults (age 50+, n = 11,380) from the 2015 Mexican Health and Aging Study. Respondents were categorized by number of children ever born (0-1, 2-3, 4-5, 6+). Using ordinary least squares regression, we estimate independent associations between fertility history and cognition accounting for demographic, socioeconomic, health, and psychosocial factors.
    We observed an inverse U-shaped relationship between number of children (peaking at 2-3 children) and cognitive function, regardless of gender. In regression analyses adjusted for confounding variables, having 0-1 (vs 2-3 children) was associated with poorer cognitive function only for females. Regardless of gender, having 6+ (vs 2-3 children) was associated with poorer cognitive function. These associations remained significant even after accounting for socioeconomic, health, employment, and psychosocial factors.
    Our results suggest fertility history may play a role in late-life cognitive health and provide evidence that both low and high fertility may relate to poorer cognitive function. We discuss differences by gender.
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  • 文章类型: Journal Article
    This article reviews the neurocognitive advantages and drawbacks of cannabinoid substances, and discusses the possible physiological mechanisms that underlie their dual activity. The article further reviews the neurocognitive effects of ultra-low doses of ∆9-tetrahydrocannabinol (THC; 3-4 orders of magnitude lower than the conventional doses) in mice, and proposes such low doses of THC as a possible remedy for various brain injuries and for the treatment of age-related cognitive decline.
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  • 文章类型: Comparative Study
    OBJECTIVE: Patients with type 1 diabetes (T1D) have an increased risk of cognitive dysfunction. The cognitive decrement is believed to depend on macro- and microvascular complications and long disease duration. Some patients do not develop these complications, but still report cognitive symptoms. We examined if long-standing T1D without complications is associated with lower cognitive performance.
    METHODS: A group of patients (n=43) with long-standing T1D (>30years) without micro- or macro vascular complications was compared with a non-diabetic control group (n=86) on six cognitive tests which probed episodic memory, semantic memory, episodic short-term memory, visual attention and psychomotor speed. Each patient was matched with two controls regarding age, gender and education. A linear mixed effect model was used to analyze the data.
    RESULTS: The mean age was 57years and mean duration was 41years. Patients with diabetes had lower diastolic blood pressure but BMI, waist circumference, systolic blood pressure and smoking did not differ between groups. Patients had lower results than non-diabetic controls in episodic short-term memory (p<0.001) and also lower values on a test that mirrors visual attention and psychomotor speed (p=0.019).
    CONCLUSIONS: Long-standing T1D was associated with lower cognitive performance, regardless of other diabetes-related complications.
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  • 文章类型: Journal Article
    post-hospitalisation functional decline is a widely described phenomenon, yet factors related to new disability in instrumental activities of daily living (IADL) in previously independently functioning older adults are rarely studied.
    to test whether change in cognitive status from admission to discharge during short-term acute-care hospitalisation is associated with the incidence of medium-term post-hospitalisation IADL dependency.
    prospective cohort study.
    internal medicine wards in two Israeli medical centres.
    two hundred and seventy-two hospitalised older adults (≥70) who were independent in self-care and mobility activities at admission, at discharge and 1 month after discharge, and who were independent in IADL pre-admission.
    cognitive status was evaluated at admission and at discharge using Pfeiffer\'s Short Portable Mental Status Questionnaire (SPMSQ). One-month post-discharge, IADL was assessed using Lawton and Brody\'s scale by telephone.
    incidence of IADL dependency was 74/272 (27.2%). Controlling for length of stay, co-morbidities, re-hospitalisation and age, a one-unit decrease in SPMSQ score during hospital stay was associated with 1.57 higher odds (95% CI, 1.14-2.15) of post-hospitalisation new IADL dependency. The odds of new IADL dependency were also significantly higher in participants who were rehospitalised within the previous month (odds ratio = 2.65; 95% CI, 1.25-5.62).
    decline in SPMSQ score during acute hospitalisation has a detrimental effect on functional decline after acute hospitalisation, defined by incidence IADL dependency. This finding emphasises the need to identify cognitive decline during hospitalisation to allow timely intervention to prevent post-discharge functional decline in this population.
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  • 文章类型: Journal Article
    UNASSIGNED: Purposes of the current study were to investigate whether age-related decline emerged in a case-marker assignment task (CMAT) and to explore the relationship between working-memory (WM) capacity and case-marker processing.
    UNASSIGNED: A total of 121 individuals participated in the study with 62 younger adults and 59 elderly adults. All were administered a CMAT that consisted of active and passive constructions with canonical and noncanonical word-order conditions. A composite measure of WM tasks served as an index of participants\' WM capacity.
    UNASSIGNED: The older group performed worse than the younger group, and the noncanonical word order elicited worse performance than the canonical condition. The older group demonstrated greater difficulty in case-marker processing under the canonical condition and passive construction. Regression results revealed that age, education, and sentence type were the best predictors to account for performance on the CMAT.
    UNASSIGNED: The canonicity of word order and passive construction were critical factors related to decline in abilities in a case-marker assignment. The combination of age, education, and sentence type factors accounted for overall performance on case-marker processing. Results indicated the crucial necessity to find a cognitively and linguistically demanding condition that elicits aging effects most efficiently, considering language-specific syntactic features.
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  • 文章类型: Journal Article
    我报告了一系列关于衰老和执行控制的荟萃分析。第一组分析未能找到选择性注意力任务中特定年龄相关缺陷的证据(抑制返回,负启动,侧翼,和Stroop)或利用本地任务转移成本的任务(与干扰因素一起阅读是一个例外),但在注意力分散的任务(双重任务和全球任务转移成本)中发现了与年龄相关的特定缺陷的证据。第二组检查了执行控制是否解释了复杂认知中任何与年龄相关的变化(情景记忆,推理,空间能力)超越速度和工作记忆的影响;它没有。因此,据称随着年龄的增长,行政控制的下降显然不是普遍的,它最终可能只在解释复杂认知中与年龄相关的缺陷方面发挥很小的作用。
    I report a series of meta-analyses on aging and executive control. A first set of analyses failed to find evidence for specific age-related deficits in tasks of selective attention (inhibition of return, negative priming, flanker, and Stroop) or tasks tapping local task-shifting costs (reading with distractors is an exception) but found evidence for specific age-related deficits in tasks of divided attention (dual tasking and global task-shifting costs). The second set examined whether executive control explained any age-related variance in complex cognition (episodic memory, reasoning, spatial abilities) over and beyond the effects of speed and working memory; it did not. Thus, the purported decline in executive control with advancing age is clearly not general, and it may ultimately play only a small role in explaining age-related deficits in complex cognition.
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