Rate of cognitive decline

  • White matter, the fatty material that insulates the long extending branches of the nerve cells and makes nerve signals move faster, appears to decrease faster than grey matter (the cell bodies of nerve cells), but doesn't begin to decline until the forties. Presumably this relates to the decline in processing speed that is the most evident characteristic of age-related decline.
  • Grey matter on the other hand, declines at a fairly constant rate from adolescence, mirroring a decline in processing ability that seems to start as early as the twenties.
  • Regions of the prefrontal cortex appear to be particularly sensitive to the effects of aging. These regions are associated with the so-called "executive" functions, such as decision-making, planning, and working memory.
  • Women seem to have a greater density of brain cells in this area, but also show a steeper rate of decline so that, in old age, the density is similar between the genders.
  • Education and a greater head size both help stave off age-related cognitive decline by providing a cognitive reserve.

News reports

February 2008

Memory loss becoming less common in older Americans

A new nationally representative study involving 11,000 people shows a downward trend in the rate of cognitive impairment among people aged 70 and older, from 12.2% to 8.7% between 1993 and 2002. It’s speculated that factors behind this decline may be that today’s older people are much likelier to have had more formal education, higher economic status, and better care for risk factors such as high blood pressure, high cholesterol and smoking that can jeopardize their brains. In fact the data suggest that about 40% of the decrease in cognitive impairment over the decade was likely due to the increase in education levels and personal wealth between the two groups of seniors studied at the two time points. The trend is consistent with a dramatic decline in chronic disability among older Americans over the past two decades.
The study was published online ahead of print in Alzheimer’s and Dementia. Full reference
http://www.eurekalert.org/pub_releases/2008-02/uomh-mla021808.php

January 2007

People at genetic risk for Alzheimer's age mentally just like noncarriers

A long-running study involving 6,560 people has found that carriers of the so-called ‘Alzheimer’s gene’— the APOE4 allele — does not contribute to cognitive change during most of adulthood. There was no difference in cognitive performance between carriers and non-carriers prior to the development of dementia symptoms.
The findings appeared in the January issue of Neuropsychology. Full reference
Full text available at http://www.apa.org/journals/releases/neu2111.pdf
http://www.eurekalert.org/pub_releases/2007-01/apa-pag010307.htm

December 2006

Longevity gene also helps retain cognitive function

The Longevity Genes Project has studied 158 people of Ashkenazi, or Eastern European Jewish, descent who were 95 years of age or older. Those who passed a common test of mental function were two to three times more likely to have a common variant of a gene associated with longevity (the CETP gene) than those who did not. When the researchers studied another 124 Ashkenazi Jews between 75 and 85 years of age, those subjects who passed the test of mental function were five times more likely to have this gene variant than their counterparts. The gene variant makes cholesterol particles in the blood larger than normal.
The findings were reported in the December 26 issue of Neurology. Full reference
http://tinyurl.com/yrf5s4
http://www.eurekalert.org/pub_releases/2006-12/aaon-lga121906.htm

April 2006

Risk of mild cognitive impairment increases with less education

A study of 3,957 people from the general population of Olmsted County, Minnesota is currently in train to find how many of those who did not have dementia might have mild cognitive impairment. A report on the findings so far suggests 9% of those aged 70 to 79 and nearly 18% of those 80 to 89 have MCI. Prevalence varied not only with age but also years of education: 25% in those with up to eight years of education, 14% in those with nine to 12 years, 9% in those with 13 to 16 years, and 8.5% in those with greater than 16 years.
Findings from this study were presented April 4 at the American Academy of Neurology meeting in San Diego.
http://www.eurekalert.org/pub_releases/2006-04/mc-mci033006.htm

July 2005

Human cerebellum and cortex age in very different ways

Analysis of gene expression in five different regions of the brain's cortex has found that brain changes with aging were pronounced and consistent across the cortex, but changes in gene expression in the cerebellum were smaller and less coordinated. Researchers were surprised both by the homogeneity of aging within the cortex and by the dramatic differences between cortex and cerebellum. They also found that chimpanzees' brains age very differently from human brains; the findings cast doubt on the effectiveness of using rodents to model various types of neurodegenerative disease.
The study was reported in the open-access journal PLoS Biology. Full reference
http://www.eurekalert.org/pub_releases/2005-08/hu-hca072805.htm

