Availability of Cognitive Resources in Early Life Predicts Transitions Between Cognitive States in Middle and Older Adults From Europe.
Availability of Cognitive Resources in Early Life Predicts Transitions Between Cognitive States in Middle and Older Adults From Europe.
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DOI：
10.1093/geroni/igad124
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发表时间：
2023
影响因子：
7
通讯作者：
Muniz-Terrera, Graciela
中科院分区：
文献类型：
--
作者：
Lewis, Nathan A.;Yoneda, Tomiko;Melis, Rene J. F.;Mroczek, Daniel K.;Hofer, Scott M.;Muniz-Terrera, Graciela
现有文献强调了中老年读书对于认知功能的重要性；然而，很少有研究探讨儿童认知资源对以后生活认知结果的重要性。使用欧洲健康、老龄化和退休调查 (SHARE) 数据集 (N = 32,783) 中包含的 11 个国家的数据，多状态生存模型 (MSM) 适合检验儿童时期阅读材料对于认知状态类别（无认知障碍和认知功能受损）和死亡转变的重要性。此外，利用 MSM 估计的转变概率，我们估计了没有认知障碍的剩余寿命和总寿命。所有模型均在每个国家/地区以及汇总的 SHARE 样本中进行了单独拟合。调整年龄、性别、教育程度和儿童社会经济状况后，总体汇总估计表明，10岁时接触更多书籍与发生认知障碍的风险降低相关（调整后的风险比 = 0.79，置信区间：0.76-0.82）。接触童年书籍与从正常认知功能转变为死亡或从认知障碍转变为死亡的风险无关。报告童年家里书籍数量高（+1 标准差 [SD]）和低（-1 SD）的参与者的总寿命相似；然而，更多接触童年书籍的人在这段时间内没有认知障碍的比例更大。研究结果表明，童年时期获得认知资源可以保护老年时期的认知衰老过程。
The existing literature highlights the importance of reading books in middle-to-older adulthood for cognitive functioning; very few studies, however, have examined the importance of childhood cognitive resources for cognitive outcomes later in life. Using data from 11 countries included in the Survey of Health, Ageing, and Retirement in Europe (SHARE) data set (N = 32,783), multistate survival models (MSMs) were fit to examine the importance of access to reading material in childhood on transitions through cognitive status categories (no cognitive impairment and impaired cognitive functioning) and death. Additionally, using the transition probabilities estimated by the MSMs, we estimated the remaining years of life without cognitive impairment and total longevity. All models were fit individually in each country, as well as within the pooled SHARE sample. Adjusting for age, sex, education, and childhood socioeconomic status, the overall pooled estimate indicated that access to more books at age 10 was associated with a decreased risk of developing cognitive impairment (adjusted hazard ratio = 0.79, confidence interval: 0.76–0.82). Access to childhood books was not associated with risk of transitioning from normal cognitive functioning to death, or from cognitive impairment to death. Total longevity was similar between participants reporting high (+1 standard deviation [SD]) and low (−1 SD) number of books in the childhood home; however, individuals with more access to childhood books lived a greater proportion of this time without cognitive impairment. Findings suggest that access to cognitive resources in childhood is protective for cognitive aging processes in older adulthood.
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DOI：
10.1017/s1355617711000531
发表时间：
2011-11
影响因子：
2.6
作者：
James, Bryan D.;Wilson, Robert S.;Barnes, Lisa L.;Bennett, David A.
通讯作者：
Bennett, David A.
影响因子：
14
作者：
Brookmeyer, Ron;Johnson, Elizabeth;Arrighi, H. Michael
通讯作者：
Arrighi, H. Michael
影响因子：
5.7
作者：
Lopez, Oscar L;Kuller, Lewis H
通讯作者：
Kuller, Lewis H
影响因子：
1.3
作者：
Halmdienst, Nicole;Winter-Ebmer, Rudolf
通讯作者：
Winter-Ebmer, Rudolf
影响因子：
34.3
作者：
Mukadam, Naaheed;Sommerlad, Andrew;Livingston, Gill
通讯作者：
Livingston, Gill