Premorbid Reading Activity and Patterns of Cognitive Decline in Alzheimer Disease
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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Wilson et al. found that higher level of premorbid reading was associated with more rapid decline in verbal cognitive ability but not nonverbal cognitive ability.
“higher level of premorbid reading, assessed by retrospective informant report, was associated with more rapid decline in verbal cognitive ability but not nonverbal cognitive ability.”
From Enrichment Effects on Adult Cognitive Development: Can the Functional Capacity of Older Adults Be Preserved and Enhanced? (2008) · cites this paper as Wilson et al., 2000
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“Several studies have suggested that differential susceptibility to dementia level is related to variables such as education, literacy, IQ and engagement in leisure activities.(2-7) The concept of cognitive reserve posits that individual differences in how tasks are processed might provide differential reserve against…”
- 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
- Publisher
- American Medical Association (AMA)
- 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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