scholarly journals Older Adults Performed Worse on Cognitive Assessment at Lonelier Moments: Using Ambulatory Assessment Approach

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1021-1021
Author(s):  
Jee eun Kang ◽  
Martin Sliwinski ◽  
Karra Harrington
Keyword(s):  
Older Adults ◽  
Cognitive Functioning ◽  
Cognitive Assessment ◽  
Short Term Memory ◽  
Acute Stress ◽  
Practice Effect ◽  
Community Dwelling ◽  
Short Term ◽  
Speed Test ◽  
Assessment Approach

Abstract This study focused on investigating the short-term effect of loneliness on older adults’ cognitive performances in daily life. Loneliness is suggested as a risk factor for cognitive health, but results in previous studies are inconsistent due to the lack of valid measures and limited research design. The attention-depletion hypothesis highlights that acute stress could immediately compromise cognitive ability by consuming attentional resources. Accordingly, this study examined whether loneliness, as one of the stressors related to one’s social relationship, was immediately associated with worse daily cognitive performances in older adults. Using an ecological momentary assessment approach, 311 community-dwelling older adults (Mage=77.5 (range=70-90), 67% female, 45% white) reported their level of loneliness as well as performed cognitive assessment five times a day for 16 days. Multilevel modeling showed that on occasion when participants reported a higher level of loneliness than normal, they performed worse in the processing speed test (p<.01) and the short-term memory binding test (p<.01) during those moments, controlling for age, gender, education, ethnicity, IADL, and retest-practice effect. Moreover, those momentary associations between loneliness and cognitive performances remained significant after controlling for the momentary level of feeling depressed. Unlike the concurrent effect, there was no lagged effect of loneliness on daily cognitive performances. These results suggest that transient but intense feelings of loneliness can function as acute stress and thus, compromise daily cognitive functioning short-term. Results will be discussed in terms of the potential benefit of momentary real-time interventions to lessen feelings of loneliness to maintain older adults’ cognitive functioning.

Specific impairments in visuospatial working and short-term memory following low-dose scopolamine challenge in healthy older adults

2008 ◽  
Vol 46 (10) ◽  
pp. 2476-2484 ◽  
Author(s):  
Elizabeth Thomas ◽  
Peter J. Snyder ◽  
Robert H. Pietrzak ◽  
Colleen E. Jackson ◽  
Martin Bednar ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Dose ◽  
Short Term Memory ◽  
Short Term ◽  
Term Memory ◽  
Healthy Older Adults

scholarly journals Likelihood of Participation in Home-Based Cognitive Assessment: The Role of Subjective Cognitive Decline and Age

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 293-294
Author(s):  
Moriah Splonskowski ◽  
Holly Cooke ◽  
Claudia Jacova
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Old Age ◽  
Cognitive Assessment ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Cognitive State ◽  
Home Based ◽  
Increased Risk

Abstract Home-based cognitive assessment (HBCA) services are emerging as a convenient alternative to in-clinic cognitive assessment and may aid in mitigating barriers to detecting cognitive impairment (CI). It is unknown which older adults would be likely to participate in HBCA. Here we investigated the role of age and Subjective Cognitive Decline (SCD). SCD has demonstrated an increased risk for progression to CI/dementia. A nation-wide community-dwelling sample of 494 adults age 50+ were recruited via Amazon Mechanical Turk to complete an online survey assessing perceptions around HBCA and SCD. Our sample was 91.9% White and 66.8% female. It consisted of 174 respondents aged 50-60, 265 aged 61- 70, and 55 aged 71-79. Age groups were comparable with respect to their acceptance of cognitive assessment (Range 4-20, higher score=higher acceptance, 7.9±3.3, 8.15±3.2, 8.05±3.43) and SCD-Q total (43.1±5.8, 43.2±5.7, 43.3±5.7). Correlation analysis revealed a relationship between SCD-QSCD total and perceived likelihood of participation in HBCA for those ages 61-70 (r(263) = .222 p = .000), but not for ages 50-60 or 71-79 (r(172) = .102 p = .152; r(53) = -.102 p = .458). Our findings suggest that SCD influences the likelihood of participation in HBCA for older adults’ transitioning to old age (61-70). Findings show that for adults transitioning into old age (61-70), perceived cognitive state influences their likelihood of participation in HBCA. Importantly, concerns about CI/dementia may generate more favorable perceptions of HBCA for this group.

scholarly journals Can Virtual Assistants Perform Cognitive Assessment in Older Adults? A Review

Medicina ◽  
2021 ◽  
Vol 57 (12) ◽  
pp. 1310
Author(s):  
Carmen Moret-Tatay ◽  
Isabel Iborra-Marmolejo ◽  
María José Jorques-Infante ◽  
José Vicente Esteve-Rodrigo ◽  
Carla H. A. Schwanke ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Language Processing ◽  
Cognitive Assessment ◽  
Chronic Conditions ◽  
Community Dwelling ◽  
Screening Process ◽  
Digital Devices ◽  
The Given ◽  
Community Dwelling Older Adults

Community-dwelling older adults have raised the scientific community’s interest during the COVID-19 era as their chronic conditions might be aggravated by the consequences of confinement. Digital devices in this field to monitor cognitive impairment are an emerging reality of an innovative nature. However, some groups may not have benefited from these developments as much as, for example, younger people. The aim of this manuscript is to carry out a review on the development of digital devices, and specifically virtual assistants, for the detection of cognitive impairment in older adults. After a screening process, eight studies were found under the given criteria, and this number was even smaller for those using virtual assistants. Given the opportunities offered by virtual assistants through techniques such as natural language processing, it seems imperative to take advantage of this opportunity for groups such as older adults.

