A systematic review of cognitive decline in the general elderly population
Open accessAbstract
Background The public health impact of cognitive decline and dementia is increasing as the population ages. Studies exploring therapies or risk factors for cognitive impairment require understanding of expected age-related decline. Objective To establish the rate of age-related cognitive decline in the general elderly population. Design Systematic review of studies of cognitive decline in the general elderly population. Medline, Embase and PsycINFO databases were searched using an adapted version of McMaster's aetiology, causation and harm strategies and the Cochrane Dementia and Cognitive Impairment Group strategy. Grey literature was explored and experts contacted. A second observer was involved at all stages and quality appraisal of included studies was performed. Included studies were representative, community-based, cohort studies of people aged over 60, incorporating individuals with dementia. Results Identification of 5990 abstracts and retrieval of 163 full texts led to inclusion of 19 papers. Heterogeneity made narrative review the appropriate method of data synthesis. Some degree of cognitive impairment with increasing age was found in all studies, although the extent varied. The prevalence of cognitive impairment and the rate of decline increased with age. Studies were of variable quality. Conclusions Cognitive decline is almost universal in the general elderly population and increases with age. Improved communication between researchers and between clinicians to i…
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People often worry about loss of cognitive abilities as they age, even in the absence of ADRD.
“Even in the absence of ADRD, people often worry about loss of cognitive abilities as they age, likely due to inevitable age-related cognitive decline that occur in adulthood (Park, O’Connell, & Thomson, 2003) and the strong negative biases generally associated with older adults (Cuddy, Norton, & Fiske, 2005).”
From Correlates of dementia-related anxiety: self-perceived dementia risk and ageism (2020) · cites this paper as Park, O’Connell, & Thomson, 2003
This worry is likely due to inevitable age-related cognitive decline and strong negative biases associated with older adults.
“Even in the absence of ADRD, people often worry about loss of cognitive abilities as they age, likely due to inevitable age-related cognitive decline that occur in adulthood (Park, O’Connell, & Thomson, 2003) and the strong negative biases generally associated with older adults (Cuddy, Norton, & Fiske, 2005).”
From Correlates of dementia-related anxiety: self-perceived dementia risk and ageism (2020) · cites this paper as Park, O’Connell, & Thomson, 2003
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- Authors
- Park, H. L., O'Connell, J. E., & Thomson, R. G.
- Affiliations
- Sunderland Royal Hospital (GB)
- Newcastle University (GB)
- Corresponding author
- Park, Helen L.
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2003-12
- Volume
- 18
- Issue
- 12
- Pages
- 1121-1134
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W2012218348
- Cited by
- 279
- References
- 61
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 16 · 2023: 24 · 2022: 21 · 2021: 8 · 2020: 13 · 2019: 10 · 2018: 12 · 2017: 16 · 2016: 20 · 2015: 19 · 2014: 15 · 2013: 8 · 2012: 12
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- cognitive decline, age-related cognitive decline, older adults, dementia, prevalence of cognitive impairment, neuropsychological test battery, community-based cohort study, population aging
- MeSH terms
- Aged, Aged, 80 and over, Aging, Algorithms, Cognition Disorders, Humans, Middle Aged, Neuropsychological Tests, Cohort Studies, Disease Progression
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