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In nonpathological elders, cognitive decline is more evident by middle age and depends on different factors, such as speed of processing, nature of the task (i.e., storing versus processing), and type of stimuli (i.e., verbal versus visual and spatial) to be recalled. The present study aimed to investigate the impact of age and environmental factors (i.e., retirement home versus one's own home) on visuo-spatial working memory functions of healthy elderly (73 to 81 years old) and very old participants (83 to 90 years old). Results showed that visuo-spatial working memory processes in the institutionalized sample were comparable with those in free-living participants. A differential age effect was more evident for mnestic tasks involving the manipulation of stimuli. [ABSTRACT FROM AUTHOR]

Past literature on prosocial behavior in aging has mainly focused on age-related differences. However, the analysis of the predictors of prosociality in late adulthood is still under investigated. The present study examines how personality traits predict actual and self-reported prosocial behaviors, while considering the mediation effects of empathic concern and the moderator effect of age, in an Italian sample of 150 participants aged from 55 to 86 years old (M age = 69.52). Based on a path analysis model, results revealed that agreeableness has a direct association with self-reported prosocial behavior and an indirect relationship, via empathic concern, with actual prosocial behavior. In addition, emotional stability further explains variations in older adults' prosociality, via empathic concern. Age also plays a different role on actual and self-reported behaviors. While the relationship between empathic concern and actual behavior is the same in middle-aged and older adults, in the self-reported behaviors it changes according to the age of participants. As they grow older, people perform prosocial acts in daily life driven by basic dispositions, such as agreeableness, and not by empathic concern. These findings have important implications regarding the understanding of the motives that drive the different prosocial behaviors in the older population. [ABSTRACT FROM AUTHOR]

Reciprocity is a fundamental element in social interactions and implies an adequate response to the previous actions of our interactant. It is thus crucial to detect if a person is cooperating, deceiving, or cheating, to properly respond. However, older adults have been shown to have a lower ability to detect reciprocity compared to younger adults, partially tying this decline to cognitive functions. Another likely association to reciprocity in literature is made with personality dispositions, i.e., agreeableness, altruism, and empathic concern, and Theory of Mind (ToM). Consequently, the present study investigated age-related differences in the detection of the different components of reciprocity, as well as examined the predictors of reciprocity, such as cognitive measures, personality dispositions, and true and false beliefs in young (n = 98; 20–39 years), middle-aged (n = 106; 40–64 years), and older adults (n = 103; 65–96 years). The Mind Picture Story-Theory of Mind Questionnaire was used to measure the reciprocity components and true and false beliefs in each group. This study reported a significant decline in reciprocity detection from adults aged 65 years old and over. Additionally, the ability to detect reciprocity was significantly linked to cognitive functioning and ToM across all age groups, especially in older adults. [ABSTRACT FROM AUTHOR]

Growing evidence indicates that Theory of Mind (ToM) declines in normal aging. However, the majority of this research has used classic and static verbal tasks that present scenarios, which are very different from real life. The present study was designed to fill this gap by administering the Movie for the Assessment of Social Cognition (MASC) to young and older participants. It allows one to analyze not only the accuracy, but also the typology of error in mental states attribution distinguishing between iper-ToM (over-mentalization), ipo-ToM (insufficient mentalization), and no-ToM (lack of mentalization). We recruited 30 young (20-29 years), 39 young-old (65-74 years), and 31 old-old (75-86 years) participants. Along with the MASC, we administered a classic ToM task, the Strange Stories, and several measures of cognitive functioning. Results showed that older adults were less accurate in mental state attribution than young adults in the MASC, but not in the Strange Stories. In addition, compared to young adults, older adults committed more errors of both ipo- and no-ToM, while young adults committed more often iper-ToM errors. Additionally, older adults, but not young adults, did not show a difference between iper-ToM and ipo-ToM errors, which were equally frequent in this age group. Globally, results indicated that older adults' failure in classic ToM tasks may be due to both ipo- and iper-ToM and provide needed evidence for the MASC as a suitable measure of ToM in aging. [ABSTRACT FROM AUTHOR]

