The current study examined the extent to which pulmonary functioning, as measured by average peak expiratory flow, was related to performance on seven cognitive measures. Analyses were conducted on a sample of 396 African American adults ranging in age from 22 to 89 years. Results revealed significant differences in mean levels of expiratory flow between the younger and older African Americans, with older adults performing more poorly. Lung functioning was not uniquely associated with cognitive performance in the younger adults, though it emerged as a significant predictor of individual differences in performance on the Telephone Interview of Cognitive Status even after controlling for age, education, and smoking history. Biobehavioral assessments such as the one presented here appear to provide important new insights into the sources of individual differences in cognition observed in this understudied population.
Aleman, A., Muller, M., de Haan, E. H. F., & van der Schouw, Y. T. (2005). Vascular risk factors and cognitive function in a sample of independently living men. Neurobiology of Aging, 26, 485-490.
2.
Allaire, J. C., & Marsiske, M. (1999). Everyday cognition: Age and intellectual ability correlates. Psychology and Aging, 14, 627-644.
3.
Allaire, J. C., & Marsiske, M. (2002). Well- and ill-defined measures of everyday cognition: Relationship to elders’ intellectual ability and functional status. Psychology and Aging, 17, 101-115.
4.
Allaire, J. C., & Whitfield, K. W. (2004). Relationships among education, age, and cognitive functioning in older African Americans: The impact of desegregation. Aging, Neuropsychology, and Cognition, 11, 443-449.
5.
Allen S. C., Jain M., Ragab S., & Malik N. (2003). Acquisition and short-term retention of inhaler techniques require intact executive function in elderly subjects. Age Ageing, 32, 299-302.
6.
Anderson, R. N., & Smith, B. L. (2005). Deaths: Leading causes for 2002. National vital statistics reports (Vol. 53, No. 17). Hyattsville, MD: National Center for Health Statistics.
7.
Anstey, K., Lord, R. R., & Smith, G. (1996). Human functional age research: A review of empirical findings. Experimental Aging Research, 22, 245-266.
8.
Anstey, K. J., Windsor, T. D., Jorm, A. F., Christensen, H., & Rodgers, B. (2004). Association of pulmonary function with cognitive performance in early, middle, and late adulthood. Gerontology: Clinical Section, 50, 230-234.
9.
Borawski, E. A., Kinney, J. M., & Kahana, E. (1996). The meaning of older adults’ health appraisals: Congruence with health status and determinant of mortality. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 51(3), S157-S170.
10.
Brandt, J., Spencer, M., & Folstein, M. (1988). The telephone interview for cognitive status. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 1, 111-117.
11.
Bryant, B., & Mohai, P. (Eds.). (1992). Race and the incidence of environmental hazards: Respiratory diseases in minorities of the United States. Boulder, CO: Westview.
12.
Chyou, P. H., White, L. R., Yano, K., Sharp, D. S., Burchfield, C. M., Chen, R., et al. (1996). Pulmonary function measures as predictors and correlates of cognitive functioning in later life. American Journal of Epidemiology, 173, 750-756.
13.
Cook, N. R., Albert, M. S., Berkman, L. F., Blazer, D., Taylor, J. O., & Hennekens, C. H. (1995). Interrelationships of peak expiratory flow rate with physical and cognitive function in the elderly: MacArthur Foundation studies of aging. Journal of Gerontology: Medical Sciences, 50A(6), M317-M323.
14.
Cook, N. R., Evans, D. A., Scherr, P. A., Speizer, F. E., Taylor, J. O., & Hennekens, C. H. (1991). Peak expiratory flow rate and 5-year mortality in an elderly population. American Journal of Epidemiology, 133, 784-794.
15.
Craik, F. I. M. (1990). Changes in memory with normal aging: A functional view. In R. J. Wurtman, S. Corkin, J. H. Growdon, & E. Ritter-Walker (Eds.), Advances in neurology: Alzheimer’s disease (Vol. 51). New York: Raven Press.
16.
Dustman, R. E., Emmerson, R. Y., Ruhling, R. O., Shearer, D. E., Steinhaus, L. A., Johnson, S. C., et al. (1990). Age and fitness effects on EEG, EFPs, visual sensitivity, and cognition. Neurobiology of Aging, 11, 193-200.
17.
Emery, C. F., Huppert, F. A., & Schein, R. L. (1997). Do pulmonary function and smoking behavior predict cognitive function? Findings from a British sample. Psychology and Health, 12, 265-275.
18.
Emery, C. F., Pedersen, N. L., Svartengren, M., & McClearn, G. E. (1998). Longitudinal and genetic effects in the relationship between pulmonary function and cognitive performance. Journal of Gerontology: Psychological Sciences, 53B(5), 311-317.
19.
Etnier, J., Johnston, R., Dagenbach, D., Pollard, R. J., Rejeski, J., & Berry, M. (1999). The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients. Chest, 116, 953-960.
