Title | Self-Reported Change in Quality of Life with Retirement and Later Cognitive Decline: Prospective Data from the Nurses' Health Study. |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Vercambre, M-N, Okereke, OI, Kawachi, I, Grodstein, F, Kang, JH |
Journal | J Alzheimers Dis |
Volume | 52 |
Issue | 3 |
Pagination | 887-98 |
Date Published | 2016 |
ISSN | 1875-8908 |
Abstract | To investigate whether a positive transition into retirement may be associated with later cognitive aging, we included a subset of 4,926 Nurses' Health Study participants who retired from work at ages 60-69, then provided a subjective assessment of the change in overall quality of life (QOL) with retirement. Subsequently (range: 1 month to 4.7 years later), when all were aged 70+ years, they completed a baseline telephone cognitive battery evaluating global cognition, episodic memory, and executive function. They had up to three follow-up cognitive assessments. Controlling for various occupational factors before retirement and socioeconomic, lifestyle, and health-related factors as of the baseline cognitive assessment, we used generalized linear models for repeated measures to estimate mean differences in rates of cognitive decline across categories of QOL transition at retirement: "worse", "same", or "better". Over a median 6 years of follow-up, the global cognitive score change was -0.123 on average. Compared with women who reported no change in QOL at retirement (31%), women who reported improvement (61%) showed a significantly slower rate of cognitive decline (difference = +0.011 95% CI = 0.004, 0.019). This mean difference was equivalent to that observed between women who were 2 years apart in age. No significant differences in cognitive decline rates were observed for the women who reported worsened QOL (8%). Secondary analyses to address possible reverse causation showed robust associations. A positive transition into retirement was associated with better maintenance of cognitive function over time in aging women. These findings need to be replicated in other populations. |
DOI | 10.3233/JAD-150867 |
Alternate Journal | J. Alzheimers Dis. |
PubMed ID | 27060944 |
PubMed Central ID | PMC4949951 |
Grant List | P01 CA087969 / CA / NCI NIH HHS / United States UM1 CA186107 / CA / NCI NIH HHS / United States R29 AG013482 / AG / NIA NIH HHS / United States R01 AG015424 / AG / NIA NIH HHS / United States R01 AG036755 / AG / NIA NIH HHS / United States |