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Home > Performance on Specific Cognitive Domains and Cause of Death: A Prospective Population-Based Study in Non-Demented Older Adults (NEDICES).

TitlePerformance on Specific Cognitive Domains and Cause of Death: A Prospective Population-Based Study in Non-Demented Older Adults (NEDICES).
Publication TypeJournal Article
Year of Publication2016
AuthorsBenito-León, J, Contador, I, Mitchell, AJ, Domingo-Santos, Á, Bermejo-Pareja, F
JournalJ Alzheimers Dis
Volume51
Issue2
Pagination533-44
Date Published2016
ISSN1875-8908
KeywordsAged, Cause of Death, Cerebrovascular Disorders, Cognitive Aging, Dementia, Educational Status, Female, Follow-Up Studies, Humans, Intelligence, Longitudinal Studies, Male, Neuropsychological Tests, Prospective Studies, Risk, Spain
Abstract

Evidence regarding the relationship between performance on specific cognitive domains and cause of death is scarce. We assessed whether specific cognitive domains predicted mortality and the presence of any association with specific causes of death in a population-dwelling sample of non-demented older adults. In this population-based, prospective study (NEDICES), 2,390 non-demented subjects ≥65 years completed a brief neuropsychological battery. Cox's proportional hazards models, adjusted by sociodemographic and comorbidity factors, global cognitive performance, educational level, and premorbid intelligence were used to assess the risk of death. Participants were followed for a median of 9.2 years (range 0.01-10.7), after which the death certificates of those who died were examined. 880 (36.8%) of 2,390 participants died over a median follow-up of 5.5 years (range 0.01-10.5). Using adjusted Cox regression models, we found that hazard ratios for mortality in participants within the lowest tertiles (worse performance) were 1.31 (speed of cognitive processing, p = 0.03); 1.22 (semantic fluency, p = 0.04), 1.32 (delayed free recall, p = 0.003), and 1.23 (delayed logical memory, p = 0.03). Poor performance on delayed recall and speed of cognitive processing tests were associated with dementia and cerebrovascular disease mortality, respectively. Further, poor performance on semantic fluency was associated with decreased cancer mortality. In this study of community dwelling non-demented older adults, worse neuropsychological performance was associated with increased risk of mortality. Performance on specific cognitive domains were related to different causes of death. Of particular note there appears to be an inverse association between poor semantic fluency and cancer mortality.

DOI10.3233/JAD-150875
Alternate JournalJ. Alzheimers Dis.
PubMed ID26890757
Grant ListR01 NS39422 / NS / NINDS NIH HHS / United States
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Source URL: https://www.j-alz.com/content/performance-specific-cognitive-domains-and-cause-death-prospective-population-based-study