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临床正常老年人认知轨迹的性别差异。

Sex differences in cognitive trajectories in clinically normal older adults.

作者信息

McCarrey Anna C, An Yang, Kitner-Triolo Melissa H, Ferrucci Luigi, Resnick Susan M

机构信息

Laboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health.

Translational Gerontology Branch, National Institute on Aging, National Institutes of Health.

出版信息

Psychol Aging. 2016 Mar;31(2):166-75. doi: 10.1037/pag0000070. Epub 2016 Jan 21.

Abstract

Age effects on cognitive functioning are well-documented, but effects of sex on trajectories of cognitive aging are less clear. We examined cognitive ability across a variety of measures for 1,065 to 2,127 participants (mean baseline age 64.1 to 69.7 years) from the Baltimore Longitudinal Study of Aging who were repeatedly tested over a mean follow-up interval of 3.0 to 9.0 years with a mean of 2.3 to 4.4 assessments. Memory and other cognitive tests were administered at each visit, assessing mental status, verbal learning and memory, figural memory, language, attention, perceptuomotor speed and integration, executive function, and visuospatial ability. Importantly, participants free from cognitive impairment at all time points were used in the analyses. Results showed that for all tests, higher age at baseline was significantly associated with lower scores, and performance declined over time. In addition, advancing age was associated with accelerated longitudinal declines in performance (trend for mental status). After adjusting for age, education, and race, sex differences were observed across most tests of specific cognitive abilities examined. At baseline, males outperformed females on the 2 tasks of visuospatial ability, and females outperformed males in most other tests of cognition. Sex differences in cognitive change over time indicated steeper rates of decline for men on measures of mental status, perceptuomotor speed and integration, and visuospatial ability, but no measures on which women showed significantly steeper declines. Our results highlight greater resilience to age-related cognitive decline in older women compared with men.

摘要

年龄对认知功能的影响已有充分记录,但性别对认知衰老轨迹的影响尚不清楚。我们对巴尔的摩衰老纵向研究中的1065至2127名参与者(平均基线年龄64.1至69.7岁)的多种认知能力进行了研究,这些参与者在平均3.0至9.0年的随访期内接受了平均2.3至4.4次的重复测试。每次访视时都进行记忆和其他认知测试,评估精神状态、言语学习和记忆、图形记忆、语言、注意力、感知运动速度和整合、执行功能以及视觉空间能力。重要的是,分析中使用的是在所有时间点均无认知障碍的参与者。结果表明,对于所有测试,基线年龄越高,得分越低,且表现随时间下降。此外,年龄增长与表现的纵向加速下降相关(精神状态的趋势)。在调整年龄、教育程度和种族后,在大多数所考察的特定认知能力测试中均观察到了性别差异。在基线时,男性在视觉空间能力的两项任务上表现优于女性,而女性在大多数其他认知测试中表现优于男性。随着时间推移,认知变化的性别差异表明,男性在精神状态、感知运动速度和整合以及视觉空间能力的测量指标上下降速度更快,但没有发现女性下降速度明显更快的测量指标。我们的结果凸显了老年女性与男性相比,对与年龄相关的认知衰退具有更强的恢复力。

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