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Education and Cognitive Functioning Across the Life Span

机译:教育与认知功能跨越寿命

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摘要

Cognitive abilities are important predictors of educational and occupational performance, socioeconomic attainment, health, and longevity. Declines in cognitive abilities are linked to impairments in older adults' everyday functions, but people differ from one another in their rates of cognitive decline over the course of adulthood and old age. Hence, identifying factors that protect against compromised late-life cognition is of great societal interest. The number of years of formal education completed by individuals is positively correlated with their cognitive function throughout adulthood and predicts lower risk of dementia late in life. These observations have led to the propositions that prolonging education might (a) affect cognitive ability and (b) attenuate aging-associated declines in cognition. We evaluate these propositions by reviewing the literature on educational attainment and cognitive aging, including recent analyses of data harmonized across multiple longitudinal cohort studies and related meta-analyses. In line with the first proposition, the evidence indicates that educational attainment has positive effects on cognitive function. We also find evidence that cognitive abilities are associated with selection into longer durations of education and that there are common factors (e.g., parental socioeconomic resources) that affect both educational attainment and cognitive development. There is likely reciprocal interplay among these factors, and among cognitive abilities, during development. Education-cognitive ability associations are apparent across the entire adult life span and across the full range of education levels, including (to some degree) tertiary education. However, contrary to the second proposition, we find that associations between education and aging-associated cognitive declines are negligible and that a threshold model of dementia can account for the association between educational attainment and late-life dementia risk. We conclude that educational attainment exerts its influences on late-life cognitive function primarily by contributing to individual differences in cognitive skills that emerge in early adulthood but persist into older age. We also note that the widespread absence of educational influences on rates of cognitive decline puts constraints on theoretical notions of cognitive aging, such as the concepts of cognitive reserve and brain maintenance. Improving the conditions that shape development during the first decades of life carries great potential for improving cognitive ability in early adulthood and for reducing public-health burdens related to cognitive aging and dementia.
机译:认知能力是教育和职业绩效,社会经济达到,健康和长寿的重要预测因子。认知能力下降与老年人日常职能的损伤有关,但人们在成年和老年龄阶段的认知衰退率中彼此不同。因此,确定保护免受损害的后期认知的因素具有巨大的社会兴趣。个人完成的正规教育数与其在成年期遍布的认知功能正相关,并预测生命迟到的痴呆症风险降低。这些观察结果导致了延长教育可能(a)影响认知能力的命题和(b)衰减认知衰老相关的衰老。我们通过审查教育达到和认知老龄化的文献来评估这些命题,包括最近跨多个纵向队列研究和相关的荟萃分析统一的数据分析。符合第一个命题,证据表明教育程度对认知功能具有积极影响。我们还发现证据表明认知能力与选择变为更长的教育持续时间,并且存在影响教育程度和认知发展的共同因素(例如,家长社会经济资源)。在开发期间,这些因素和认知能力中可能有互惠相互作用。教育认知能力协会在整个成年生命跨度和整个教育水平上都很明显,包括(在某种程度上)高等教育。然而,与第二个命题相反,我们发现教育和衰老相关的认知性能下降的协会可忽略不计,并且痴呆症的门槛模型可以考虑教育程度和后期痴呆症之间的关联。我们得出结论,教育程度促使其对后期的影响函数主要是促进成年早期出现的个人差异,但持续到老年人。我们还指出,对认知衰退率的广泛缺失对认知老龄化的理论概念的限制,如认知储备和脑维持的概念。改善在生命的第一个十几年中形成发展的条件带来了提高成年早期认知能力的巨大潜力,以及减少与认知老龄化和痴呆相关的公共卫生负担。

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