scholarly journals Strategies for Preventing Cognitive Decline in Healthy Older Adults

2017 ◽  
Vol 62 (11) ◽  
pp. 754-760 ◽  
Author(s):  
Julie A. Dumas
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Adult Population ◽  
Institute Of Medicine ◽  
Cognitive Changes ◽  
Brain Functioning ◽  
Healthy Older Adults ◽  
Age Related ◽  
Older Adult Population

Objective: Many advances have been made in the understanding of age-related changes in cognition. As research details the cognitive and neurobiological changes that occur in aging, there is increased interest in developing and understanding methods to prevent, slow, or reverse the cognitive decline that may occur in normal healthy older adults. The Institute of Medicine has recently recognized cognitive aging as having important financial and public health implications for society with the increasing older adult population worldwide. Cognitive aging is not dementia and does not result in the loss of neurons but rather changes in neurotransmission that affect brain functioning. The fact that neurons are structurally intact but may be functionally affected by increased age implies that there is potential for remediation. Method and Results: This review article presents recent work using medication-based strategies for slowing cognitive changes in aging. The primary method presented is a hormonal approach for affecting cognition in older women. In addition, a summary of the work examining modifiable lifestyle factors that have shown promise in benefiting cognition in both older men and women is described. Conclusions: Much work remains to be done so that evidence-based recommendations can be made for slowing cognitive decline in healthy older adults. The success of some of these methods thus far indicates that the brains of healthy older adults are plastic enough to be able to respond to these cognitive decline prevention strategies, and further work is needed to define the most beneficial methods.

Activity Engagement in Cognitive Aging: A Review of the Evidence

2013 ◽  
Vol 23 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Yvonne Rogalski ◽  
Muriel Quintana
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Social Activity ◽  
Current Evidence ◽  
Omega 3 ◽  
Neuroprotective Effects ◽  
Activity Engagement ◽  
Age Related ◽  
Age Related Cognitive Decline

The population of older adults is rapidly increasing, as is the number and type of products and interventions proposed to prevent or reduce the risk of age-related cognitive decline. Advocacy and prevention are part of the American Speech-Language-Hearing Association’s (ASHA’s) scope of practice documents, and speech-language pathologists must have basic awareness of the evidence contributing to healthy cognitive aging. In this article, we provide a brief overview outlining the evidence on activity engagement and its effects on cognition in older adults. We explore the current evidence around the activities of eating and drinking with a discussion on the potential benefits of omega-3 fatty acids, polyphenols, alcohol, and coffee. We investigate the evidence on the hypothesized neuroprotective effects of social activity, the evidence on computerized cognitive training, and the emerging behavioral and neuroimaging evidence on physical activity. We conclude that actively aging using a combination of several strategies may be our best line of defense against cognitive decline.

The Brief Odor Detection Test (B-ODT) for Very Early Diagnosis of Cognitive Decline: A Preliminary Study

2017 ◽  
Vol 18 (2) ◽  
pp. 197-210
Author(s):  
Dimitra Savvoulidou ◽  
Efthymia Totikidou ◽  
Chariklia Varvesiotou ◽  
Magda Iakovidou ◽  
Ourania Sfakianaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Adult Population ◽  
Detection Threshold ◽  
Community Dwelling ◽  
Odor Detection ◽  
Olfactory Impairment ◽  
Older Adult Population ◽  
Community Dwelling Older Adults

Olfactory impairment in older adults is associated with cognitive decline. This study describes the development of a Brief Odor Detection Test (B-ODT), and its pilot administration in community-dwelling older adults. The study aimed at examining whether the test could differentiate older adults with very mild cognitive impairment from their cognitively healthy counterparts. The sample consisted of 34 older adults (22 women), aged from 65 to 87 years. Participants were divided into two groups according to their general cognitive functioning. Odor detection was measured via vanillin solutions at the following concentrations: 150 mg/L, 30 mg/L, 15 mg/L, 3 mg/L, and .03 mg/L. The first condition of the test involved a scale administration of vanillin solutions. The second condition examined the change in air odour and it required vanillin solution of 30 mg/L and a metric ruler of 30 cm. The examiner had to place the solution at a specific distance point from each nostril. Odour identification sensitivity was secondarily measured. The results showed statistically significant differences in odour detection threshold between the two groups. In the unirhinal testing, left nostril differences of the two groups were definite. Hence, the B-ODT seems a promising instrument for very early cognitive impairment screening in older adult population.

