Cognitive Test Performance in Relation to Health and Function in 12 European Countries: The SHARE Study

Authors

  • Roxanne Sterniczuk Dalhousie University
  • Olga Theou Dalhousie University
  • Benjamin Rusak Dalhousie University
  • Kenneth Rockwood QEII Health Sciences Centre, Dalhousie University

DOI:

https://doi.org/10.5770/cgj.18.154

Keywords:

Alzheimer’s disease, dementia, cognitive impairment, risk factors, longitudinal studies

Abstract

Background

Even subtle impairments on cognitive test scores can be associated with future cognitive decline and dementia. We assayed the relationships between test score impairment and adverse outcomes.

Methods

Secondary analyses were performed on data from non-institutionalized participants, 50+ years of age (N = 30,038),from 12 countries taking part in the Survey of Health, Ageing and Retirement in Europe (SHARE) longitudinal study onaging. At baseline, participants’ cognition was tested using verbal fluency, immediate recall, and delayed recall tasks.

Results

Greater levels of cognitive impairment at baseline were strongly associated with future poor health outcomes and functional impairment. Controlling for age, sex and education,those with 1 (OR = 1.58, 95% CI = 1.34–1.87) or ≥ 2(OR = 2.59, 95% CI = 2.17–3.09) impaired tests at baseline were more likely to die after an average of 40 months compared to individuals with no impairments. After selecting for participants who reported the absence of dementia initially,those with ≥ 2 cognitive impairments at baseline (OR = 3.34,95% CI = 2.27–4.92) were more likely to report dementia at follow-up compared to those with no impairment.

Conclusions

People with impaired cognitive test scores at baseline are at greater risk to die or develop dementia within four years than their less impaired or unimpaired counterparts.

 

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Published

2015-07-07

How to Cite

1.
Sterniczuk R, Theou O, Rusak B, Rockwood K. Cognitive Test Performance in Relation to Health and Function in 12 European Countries: The SHARE Study. Can Geriatr J [Internet]. 2015 Jul. 7 [cited 2021 Dec. 8];18(3):144-51. Available from: https://cgjonline.ca/index.php/cgj/article/view/154

Issue

Section

Original Research