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The association between different cognitive domains and age in a multi-centre study of middle-aged and older European men
Author(s)David M Lee, Abdelouahid Tajar, Aslan Ulubaev
Corporate AuthorEMAS Study Group
Journal titleInternational Journal of Geriatric Psychiatry, vol 24, no 11, November 2009
Pagespp 1257-1266
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsOlder men ; Middle aged ; Older people ; Cognitive processes ; Memory and Reminiscence ; Mental speed ; Evaluation ; Cross national surveys ; Europe.
AnnotationThe authors determined levels of cognitive functioning in community dwelling men aged 40-79 (n = 3265) from eight European centres (the European Male Ageing Study, EMAS) and investigated to what extent cognitive performance varied between centres, the association between different cognitive domains and age, educational level, co-morbidity and lifestyle factors and the respective contributions of centre and individual factors to cognitive performance. Cognitive domains assessed were visuo-constructional ability and visual memory (Rey-Osterrieth Complex Figure test, ROCF), topographical memory (Camden Topographical Recognition Memory test, CTRM) and processing speed (Digit-Symbol Substitution test, DSST). There were significant between-centre differences in all four cognitive test scores. Using multilevel linear regression analysis (MLRA), age, education, depression, physical performance and smoking were independent predictors of cognitive function and these variables explained 10-13% of the variation in cognitive scores between centres and 17-36% of the variation in scores between individuals within centres. The resultant data suggest that although a proportion of the variance in cognitive function among European men is explained by individual level differences, a significant proportion is due to contextual phenomenon. Such contextual factors need to be considered when analysing multi-centre data, and European men should not be treated as homogeneous when assessing cognitive performance using existing instruments. (KJ/RH).
Accession NumberCPA-100109217 A
ClassmarkBC: SE: B: DA: DB: DG: 4C: 3K: 74

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