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Late-Life Social Activity and Cognitive Decline in Old Age

  • Bryan D. James (a1) (a2), Robert S. Wilson (a1) (a3) (a4), Lisa L. Barnes (a1) (a3) (a4) and David A. Bennett (a1) (a3)
Abstract
Abstract

We examined the association of social activity with cognitive decline in 1138 persons without dementia at baseline with a mean age of 79.6 (SD = 7.5) who were followed for up to 12 years (mean = 5.2; SD = 2.8). Using mixed models adjusted for age, sex, education, race, social network size, depression, chronic conditions, disability, neuroticism, extraversion, cognitive activity, and physical activity, more social activity was associated with less cognitive decline during average follow-up of 5.2 years (SD = 2.7). A one point increase in social activity score (range = 1–4.2; mean = 2.6; SD = 0.6) was associated with a 47% decrease in the rate of decline in global cognitive function (p < .001). The rate of global cognitive decline was reduced by an average of 70% in persons who were frequently socially active (score = 3.33, 90th percentile) compared to persons who were infrequently socially active (score = 1.83, 10th percentile). This association was similar across five domains of cognitive function. Sensitivity analyses revealed that individuals with the lowest levels of cognition or with mild cognitive impairment at baseline did not drive this relationship. These results confirm that more socially active older adults experience less cognitive decline in old age. (JINS, 2011, 17, 998–1005)

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Corresponding author
Correspondence and reprint requests to: Bryan D. James, Rush Alzheimer’ Disease Center, Room 1038, 600 South Paulina Street, Chicago, IL 60612. E-mail: bryan_james@rush.edu
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For special anniversary issue of the Journal of the International Neuropsychological Society, “The impact of Activity on Cognitive Health Across the Life Span”.

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M.J. Aartsen , C.H. Smits , T. van Tilburg , K.C. Knipscheer , D.J. Deeg (2002). Activity in older adults: Cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(2), P153P162.

L. Backman , S. Jones , A.K. Berger , E.J. Laukka , B.J. Small (2005). Cognitive impairment in preclinical Alzheimer's disease: A meta-analysis. Neuropsychology, 19(4), 520531.

L.L. Barnes , C.F. Mendes de Leon , R.S. Wilson , J.L. Bienias , D.A. Evans (2004). Social resources and cognitive decline in a population of older African Americans and whites. Neurology, 63(12), 23222326.

S.S. Bassuk , T.A. Glass , L.F. Berkman (1999). Social disengagement and incident cognitive decline in community-dwelling elderly persons. Annals of Internal Medicine, 131(3), 165173.

D.A. Bennett , J.A. Schneider , A.S. Buchman , C. Mendes de Leon , J.L. Bienias , R.S. Wilson (2005). The Rush Memory and Aging Project: Study design and baseline characteristics of the study cohort. Neuroepidemiology, 25(4), 163175.

D.A. Bennett , J.A. Schneider , Y. Tang , S.E. Arnold , R.S. Wilson (2006). The effect of social networks on the relation between Alzheimer's disease pathology and level of cognitive function in old people: A longitudinal cohort study. Lancet Neurology, 5(5), 406412.

L.F. Berkman (2000). Which influences cognitive function: Living alone or being alone? Lancet, 355(9212), 12911292.

A.S. Buchman , P.A. Boyle , R.S. Wilson , D.A. Fleischman , S. Leurgans , D.A. Bennett (2009). Association between late-life social activity and motor decline in older adults. Archives of Internal Medicine, 169(12), 11391146.

M.C. Carlson , J.S. Saczynski , G.W. Rebok , T. Seeman , T.A. Glass , S. McGill , … L.P. Fried (2008). Exploring the effects of an “everyday” activity program on executive function and memory in older adults: Experience Corps(R). Gerontologist, 48(6), 793801.

P. Costa , R. McCrae (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.

M.L. Daviglus , C.C. Bell , W. Berrettini , P.E. Bowen , E.S. Connolly , N.J. Cox Jr., … M. Trevisan (2010). National Institutes of Health State-of-the-Science Conference statement: Preventing alzheimer disease and cognitive decline. Annals of Internal Medicine, 153(3), 176181.

K.A. Ertel , M.M. Glymour , L.F. Berkman (2008). Effects of social integration on preserving memory function in a nationally representative US elderly population. American Journal of Public Health, 98(7), 12151220.

C. Fabrigoule , L. Letenneur , J.F. Dartigues , M. Zarrouk , D. Commenges , P. Barberger-Gateau (1995). Social and leisure activities and risk of dementia: A prospective longitudinal study. Journal of the American Geriatrics Society, 43(5), 485490.

