학술논문

Paradoxical cognitive trajectories in men from earlier to later adulthood
Document Type
article
Source
Subject
Biological Psychology
Psychology
Applied and Developmental Psychology
Clinical Research
Behavioral and Social Science
Alzheimer's Disease
Dementia
Aging
Acquired Cognitive Impairment
Basic Behavioral and Social Science
Neurodegenerative
Brain Disorders
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Mental Health
Neurosciences
Health Disparities
2.1 Biological and endogenous factors
Adult
Aged
Apolipoproteins E
Brain
Cognition
Executive Function
Humans
Longitudinal Studies
Male
Memory
Memory
Short-Term
Middle Aged
Neuropsychological Tests
Twin Studies as Topic
Twins
Young Adult
General cognitive ability
Cognitive aging
Longitudinal studies
Neuropsychology
Clinical Sciences
Neurology & Neurosurgery
Biological psychology
Language
Abstract
Because longitudinal studies of aging typically lack cognitive data from earlier ages, it is unclear how general cognitive ability (GCA) changes throughout the life course. In 1173 Vietnam Era Twin Study of Aging (VETSA) participants, we assessed young adult GCA at average age 20 and current GCA at 3 VETSA assessments beginning at average age 56. The same GCA index was used throughout. Higher young adult GCA and better GCA maintenance were associated with stronger specific cognitive abilities from age 51 to 73. Given equivalent GCA at age 56, individuals who had higher age 20 GCA outperformed those whose GCA remained stable in terms of memory, executive function, and working memory abilities from age 51 to 73. Thus, paradoxically, despite poorer maintenance of GCA, high young adult GCA still conferred benefits. Advanced predicted brain age and the combination of elevated vascular burden and APOE-ε4 status were associated with poorer maintenance of GCA. These findings highlight the importance of distinguishing between peak and current GCA for greater understanding of cognitive aging.