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Does cognition predict mortality in midlife? Results from the Whitehall II cohort study.
Sabia S., Guéguen A., Marmot M. G., Shipley M. J., Ankri J., Singh-Manoux A.
Neurobiol Aging 31, 4 (2010) 688-95 - http://www.hal.inserm.fr/inserm-00291584
 (18541343) 
Does cognition predict mortality in midlife? Results from the Whitehall II cohort study.
Séverine Sabia () 1, Alice Guéguen1, Michael Marmot2, Martin Shipley2, Joël Ankri1, 3, Archana Singh-Manoux1, 2, 3
1 :  Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé
http://www.u687.idf.inserm.fr/
INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines
Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF
France
2 :  Department of Epidemiology and Public Health
http://www.ucl.ac.uk/epidemiology/staff/singh-manoux.htm
University College of London (UCL)
1-19 Torrington Place London WC1E 6BT
Royaume-Uni
3 :  Centre de Gérontologie
Assistance publique - Hôpitaux de Paris (AP-HP) – Sainte-Périne - Rossini - Chardon-Lagache : Hôpitaux Universitaires Paris Ile-de-France Ouest
11, rue Chardon-Lagache 75016 Paris 16ème
France
The authors examined the association of 'g' (general intelligence) factor and five specific cognitive measures assessed in 1997-1999 with mortality till 2006 (mean follow-up of 8 years) in the middle-aged Whitehall II cohort study. In age- and sex-adjusted analysis, a decrease in 1 S.D. in memory (hazard ratio (HR), 1.19; 95% confidence interval (CI): 1.02, 1.39) and in Alice Heim 4-I (AH4-I) (HR, 1.16; 95% CI: 1.01, 1.35) was found to be associated with higher mortality. The association with 'g' factor, phonemic and semantic fluency did not reach significance at p<0.05. No association was found with vocabulary. Out of education, health behaviours and health measures, it was health behaviours that explained the greater part of the association between cognition and mortality, ranging from 21% for memory to 70% for semantic fluency. All the covariates taken together explained only 26% of the association with memory and between 33 and 90% for the other cognitive measures. This study suggests that 'g' type composite measure of cognition might not be enough to understand the associations between cognition and health.
Sciences du Vivant/Santé publique et épidémiologie
Anglais
1558-1497

Articles dans des revues avec comité de lecture
10.1016/j.neurobiolaging.2008.05.007
Neurobiol Aging
internationale
04/2010
09/06/2008
31
4
688-95

Adult – Alcohol Drinking – Cognition – Cognition Disorders – Cohort Studies – Female – Food Habits – Great Britain – Health Status – Health Status Indicators – Humans – Intelligence – Intelligence Tests – Language Tests – Life Style – Longevity – Male – Memory – Middle Aged – Neuropsychological Tests – Physical Fitness – Risk Factors – Risk Reduction Behavior – Smoking – Verbal Behavior
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