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Maintaining positive cognitive
health
Ian Deary
Healthy cognitive ageing
Ian Deary
0. Only in Scotland
Lothian Birth Cohort 1921
Lothian Birth Cohort 1936
1. It doesn’t all go when it goes
Salthouse (2004) Intelligence, 32, 541-561.
Episodic
memory
Salthouse (2004) Intelligence, 32, 541-561.
Reasoning
Salthouse (2004) Intelligence, 32, 541-561.
Perceptual
speed
Salthouse (2004) Intelligence, 32, 541-561.
Vocabulary
2. We don’t all follow the crowd
3. Fate or providence (or chance)?
Good
cognition
in
older age?
Good
cognition
in
older age?
Good cognition
at age 11
“Old age is like
everything else.
To make a success of it,
you’ve got to start
young.”
Fred Astaire
(1899-1987)
Good
cognition
in
older age?What
else?
Good cognition
at age 11
• Genetics
• Caffeine
• Alcohol
• Other dietary
intakes…
• Body mass index
• Cholesterol
• Engagement
• Smoking
• Activity
• Physical fitness
• Occupation
• Sex
• Education
• Bilingualism
4. Mens sana in corpore sano?
4. Healthy mind in a healthy body?
“You should pray for a healthy mind in
a healthy body.
Ask for a stout heart that has no fear
of death…”
Juvenal
Satire X
Gow et al. (2012) Neurology, 79, 1802-1808.
5. Panning for dust, not nuggets
Good
cognition
in
older age?What
else?
Good cognition
at age 11
Small effects of: gene(s), sex,
education, smoking, fitness etc.
Big effect
6. Replication, replication, replication
6. Replication, replication, replication
6. Replication, replication, replication
7. Look behind you
Good
cognition
in
older age?
Socio-
intellectual
activities
Good
cognition
in
older age?
Socio-
intellectual
activities
Good cognition
at age 11
Good
cognition
in
older age?
Something we
think is good
for you
Good cognition
at age 11
• Caffeine
• Alcohol
• Other dietary
intakes…
• Body mass index
• Cholesterol
• Engagement
• Not smoking
• Physical activity
• Physical fitness
• Occupation
• Sex
• Education
• Bilingualism
• Caffeine
• Alcohol
• Other dietary
intakes…
• Body mass index
• Cholesterol
• Engagement
• Not smoking
• Physical activity
• Physical fitness
• Occupation
• Sex
• Education
• Bilingualism
8. The (Dis)connected mind?
8. The (Dis)connected mind?
8. The (Dis)connected mind?
9. Cruising or racing?
9. Cruising or racing?
Knowledge
Working out new stuff
10. There’s more to life than thinking
“I cannot preserve more than a few
fragments of what I read, yet read I shall,
persistently, rejoicingly… Indeed, it no
longer troubles me that I forget. I have the
happiness of the passing moment, and
what more can mortal ask?”
George Gissing
The Private Papers
of Henry Ryecroft
Come to me a moment, stand,
Ageing yet lovely still,
At my side,
R. S. Thomas, Birthday
Come to me a moment, stand,
Ageing yet lovely still,
At my side, let me tell you that,
With the clouds massing for attack
And the wind worrying the leaves
From the branches and the blood seeping
Thin and slow through the ventricles
Of the heart,
R. S. Thomas, Birthday
Come to me a moment, stand,
Ageing yet lovely still,
At my side, let me tell you that,
With the clouds massing for attack
And the wind worrying the leaves
From the branches and the blood seeping
Thin and slow through the ventricles
Of the heart, I regret less,
Looking back on the poem's
Weakness, the failure of the mind
To be clever than of the heart
To deserve you as you showed how.
R. S. Thomas, Birthday
Life Satisfaction in Lothian Birth Cohort 1921, age 90
Disagree
Agree
Strongly
agree
• “It is anticipated that initial data
collection and analysis will focus on…
participants who mostly will not
have clinical symptoms”
Healthy cognitive ageing
i.deary@ed.ac.uk
www.ccace.ed.ac.uk

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Maintaining positive cognitive health, Ian Dreary at For Later Life 2014