Professor Andrew Steptoe: all content

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The dynamics of ageing: evidence from the English Longitudinal Study of Ageing 2002-2016 (Wave 8)

Book
This report describes analyses of data that have been collected in all waves of ELSA, particularly the eighth and most recent that took place in 2016–17. In wave 8, data collection included a standard face-to-face interview and a self-completion questionnaire, both of which have been used in previous waves of the study, together with a nurse visit to collect biological measures on half the sample.

18 October 2018

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Individual and area-based socioeconomic differentials in dementia incidence in England: Evidence from a 12-year follow-up of participants in the English Longitudinal Study of Ageing

Journal article

Key Points Question What is the association between various socioeconomic markers and dementia incidence? Findings This longitudinal cohort study found that lower wealth in late life, but not education, was associated with increased risk for dementia, suggesting that people with fewer financial resources were at higher risk. No substantive differences were identified in relation to the area of neighborhood deprivation; an age-cohort effect was observed, highlighting that socioeconomic inequalities were more robust among people born in later years. Meaning The association between socioeconomic status and dementia incidence in a contemporary cohort of older adults may be driven by wealth rather than education.

20 March 2018

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Frailty is an independent predictor of incident dementia: Evidence from the English Longitudinal Study of Ageing

Journal article

The aim of this study was to determine whether frailty in older adults is associated with the risk of subsequent dementia. A total of 8,722 older adults from the English Longitudinal Study of Ageing were followed-up every two years until they reported a diagnosis of dementia, died, or were right censored. Frailty was defined using a frailty index comprised of 47 health deficits. To test if cognitive function influences the relationship between frailty and incident dementia, the analyses were repeated according to lower or upper three quartiles of baseline cognitive function. Competing risks regression and Cox proportional hazard models were used to evaluate whether the degree of baseline frailty was associated with incident dementia. Compared with non-frail participants, pre-frail (HR: 1.51 95%CI [1.12–2.02]) and frail participants (HR: 1.73 95%CI [1.22–2.43]) had a higher risk of developing dementia, after adjustment for covariates. The association between frailty and incident dementia was significant for adults in the upper three quartiles of global cognitive function (HR: 3.48 95%CI [1.98–6.12]), but not for adults who were in the lowest quartile of cognitive function (HR: 1.13 95%CI [0.74–1.71]). Frailty should be monitored alongside cognitive functioning when assessing risk factors for dementia in older adults

16 November 2017