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Neurology.
2004 Dec 28;63(12):2322-6.
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Social resources and cognitive decline in a population of older African Americans and whites.
Barnes LL
,
Mendes de Leon CF
,
Wilson RS
,
Bienias JL
,
Evans DA
.
Rush Alzheimer's Disease Center, Rush University Medical Center, Armour Academic Facility, 600 S. Paulina, Suite 1038, Chicago, IL 60612, USA. lbarnes1@rush.edu
OBJECTIVE: To examine the relation of social resources and cognitive decline in older adults. METHODS: Data are from the Chicago Health and Aging Project, an epidemiologic study of risk factors for Alzheimer disease (AD) and other common conditions in a geographically defined population of older persons. The sample consisted of 6,102 non-Hispanic African Americans (61.2%) and whites, aged > or = 65, who underwent up to three interviews during an average of 5.3 years of follow-up. Each interview included administration of four cognitive function tests from which a composite measure of cognition was formed. Social networks were based on the number of children, relatives, and friends seen at least once a month. Social engagement was measured with four items related to social and productive activity. RESULTS: Higher number of social networks and level of social engagement were positively correlated with initial level of cognitive function (networks estimate = 0.003, engagement estimate = 0.060, both p < 0.001). Both resources were also associated with a reduced rate of cognitive decline. A high (90th percentile) number of networks reduced the rate of decline by 39% compared to a low level (10th percentile), and high social engagement reduced decline by 91%. These relations remained after controlling for socioeconomic status, cognitive activity, physical activity, depressive symptoms, and chronic medical conditions. CONCLUSIONS: Greater social resources, as defined by social networks and social engagement, are associated with reduced cognitive decline in old age.
Publication Types:
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
PMID: 15623694 [PubMed - indexed for MEDLINE]
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