Nonlinear blood pressure effects on cognition in old age: separating between-person and within-person associations

Midlife hypertension is associated with increased risk of cognitive impairment in later life. The association between blood pressure (BP) in older ages and cognition is less clear. In this study we provide estimates of between-person and within-person associations of BP and cognition in a population-based sample (N = 382) followed from age 70 across 12 occasions over 30 years. Between-person associations refer to how individual differences in BP relates to individual differences in cognition. Within-person associations refer to how individual and time specific changes in BP relate to variation in cognition. Hierarchical linear models were fitted to data from three cognitive measurements (verbal ability, spatial ability, and perceptual speed) while accounting for demographic and health-related covariates. We found consistent nonlinear between-person associations between diastolic BP (DBP) and cognition, such that both low (<75 mmHg) and high (>95 mmHg) pressure were associated with poorer cognition. Within-person decreases in systolic BP (SBP) and DBP were associated with decreases in perceptual speed. Notably, between-person and within-person estimates did not reveal similar associations, suggesting the need to separate the two effects in the analysis of associations between BP and cognition in old age.     

Social participation attenuates decline in perceptual speed in old and very old age

Does an engaged and active lifestyle in old age alleviate cognitive decline, does high cognitive functioning in old age increase the possibility of maintaining an engaged and active lifestyle, or both? The authors approach this conundrum by applying a structural equation model for testing dynamic hypotheses, the dual change score model (J. J. McArdle & F. Hamagami, 2001), to 3-occasion longitudinal data from the Berlin Aging Study (Time 1: n=516, age range=70-103 years). Results reveal that within a bivariate system of perceptual speed and social participation, with age and sociobiographical status as covariates, prior scores of social participation influence subsequent changes in perceptual speed, while the opposite does not hold. Results support the hypothesis that an engaged and active lifestyle in old and very old age may alleviate decline in perceptual speed.     

Life satisfaction shows terminal decline in old age: longitudinal evidence from the German Socio-Economic Panel Study (SOEP)

Longitudinal data spanning 22 years, obtained from deceased participants of the German Socio-Economic Panel Study (SOEP; N = 1,637; 70- to 100-year-olds), were used to examine if and how life satisfaction exhibits terminal decline at the end of life. Changes in life satisfaction were more strongly associated with distance to death than with distance from birth (chronological age). Multiphase growth models were used to identify a transition point about 4 years prior to death where the prototypical rate of decline in life satisfaction tripled from -0.64 to -1.94 T-score units per year. Further individual-level analyses suggest that individuals dying at older ages spend more years in the terminal periods of life satisfaction decline than individuals dying at earlier ages. Overall, the evidence suggests that late-life changes in aspects of well-being are driven by mortality-related mechanisms and characterized by terminal decline.     

Discounting input from older adults: the role of age salience on partner age effects in the social contagion of memory

Three experiments examined the impact of partner age on the magnitude of socially suggested false memories. Young participants recalled household scenes in collaboration with an implied young or older adult partner who intentionally recalled false items. In Experiment 1, participants were presented with only the age of their partner (low age-salience context); in Experiment 2, participants were presented with the age of their partner along with a photograph and biographical information about their partner (high age-salience context); in Experiment 3, age salience was varied within the same experiment. Across experiments, participants in both the low age-salience and high age-salience contexts incorporated their partners’ misleading suggestions into their own subsequent recall and recognition reports, thus demonstrating social contagion with implied partners. Importantly, the effect of partner age differed across conditions. Participants in the high age-salience context were less likely to incorporate misleading suggestions from older adult partners than from young adult partners, but participants in the low age-salience context were equally likely to incorporate suggestions from young and older adult partners. Participants discount the memory of older adult partners only when age is highly salient.     

Modeling memory decline in older adults: the importance of preclinical dementia, attrition, and chronological age

This longitudinal study examined memory loss in a sample of 391 initially nondemented older adults. Analyses decomposed observed memory loss into decline associated with preclinical dementia, study attrition, terminal decline, and chronological age. Measuring memory as a function of only chronological age failed to provide an adequate representation of cognitive change. Disease progression accounted for virtually all of the memory loss in the 25% of the sample that developed diagnosable dementia. In the remainder of the sample, both chronological age and study attrition contributed to observed memory loss. These results suggest that much of memory loss in aging adults may be attributable to the progression of preclinical dementia and other nonnormative aging processes that are not captured by chronological age.     