Perceptual Organization and Grouping Factors: Age Related Effects

1994 ◽  
Vol 38 (2) ◽  
pp. 170-174
Author(s):  
Darryl G. Humphrey ◽  
Arthur F. Kramer ◽  
Sheryl S. Gore
Keyword(s):  
Older Adults ◽  
Perceptual Organization ◽  
Short Term Memory ◽  
Recall Performance ◽  
Partial Report ◽  
Visual Environment ◽  
Short Term ◽  
Visual Short Term Memory ◽  
Information Displays ◽  
Age Related

Older adults have evidenced a poorer ability to use grouping factors in such tasks as Embedded Figures, Incomplete Figures, and partial report. Difficulties in disambiguating the findings of these studies has left unanswered the cause of this age-related difference. By taking into account age-related differences in visual short-term memory, the results of the current study suggest that older adults maintain the ability to capitalize on the perceptual organization of the visual environment as a means of facilitating recall performance. These results have implications for the design of information displays, product labels, codes, and instructions.

The effect of short-term health promotion intervention on motor function in community-dwelling older adults

2018 ◽  
Vol 31 (4) ◽  
pp. 475-481 ◽  
Author(s):  
Toshiki Kutsuna ◽  
Yoshinori Hiyama ◽  
Satomi Kusaka ◽  
Yasuaki Kusumoto ◽  
Junko Tsuchiya ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Motor Function ◽  
Community Dwelling ◽  
Health Promotion Intervention ◽  
Short Term ◽  
Community Dwelling Older Adults

scholarly journals Childhood infectious diseases and old age cognitive functioning: a nationally representative sample of community-dwelling older adults

2020 ◽  
pp. 1-8
Author(s):  
A. Rotstein ◽  
S. Z. Levine
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Infectious Diseases ◽  
Cognitive Functioning ◽  
Old Age ◽  
Early Life ◽  
Representative Sample ◽  
Community Dwelling ◽  
Sensitivity Analyses ◽  
Nationally Representative

ABSTRACT Background: Cumulative evidence suggests that health-related risk factors during midlife and old-age are associated with cognitive impairment. However, studies are needed to clarify the association between early-life risk factors and impaired cognitive functioning to increment existing knowledge. Objective: To examine the association between childhood infectious diseases and late-life cognitive functioning in a nationally representative sample of older adults. Participants: Eligible respondents were 2994 community-dwelling individuals aged 65–85. Measurements: Cognitive functioning was assessed using the Mini-Mental State Examination (MMSE). Childhood infectious diseases (i.e. chicken pox, measles, and mumps) were self-reported. The study covariates were age, sex, highest educational level achieved, smoking status, body mass index, and depression. The primary statistical analysis examined the association between the number of childhood infectious diseases and total MMSE scores, accounting for all study covariates. Regression models of progressive complexity were examined for parsimony. The robustness of the primary results was tested in 17 sensitivity analyses. Results: The most parsimonious model was a linear adjusted model (Bayesian Information Criterion = 12646.09). Late-life cognitive functioning significantly improved as the number of childhood infectious diseases increased (β = 0.18; 95% CI = 0.11, 0.26; p < 0.001). This effect was not significantly attenuated in all sensitivity analyses. Conclusion: The current study results are consistent with prior ecological findings indicating that some childhood infectious diseases are associated with better cognitive functioning in old-age. This points to an early-life modifiable risk factor associated with older-life cognitive functioning. Our results may reflect selective mortality and/or beneficial effects via hormetic processes.

scholarly journals Short-term weight changes in community-dwelling older adults: the Health, Aging, and Body Composition Weight Change Substudy

2005 ◽  
Vol 82 (3) ◽  
pp. 644-650 ◽  
Author(s):  
Jung Sun Lee ◽  
Stephen B Kritchevsky ◽  
Tamara B Harris ◽  
Frances Tylavsky ◽  
Susan M Rubin ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Composition ◽  
Weight Change ◽  
Community Dwelling ◽  
Weight Changes ◽  
Short Term ◽  
Health Aging ◽  
Community Dwelling Older Adults

scholarly journals PERFORMANCE ON COGNITIVE FUNCTIONING RELATED TO SUCCESSFUL AGING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S654-S654
Author(s):  
Neyda Ma Mendoza Ruvalcaba ◽  
Elva Dolores Arias Merino ◽  
Maria Elena Flores Villavicencio ◽  
Melina Rodriguez Díaz
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Cognitive Functioning ◽  
Physical Functioning ◽  
Processing Speed ◽  
Successful Aging ◽  
Community Dwelling ◽  
Cognitive Domain ◽  
Learning Potential ◽  
Visuospatial Skills

