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Cognitive Performance among Cognitively Healthy Adults Aged 30–100 Years

机译:30-100岁的认知健康成年人的认知表现

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Background/Aims: To detect cognitive decline in older adults, measures of verbal fluency and verbal memory are widely used. Less is known about performance in these measures in younger persons or according to education level and gender. We investigated cognitive performance according to age, education and gender among cognitively healthy adults aged 30–100 years. Methods: The study population comprised 4,174 cognitively healthy persons participating in the nationally representative Finnish Health 2011 survey. Cognitive assessment included verbal fluency, word list memory, word list recall and word list savings from the Consortium to Establish a Registry for Alzheimer’s Disease neuropsychological battery. Results: Total variance in the cognitive test performance explained by age, education and gender varied from 12.3 to 31.2%. A decreasing trend in cognitive performance existed in all subtests by advancing age, with differences appearing between 50 and 55 years. Persons with the highest-education level performed best for all measures. For the participants 55 years, education explained part of the variance, while age and gender did not. Conclusions: When assessing cognition, age and education should be accounted for in more detail in research and clinical practice. Additionally, the cohort effect and its potential impact on the renewal cycle of future normative values for cognitive tests should be considered.
机译:背景/目的:为了检测老年人的认知能力下降,广泛使用了语言流畅度和言语记忆的测量方法。关于这些措施在年轻人中的表现或教育程度和性别的了解较少。我们根据年龄,教育程度和性别对30-100岁的认知健康成年人进行了认知表现调查。方法:研究人群包括4,174名认知健康者,他们参加了2011年芬兰全国健康调查。认知评估包括口头流利度,单词表记忆力,单词表回忆和从联盟中节省下来的单词表,以建立阿尔茨海默氏病神经心理电池组注册表。结果:由年龄,文化程度和性别所解释的认知测试表现的总差异在12.3%至31.2%之间。随着年龄的增长,所有子测验中的认知能力都有下降的趋势,差异出现在50至55岁之间。受过最高教育的人员在所有措施上的表现均最佳。对于55岁以下的参与者,教育解释了部分差异,而年龄和性别则没有。结论:在评估认知时,应在研究和临床实践中更详细地说明年龄和教育程度。此外,应考虑队列效应及其对认知测验未来规范值更新周期的潜在影响。

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