Gender differences in the association between education and late‐life cognitive function in the LifeAfter90 Study: A multiethnic cohort of the oldest–old

INTRODUCTION Few studies have examined the relationship between education and cognition among the oldest–old. METHODS Cognitive assessments were conducted biannually for 803 participants (62.6% women) of LifeAfter90, a longitudinal study of individuals ≥ 90 years old. Gender differences in associati...

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Veröffentlicht in:Alzheimer's & dementia 2024-11, Vol.20 (11), p.7547-7555
Hauptverfasser: Lam, Jennifer O., Whitmer, Rachel A., Corrada, Maria M., Kawas, Claudia H., Vieira, Katherine E., Quesenberry, Charles P., Gilsanz, Paola
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container_end_page 7555
container_issue 11
container_start_page 7547
container_title Alzheimer's & dementia
container_volume 20
creator Lam, Jennifer O.
Whitmer, Rachel A.
Corrada, Maria M.
Kawas, Claudia H.
Vieira, Katherine E.
Quesenberry, Charles P.
Gilsanz, Paola
description INTRODUCTION Few studies have examined the relationship between education and cognition among the oldest–old. METHODS Cognitive assessments were conducted biannually for 803 participants (62.6% women) of LifeAfter90, a longitudinal study of individuals ≥ 90 years old. Gender differences in associations between education (
doi_str_mv 10.1002/alz.14217
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METHODS Cognitive assessments were conducted biannually for 803 participants (62.6% women) of LifeAfter90, a longitudinal study of individuals ≥ 90 years old. Gender differences in associations between education (&lt; high school, high school, some college, and ≥ college) and cognition (verbal episodic memory, semantic memory, and executive function) were examined at baseline and longitudinally using linear mixed models. RESULTS Higher education levels were associated with better cognitive performance at baseline for both men and women. College completion was more strongly associated with better baseline executive function among women. Education‐cognition associations for baseline verbal episodic memory and baseline semantic memory did not differ by gender. Education was not associated with a decline in any domain‐specific cognitive scores, regardless of gender. DISCUSSION Education is associated with cognitive function among the oldest–old and varies by gender and cognitive domain at baseline but not over time. Highlights In the oldest–old, higher education was associated with better cognitive function. College completion was more strongly associated with executive function in women. Education was not associated with cognitive decline after age 90 regardless of gender. Improving education could decrease gaps in cognitive level among older individuals.</description><identifier>ISSN: 1552-5260</identifier><identifier>ISSN: 1552-5279</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.14217</identifier><identifier>PMID: 39254234</identifier><language>eng</language><publisher>United States</publisher><subject>Aged, 80 and over ; aging ; cognition ; Cognition - physiology ; cognitive function ; disparity ; education ; Educational Status ; Executive Function - physiology ; Female ; gender ; Humans ; Longitudinal Studies ; Male ; Neuropsychological Tests - statistics &amp; numerical data ; Sex Factors</subject><ispartof>Alzheimer's &amp; dementia, 2024-11, Vol.20 (11), p.7547-7555</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC on behalf of Alzheimer's Association.</rights><rights>2024 The Author(s). 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METHODS Cognitive assessments were conducted biannually for 803 participants (62.6% women) of LifeAfter90, a longitudinal study of individuals ≥ 90 years old. Gender differences in associations between education (&lt; high school, high school, some college, and ≥ college) and cognition (verbal episodic memory, semantic memory, and executive function) were examined at baseline and longitudinally using linear mixed models. RESULTS Higher education levels were associated with better cognitive performance at baseline for both men and women. College completion was more strongly associated with better baseline executive function among women. Education‐cognition associations for baseline verbal episodic memory and baseline semantic memory did not differ by gender. Education was not associated with a decline in any domain‐specific cognitive scores, regardless of gender. DISCUSSION Education is associated with cognitive function among the oldest–old and varies by gender and cognitive domain at baseline but not over time. Highlights In the oldest–old, higher education was associated with better cognitive function. College completion was more strongly associated with executive function in women. Education was not associated with cognitive decline after age 90 regardless of gender. Improving education could decrease gaps in cognitive level among older individuals.