Age Similarities in Complex Memory Search: An Extension of Dual Process Theory

1994 ◽  
Vol 38 (2) ◽  
pp. 165-169
Author(s):  
Brian P. Cooper ◽  
Arthur D. Fisk
Keyword(s):  
Cognitive Aging ◽  
Adult Population ◽  
Memory Search ◽  
Semantic Category ◽  
Dual Process ◽  
Old Adults ◽  
Controlled Processing ◽  
Age Related ◽  
Search Training ◽  
Older Adult Population

Understanding age-related similarities and differences in development of cognitive skill is important as it can inform theories of cognitive aging as well as serve the pragmatic value of informing those individuals who are developing age-related interventions for numerous activities of daily living. We investigated both the performance and learning of skilled memory search, a task that has shown age-related similarity in performance if sufficient consistent practice is provided, to determine if training guidelines for this class of processing activities is applicable to both young and old adults. Old and young adults received memory search training, and then the participants were transferred to untrained exemplars of the trained memory set categories. The results suggest that both young and old adults are, at least to some extent, learning at the semantic-category level. This study provides additional evidence that training guidelines derived from an automatic and controlled processing framework can be applied to an older adult population in tasks which have memory search components.

scholarly journals PARASYMPATHETIC INFLUENCE ON COGNITIVE AGING IS MODERATED BY SYMPATHETIC ACTIVITY, ESPECIALLY IN EARLY MIDLIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S94-S94 ◽  
Author(s):  
Erik L Knight ◽  
Ryan Giuliano ◽  
Sean Shank ◽  
Megan Clarke ◽  
David M Almeida
Keyword(s):  
Nervous System ◽  
Cognitive Decline ◽  
Cognitive Aging ◽  
Parasympathetic Nervous System ◽  
Cognitive Change ◽  
Interactive Effects ◽  
Cognitive Test ◽  
Cognitive Changes ◽  
Beneficial Effects ◽  
Age Related

Abstract The two branches of the autonomic nervous system (ANS) have been individually linked to age-related changes in cognitive functioning: The parasympathetic nervous system (PNS) is thought to support healthy cognitive aging, whereas the sympathetic nervous system (SNS) has been linked to heightened cognitive decline. Despite these separate findings and despite the integrative nature of the ANS, little work has examined the two branches simultaneously to better understand their interactive effects on age-related cognitive changes. We examined cognitive change in two waves of the MIDUS cognitive project and indexed PNS and SNS activity from heart rate variability and epinephrine levels (respectively) from the MIDUS biomarker project (n = 764, 56% female, mean age = 54.1 years). Our findings indicate that higher PNS levels attenuate cognitive decline, but only among individuals with low SNS levels; at higher SNS levels, the beneficial effects of the PNS are blocked. Further, lower PNS levels can be somewhat compensated for by increased SNS levels. This pattern was most robust among individuals transitioning to mid-life (i.e., 35-40 years old at the initial cognitive test). These results suggest that interventions targeting the ANS as a modifiable factor in cognitive aging should consider both ANS branch’s effects simultaneously, particularly in the early stages of midlife.

scholarly journals Explicit and implicit timing in healthy and pathological aging: Disentangling the role of age and cognitive functioning in temporal processing

