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Is cognitive decline before death in the oldest old a universal phenomenon

Robitaille, A; Cadar, D; Koval, A; Stephan, BC; Jagger, C; Johansson, B; Hofer, S; ... Muniz-Terrera, GM; + view all (2018) Is cognitive decline before death in the oldest old a universal phenomenon. Presented at: GSA 2018: Annual Scientific Meeting, Boston, Massachusetts. Green open access

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Robitaille, A., Cadar, D., Koval, A., Stephan, B.C, Jagger, C., Johansson, B., Hofer S., Piccinin, A., Muniz-Terrera.pdf - Published Version

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Abstract

We investigated the heterogeneity in end of life cognitive decline in two European longitudinal studies of the oldest old: the OCTO-Twin and the Newcastle 85+ Study. Using a coordinated analytical approach, we identified unobserved groups of individuals with similar trajectories of cognitive decline at the end of life by fitting Tobit Growth Mixture Models to Mini-Mental State Examination scores. In both studies, the current analyses consistently identified two groups of individuals whose cognitive decline at the end of life were distinct: one group did not exhibit an ostensible rate of decline, another group experienced steep decline in measures of global cognition within each study. In OCTO-Twin, accelerated decline was found in only one group. Our results showed heterogeneity in cognitive decline at the end of life in the oldest old across two different European countries and suggest that terminal decline is not necessarily a normative process.

Type: Conference item (Presentation)
Title: Is cognitive decline before death in the oldest old a universal phenomenon
Event: GSA 2018: Annual Scientific Meeting
Location: Boston, Massachusetts
Dates: 14 November 2018 - 18 November 2018
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/geroni/igy023.1424
Publisher version: https://doi.org/10.1093/geroni/igy023.1424
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10062180
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