Cognitive emotion regulation in adulthood and old age: positive gaze preferences across two strategies

While positive emotional functioning may be enhanced across adulthood and old age, research is mixed as to the types of regulatory strategies that are more or less beneficial for facilitating well-being. The goal of the present study was to examine how specific cognitive emotion regulation strategies assumed to rely on varying levels of effortful processing (selective attention vs. reappraisal) would impact regulatory behaviors (via eye gaze deployment) and resultant affective outcomes. Participants viewed a series of positive, negative, and neutral film clips while their eyes were tracked across three conditions: passive viewing, selective attention, and reappraisal. Results revealed that (a) both younger and older adults displayed positive fixation preferences and showed mood improvement across both regulatory conditions and (b) there was a marginal association between positive fixation and post-regulation mood. Implications for linking positivity to emotion regulation and well-being across adulthood are discussed.     

Cognitive functioning in healthy older adults aged 64-81: a cohort study into the effects of age, sex, and education

The objective of this study was to determine a possible differential effect of age, education, and sex on cognitive speed, verbal memory, executive functioning, and verbal fluency in healthy older adults. A group of 578 healthy participants in the age range of 64-81 was recruited from a large population study of healthy adults (Maastricht Aging Study). Even in healthy individuals in this restricted age range, there is a clear, age-related decrease in performance on executive functioning, verbal fluency, verbal memory, and cognitive speed tasks. The capacity to inhibit information is affected most. Education had a substantial effect on cognitive functioning: participants with a middle or high level of education performed better on cognitive tests than did participants with a low level of education. Women performed better than men on verbal memory tasks. Therefore, education and sex must be taken into account when examining an older individual's cognitive performance.     

Cognitive efficiency modes in old age: performance on sequential and coordinative verbal and visuospatial tasks

In an experiment using a large set of verbal and spatial tasks requiring low or high degrees of executive control, 3 distinct age-related effects were found. The smallest effect (no slowing) was tied to lexical tasks with low executive involvement, the largest deficit (age-related slowing factor of 2.2) was tied to visuospatial tasks with high executive involvement, an intermediate level of deficit (slowing factor of 1.7) was found for visuospatial tasks with low executive load and verbal tasks with high executive load. These age-related dissociations were incompatible with any "common cause" formulation. The mechanism responsible for the dissociation between verbal and visual tasks, and between low and high executive load remains to be determined. The latter may reflect capacity limits.     

Cognitive abilities and personality traits in old age across four years: More stability than change

The current study (N = 236) examined stability and change of six cognitive abilities and three personality traits in old age (M = 74.12 years, SD = 4.40) over four years. Furthermore, we investigated whether levels of one domain were related to the other domain (and vice versa) four years later. The results showed a mean–level decline for processing speed and a mean–level increase for neuroticism. Cross–lagged effects indicated that reasoning was related to openness and conscientiousness was related to verbal knowledge four years later. In general, few and weak associations between the two domains were found. The findings showed that the development of cognitive abilities and personality traits in old age is marked more by stability than by change.     

Estimating retest effects in longitudinal assessments of cognitive functioning in adults between 18 and 60 years of age

Several analyses were conducted on data from samples of adults between 18 and 58 years of age who completed the same cognitive tests after an interval ranging from less than 1 week to 35 years. Because the retest interval varied across individuals, it was possible to determine the length of time needed before the gains associated with a retest decreased to 0 and to obtain simultaneous estimates of the magnitude of effects associated with increased age and a prior assessment. The results indicated that for adults within this age range, 7 or more years were needed before positive retest effects were no longer detectable. Age effects in longitudinal comparisons could be interpreted in terms of large positive effects associated with a prior assessment and negative effects associated with age that were comparable in magnitude to those observed in cross-sectional comparisons.     

Modeling age and retest processes in longitudinal studies of cognitive abilities

Mixed effects models were used to examine the separate effects associated with age and retest on changes in various cognitive abilities. Individuals (N > 800) ranging in age from 40 to 70 years at the 1st measurement occasion were assessed with measures of memory, spatial abilities, and speed on 4 occasions. All cognitive abilities showed decline associated with increased age and improvement across the 4 measurement occasions. The age-related effects were similar across variables, but the practice effects were largest for memory and smallest for speed. When retest effects were not included in the models, the age-related effects were underestimated, with the magnitude of bias depending on the size of the ignored retest effects. It is suggested that both age and retest should be modeled simultaneously when analyzing longitudinal data because part of the change across occasions may be attributable to practice or reactive effects.     

