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老年人工作记忆维持和衰退的预测因素。

Predictors of Working Memory Maintenance and Decline in Older Adults.

机构信息

Laboratory of NeuroCognition, Faculty of Psychology, National Autonomous University of Mexico, Mexico City 04510, Mexico.

Laboratory of NeuroCognition, Faculty of Psychology, National Autonomous University of Mexico, Mexico City 04510, Mexico.

出版信息

Arch Gerontol Geriatr. 2020 Jul-Aug;89:104074. doi: 10.1016/j.archger.2020.104074. Epub 2020 May 5.

Abstract

The aging process is associated with the gradual decline of several cognitive functions, and working memory is particularly affected. Although the majority of older adults experience a deterioration of their working memory, some individuals maintain their working memory in older age, and some suffer an extreme deterioration of their working memory. The purpose of the present study was to identify, among a total of 120 potential predictors, those that significantly contributed to these two extreme outcomes in working memory. A sample of 588 healthy adults was examined with the n-back task in the spatial and verbal domains using a 2-back level of difficulty. Individuals were classified as working memory maintainers or decliners if their discrimination level in the two domains was superior to the 80th percentile or inferior to the 20th percentile, respectively. Logistic regression identified eight and six significant predictors of working memory maintenance and decline, respectively. High vocabulary scores and smoking more were significant predictors of working memory maintenance; however, in the opposite direction, these same variables predicted working memory decline. Several consumption habits that influenced cerebrovascular function were found in both models. Psychological traits and everyday activities were present in both models. We identified specific predictors that contribute to extremely high or low working memory performance in older age.

摘要

随着年龄的增长,多种认知功能逐渐衰退,其中工作记忆受到的影响尤为明显。虽然大多数老年人的工作记忆都会出现下降,但也有一些老年人的工作记忆能够保持在较高水平,而有一些老年人的工作记忆则会严重下降。本研究的目的是在总共 120 个潜在预测因素中,找出对工作记忆这两种极端结果有显著影响的因素。本研究使用难度为 2 位的 n-back 任务,对 588 名健康成年人进行了空间和言语两个领域的测试。如果个体在两个领域的辨别力高于第 80 百分位或低于第 20 百分位,则分别将其归类为工作记忆保持者或下降者。逻辑回归分别确定了工作记忆保持和下降的 8 个和 6 个显著预测因素。高词汇分数和吸烟较多是工作记忆保持的显著预测因素;然而,在相反的方向上,这些相同的变量预测了工作记忆的下降。在这两个模型中都发现了一些影响脑血管功能的消费习惯。心理特征和日常活动在两个模型中都存在。我们确定了一些特定的预测因素,这些因素会导致老年人的工作记忆表现非常高或非常低。

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