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Age, vascular risk, and cognitive decline in an older, British African-Caribbean population
Author(s)Robert Stewart, Martin Prince, Anthony Mann
Journal titleJournal of the American Geriatrics Society, vol 51, no 11, November 2003
Pagespp 1547-1553
KeywordsBlack Caribbean ; Cognitive impairment ; Memory disorders ; Cerebrovascular diseases ; Diabetes ; Longitudinal surveys ; London.
AnnotationOlder African Caribbean people have a high risk of cerebrovascular disease, also high prevalence rates of hypertension and type II diabetes mellitus. 290 Caribbean-born people aged 55 to 75 were recruited for this study from seven primary care services in south London, and were reinterviewed after 3 years. Tests of verbal memory (immediate and delayed), orientation and attention were administered at baseline and at 3 years. A composite measure of cognitive change was derived through factor analysis. Cognitive decline was strongly associated with increased age, but not with sex, education or occupation. It was also directly associated with hypertension, diabetes mellitus or exercise, but the age-decline association was significantly stronger in those reporting vigorous physical exercise at baseline. When cognitive decline was investigated separately for individual tests, both these patterns of association were particularly strong for decline on delayed verbal recall. (RH).
Accession NumberCPA-031212208 A
ClassmarkTKG: E4: EH: CQ5: CPD: 3J: 82L

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