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Sex differences in cognitive decline among middle-aged and older adults: a cohort study in Europe

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F24%3A43926935" target="_blank" >RIV/00216208:11120/24:43926935 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/24:10479567

  • Result on the web

    <a href="https://doi.org/10.1093/ageing/afae078" target="_blank" >https://doi.org/10.1093/ageing/afae078</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1093/ageing/afae078" target="_blank" >10.1093/ageing/afae078</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Sex differences in cognitive decline among middle-aged and older adults: a cohort study in Europe

  • Original language description

    OBJECTIVES: Previous studies on sex differences in cognitive decline provide inconsistent findings, with many European countries being underrepresented. We determined the association between sex and cognitive decline in a sample of Europeans and explored differences across birth cohorts and regions. METHODS: Participants 50+ years old enrolled in the Survey of Health, Ageing and Retirement in Europe had their cognition measured by tests of immediate recall, delayed recall and verbal fluency biennially up to 17 years of follow-up (median 6, interquartile range 3-9 years). We used linear mixed-effects models to assess the relationship between sex and the rate of cognitive decline, adjusting for sociodemographic and health-related characteristics. RESULTS: Of 66,670 participants (mean baseline age 63.5 +- standard deviation 9.4), 55% were female. Males and females had similar rates of decline in the whole sample in immediate recall (beta for interaction sex x time B = 0.002, 95% CI -0.001 to 0.006), delayed recall (B = 0.000, 95% CI -0.004 to 0.004), and verbal fluency (B = 0.008, 95% CI -0.005 to 0.020). Females born before World War II had a faster rate of decline in immediate recall and delayed recall compared to males, while females born during or after World War II had a slower rate of decline in immediate recall. Females in Central and Eastern Europe had a slower rate of cognitive decline in delayed recall compared to males. DISCUSSION: Our study does not provide strong evidence of sex differences in cognitive decline among older Europeans. However, we identified heterogeneity across birth cohorts and regions.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30215 - Psychiatry

Result continuities

  • Project

  • Continuities

    S - Specificky vyzkum na vysokych skolach

Others

  • Publication year

    2024

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Age and Ageing

  • ISSN

    0002-0729

  • e-ISSN

    1468-2834

  • Volume of the periodical

    53

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    10

  • Pages from-to

    "afae078"

  • UT code for WoS article

    001205179200002

  • EID of the result in the Scopus database

    2-s2.0-85190944022