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Adult Lifespan Cognitive Variability in the Cross-Sectional Cam-CAN Cohort.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Shafto, Meredith A 
Matthews, Fiona E 
Cam-Can 
White, Simon R 

Abstract

This study examines variability across the age span in cognitive performance in a cross-sectional, population-based, adult lifespan cohort from the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) study (n = 2680). A key question we highlight is whether using measures that are designed to detect age-related cognitive pathology may not be sensitive to, or reflective of, individual variability among younger adults. We present three issues that contribute to the debate for and against age-related increases in variability. Firstly, the need to formally define measures of central tendency and measures of variability. Secondly, in addition to the commonly addressed location-confounding (adjusting for covariates) there may exist changes in measures of variability due to confounder sub-groups. Finally, that increases in spread may be a result of floor or ceiling effects; where the measure is not sensitive enough at all ages. From the Cam-CAN study, a large population-based dataset, we demonstrate the existence of variability-confounding for the immediate episodic memory task; and show that increasing variance with age in our general cognitive measures is driven by a ceiling effect in younger age groups.

Description

Keywords

MMSE, adult lifespan, ceiling effects, cognitive variability, episodic memory, heterogeneity, variance confounders, verbal fluency, Adolescent, Adult, Aged, Aged, 80 and over, Cognition, Cognition Disorders, Cognitive Aging, Cohort Studies, Confounding Factors, Epidemiologic, Cross-Sectional Studies, Female, Humans, Male, Memory, Middle Aged, Psychological Tests, Young Adult

Journal Title

Int J Environ Res Public Health

Conference Name

Journal ISSN

1661-7827
1660-4601

Volume Title

12

Publisher

MDPI AG
Sponsorship
Biotechnology and Biological Sciences Research Council (BB/H008217/1)
Medical Research Council (G0601022)
Wellcome Trust (103838/Z/14/Z)
Medical Research Council (MC_U105597119)
Medical Research Council (G0601022/1)