M.F. Folstein , S.E. Folstein , P.R. McHugh (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189198.

L. Fratiglioni , S. Paillard-Borg , B. Winblad (2004). An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurology, 3(6), 343353.

L.P. Fried , M.C. Carlson , M. Freedman , K.D. Frick , T.A. Glass , J. Hill , … S. Zeger (2004). A social model for health promotion for an aging population: Initial evidence on the Experience Corps model. Journal of Urban Health, 81(1), 6478.

J.E. Gaugler , S. Duval , K.A. Anderson , R.L. Kane (2007). Predicting nursing home admission in the U.S: A meta-analysis. BMC Geriatrics, 7, 13.

D.F. Hultsch , C. Hertzog , B.J. Small , R.A. Dixon (1999). Use it or lose it: Engaged lifestyle as a buffer of cognitive decline in aging? Psychology and Aging, 14(2), 245263.

A. Karp , S. Paillard-Borg , H.X. Wang , M. Silverstein , B. Winblad , L. Fratiglioni (2005). Mental, physical and social components in leisure activities equally contribute to decrease dementia risk. Dementia and Geriatric Cognitive Disorders, 21(2), 6573.

S. Katz , C.A. Akpom (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6(3), 493508.

F.J. Kohout , L.F. Berkman , D.A. Evans , J. Cornoni-Huntley (1993). Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. Journal of Aging and Health, 5(2), 179193.

K.R. Krueger , R.S. Wilson , J.M. Kamenetsky , L.L. Barnes , J.L. Bienias , D.A. Bennett (2009). Social engagement and cognitive function in old age. Experimental Aging Research, 35(1), 4560.

M. Lovden , P. Ghisletta , U. Lindenberger (2005). Social participation attenuates decline in perceptual speed in old and very old age. Psychology and Aging, 20(3), 423434.

G. McKhann , D. Drachman , M. Folstein , R. Katzman , D. Price , E.M. Stadlan (1984). Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34(7), 939944.

B.L. Plassman , J.W. Williams , J.R. Burke Jr., T. Holsinger , S. Benjamin (2010). Systematic review: Factors associated with risk for and possible prevention of cognitive decline in later life. Annals of Internal Medicine, 153(3), 182193.

J.S. Saczynski , L.A. Pfeifer , K. Masaki , E.S. Korf , D. Laurin , L. White , L.J. Launer (2006). The effect of social engagement on incident dementia. American Journal of Epidemiology, 163, 433440.

N. Schupf , M.X. Tang , S.M. Albert , R. Costa , H. Andrews , J.H. Lee , R. Mayeux (2005). Decline in cognitive and functional skills increases mortality risk in nondemented elderly. Neurology, 65(8), 12181226.

F. Sofi , D. Valecchi , D. Bacci , R. Abbate , G.F. Gensini , A. Casini , C. Macchi (2011). Physical activity and risk of cognitive decline: A meta-analysis of prospective studies. Journal of Internal Medicine, 269, 107117.

M. Tabbarah , E.M. Crimmins , T.E. Seeman (2002). The relationship between cognitive and physical performance: MacArthur Studies of Successful Aging. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 57(4), M228M235.

R.S. Wilson , D.A. Bennett , J.L. Bienias , C.F. Mendes de Leon , M.C. Morris , D.A. Evans (2003). Cognitive activity and cognitive decline in a biracial community population. Neurology, 61(6), 812816.

R.S. Wilson , A.S. Buchman , S.E. Arnold , R.C. Shah , Y. Tang , D.A. Bennett (2006). Harm avoidance and disability in old age. Experimental Aging Research, 32(3), 243261.

R.S. Wilson , K.R. Krueger , S.E. Arnold , J.A. Schneider , J.F. Kelly , L.L. Barnes , … D.A. Bennett (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64(2), 234240.

R.S. Wilson , C.F. Mendes De Leon , L.L. Barnes , J.A. Schneider , J.L. Bienias , D.A. Evans , D.A. Bennett (2002). Participation in cognitively stimulating activities and risk of incident Alzheimer disease. Journal of the American Medical Association, 287(6), 742748.

M.V. Zunzunegui , B.E. Alvarado , T. Del Ser , A. Otero (2003). Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(2), S93S100.

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Journal of the International Neuropsychological Society
  • ISSN: 1355-6177
  • EISSN: 1469-7661
  • URL: /core/journals/journal-of-the-international-neuropsychological-society
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