Priming effects from young-old to very old age on a word-stem completion task: minimizing explicit contamination

We investigated the size of repetition priming effects from young-old to very old age using a newly developed Word-Stem Completion (WSC) task. Retrospectively, we examined the role of explicit, intentional retrieval strategies in priming. We constructed our task by taking factors into account that were known to complicate the measurement of significant and valid priming effects. Within our sample of 170 cognitively healthy elderly persons of 55-94 years old, we found no effects on priming of age, gender, education, intelligence, cognitive status, memory complaints, or depressive symptoms. Participants that subsequent to task administration reported awareness of the study-test relationship obtained higher priming scores. However, analysis of stem-completion times showed that explicit contamination during the task was unlikely. The results suggest that WSC priming is age-invariant up to very old age. This task with increased validity might contribute to the differentiation with Alzheimer's disease by improving specificity of assessment.     

Multivariate modeling of age and retest in longitudinal studies of cognitive abilities

Longitudinal multivariate mixed models were used to examine the correlates of change between memory and processing speed and the contribution of age and retest to such change correlates. Various age- and occasion-mixed models were fitted to 2 longitudinal data sets of adult individuals (N>1,200). For both data sets, the results indicated that the correlation between the age slopes of memory and processing speed decreased when retest effects were included in the model. If retest effects existed in the data but were not modeled, the correlation between the age slopes was positively biased. The authors suggest that although the changes in memory and processing speed may be correlated over time, age alone does not capture such a covariation.     

Retrieving names in old age: Short- and (very) long-term effects of repetition

Two experiments are reported that examine the effects of repetition on name retrieval in younger adults (in their 50s and 60s) and older adults (in their 70s and 80s). In Experiment 1, the subjects were asked to name a set of famous faces four times over the course of a 1-h session. Younger subjects produced significantly more correct responses than did older subjects. There was significant improvement with repeated attempts at naming, with younger and older subjects benefiting equally in terms of increasing numbers of correct responses across the session. In contrast, there was a highly significant age deficit in picture recognition over a similar retention interval. A qualitative analysis of naming responses (full name vs. part of the name) provided support for the view that aging and nonrecent use have equivalent effects on retrieval. In Experiment 2, younger subjects (but not older subjects) were significantly more likely to correctly name famous faces that they had seen 22 months previously than to correctly name new famous faces. In contrast, older subjects (but not younger subjects) were significantly more likely to produce erroneous names to famous faces that they had seen 22 months previously than to new famous faces. It is concluded that repetition priming may be relatively unaffected by aging over short retention intervals (Experiment 1) but not over a very long retention interval (Experiment 2).     

Priming effects of age stereotypes on memory of older adults in Korea

This study examined priming effects of age stereotypes on memory of Korean older adults. Age stereotypes refer to general beliefs about older adults. Through a priming task, older participants were briefly exposed to positive or negative age stereotypes without awareness. Before and after the priming task, free‐recall tasks were given to participants to measure their memory performance. Changes in performance caused by the priming task were estimated as priming effects of age stereotypes. Participants showed better memory performance after they were exposed to positive stereotypes during the priming task (positive priming effects). In contrast, participants showed worse memory performance after they were exposed to negative age stereotypes during the priming task (negative priming effects). The magnitude of priming effects was similar in positive and negative stereotypes. This result suggests that the implicit activation of age stereotypes can change memory of Korean elderly in both positive and negative ways.     

Memorizing while walking: increase in dual-task costs from young adulthood to old age

The dual task of memorizing word lists while walking was predicted to become more difficult with age because balance and gait are in greater need of "attentional resources." Forty-seven young (ages 20-30 years), 45 middle-aged (40-50), and 48 old (60-70) adults were trained to criterion in a mnemonic technique and instructed to walk quickly and accurately on 2 narrow tracks of different path complexity. Then. participants encoded the word lists while sitting, standing, or walking on either track; likewise, speed and accuracy of walking performance were assessed with and without concurrent memory encoding. Dual-task costs increased with age in both domains; relative to young adults, the effect size of the overall increase was 0.98 standard deviation units for middle-aged and 1.47 standard deviation units for old adults. It is argued that sensory and motor aspects of behavior are increasingly in need of cognitive control with advancing age.