Cited by 93Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsCognitive Abilities and Testing

Premorbid Reading Activity and Patterns of Cognitive Decline in Alzheimer Disease

Wilson, Robert S., Bennett, David A., Gilley, David W., Beckett, Laurel A., Barnes, Lisa L., Evans, Denis A.·2000·Archives of Neurology

Abstract

Background Educational and occupational attainment have been associated with progression of Alzheimer disease in some studies. One hypothesis about this association is that education and occupation are markers for lifelong participation in cognitively stimulating activities like reading. Objective To assess the relation of premorbid reading activity with patterns of cognitive decline in Alzheimer disease. Methods During a 4-year period, 410 persons with Alzheimer disease had annual clinical evaluations, which included administration of 17 cognitive function tests from which global, verbal, and nonverbal summary measures were derived. At baseline, a knowledgeable informant was questioned about the affected person's reading frequency and access to reading materials before dementia onset. Results A composite measure of premorbid reading activity was developed. It had moderately high internal consistency and was positively correlated with education and baseline level of cognitive function. In analyses that controlled for baseline cognitive function, education, and other demographic variables, higher level of premorbid reading activity was associated with more rapid decline on the global cognitive and verbal measures but not on the nonverbal measure. Conclusions These results suggest that both the extent and nature of premorbid cognitive experiences may affect how Alzheimer disease pathology is clinically expressed.

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Crossref · 10.1001/archneur.57.12.1718

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Authors
Wilson, R. S., Bennett, D. A., Gilley, D. W., Beckett, L. A., Barnes, L. L., & Evans, D. A.
Affiliations
  • Rush University Medical Center (US)
  • Rush University (US)
Venue
Archives of Neurology
Published
2000-12-01
Volume
57
Issue
12
Pages
1718
ISSN
0003-9942 (ISSN-L)
OpenAlex
W2037347142
Cited by
93
References
2
Citations by year
2023: 1 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 3
FWCI
2.33
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Neurology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Aging (P30-AG 10161, R01 AG-09966, P30AG010161, R01AG009966)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
Keywords
Alzheimer's disease, cognitive decline, educational attainment, occupational attainment, cognitive stimulation, reading frequency, cognitive function, dementia progression
MeSH terms
Aged, Alzheimer Disease, Cognition Disorders, Educational Status, Female, Humans, Male, Prognosis, Prospective Studies, Reading, Severity of Illness Index

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