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. 2018 Apr 16;73(suppl_1):S73-S81.
doi: 10.1093/geronb/gbx167.

Secular Trends in Cognitive Performance in Older Black and White U.S. Adults, 1993-2012: Findings From the Chicago Health and Aging Project

Jennifer Weuve  1 , Kumar B Rajan  2 , Lisa L Barnes  3   4 , Robert S Wilson  3   4 , Denis A Evans  2
Affiliations

Secular Trends in Cognitive Performance in Older Black and White U.S. Adults, 1993-2012: Findings From the Chicago Health and Aging Project

Jennifer Weuve et al. J Gerontol B Psychol Sci Soc Sci. .

Abstract

Objective: To characterize secular trends from 1993 to 2012 in cognitive performance using a cohort of older black and white U.S. adults, and compare trends by race.

Method: Our data come from 8,906 participants of the Chicago Health and Aging Project (CHAP), a longitudinal, population-based cohort (age ≥ 67, 60% black). Participants underwent cognitive assessments in six 3-year study cycles from 1993 to 1996 through 2010 to 2012. We computed 3 measures of cognitive performance: global cognition, episodic memory, and perceptual speed.

Results: Mean performance in terms of global cognitive score followed a secular pattern of modest decline over the 6 study cycles. The trend was most pronounced for perceptual speed. Mean scores among black participants were consistently lower than those for whites; these disparities in mean performance narrowed over time, especially on perceptual speed, but appeared to widen at the last cycle. Global scores among the upper quartile of performers rose slightly, but scores among the lowest quartile of performers dropped precipitously.

Discussion: Between 1993 and 2012, secular trends in cognitive performance in this established cohort did not follow a clear pattern of improvement, contrasting with previous research. But patterns differed by cognitive domain, performance level, and race.

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Figures

Figure 1.
Figure 1.
Age- and sex-adjusted mean cognitive scores (95% confidence interval), among black and white participants, 1993–2012.
Figure 2.
Figure 2.
Age- and sex-adjusted mean global cognitive scores (95% confidence interval) in the upper and lower quartiles of performers at each cycle, among black and white participants.
Figure 3.
Figure 3.
Difference between the age- and sex-adjusted mean global cognitive scores (95% confidence interval) among black and white participants, 1993–2012.
Figure 4.
Figure 4.
Estimated probability (95% confidence interval) that the mean global cognitive score dementia threshold was less than the score of persons at the time of Alzheimer’s disease diagnosis, by race, between 1993 and 2012.
See this image and copyright information in PMC

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