Abstract Introduction The cognitive functioning, as a general measure, is a criterion commonly used to define and operationalize successful aging. (Project-Conacyt-256589) The aim of this study is to analyze cognitive function and its relationship with the successful aging in older adults. Methods Population based, random sample included n=401 community-dwelling older adults 60-years and older (mean age=72.51,SD=8.11 years,59.4% women). Cognitive functioning was assessed by a comprehensive battery including working memory(Digit Span Backward WAIS-IV), episodic memory, metamemory(self-report), processing speed(Symbol Digit WAIS-IV), attention(TMT-A), executive functioning(TMT-B), learning potential(RAVLT), language(FAS), visuospatial skills(Block Design WAIS-IV). Successful aging was operationalized in accordance with Rowe & Kahn definition (no important disease, no disability, physical functioning, cognitive functioning, and being actively engaged). Sociodemographic and health data were also asked. Data were analyzed in SPSSv24. Results In total 11.2% were successful agers and 11.4% had Mild Cognitive impairment. Global cognitive functioning was significantly related to the achievement of successful aging criteria. Specifically, the more successful agers showed a significant (p′s&lt;.05) better performance on learning potential, working memory, metamemory, processing speed and attention. Executive functions were not related to successful aging criteria. None cognitive domain was related to the being actively engaged criteria. Better visuospatial skills were showed in older adults meeting the criteria of being free of disability and high physical functioning. Conclusion Knowledge generated by this study reveals the role of specific domains of cognitive functioning in successful aging, and sets a scenario to promote successful aging, through alternatives centered in the improvement of cognition in the older adults.

scholarly journals Cognitive Impairment, Sexual Activity and Physical Tenderness in Community-Dwelling Older Adults: A Cross-Sectional Exploration

Gerontology ◽  
2018 ◽  
Vol 64 (6) ◽  
pp. 589-602 ◽  
Author(s):  
Rosanne Freak-Poli ◽  
Silvan Licher ◽  
Joanne Ryan ◽  
M. Arfan Ikram ◽  
Henning Tiemeier
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Functioning ◽  
Sexual Activity ◽  
Community Dwelling ◽  
Cognitively Impaired ◽  
Cross Sectional ◽  
Partner Status ◽  
Weak Evidence ◽  
Community Dwelling Older Adults

Background: The ability to engage in sexual activity and better cognitive functioning are both associated with better health. However, the association between cognitive functioning and sexual activity is understudied. Objective: To examine the association between cognitive functioning with sexual activity and physical tenderness among community-dwelling older adults. Methods: From the Rotterdam Study, cognitive impairment and sexual activity were assessed in 4,201 community-dwelling, 60+ year olds between 2008 and 2014 in the Netherlands. Mild cognitive impairment (MCI) was based upon subjective complaints related to age and education-adjusted test scores. Mini-Mental State Examination (MMSE) impairment was defined by a score of < 26. Sexual activity and physical tenderness (e.g., fondling or kissing) in the last 6 months were assessed at an interview. Analyses were stratified by gender and partner status, with prevalence rates for the “no impairment” categories weighted based on age from the cognitive impairment categories. Inter-rater reliability was examined utilising 74 cohabiting couples of opposite gender. Results: It was found that 14% were categorised as having cognitive impairment, and < 1% as dementia (excluded from subsequent analyses). There was strong evidence that the odds of engaging in physical tenderness (observed through MMSE < 26, OR 2.14, 95% CI 1.32–3.48, p = 0.002) and sexual activity (MCI, OR 2.36, 95% CI 1.35–4.12, p = 0.003) among partnered females with no impairment was twice that observed among cognitively impaired partnered females. There was weak evidence that the odds of engaging in physical tenderness (MMSE < 26, OR 1.59, 95% CI 1.04–2.42, p = 0.03) and sexual activity (MMSE < 26, OR 1.51, 95% CI 1.02–2.24, p = 0.04) among partnered males with no impairment was 50% greater than observed among cognitively impaired partnered males. The associations between cognitive functioning and physical tenderness continued to remain after adjustment for physical function, diabetes, cardiovascular disease and cancer. There was no clear evidence of a difference between amnestic and non-amnestic MCI for sexual behaviour. There was moderate to substantial agreement among the coupled adults who had 1 partner categorised with MCI. Conclusion: Having no cognitive impairment was associated with more engagement in sexual activity and physical tenderness among community-dwelling older adults. Sexuality is an important aspect of active aging and our findings illustrate a potential barrier to maintaining or instigating intimate relationships as we age. Longitudinal analyses are required to explore the direction of effect.

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