Why do older adults have difficulty with semantic fluency? 2018

Jean K Gordon, and Megan Young, and Carly Garcia
a Communication Sciences & Disorders , University of Iowa , Iowa City , IA , USA.

Aging involves many cognitive declines, particularly in fluid intelligence, with relative maintenance of crystallized intelligence. This paradox is evident in the language domain: lexical retrieval becomes slower and less accurate, despite well preserved vocabularies. Verbal fluency assesses both crystallized and fluid aspects of language. Semantic fluency hypothetically reflects semantic knowledge, while letter fluency putatively reflects executive functioning, which would predict a greater impact of aging on the latter. However, the opposite is typically observed. To investigate factors contributing to such asymmetries, we examined verbal fluency in 86 adults (30-89 years). Multiple regression analyses indicated that semantic fluency depends largely on lexical retrieval speed, as well as visualization strategies to support controlled retrieval, skills which may disproportionately decline with age. By contrast, letter fluency relies heavily on vocabulary knowledge, providing some protection against age-related declines. These findings contribute to our understanding of the mechanisms of typical age-related declines in word retrieval.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000066492 Cognitive Aging Phenomenon that occurs when learning and memory abilities decrease naturally due to age. Aging, Cognitive
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012660 Semantics The relationships between symbols and their meanings. Semantic

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