Association between childhood parental involvement and late-life cognitive function: A population-based cross-sectional study among cognitively intact community-dwelling older adults in Japan

Geriatr Gerontol Int. 2021 Sep;21(9):794-801. doi: 10.1111/ggi.14238. Epub 2021 Jul 28.

Abstract

Aim: Although poor childhood rearing environment is known to negatively impact late-life cognitive function, there is a scarcity of evidence on the contribution of positive parenting behaviors. The present study investigates the association between parental involvement in childhood and late-life cognitive function.

Methods: A total of 266 older adults aged between 65 and 88 years living in Wakuya City, Miyagi Prefecture, Japan, without indication of mild cognitive impairment or dementia, participated in a survey. Parental involvement in childhood was assessed by a questionnaire, and late-life cognitive function was measured by the Japanese version of the Quick Mild Cognitive Impairment (QMCI) screening test (range: 0-100). Multiple regression analysis was performed to investigate the association, adjusting for potential confounders and mediators.

Results: After adjusting for age, sex, other child-rearing environment, and academic performance in grade 6, older adults with a high level of positive parental involvement in childhood scored 6.00 (95% CI: 2.39, 9.61) points higher for the QMCI total score than those without. Parental involvement in childhood showed significant dose-response positive associations with the QMCI total score (P < 0.001), clock-drawing test score (P < 0.05), and verbal fluency score (P < 0.001). Among the six types of positive parental involvement, book reading showed a significant independent positive association with QMCI total score (P < 0.01) and logical memory score (P < 0.01).

Conclusions: Greater parental involvement in childhood, particularly book reading, was associated with better late-life cognitive function. Geriatr Gerontol Int 2021; 21: 794-801.

Keywords: childhood parental involvement; cognitive function; life-course epidemiology.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognition*
  • Cross-Sectional Studies
  • Humans
  • Independent Living*
  • Japan / epidemiology
  • Parents