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Concordance rates for cognitive impairment among older African American twins
Keith E Whitfield1, Jared Kiddoe, Alyssa Gamaldo
1Department of Psychology and Neuroscience, Duke University, Durham, NC, USA. kwhit1@duke.edu
Background:
There is significant attention to the growing elderly African American population and estimating who and how many within this population will be affected by cognitive impairment.
Objective:
The etiology of cognitive impairment has not been well studied in African Americans and the contribution of genetic and environmental influences to cognitive impairment is not clear.
Methods:
We calculated concordance rates and heritability for cognitive impairment in 95 same-sexed pairs of African American twins from the Carolina African American Twin Study on Aging (CAATSA). The sample had an average age of 59.6 years (SD = 8.6 years, range 50-88 years) and 60% were female. The Telephone Interview for Cognitive Status (TICS) was used to assess cognitive impairment with a lower cutoff based on our previous research with African Americans.
Results:
Thirteen of the monozygotic (MZ) twins (30.2%) and 9 of the dizygotic (DZ) twins (17.3%) were cognitively impaired. The concordance rate was 72% for MZ and 45% for DZ. We found the heritability for cognitive impairment to be 54%.
Conclusions:
The study findings indicate that cognitive impairment is highly heritable, suggesting that genetics may play a relatively large role in the development of cognitive impairment in African American twins.
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