Does the association between cognition and education differ between older adults with gradual or rapid trajectories of cognitive decline?

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Title: Does the association between cognition and education differ between older adults with gradual or rapid trajectories of cognitive decline?
Authors: Williams, Benjamin David (AUTHOR), Pendleton, Neil (AUTHOR), Chandola, Tarani (AUTHOR)
Source: Aging, Neuropsychology & Cognition. Jul2022, Vol. 29 Issue 4, p666-686. 21p.
Subjects: Older people, Educational attainment, Cognition disorders, Cognitive ability, Adults
Abstract: Education is associated with improved baseline cognitive performance in older adults, but the association with maintenance of cognitive function is less clear. Education may be associated with different types of active cognitive reserve in those following different cognitive trajectories. We used data on n = 5642 adults aged >60 from the English Longitudinal Study of Aging (ELSA) over 5 waves (8 years). We used growth mixture models to test if the association between educational attainment and rate of change in verbal fluency or immediate recall varied by latent class trajectory. For recall, 91.5% (n = 5164) of participants were in a gradual decline class and 8.5% (n = 478) in a rapid decline class. For fluency, 90.0% (n = 4907) were in a gradual decline class and 10.0% (n = 561) were in a rapid decline class. Educational attainment was associated with improved baseline performance for both verbal fluency and recall. In the rapidly declining classes, educational attainment was not associated with rate of change for either outcome. In the verbal fluency gradual decline class, education was associated with higher (an additional 0.05–0.38 words per 2 years) or degree level education (an additional 0.04–0.42 words per 2 years) when compared to those with no formal qualifications. We identified no evidence of a protective effect of education against rapid cognitive decline. There was some evidence of active cognitive reserve for verbal fluency but not recall, which may reflect a small degree of domain-specific protection against age-related cognitive decline. [ABSTRACT FROM AUTHOR]
Copyright of Aging, Neuropsychology & Cognition is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Does the association between cognition and education differ between older adults with gradual or rapid trajectories of cognitive decline?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Williams%2C+Benjamin+David%22">Williams, Benjamin David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pendleton%2C+Neil%22">Pendleton, Neil</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chandola%2C+Tarani%22">Chandola, Tarani</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Aging%2C+Neuropsychology+%26+Cognition%22">Aging, Neuropsychology & Cognition</searchLink>. Jul2022, Vol. 29 Issue 4, p666-686. 21p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Older+people%22">Older people</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Education is associated with improved baseline cognitive performance in older adults, but the association with maintenance of cognitive function is less clear. Education may be associated with different types of active cognitive reserve in those following different cognitive trajectories. We used data on n = 5642 adults aged >60 from the English Longitudinal Study of Aging (ELSA) over 5 waves (8 years). We used growth mixture models to test if the association between educational attainment and rate of change in verbal fluency or immediate recall varied by latent class trajectory. For recall, 91.5% (n = 5164) of participants were in a gradual decline class and 8.5% (n = 478) in a rapid decline class. For fluency, 90.0% (n = 4907) were in a gradual decline class and 10.0% (n = 561) were in a rapid decline class. Educational attainment was associated with improved baseline performance for both verbal fluency and recall. In the rapidly declining classes, educational attainment was not associated with rate of change for either outcome. In the verbal fluency gradual decline class, education was associated with higher (an additional 0.05–0.38 words per 2 years) or degree level education (an additional 0.04–0.42 words per 2 years) when compared to those with no formal qualifications. We identified no evidence of a protective effect of education against rapid cognitive decline. There was some evidence of active cognitive reserve for verbal fluency but not recall, which may reflect a small degree of domain-specific protection against age-related cognitive decline. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Aging, Neuropsychology & Cognition is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13825585.2021.1889958
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      – Code: eng
        Text: English
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        PageCount: 21
        StartPage: 666
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      – SubjectFull: Older people
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Cognition disorders
        Type: general
      – SubjectFull: Cognitive ability
        Type: general
      – SubjectFull: Adults
        Type: general
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      – TitleFull: Does the association between cognition and education differ between older adults with gradual or rapid trajectories of cognitive decline?
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            NameFull: Williams, Benjamin David
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            NameFull: Pendleton, Neil
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            NameFull: Chandola, Tarani
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            – D: 01
              M: 07
              Text: Jul2022
              Type: published
              Y: 2022
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            – TitleFull: Aging, Neuropsychology & Cognition
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