The Influence of Age and Gender on Executive Functions of the Brain in an Iranian Sample of Healthy Adults

Document Type : Original Articles

Authors

Iran University of Medical Sciences

Abstract

Objective: Executive functions refer to a group of higher-order cognitive processes responsible for self-regulated and targeted behaviors. This study aimed to investigate the effects of age and gender on executive functions focusing on three distinct areas of attentional control, planning and set-shifting among18-80 year-old healthy subjects. Materials and Methods: This cross-sectional study enrolled a total of 200 healthy adults (100 women and 100 men) 18-80 years of age living in Tehran. Sampling was done through a random stratified cluster procedure with regard to the inclusion and exclusion criteria. Each area of the executive functions was evaluated using Stroop test for attentional control, Tower of London (ToL) test for planning and problem-solving and Wisconsin test for set-shifting. The correlation between age and components of executive functions was evaluated through Pearson correlation test. Moreover, the differences between age groups were examined by ANOVA while the correlation between gender and components of the executive functions was examined by t-test. Results: Age was significantly correlated with all subscales of Stroop test except time-interference, with the total number of errors and the overall result from ToL and all subscales of Wisconsin (P<0.001), R=0.49). There were no gender effect on executive functions except for the total time (t=-2.09, p=0.037) and the number of errors (t=-9.2, p=0.004) in ToL test which was significantly higher in women than men.  Conclusion: The executive functions including attentional control, planning and set-shifting was shown to be decreased by age. Problem-solving and planning were better in men than women. 

