High performance older adults in a population-based sample with low education: Pietà study
Background Healthy brain aging can be defined as aging without neurological or psychiatric disorders, sustaining functional independence. In addition to the absence of disease and preserved functionality, there are individuals who stand out for their superior performance to that considered normal fo...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2023-02-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759760 |
| _version_ | 1797833197473497088 |
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| author | Karoline Carvalho Carmona Elisa de Paula França Resende Henrique Cerqueira Guimarães Thais Helena Machado Viviane Amaral-Carvalho Etelvina Lucas dos Santos Maira Tonidandel Barbosa Paulo Caramelli |
| author_facet | Karoline Carvalho Carmona Elisa de Paula França Resende Henrique Cerqueira Guimarães Thais Helena Machado Viviane Amaral-Carvalho Etelvina Lucas dos Santos Maira Tonidandel Barbosa Paulo Caramelli |
| author_sort | Karoline Carvalho Carmona |
| collection | DOAJ |
| description | Background Healthy brain aging can be defined as aging without neurological or psychiatric disorders, sustaining functional independence. In addition to the absence of disease and preserved functionality, there are individuals who stand out for their superior performance to that considered normal for their age in cognitive tests. These individuals are called “high-performance older adults” (HPOA).
Objectives To investigate the presence of HPOA in an oldest-old population with low education, and if present, to investigate associations with sociodemographic, clinical, and lifestyle variables.
Methods We evaluated 132 cognitively healthy individuals from the Pietà Study, a population-based investigation with 639 participants. We used the delayed recall from the Rey Auditory-Verbal Learning Test to verify the existence of HPOA and to classify participants based on their performance. Sociodemographic, clinical, and lifestyle variables associated with HPOA were investigated.
Results We identified 18 individuals fulfilling HPOA criteria (age: 77.4 ± 2.6 years old; 14 women; education: 4.6 ± 3.4 years). The other participants, 114 total (age: 79.8 ± 4.5 years old; 69 women; education: 3.0 ± 2.7 years) were classified as “standard performance older adults” (SPOA). In multivariate analysis, younger age (odds ratio [OR] = 0.672; 95% confidence interval [CI]: 0.462–0.979; p = 0.037) and lower scores on the Geriatric Depression Scale (OR = 0.831; 95%CI: 0.688–0.989; p = 0.038) were associated with HPOA.
Conclusions The present study identifies for the first time HPOA with low educational level, thereby reinforcing the existence of biological substrates related to this condition. Furthermore, the data suggest an association between younger age and less depressive symptoms with HPOA. |
| first_indexed | 2024-04-09T14:20:40Z |
| format | Article |
| id | doaj.art-722b4ef53d414cc896e7eb0ed76b06e3 |
| institution | Directory Open Access Journal |
| issn | 0004-282X 1678-4227 |
| language | English |
| last_indexed | 2024-04-09T14:20:40Z |
| publishDate | 2023-02-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-722b4ef53d414cc896e7eb0ed76b06e32023-05-05T00:41:07ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272023-02-01810211211810.1055/s-0042-1759760High performance older adults in a population-based sample with low education: Pietà studyKaroline Carvalho Carmona0Elisa de Paula França Resende1Henrique Cerqueira Guimarães2Thais Helena Machado3Viviane Amaral-Carvalho4Etelvina Lucas dos Santos5Maira Tonidandel Barbosa6Paulo Caramelli7Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Universidade Federal de Minas Gerais, Departamento de Clínica Médica, Faculdade de Medicina, Grupo de Pesquisa em Neurologia Comportamental e Cognitiva, Belo Horizonte MG, Brazil.Background Healthy brain aging can be defined as aging without neurological or psychiatric disorders, sustaining functional independence. In addition to the absence of disease and preserved functionality, there are individuals who stand out for their superior performance to that considered normal for their age in cognitive tests. These individuals are called “high-performance older adults” (HPOA). Objectives To investigate the presence of HPOA in an oldest-old population with low education, and if present, to investigate associations with sociodemographic, clinical, and lifestyle variables. Methods We evaluated 132 cognitively healthy individuals from the Pietà Study, a population-based investigation with 639 participants. We used the delayed recall from the Rey Auditory-Verbal Learning Test to verify the existence of HPOA and to classify participants based on their performance. Sociodemographic, clinical, and lifestyle variables associated with HPOA were investigated. Results We identified 18 individuals fulfilling HPOA criteria (age: 77.4 ± 2.6 years old; 14 women; education: 4.6 ± 3.4 years). The other participants, 114 total (age: 79.8 ± 4.5 years old; 69 women; education: 3.0 ± 2.7 years) were classified as “standard performance older adults” (SPOA). In multivariate analysis, younger age (odds ratio [OR] = 0.672; 95% confidence interval [CI]: 0.462–0.979; p = 0.037) and lower scores on the Geriatric Depression Scale (OR = 0.831; 95%CI: 0.688–0.989; p = 0.038) were associated with HPOA. Conclusions The present study identifies for the first time HPOA with low educational level, thereby reinforcing the existence of biological substrates related to this condition. Furthermore, the data suggest an association between younger age and less depressive symptoms with HPOA.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759760agingmemoryhealthy agingdepressionagededucational status |
| spellingShingle | Karoline Carvalho Carmona Elisa de Paula França Resende Henrique Cerqueira Guimarães Thais Helena Machado Viviane Amaral-Carvalho Etelvina Lucas dos Santos Maira Tonidandel Barbosa Paulo Caramelli High performance older adults in a population-based sample with low education: Pietà study Arquivos de Neuro-Psiquiatria aging memory healthy aging depression aged educational status |
| title | High performance older adults in a population-based sample with low education: Pietà study |
| title_full | High performance older adults in a population-based sample with low education: Pietà study |
| title_fullStr | High performance older adults in a population-based sample with low education: Pietà study |
| title_full_unstemmed | High performance older adults in a population-based sample with low education: Pietà study |
| title_short | High performance older adults in a population-based sample with low education: Pietà study |
| title_sort | high performance older adults in a population based sample with low education pieta study |
| topic | aging memory healthy aging depression aged educational status |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759760 |
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