Sleep onset/maintenance difficulties and cognitive function in nondemented older adults: the role of cognitive reserve

J Int Neuropsychol Soc. 2012 May;18(3):461-70. doi: 10.1017/S1355617711001901. Epub 2012 Feb 9.

Abstract

This study examined the relationship between cognitive function and sleep onset/maintenance difficulties (SO/MD) in nondemented older adults. We hypothesized that SO/MD negatively impacts cognition and that older adults with lower education would be especially vulnerable to its effects. The sample comprised 549 older adults from the Einstein Aging Study (EAS), a community-based cohort. Participants completed neuropsychological assessment and a sleep questionnaire. Univariate ANCOVAs were performed with cognitive performance as a dependent variable, SO/MD (present or absent) and education (lower: ≤ 12 years; higher: >12 years) as between-subjects factors, and age, ethnicity, gender, depression, and cardiovascular comorbidies as covariates. Participants were an average age of 79.7 ± 5.0 years (range = 71-97 years). Fifty-seven percent (n = 314) of the sample met criteria for SO/MD. Among participants with SO/MD, those with lower education performed more poorly on a test of category fluency than participants with higher education (means: 35.2 vs. 41.0; p < .001); among older adults without SO/MD, educational attainment had no measurable effect on cognition (SO/MD × education interaction (F(1,536) = 14.5; p = .00)). Consistent with the cognitive reserve hypothesis, older adults with lower education appear selectively vulnerable to the negative effects of sleep onset/maintenance difficulties on tests of verbal fluency.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging*
  • Attention
  • Cognition Disorders / physiopathology*
  • Cognitive Reserve / physiology*
  • Educational Status
  • Executive Function
  • Female
  • Humans
  • Male
  • Memory
  • Neuropsychological Tests
  • Sleep Initiation and Maintenance Disorders / physiopathology*
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Verbal Learning