Keywords


  1. Carlson SM. Developmentally sensitive measures of executive function in preschool children. Developmental neuropsychology2005;28(2):595-616.
  2. Barkley RA. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological bulletin1997;121(1):65.
  3. Jurado MB, Rosselli M. The elusive nature of executive functions: a review of our current understanding. Neuropsychology review2007;17(3):213-33.
  4. Anderson P. Assessment and development of executive function (EF) during childhood. Child neuropsychology2002;8(2):71-82.
  5. Anderson VA, Anderson P, Northam E, Jacobs R, Catroppa C. Development of executive functions through late childhood and adolescence in an Australian sample. Developmental neuropsychology2001;20(1):385-406.
  6. Stuss DT, Alexander MP. Executive functions and the frontal lobes: a conceptual view. Psychological research2000;63(3-4):289-98.
  7. Anderson V. Assessing executive functions in children: biological, psychological, and developmental considerations. Pediatric rehabilitation2001;4(3):119-36.
  8. Birch SA, Bloom P. Understanding children's and adults' limitations in mental state reasoning. Trends in cognitive sciences2004;8(6):255-60.
  9. De Luca CR, Wood SJ, Anderson V, Buchanan J-A, Proffitt TM, Mahony K, et al. Normative data from the CANTAB. I: development of executive function over the lifespan. Journal of Clinical and Experimental Neuropsychology2003;25(2):242-54.
  10. Lezak MD. Neuropsychological assessment: Oxford University Press, USA; 2004.
  11. Grigsby J, Kaye K, Baxter J, Shetterly SM, Hamman RF. Executive cognitive abilities and functional status among community‐dwelling older persons in the San Luis Valley Health and Aging Study. Journal of the American Geriatrics Society1998;46(5):590-6.
  12. Nathan J, Wilkinson D, Stammers S, Low JL. The role of tests of frontal executive function in the detection of mild dementia. International Journal of Geriatric Psychiatry2001;16(1):18-26.
  13. Rapp MA, Reischies FM. Attention and executive control predict Alzheimer disease in late life: results from the Berlin Aging Study (BASE). The American Journal of Geriatric Psychiatry2005;13(2):134-41.
  14. Bagherpoor L SK, Akbar A. The influence of educational type (virtual and non-virtual) and gender on the executive functions (mental flexibility and selective attention) of students. Bulletin of Environment, Pharmacology and Life Sciences2014;3((Special Issue II)):360-7.
  15. Unger RK. Toward a redefinition of sex and gender. American Psychologist1979;34(11):1085.
  16. Malek A, Amiri S. The standardization of Victoria Stroop color-word test among Iranian bilingual adolescents. Archives of Iranian medicine2013;16(7):380.
  17. Zarghi A, Zarindast MR. Demographic variables and selective, sustained attention and planning through cognitive tasks among healthy adults. Basic and Clinical Neuroscience2011;2(3):58-67.
  18. Asato MR, Sweeney JA, Luna B. Cognitive processes in the development of TOL performance. Neuropsychologia2006;44(12):2259-69.
  19. Norman MA, Moore DJ, Taylor M, Franklin Jr D, Cysique L, Ake C, et al. Demographically corrected norms for African Americans and Caucasians on the hopkins verbal learning test–revised, brief visuospatial memory test–revised, stroop color and word test, and wisconsin card sorting test 64-card version. Journal of clinical and experimental neuropsychology2011;33(7):793-804.
  20. Peña-Casanova J, Quiñones-Úbeda S, Gramunt-Fombuena N, Quintana M, Aguilar M, Molinuevo JL, et al. Spanish Multicenter Normative Studies (NEURONORMA Project): norms for the Stroop color-word interference test and the Tower of London-Drexel. Archives of Clinical Neuropsychology2009;24(4):413-29.
  21. Shan I-K, Chen Y-S, Lee Y-C, Su T-P. Adult normative data of the Wisconsin card sorting test in Taiwan. Journal of the Chinese Medical Association2008;71(10):517-22.
  22. Van der Elst W, Van Boxtel MP, Van Breukelen GJ, Jolles J. The Stroop Color-Word Test influence of age, sex, and education; and normative data for a large sample across the adult age range. Assessment2006;13(1):62-79.
  23. Lan X, Legare CH, Ponitz CC, Li S, Morrison FJ. Investigating the links between the subcomponents of executive function and academic achievement: A cross-cultural analysis of Chinese and American preschoolers. Journal of experimental child psychology2011;108(3):677-92.
  24. science. SRIoC. Available at: WWWRavantajhizir.
  25. Stroop JR. Studies of interference in serial verbal reactions. Journal of Experimental Psychology: General1992;121(1):15.
  26. Shallice T. Specific impairments of planning, Philos. Trans R Soc1982.
  27. Mazzocco MM, Hagerman RJ, Cronister-Silverman A, Pennington BF. Specific frontal lobe deficits among women with the fragile X gene. Journal of the American Academy of Child & Adolescent Psychiatry1992;31(6):1141-8.
  28. Hasher L, Zacks RT. Working memory, comprehension, and aging: A review and a new view. Psychology of learning and motivation1988;22:193-225.
  29. Zook N, Welsh MC, Ewing V. Performance of healthy, older adults on the Tower of London Revised: Associations with verbal and nonverbal abilities. Aging, Neuropsychology, and Cognition2006;13(1):1-19.
  30. Brennan M, Welsh MC, Fisher CB. Aging and executive function skills: An examination of a community-dwelling older adult population. Perceptual and motor skills1997;84(3 suppl):1187-97.
  31. Garden SE, Phillips LH, MacPherson SE. Midlife aging, open-ended planning, and laboratory measures of executive function. Neuropsychology2001;15(4):472.
  32. Ridderinkhof KR, Span MM, Van Der Molen MW. Perseverative behavior and adaptive control in older adults: Performance monitoring, rule induction, and set shifting. Brain and cognition2002;49(3):382-401.
  33. Axelrod BN, Henry RR. Age-related performance on the Wisconsin card sorting, similarities, and controlled oral word association tests. The Clinical Neuropsychologist1992;6(1):16-26.
  34. Plumet J, Gil R, Gaonac'h D. Neuropsychological assessment of executive functions in women: effects of age and education. Neuropsychology2005;19(5):566.
  35. MacLeod CM. Half a century of research on the Stroop effect: an integrative review. Psychological bulletin1991;109(2):163.