October 2003

Childhood environment important in staving off cognitive decline

Confirming earlier studies, a British study of 215 men and women aged between 66 and 75, has found that the larger a person's head, the less likely their cognitive abilities are to decline in later years. Those with the smallest heads had a fivefold increased risk of suffering cognitive decline compared with those with the largest heads. Encouragingly, however, this doesn’t mean you’re doomed at birth — the researchers found that it wasn’t head circumference at birth that was important, but head size in adulthood. During the first year of life, babies' brains double in size, and by the time they are six, their brain weight has tripled. These, it appears, are the crucial years for laying down brain cells and neural connections — pointing to the importance of providing both proper nourishment and intellectual stimulation in these early years.
The study appeared in the October issue of Brain. Full reference
http://observer.guardian.co.uk/uk_news/story/0,6903,1051264,00.html

August 2003

Failing recall not an inevitable consequence of aging

New research suggests age-related cognitive decay may not be inevitable. Tests of 36 adults with an average age of 75 years found that about one out of four had managed to avoid memory decline. Those adults who still had high frontal lobe function had memory skills “every bit as sharp as a group of college students in their early 20s." (But note that most of those older adults who participated were highly educated – some were retired academics). The study also found that this frontal lobe decline so common in older adults is associated with an increased susceptibility to false memories – hence the difficulty often experienced by older people in recalling whether they took a scheduled dose of medication.
The research was presented on August 8 at the American Psychological Association meeting in Toronto.
http://www.eurekalert.org/pub_releases/2003-08/wuis-fmf080703.htm

November 2001

Many of the cognitive deficits associated with advancing age are related to functions of the prefrontal cortex such as working memory, decision-making, planning and judgement. Postmortem examination of 20 brains ranging in age from 25 to 83 years, confirm that prefrontal regions may be particularly sensitive to the effects of aging. It also appears that white matter decreases at a faster rate than grey matter with age.
The findings were presented to the annual Society for Neuroscience meeting in San Diego, US. Reference

August 2001

Studies of more than 350 men and women between the ages of 20 and 90 have found that cognitive decline starts as early as the twenties, and this decline in cognitive processing power appears to be constant - that is, the rate of decline is the same when you are in your twenties as when you are in your sixties. However young adults don't notice this decline because the loss hasn't yet become great enough to affect everyday activities.
Denise Park, who directs the Center for Aging and Cognition at the University of Michigan Institute for Social Research (ISR) presented a paper on these studies on Aug. 24 in San Francisco at the annual meeting of the American Psychological Association.
http://www.umich.edu/~newsinfo/Releases/2001/Aug01/r081301a.html

May 2001

Brain scans of 70 men, ages 19 to 76 confirms that the brain's gray matter, the cell bodies of nerve cells, declines steadily from adolescence. But surprisingly, the white matter, the fatty material that insulates the long extending branches of the nerve cells and makes nerve signals move faster, in the frontal parts of the brain appears to grow at least until the late 40's, before beginning to decline. The growth of white matter may improve the brain's ability to process information.
The study, from the Department of Veterans Affairs, appears in the May issue of The Archives of General Psychiatry. Full reference
http://www.nytimes.com/2001/05/22/health/22VITA-3.html

December 2000

A large-scale study of mental abilities in adults found that mental faculties were unchanged until the mid-40s, when a marked decline began and continued at a constant rate. The ability to remember words after a delay was especially affected. Accuracy did not seem to be affected, only speed.
The paper was presented to a British Psychological Society conference in London.
Guardian report

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gender differences

November 2001

A recent study has found that women have up to 15% more brain cell density in the frontal lobe, which controls so-called higher mental processes, such as judgement, personality, planning and working memory. However, as they get older, women appear to shed cells more rapidly from this area than men. By old age, the density is similar for both sexes. It is not yet clear what impact, if any, this difference has on performance.
The findings were presented by Dr Witelson to the annual Society for Neuroscience meeting in San Diego, US. Reference
http://news.bbc.co.uk/hi/english/health/newsid_1653000/1653687.stm

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