Publication details

Velkoměsto a výkony v neuropsychologických testech u starších osob

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Title in English Urban residence and neuropsychological performance in older persons


Year of publication 2016
Type Article in Periodical
Magazine / Source Ceskoslovenska Psychologie/Czechoslovak Psychology
MU Faculty or unit

Faculty of Social Studies

Field Psychology
Keywords Aging; cognition; region; interindividual differences; lifestyle
Description Goals. Cognitive performance in older persons is often related to age and education. The goal of the study was to find whether living in Prague (the only city with over 1 million inhabitants and the most densely populated city in the Czech Republic), may be related to performance in neuropsychological tests in older persons. Sample. The sample was obtained from the National Normative Study of Cognitive Determinants of Healthy Aging. It included 84 persons living in Prague and 84 pair-matched persons living in other regions than Prague or Central Bohemia. The groups were matched for age, gender, and education (age 60–92 years, 39 % men, 34,5% lower education). Analysis and results. Wilcoxon-White test and effect size were used to analyze the data. Statistically significant differences (p<0,0029) were found only in tests usually used as tests of executive functions with time being the measured outcome: Prague Stroop test (all three subtests), Trail Making Test A and B, and Category verbal fluency – Animals. Other methods including cognitive screening tests MoCA and MMSE did not show significantly different performance in the groups. Effect size was small in all variables (r=0,29). The results show possible direction of more thorough analyses of relations of habitat lifestyle and cognition. Selection of persons for normative and validation samples in neuropsychology may reflect in some cases the possible effect of region. This effect still needs to be clarified. Limitations. The study was based only on present place of residence; no data on prevailing life-long residence, work position nor other information related to lifestyle were available. This could lead to simplifications; the tendency still deserves the further investigation.
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