The authors reviewed the evidence of age differences in episodic memory for content of a message and the context associated with it. Specifically, the authors tested a hypothesis that memory for context is more vulnerable to aging than memory for content. In addition, the authors inquired whether effort at encoding and retrieval and type of stimulus material moderate the magnitude of age differences in both memory domains. The results of the meta-analysis of 46 studies confirmed the main hypothesis: Age differences in context memory are reliably greater than those in memory for content. Tasks that required greater effort during retrieval yielded larger age differences in content but not in context memory. The greatest magnitude of age differences in context memory was observed for those contextual features that were more likely to have been encoded independently from content. Possible mechanisms that may underlie age differences in context memory-attentional deficit, reduced working memory capacity, and failure of inhibitory processing are discussed.

We examined the pattern of neuroanatomic abnormalities in adults with Down's syndrome (DS) and the cognitive correlates of these abnormalities. Specifically, we compared this pattern with what would be predicted by the hypotheses attributing DS pathology to either premature aging or Alzheimer's disease. We measured a number of brain regions on MRIs of 25 subjects: 13 persons with the DS phenotype and 12 age- and sex-matched healthy volunteers. Study participants had no history of cardiovascular disease, diabetes, thyroid dysfunction, or seizure disorder. After statistical adjustment for differences in body size, we found that, in comparison with controls, DS subjects had substantially smaller cerebral and cerebellar hemispheres, ventral pons, mammillary bodies, and hippocampal formations. In the cerebellar vermis of DS subjects, we observed smaller lobules VI to VIII without appreciable differences in other regions. In addition, we noted trends for shrinkage of the dorsolateral prefrontal cortex, anterior cingulate gyrus, inferior temporal and parietal cortices, parietal white matter, and pericalcarine cortex in DS subjects compared with normal controls. The parahippocampal gyrus was larger in DS subjects. We found no significant group differences in the volumes of the prefrontal white matter, the orbitofrontal cortex, the pre- and postcentral gyri, or the basal ganglia. We conclude that the pattern of selective cerebral damage in DS does not clearly fit the predictions of the premature aging or Alzheimer's disease hypotheses. To examine the relationship between brain abnormalities and cognitive deficits observed in DS, we correlated the size of brain regions that were significantly reduced in DS with performance on tests of intelligence and language. The correlation analysis suggested age-related decline in the DS subjects in general intelligence and basic linguistic skills. General intelligence and mastery of linguistic concepts correlated negatively with the volume of the parahippocampal gyrus. There was no relationship between total brain size and the cognitive variables.

Age-related differences in memory for facts, source, and contextual details were examined in healthy young (18-35 years old) and old (65-80 years old) volunteers. In all tested memory functions, decline over time was greater in the elderly than in the young. A time-dependent increase in the prevalence of source amnesia errors was clearly associated with old age. Contrary to several recent reports, measures of frontal lobe functions did not predict source memory. Nevertheless, some of these putative frontal function measures were related to memory for contextual details. The number of perseverative responses on the Wisconsin Card Sorting Test was inversely related to performance on both factual and contextual memory tests, but the association with contextual memory was stronger. Difficulties with response selection on a Stroop task predicted poor contextual memory in young but not in old adults.

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Age-related differences in the cross-sectional area and volume of selected cortical regions were examined by using in vivo magnetic resonance morphometry. In two samples-healthy volunteers and patients with negative radiological findings-similar patterns of cortical aging emerged. The size of sampled regions of association cortices correlated negatively with age, whereas no significant correlations between the size of sensory cortices and age were found. In the first but not the second sample, some of the correlations were attenuated after statistical control for skull size and sex. Overall, small but consistent trends for leftward asymmetry of the white matter and rightward asymmetry of the gray matter were observed. The results of the reported studies support the notion of selective aging of cortical association areas accompanied by relative sparing of sensory cortices.Aging is accompanied by significant changes in brain structure. However, neuroanatomical markers of senescence repeatedly found in postmortem investigations, computerized tomography, and magnetic resonance imaging (MRI) studies are nonspecific. These most robust findings consist of ventriculomegaly and shrinkage of the cerebral parenchyma, particularly of the gray matter

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