Psychological Science in the Public Interest ( IF 18.2 ) Pub Date : 2020-08-10 , DOI: 10.1177/1529100620920576 Martin Lövdén 1, 2 , Laura Fratiglioni 1, 3 , M Maria Glymour 4 , Ulman Lindenberger 5, 6 , Elliot M Tucker-Drob 7
Cognitive abilities are important predictors of educational and occupational performance, socioeconomic attainment, health, and longevity. Declines in cognitive abilities are linked to impairments in older adults’ everyday functions, but people differ from one another in their rates of cognitive decline over the course of adulthood and old age. Hence, identifying factors that protect against compromised late-life cognition is of great societal interest. The number of years of formal education completed by individuals is positively correlated with their cognitive function throughout adulthood and predicts lower risk of dementia late in life. These observations have led to the propositions that prolonging education might (a) affect cognitive ability and (b) attenuate aging-associated declines in cognition. We evaluate these propositions by reviewing the literature on educational attainment and cognitive aging, including recent analyses of data harmonized across multiple longitudinal cohort studies and related meta-analyses. In line with the first proposition, the evidence indicates that educational attainment has positive effects on cognitive function. We also find evidence that cognitive abilities are associated with selection into longer durations of education and that there are common factors (e.g., parental socioeconomic resources) that affect both educational attainment and cognitive development. There is likely reciprocal interplay among these factors, and among cognitive abilities, during development. Education–cognitive ability associations are apparent across the entire adult life span and across the full range of education levels, including (to some degree) tertiary education. However, contrary to the second proposition, we find that associations between education and aging-associated cognitive declines are negligible and that a threshold model of dementia can account for the association between educational attainment and late-life dementia risk. We conclude that educational attainment exerts its influences on late-life cognitive function primarily by contributing to individual differences in cognitive skills that emerge in early adulthood but persist into older age. We also note that the widespread absence of educational influences on rates of cognitive decline puts constraints on theoretical notions of cognitive aging, such as the concepts of cognitive reserve and brain maintenance. Improving the conditions that shape development during the first decades of life carries great potential for improving cognitive ability in early adulthood and for reducing public-health burdens related to cognitive aging and dementia.
中文翻译:
整个生命周期的教育和认知功能。
认知能力是教育和职业表现、社会经济成就、健康和寿命的重要预测因素。认知能力下降与老年人日常功能受损有关,但人们在成年和老年过程中认知能力下降的速度各不相同。因此,找出防止晚年认知受损的因素具有重大的社会意义。个人完成正规教育的年数与其整个成年期的认知功能呈正相关,并预测晚年患痴呆症的风险较低。这些观察结果表明,延长教育时间可能(a)影响认知能力,(b)减轻与衰老相关的认知能力下降。我们通过回顾有关教育程度和认知老化的文献来评估这些命题,包括最近对多个纵向队列研究和相关荟萃分析中协调的数据的分析。与第一个命题一致,证据表明教育程度对认知功能有积极影响。我们还发现证据表明,认知能力与选择接受较长时间的教育有关,并且存在影响教育程度和认知发展的共同因素(例如父母的社会经济资源)。在发育过程中,这些因素之间以及认知能力之间可能存在相互作用。教育与认知能力的关联在整个成人生命周期和整个教育水平中都很明显,包括(在某种程度上)高等教育。 然而,与第二个命题相反,我们发现教育与衰老相关的认知能力下降之间的关联可以忽略不计,并且痴呆的阈值模型可以解释教育程度与晚年痴呆风险之间的关联。我们得出的结论是,教育程度对晚年认知功能的影响主要是通过导致成年早期出现但持续到老年的认知技能的个体差异而产生的。我们还注意到,教育对认知衰退率普遍缺乏影响,这限制了认知衰老的理论概念,例如认知储备和大脑维护的概念。改善生命最初几十年的发育条件对于提高成年早期的认知能力以及减轻与认知衰老和痴呆相关的公共卫生负担具有巨大的潜力。