Bl. Plassman et al., INTELLIGENCE AND EDUCATION AS PREDICTORS OF COGNITIVE STATE IN LATE-LIFE - A 50-YEAR FOLLOW-UP, Neurology, 45(8), 1995, pp. 1446-1450
We evaluated the relation of education and intelligence in early adult
life to cognitive function in a group of elderly male twins. The Army
General Classification Test (AGCT) was administered to US armed force
s inductees in the early 1940s. Fifty years later, as part of a study
of dementia in twins, we tested the cognitive status of 930 of these m
en using the modified Telephone Interview for Cognitive Status (TICS-m
). TICS-m scores obtained in later Life were correlated with AGCT scor
es (r = 0.457) and with years of education (r = 0.408). Thus, in univa
riate analyses, the AGCT score accounted for 20.6% and education accou
nted for 16.7% of variance in cognitive status. However, these two eff
ects mere not fully independent. A multivariable model using AGCT scor
e, education, and the interaction of the two variables as predictors o
f the TICS-m score explained 24.8% of the variance, a slightly but sig
nificantly greater proportion than was explained by either factor alon
e. In a separate analysis based on 604 pairs of twins who took the AGC
T, heritability of intelligence (estimated by AGCT score) was 0.503. A
lthough this study does not address the issue of education and premorb
id IQ as risk factors for dementia, the findings suggest that basic co
gnitive abilities in late life are related to cognitive performance me
asures from early adult life tie, education and IQ).