Age and Ageing 2000; 29: 523-528
© 2000, British Geriatrics Society
Research papers |
Mental ability age 11 years and health status age 77 years
Centre for the Study of the Ageing Brain, University of Edinburgh, UK
1 Department of Psychology, University of Edinburgh, UK
2 Department of Mental Health, Clinical Research Centre, Royal Cornhill Hospital, Aberdeen AB25 2ZH, UK
Abstract
Objectives: to measure the effects of childhood mental ability on health in old age.
Design: longitudinal cohort study.
Setting: community-based.
Participants: survivors of the 1932 Scottish Mental Survey cohort randomly selected from the Community Health Index in North East Scotland.
Measurements: (i) presence of disease by diagnostic category; (ii) cardiovascular, respiratory, anthropomorphic, sensory and locomotor physiological variables; (iii) Barthel index of functional independence; (iv) socio-demographic and socio-economic variables as health status predictors; and (v) score on the Moray House Test in 1932.
Results: There was no significant difference in Moray House Test score in 1932 between those with (mean 39.7, S.D. 13.8) and without (mean 40.1, S.D. 12.1) current disease (F=0.04, P=0.84). Physiological health status was predicted by demi-span (F=6.87, P<0.001), sex (F=3.69, P=0.001), deprivation category (F=1.45, P=0.05) and the interaction between sex and deprivation category (F=2.01, P=0.002). Moray House Test score in 1932 correlated significantly and positively with Barthel score (r=0.24, P<0.001). No additional general linear models added any other significant socio-economic variable once Moray House Test Score in 1932 was entered. Moray House Test score in 1932 remained significant (ß=0.16, P=0.024) after Mini Mental State Examination score was entered and found to be significant (ß=0.21, P=0.003).
Conclusion: socio-economic and socio-environmental factors are important determinants of some aspects of inequalities in health in old age in this cohort. Pre-morbid mental ability was an important independent predictor of late-life functional independence.
Keywords: disability, health status, neuropsychological tests
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