Interaction of Stress, Lead Burden, and Age on Cognition in Older Men: the VA Normative Aging Study

Overview

Journal Environ Health Perspect

Date 2010 Jan 13

PMID 20064786

Citations 26

Authors

Junenette L Peters

Marc G Weisskopf

Avron Spiro 3rd

Joel Schwartz

David Sparrow

Huiling Nie

Howard Hu

Robert O Wright

Rosalind J Wright

Affiliations

Soon will be listed here.

Abstract

Background: Low-level exposure to lead and to chronic stress may independently influence cognition. However, the modifying potential of psychosocial stress on the neurotoxicity of lead and their combined relationship to aging-associated decline have not been fully examined.

Objectives: We examined the cross-sectional interaction between stress and lead exposure on Mini-Mental State Examination (MMSE) scores among 811 participants in the Normative Aging Study, a cohort of older U.S. men.

Methods: We used two self-reported measures of stress appraisal--a self-report of stress related to their most severe problem and the Perceived Stress Scale (PSS). Indices of lead exposure were blood lead and bone (tibia and patella) lead.

Results: Participants with higher self-reported stress had lower MMSE scores, which were adjusted for age, education, computer experience, English as a first language, smoking, and alcohol intake. In multivariable-adjusted tests for interaction, those with higher PSS scores had a 0.57-point lower (95% confidence interval, -0.90 to 0.24) MMSE score for a 2-fold increase in blood lead than did those with lower PSS scores. In addition, the combination of high PSS scores and high blood lead categories on one or both was associated with a 0.05-0.08 reduction on the MMSE for each year of age compared with those with low PSS score and blood lead level (p < 0.05).

Conclusions: Psychological stress had an independent inverse association with cognition and also modified the relationship between lead exposure and cognitive performance among older men. Furthermore, high stress and lead together modified the association between age and cognition.

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