20.
Friedman, V. A., Aykan, H., & Martin, L. G. (2001). Aggregate changes in cognitive impairment among older adults. Journals of Gerontology: Psychological Sciences and Social Sciences, 56B(5), S100-S111.
21.
Gibson, G., Pulsinelli, W., Blass, J. P., & Duffy T. E. (1997). Brain dysfunction in mild to moderate hypoxia. American Journal of Medicine, 70, 1247-1254.
22.
Griffith, K. A., Sherill, D. L., Siegel, E. M., Marolio, T. A., Bonekat, H. W., & Enright, D. L. (2001). Predictors of loss of lung function in the elderly: The cardiovascular health study. American Journal of Respiratory Critical Care Medicine, 163, 61-68.
23.
Hankinson, J. L., Odencrantz, J. R., & Fedan, K. B. (1999). Spirometric reference values from a sample of the general United States population. American Journal of Respiratory Critical Care Medicine, 159, 179-187.
24.
Hofer, S., & Sliwinski, M. S. (2001). Understanding aging. Gerontology, 47, 341-352.
25.
Hong, T. B., Oddone, E. Z., Dudley, T. K., & Bosworth, H. B. (in press). Subjective and objective evaluations of health among middle-aged and older veterans with hypertension. Journal of Aging and Health.
26.
Hong, T. B., Zarit, S. H., & Malmberg, B. (2004). The role of health congruence in functional status and depression. Journals of Gerontology: Psychological Sciences & Social Sciences, 59(4): P151-P157.
27.
Jackson, J. S., Antonucci, T. C., & Gibson, R. C. (1990). Cultural, racial, and ethnic minority influences on aging. In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of aging (3rd ed., pp. 103-123). San Diego: Academic Press.
28.
Kannel, W. B., & Hubert, H. (1982). Vital capacity as a biomarker of aging. In M. E. Reff and E. L. Schneider (Eds.), Biological markers of aging (NIH Publication No. 82-2221). Washington, DC: U.S. Government Printing Office.
29.
McDonald, S. W. S, Dixon, R. A., Cohen, A., & Hazlitt, J. E. (2004). Biological age and 12-year cognitive change in older adults: Findings from the Victoria Longitudinal Study. Gerontology, 50, 64-81.
30.
Rooks, R. N., & Whitfield, K. W. (2004). Health disparities among older African Americans: Past, present, and future perspectives. In K. E. Whitfield (Ed.), Closing the gap: Improving the health of minority elders in the new millennium (pp. 1-12). Washington, DC: The Gerontological Society of America.
31.
Schoenbaum, M., & Waidmann, T. (1997). Race, socioeconomic status, and health: Accounting for race differences in health. Journals of Gerontology: Series B, 52B, 61-75.
32.
Verhaegen, P., Borchelt, M., & Smith, J. (2003). Relation between cardiovascular and metabolic disease and cognition in very old age: Cross-sectional and longitudinal findings from the Berlin Aging Study. Health Psychology, 6, 559-569.
33.
Waldstein, S. R., & Elias, M. F. (2003). Introduction to the Special Section on Health and Cognitive Function. Health Psychology, 6, 555-558.
34.
Wechsler, D. (1972). Wechsler measurement and appraisal of adult intelligence (5th ed.). Baltimore: Williams & Wilkins.
35.
Wechsler, D. (1981). Examiners manual: Wechsler Adult Intelligence Scale-Revised. New York: The Psychological Cooperation.
36.
Whitfield, K. E. (1996). Studying cognition in older African Americans: Some conceptual considerations. Journal of Aging and Ethnicity, 1, 35-45.
37.
Whitfield, K. E., Allaire, J. C., & Wiggins, S. A. (2004). Relationships between health factors and everyday problem solving in African Americans. Health Psychology, 23, 641-644.
38.
Whitfield, K. E., Brandon, D. T., Wiggins, S. A., Vogler, G., & McClearn, G. (2003). Does intact pair status matter in the study of African American twins? The Carolina African American Twin Study of Aging. Experimental Aging Research, 29(4), 1-17.
39.
Whitfield, K. E., Fillenbaum, G. G., Piper, C., Albert, M. S., Berkman, L. F., Blazer, D. G., et al. (2000). The effects of race and health-related factors of naming and memory: The MacArthur studies of successful aging. Journal of Aging and Health, 12, 69-89.
40.
Whitfield, K. E., & Willis, S. (1998, Spring). Conceptual issues and analytic strategies for studying cognition in older African Americans. African American Research Perspectives, 115-125.
41.
Wise, R. A. (1997). Changing smoking patterns and mortality from chronic obstructive pulmonary disease. Preventive Medicine, 26, 418-421.
42.
Zelinski, E. M., Crimmins, E., Reynolds, S., & Seeman, T. (1998). Do medical conditions affect cognition in older adults?Health Psychology, 6, 504-512.
