The Gerontologist

Childhood literacy and hunger had different links to cognitive aging

Two Chinese cohorts—17,626 adults studied during 2011–2018 and 42,633 during 1998–2018—showed generally widening literacy-related cognitive gaps but generally narrowing childhood-hunger-related gaps with age.

Paper by Chang Yu, Hanna Grol-Prokopczyk · University at Buffalo, State University of New York
Cohort study of Chinese adultsPopulations

42,633 participants

Limit: Childhood hunger relied on participants’ recollections, which can be inaccurate

Edited by Boris Djordjevic · AgingResearch.News

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An observational study analyzed 17,626 Chinese adults aged 45–100 and 42,633 aged 65–105. Researchers modeled age-related changes using survey tests of memory and other thinking skills, schooling information, and reports of frequently going to bed hungry in childhood. Analyses linking childhood conditions to cognitive change covered ages 45–65 in the first cohort and 65–105 in the second.

Both childhood illiteracy and hunger were associated with lower cognitive scores after adjustment for demographic factors. Gaps associated with illiteracy generally widened with age. Gaps associated with childhood hunger generally narrowed, although they widened slightly between ages 65 and 80. Overall, scores remained stable in early midlife, declined gradually in late midlife and fell sharply among the oldest adults.

Why it matters

The authors argued that research on cognitive aging should distinguish different childhood hardships rather than combine literacy and food availability into one measure.

Caveats

These observational data cannot establish cause and effect, and childhood hunger relied on participants’ recollections. The findings concern Chinese adults aged 45–105 and do not establish the same patterns in younger adults or other populations.