Education, Occupational Complexity, and Incident Dementia: A COSMIC Collaborative Cohort Study

Journal of Alzheimer's disease : JAD

J Alzheimers Dis. 2022;85(1):179-196. doi: 10.3233/JAD-210627.


BACKGROUND: Education and occupational complexity are main sources of mental engagement during early life and adulthood respectively, but research findings are not conclusive regarding protective effects of these factors against late-life dementia.

OBJECTIVE: This project aimed to examine the unique contributions of education and occupational complexity to incident dementia, and to assess the mediating effects of occupational complexity on the association between education and dementia across diverse cohorts.

METHOD: We used data from 10,195 participants (median baseline age = 74.1, range = 58∼103), representing 9 international datasets from 6 countries over 4 continents. Using a coordinated analysis approach, the accelerated failure time model was applied to each dataset, followed by meta-analysis. In addition, causal mediation analyses were performed.

RESULT: The meta-analytic results indicated that both education and occupational complexity were independently associated with increased dementia-free survival time, with 28%of the effect of education mediated by occupational complexity. There was evidence of threshold effects for education, with increased dementia-free survival time associated with 'high school completion' or 'above high school' compared to 'middle school completion or below'.

CONCLUSION: Using datasets from a wide range of geographical regions, we found that both early life education and adulthood occupational complexity were independently predictive of dementia. Education and occupational experiences occur during early life and adulthood respectively, and dementia prevention efforts could thus be made at different stages of the life course.

PMID:34776437 | PMC:PMC8748312 | DOI:10.3233/JAD-210627


Jinshil Hyun
Charles B Hall
Mindy J Katz
Carol A Derby
Darren M Lipnicki
John D Crawford
Antonio Guaita
Roberta Vaccaro
Annalisa Davin
Ki Woong Kim
Ji Won Han
Jong Bin Bae
Susanne Röhr
Steffi Riedel-Heller
Mary Ganguli
Erin Jacobsen
Tiffany F Hughes
Henry Brodaty
Nicole A Kochan
Julian Trollor
Antonio Lobo
Javier Santabarbara
Raul Lopez-Anton
Perminder S Sachdev
Richard B Lipton
for Cohort Studies of Memory in an International Consortium (COSMIC)