2021 ◽  
Author(s):  
Mariagrazia Capizzi ◽  
Antonino Visalli ◽  
Alessio Faralli ◽  
Giovanna Mioni
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Cognitive Functioning ◽  
Temporal Processing ◽  
Cognitive Aging ◽  
Explicit Timing ◽  
Pathological Aging ◽  
Implicit Timing ◽  
Age Related ◽  
Age Related Changes

This study aimed to test two common explanations for the general finding of age-related changes in temporal processing. The first one is that older adults have a real difficulty in processing temporal information as compared to younger adults. The second one is that older adults perform poorly on timing tasks because of their reduced cognitive functioning. These explanations have been mostly contrasted in explicit timing tasks, where participants are overtly informed about the temporal nature of the task. Fewer studies have instead focused on age-related differences in implicit timing tasks, where no explicit instructions to process time are provided. Moreover, the comparison of both explicit and implicit timing in older adults has been restricted to healthy aging only. Here, a large sample (N= 85) of healthy and pathological older participants completed explicit (time bisection) and implicit (foreperiod) timing tasks. Participants’ age and general cognitive functioning, measured with the Mini-Mental State Examination (MMSE), were used as continuous variables to explain performance on explicit and implicit timing tasks. Results showed a clear dissociation between the effects of healthy cognitive aging and pathological cognitive decline on processing of explicit and implicit timing. Whereas age and cognitive decline similarly impaired the non-temporal cognitive processes (e.g., memory for and/or attention to durations) involved in explicit temporal judgements, processing of implicit timing survived normal age-related changes. These findings carry important theoretical and practical implications by providing the first experimental evidence that processing of implicit, but not explicit, timing is differentially affected in healthy and pathological aging.

scholarly journals Cognitive aging and verbal labeling in continuous visual memory

2020 ◽  
Vol 48 (7) ◽  
pp. 1196-1213
Author(s):  
Alicia Forsberg ◽  
Wendy Johnson ◽  
Robert H. Logie
Keyword(s):  
Older Adults ◽  
Cognitive Aging ◽  
Visual Memory ◽  
Memory Performance ◽  
Age Groups ◽  
Long Term Memory ◽  
Younger Adults ◽  
Healthy Older Adults ◽  
Age Related

Abstract The decline of working memory (WM) is a common feature of general cognitive decline, and visual and verbal WM capacity appear to decline at different rates with age. Visual material may be remembered via verbal codes or visual traces, or both. Souza and Skóra, Cognition, 166, 277–297 (2017) found that labeling boosted memory in younger adults by activating categorical visual long-term memory (LTM) knowledge. Here, we replicated this and tested whether it held in healthy older adults. We compared performance in silence, under instructed overt labeling (participants were asked to say color names out loud), and articulatory suppression (repeating irrelevant syllables to prevent labeling) in the delayed estimation paradigm. Overt labeling improved memory performance in both age groups. However, comparing the effect of overt labeling and suppression on the number of coarse, categorical representations in the two age groups suggested that older adults used verbal labels subvocally more than younger adults, when performing the task in silence. Older adults also appeared to benefit from labels differently than younger adults. In younger adults labeling appeared to improve visual, continuous memory, suggesting that labels activated visual LTM representations. However, for older adults, labels did not appear to enhance visual, continuous representations, but instead boosted memory via additional verbal (categorical) memory traces. These results challenged the assumption that visual memory paradigms measure the same cognitive ability in younger and older adults, and highlighted the importance of controlling differences in age-related strategic preferences in visual memory tasks.

