Analyses of a nationally representative sample who completed a list re
call task (weighted n = 6,446) and 2 mental status tasks (weighted n =
6,646) were conducted to determine whether specific medical condition
s such as high blood pressure and diabetes as well as general health r
atings predict cognitive performance in adults aged 70 to 103. Presenc
e of stroke and poorer health ratings predicted poorer performance on
the 3 tasks. Presence of diabetes predicted poorer performance on reca
ll and 1 mental status task. Age interacted with medical conditions in
cluding high blood pressure and diabetes in predicting mental status,
with condition-related deficits confined to the younger end of the age
continuum Global health ratings interacted with age, with poorer rati
ngs asociated with worse-mental status in the younger participants. Fi
ndings suggest that stroke and diabetes are;associated with cognitive
deficits. Some deficits are more pronounced in younger old adults with
high blood pressure and poorer health ratings.