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Télécharger le texte intégral - ISPED-Enseignement à distance

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Annexes 200Abstract :When investigating effects of gender and education on degradation of cognitive performanceswith age, one cannot distinguish the association of these variab<strong>le</strong>s with cognitive decline fromtheir association with the response of the tools used for measuring cognition.Using a longitudinal model for describing the cognitive factor underlying four psychometrictests, we quantify both the effects of gender and education on a comprehensive indicator ofcognition and their differential effect on the four psychometric tests. The approach is appliedto a large samp<strong>le</strong> of elderly subjects from the French cohort PAQUID whatever the type andthe course of their cognitive aging process.Adjusting for vascular risk factors, the results suggest that women have a slightly worstcognitive decline in oldest age than men and that women better perform in tests involvingverbal component whi<strong>le</strong> men better perform in tests involving visuospatial skills. The resultsconfirm a large difference in cognitive <strong>le</strong>vel according to education but the difference inscores tends to decrease with age for tests involving a speed component.170 wordsKeywords : aging, Benton visual retention test, cognition, Digit Symbol Substitution Test,Isaacs set test, Mini mental state examination, mixed model, neuropsychological evaluation.2

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