</description><subject>Aged, 80 and over</subject><subject>aging</subject><subject>cognition</subject><subject>Cognition - physiology</subject><subject>cognitive function</subject><subject>disparity</subject><subject>education</subject><subject>Educational Status</subject><subject>Executive Function - physiology</subject><subject>Female</subject><subject>gender</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Neuropsychological Tests - statistics &amp; numerical data</subject><subject>Sex Factors</subject><issn>1552-5260</issn><issn>1552-5279</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctOJCEUhokZ430xL2BYjotWoKCpctcx3pJOXKgbN5UqONhMaFCgNO3KR5hk1r6cT2LZ1bpzdf4cPj4SfoR-U3JICWFHjXs5pJxRuYa2qBBsJJisfn3nMdlE2yn9JYSTkooNtFlUTHBW8C30dg5eQ8TaGgMRvIKErcd5BrhJKSjbZBs8biE_A3gMulPDpvEauybD--s_Zw1gFe69zfYJsOm8WiIrz7Q_npgMsSL4Ond6cYwneN65bCHPvFX91VmIGQezxIPTkPL76_8-7KJ107gEe6u5g27PTm9OLkbTq_PLk8l0pJggckQZtCVtoSxFJcGoti2r0jAlNNdCUi2JINoYzUjLKjOuWCGhZIXgUlXlWEKxg_4M3ocYHrv--XpukwLnGg-hS3VBCeOSjznt0YMBVTGkFMHUD9HOm7ioKak_26j7NuplGz27v9J27Rz0N_n1_T1wNADP1sHiZ1M9md4Nyg89lJf-</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Lam, Jennifer O.</creator><creator>Whitmer, Rachel A.</creator><creator>Corrada, Maria M.</creator><creator>Kawas, Claudia H.</creator><creator>Vieira, Katherine E.</creator><creator>Quesenberry, Charles P.</creator><creator>Gilsanz, Paola</creator><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202411</creationdate><title>Gender differences in the association between education and late‐life cognitive function in the LifeAfter90 Study: A multiethnic cohort of the oldest–old</title><author>Lam, Jennifer O. ; Whitmer, Rachel A. ; Corrada, Maria M. ; Kawas, Claudia H. ; Vieira, Katherine E. ; Quesenberry, Charles P. ; Gilsanz, Paola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2507-12eb81be88597efcbb898f2c5d4d571d7050dffd20b29f69237e823547c9867e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged, 80 and over</topic><topic>aging</topic><topic>cognition</topic><topic>Cognition - physiology</topic><topic>cognitive function</topic><topic>disparity</topic><topic>education</topic><topic>Educational Status</topic><topic>Executive Function - physiology</topic><topic>Female</topic><topic>gender</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Neuropsychological Tests - statistics &amp; numerical data</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lam, Jennifer O.</creatorcontrib><creatorcontrib>Whitmer, Rachel A.</creatorcontrib><creatorcontrib>Corrada, Maria M.</creatorcontrib><creatorcontrib>Kawas, Claudia H.</creatorcontrib><creatorcontrib>Vieira, Katherine E.</creatorcontrib><creatorcontrib>Quesenberry, Charles P.</creatorcontrib><creatorcontrib>Gilsanz, Paola</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alzheimer's &amp; dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lam, Jennifer O.</au><au>Whitmer, Rachel A.</au><au>Corrada, Maria M.</au><au>Kawas, Claudia H.</au><au>Vieira, Katherine E.</au><au>Quesenberry, Charles P.</au><au>Gilsanz, Paola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender differences in the association between education and late‐life cognitive function in the LifeAfter90 Study: A multiethnic cohort of the oldest–old</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2024-11</date><risdate>2024</risdate><volume>20</volume><issue>11</issue><spage>7547</spage><epage>7555</epage><pages>7547-7555</pages><issn>1552-5260</issn><issn>1552-5279</issn><eissn>1552-5279</eissn><abstract>INTRODUCTION Few studies have examined the relationship between education and cognition among the oldest–old. METHODS Cognitive assessments were conducted biannually for 803 participants (62.6% women) of LifeAfter90, a longitudinal study of individuals ≥ 90 years old. Gender differences in associations between education (&lt; high school, high school, some college, and ≥ college) and cognition (verbal episodic memory, semantic memory, and executive function) were examined at baseline and longitudinally using linear mixed models. RESULTS Higher education levels were associated with better cognitive performance at baseline for both men and women. College completion was more strongly associated with better baseline executive function among women. Education‐cognition associations for baseline verbal episodic memory and baseline semantic memory did not differ by gender. Education was not associated with a decline in any domain‐specific cognitive scores, regardless of gender. DISCUSSION Education is associated with cognitive function among the oldest–old and varies by gender and cognitive domain at baseline but not over time. Highlights In the oldest–old, higher education was associated with better cognitive function. College completion was more strongly associated with executive function in women. Education was not associated with cognitive decline after age 90 regardless of gender. Improving education could decrease gaps in cognitive level among older individuals.</abstract><cop>United States</cop><pmid>39254234</pmid><doi>10.1002/alz.14217</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged, 80 and over
aging
cognition
Cognition - physiology
cognitive function
disparity
education
Educational Status
Executive Function - physiology
Female
gender
Humans
Longitudinal Studies
Male
Neuropsychological Tests - statistics & numerical data
Sex Factors
title Gender differences in the association between education and late‐life cognitive function in the LifeAfter90 Study: A multiethnic cohort of the oldest–old
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