Abstract MP88: Fetuin-A, a Vascular Biomarker of Cognitive Decline in Older Adults

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Gail A Laughlin ◽  
Linda K McEvoy ◽  
Elizabeth Barrett-Connor ◽  
Lori B Daniels ◽  
Joachim H Ix
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Vascular Disease ◽  
Sex Education ◽  
Cognitive Aging ◽  
Community Dwelling ◽  
Fetuin A ◽  
High Functioning ◽  
Age Related

Objectives: The contribution of vascular disease to neurocognitive decline is now widely recognized. Fetuin-A is an abundant plasma protein known to predict vascular disease. Prior studies have shown that fetuin-A levels are lower in patients with Alzheimer’s disease in direct proportion to the severity of cognitive impairment; however, their association with normal cognitive aging is unknown. We evaluated the association of serum fetuin-A levels with cognitive function in relatively high-functioning, community-dwelling older adults from the Rancho Bernardo Study. Methods: This is a population-based study of 1382 older adults (median age 75) who had plasma fetuin-A levels and cognitive function evaluated in 1992-96; 855 had repeat cognitive function assessment a median of 4 years later. Results: Adjusting for age, sex, education, and depression, higher levels of fetuin-A were associated with better baseline performance on the Mini-Mental Status Exam (MMSE) (P=0.012) and a tendency for better Trails Making B scores (P=0.066). In longitudinal analyses, the likelihood of a major decline (highest decile of change) in Trails B was 29% lower (P=0.010) for each SD higher baseline fetuin-A level; odds of major decline in MMSE was 42% lower (P=0.005) per SD higher fetuin-A for individuals with no known CVD, but were not related to fetuin-A in those with CVD (P=0.33). Fetuin-A was not related to Category Fluency performance. Results did not vary by sex and were not explained by numerous vascular risk factors and comorbidities. Conclusions: Higher plasma fetuin-A concentrations are associated with better performance on tests of global cognitive function and executive function and with reduced likelihood of major decline in these cognitive abilities over a 4-year period. These observations are consistent with the hypothesis that higher fetuin-A protects against cognitive decline in relatively high functioning older adults, although this may be less apparent in those with established vascular disease. Fetuin-A may serve as a biological link between vascular disease and normal age-related cognitive decline.

Taking Diversity into Account

2016 ◽  
pp. 290-299
Author(s):  
Meirong Kuang ◽  
Felix-Nicolai Müller ◽  
Yang Fang ◽  
Helene H. Fung ◽  
Frieder R. Lang
Keyword(s):  
Older Adults ◽  
Life Span ◽  
Older Adult ◽  
Psychological Assessment ◽  
Adult Population ◽  
Assessment Instruments ◽  
Everyday Functioning ◽  
Age Related ◽  
Older Adult Population ◽  
Theoretical Considerations

Psychological assessment of the older adult population must take into account the methodological issues arising from age-related diversity. This chapter begins with an overview of theoretical considerations when assessing older adults: the need to conceptualize development as a process of selective optimization and compensation over the entire life span, and the importance of containing the influences of stereotypic images of the aging process. It discusses three central issues surrounding psychological assessment of the older adult population. First, many assessment instruments currently used for older adults were originally designed and normed for younger adults. Second, statistical norms may not reflect functional norms: older adults’ performance on standardized tests may underestimate their level of everyday functioning. Third, life-span-related contextual factors can be potential conflating elements that challenge the validity of assessment instruments among older adults, whose performance may be affected by differences in goals and motivations, memory processes and strategies, and expectations.

Can fluid and general intelligence be differentiated in an older adult population?

2006 ◽  
Vol 29 (2) ◽  
pp. 143-145 ◽  
Author(s):  
Nancy A. Zook ◽  
Deana B. Davalos
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Frontal Lobe ◽  
Older Adult ◽  
Cognitive Functions ◽  
Fluid Intelligence ◽  
Adult Population ◽  
General Intelligence ◽  
Older Adult Population ◽  
Pattern Of Performance

The question of whether fluid intelligence can be differentiated from general intelligence in older adults is addressed. Data indicate that the developmental pattern of performance on fluid tasks differs from the pattern of general intelligence. These results suggest that it is important to identify changes in fluid cognitive functions associated with frontal lobe decline, as they may be early indicators of cognitive decline.

Sign in / Sign up

Export Citation Format

Share Document