The overall goal of this project is to examine whether cognitive status and cognitive change in middle age are predictive of rate of subsequent decline. While stability is the normative pattern for most mental abilities in midlife, longitudinal studies of normal aging have reported subgroups of middle-aged adults who show reliable decline or improvement on specific cognitive abilities. Adults who exhibit early decline in midlife on select abilities may be at higher risk for an accelerated rate of cognitive decline in old age. Study participants (N = 698) are members from the Seattle Longitudinal Study (SLS) with longitudinal cognitive data obtained during midlife. Midlife cognitive change data has been used to identify patterns of change and to develop Midlife Cognitive Risk criteria for three domains: Episodic memory. Executive functioning, and Processing Speed. The impact of midlife cognition is being studied for two cohorts. For the Older Cohort (b1914 - 1941; M age = 77; N = 270), cognitive data are available in midlife and also in old age. For the Middle Age cohort (b1942 - 1969); N = 428; M age = 59) cognitive change data are available in midlife and early old age. The sample is further characterized by neuropsychological assessment, APO-E genotyping, and health histories. To examine the association of brain volume and cognitive change, rate of atrophy in the hippocampus, entorhinal cortex, prefrontal cortex and frontal white matter are being assessed by structural MRI at.four' engagement in stimulating cognitive activities is also being studied as a mediator of cognitive change.

Public Health Relevance

This study examines factors associates with the long preclinical phases of dementia. Earlier detection of individuals at risk for cognitive impairment would potentially beneift not only those individuals but also society who bears the cost for care of the cognitively impaired.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Method to Extend Research in Time (MERIT) Award (R37)
Project #
Application #
Study Section
Special Emphasis Panel (NSS)
Program Officer
Wagster, Molly V
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Washington
Schools of Medicine
United States
Zip Code
Chaovalitwongse, W Art; Won, Daehan; Seref, Onur et al. (2017) Network Optimization of Functional Connectivity Within Default Mode Network Regions to Detect Cognitive Decline. IEEE Trans Neural Syst Rehabil Eng 25:1079-1089
de Frias, Cindy M; Schaie, K Warner; Willis, Sherry L (2014) Hypertension moderates the effect of APOE on 21-year cognitive trajectories. Psychol Aging 29:431-9
Madhyastha, Tara M; Grabowski, Thomas J (2014) Age-related differences in the dynamic architecture of intrinsic networks. Brain Connect 4:231-41
Zanjani, Faika; Downer, Brian G; Kruger, Tina M et al. (2013) Alcohol effects on cognitive change in middle-aged and older adults. Aging Ment Health 17:12-23
Jones, Richard N; Marsiske, Michael; Ball, Karlene et al. (2013) The ACTIVE cognitive training interventions and trajectories of performance among older adults. J Aging Health 25:186S-208S
Borghesani, Paul R; Madhyastha, Tara M; Aylward, Elizabeth H et al. (2013) The association between higher order abilities, processing speed, and age are variably mediated by white matter integrity during typical aging. Neuropsychologia 51:1435-44
Borghesani, Paul R; Weaver, Kurt E; Aylward, Elizabeth H et al. (2012) Midlife memory improvement predicts preservation of hippocampal volume in old age. Neurobiol Aging 33:1148-55
Mitchell, Meghan B; Cimino, Cynthia R; Benitez, Andreana et al. (2012) Cognitively Stimulating Activities: Effects on Cognition across Four Studies with up to 21 Years of Longitudinal Data. J Aging Res 2012:461592
Brown, Cassandra L; Gibbons, Laura E; Kennison, Robert F et al. (2012) Social activity and cognitive functioning over time: a coordinated analysis of four longitudinal studies. J Aging Res 2012:287438
Lindwall, Magnus; Cimino, Cynthia R; Gibbons, Laura E et al. (2012) Dynamic associations of change in physical activity and change in cognitive function: coordinated analyses of four longitudinal studies. J Aging Res 2012:493598

Showing the most recent 10 out of 21 publications