Background: A specific evaluation of the capacity to consent to research in older adults with cognitive decline is often not included routinely in research practice. However, there is a need to evaluate this competence adopting brief standardized instruments to guarantee their ethical rights. The present study evaluated in older adults with normal cognitive functioning, and major and mild neurocognitive disorders whether the Mini-Mental State Examination (MMSE) and a brief battery of neuropsychological tests are sensitive and specific to discriminate subjects able to provide consent to research. Methods: 54 participants with Major Neurocognitive Disorder (MajorNCD), 22 with Mild Neurocognitive Disorder (MildNCD), and 37 Normal Cognitive Functioning individuals (NCF). The capacity to provide consent was assessed using the MacArthur Competence Assessment Tool for Clinical Research. Cognitive functioning was assessed using the MMSE, Verbal Fluency Tests, Trail Making Test (TMT-A), Immediate and Delayed Recall Test. Results: In the MildNCD and NCF groups, the aggregate score of neuropsychological tests showed high sensitivity and specificity in classifying subjects able to provide consent to research. In the MajorNCD group, MMSE, Recall test, and TMT-A performed better than the aggregate score in classifying subjects as able of consenting to the hypothetical research. Conclusion: The choice of the best tool to assess the ability to provide consent to research may depend on the degree of cognitive impairment. MMSE is a good tool for subjects with MajorNCD. A more comprehensive battery of neuropsychological tests would represent a better tool in NCF and MildNCD individuals. [ABSTRACT FROM AUTHOR]

• NT-proBNP is a sensible and specific marker of heart failure, and its plasma levels also increase with age. The mortality predictive value of NT-proBNP in patients without heart failure, especially older adults, is less established. • In the present study of patients with type 2 diabetes mellitus stabilised after an ACS, elevated NT-proBNP levels are the most powerful predictor of all-cause and cardiovascular mortality across age categories, and its predictive information does not tend to decrease with age. • This information should inform treatment strategies and future practice Guidelines. To assess the impact of age on the prognostic value of NT-proBNP concentration in patients with type-2 diabetes mellitus (T2DM) stabilised after an Acute Coronary Syndrome (ACS). The AleCardio study compared aleglitazar with placebo in 7226 patients with T2DM and recent ACS. Patients with heart failure were excluded. Median follow-up was 104 weeks. Baseline NT-proBNP plasma concentration was measured centrally. Multivariable Cox regression was used to determine the mortality predictive information provided by NT-proBNP across age groups. Median age was 61y (IQR 54, 67). NT-proBNP concentration increased by quartile (Q) of age (median 264, 318, 391, and 588 pg/ml). Compared to Q1, patients in Q4 of NT-proBNP had higher (p < 0.001) adjusted HR for all-cause (aHR 6.9; 95 % CI 4.0–12) and cardiovascular (11; 5.4–23) death. Within each age Q, baseline NT-proBNP in patients who died was 3 times higher than in survivors (all p < 0.001). When age and NT-proBNP levels were modeled as continuous variables, their interaction term was nonsignificant. The relative prognostic information provided by NT-proBNP (percent of total X2) increased from 38 % in age Q1 to 75 % in age Q4 for mortality, and from 50 % to 88 % for CV death. Among patients with T2DM stabilised after an ACS, NT-proBNP level predicts death irrespective of age. [ABSTRACT FROM AUTHOR]

Older adults perform worse than younger adults when applying decision rules to choose between options that vary along multiple attributes. Although previous studies have shown that general fluid cognitive abilities contribute to the accurate application of decision rules, relatively little is known about which specific cognitive abilities play the most important role. We examined the independent roles of working memory, verbal fluency, semantic knowledge, and components of executive functioning. We found that age-related decline in applying decision rules was statistically mediated by age-related decline in working memory and verbal fluency. Our results have implications for theories of aging and decision-making. [ABSTRACT FROM AUTHOR]

• We investigated the unexplored domain of pragmatic intervention in healthy aging. • We used a novel training program (PragmaCom) compared with a cognitive training. • Both PragmaCom and cognitive training produced improvement in pragmatics. • Individual factors played a greater role in the cognitive than in PragmaCom group. • Results point to pragmatic plasticity. Among all aspects of the linguistic and communicative competence, pragmatics seems especially vulnerable in aging, due also to cognitive decline. However, pragmatics has never been considered as an intervention target in healthy aging. Here we tested the effects of a novel training program to improve pragmatics (PragmaCom) in older adults, compared with an active cognitive control group in a randomized-controlled-trial design. Both the PragmaCom group and the control group improved in pragmatic skills such as understanding metaphors and avoiding off-topic speech, indicating that it is possible to improve pragmatics in aging both with a specific training and with a cognitive training. Individual cognitive factors predicted pragmatic improvement in the control group, while in the PragmaCom group benefits were less dependent on individual characteristics. We discuss the results in terms of pragmatic plasticity, highlighting the importance of these findings for promoting older adults' social communication and well-being. [ABSTRACT FROM AUTHOR]