Baltimore Sun

Test teens took in 1960 being used in brain studies

Scientists hope data will help lead to ways to combat Alzheimer’s disease

- By Andrea K. McDaniels

Nothing seemed special about the test Darla Scharf took back in 1960 when she was a junior at Howard Senior High School.

“It was like every other test,” she recalled thinking as a typical teenager at the time. “At that age you are just doing whatever they tell you to do.”

Except that it would turn out to be much more — the largest and most comprehens­ive study of high school students in the history of the United States, with more than 400,000 students from 1,300 schools around the country taking part. In Maryland, 8,612 students from Parkville and Howard County senior high schools, representi­ng the classes of 1960 to 1963, became part of the landmark study.

The data from the Project Talent survey is still in use 58 years later and Scharf and the other students, now in their 70s, are called on periodical­ly to answer new questions in hopes of bringing informatio­n to light about other issues — most recently memory and cognitive health.

Results from the latest study, which looked at whether there are indication­s early in life that can predict Alzheimer’s disease, were released last month in the Journal of the American Medical Associatio­n. The researcher­s hope it leads to ways to combat the looming Alzheimer’s crisis. The number of Americans living with Alzheimer’s disease is expected to more than triple, reaching 16 million, and the costs for caring for these individual­s could surpass $1trillion a year, research has found.

“We can go really far back in time and see whether there are factors in their teenage years that affect whether or not they have dementia today,” said Susan J. Lapham, the Project Talent director and principal investigat­or on the Alzheimer’s study.

In 1960, when Project Talent started, the Soviet Union had recently launched Sputnik and the U.S. government was concerned that Americans were falling behind in math and science.

Researcher­s from the American Institutes for Research arranged for students in grades 9 through 12 in select schools to take an extensive battery of tests to assess their competency in mathematic­s, science and reading comprehens­ion.

Students also completed three question- naires about family background and personal interests. The survey also asked about future aspiration­s. Did they want to attend college or vocational school, and what careers did they see for themselves?

Their answers have been used in a variety of studies over the years that looked at how soldiers fared after the Vietnam War, whether participat­ing in school activities was linked to successful careers, and whether aptitude tests overlooked skills such as spatial ability in determinin­g the best career path for students.

In 2009, Project Talent started a new effort focused on health outcomes and resilience, looking at who aged well into their 60s and 70s and why.

Lapham, who is leading the research for the American Institutes for Research, said the focus on brain health came after asking participan­ts at their 50th reunion what they most wanted to learn about.

The Alzheimer’s study started with a pilot, with the findings published in the September JAMA article. The study looked at the test scores of more than 85,000 of the students and compared them to their Medicare claims for the years 2012 to 2013.

It found students who had problems with mechanical reasoning or rememberin­g words in high school were more likely to develop symptoms of dementia and Alzheimer’s later in life. Lower scores on reading comprehens­ion and abstract reasoning also increased the odds for the disease.

Researcher­s are now using the historic data along with fresh surveys from the students to collect even more data on cognitive health. They began collecting data late in 2017 and are gathering new samples from 40,000 students for two more years. The surveys will seek to find even more links between early life experience­s and brain health as people age, including whether race and gender play a role.

“We don’t have a lot answers yet,” Lapham said. “But we hope by the end of 2019 we have a lot more knowledge about dementia.”

Students who participat­ed in the study and follow-up research said they didn’t quite understand the magnitude of the impact it could have. Or that they’d still be participat­ing decades later.

Brenda Sohmer, a 74-year-old who now lives in Illinois, took the test as a junior at Howard. She doesn’t really remember what she answered, but recalls thinking the questions were interestin­g.

“For aspiration­s, I might have answered something like teaching or Peace Corps,” she said.

She liked the idea of being a part of the survey again after so many years.

“I thought that if I participat­ed then, there was no reason why I shouldn’t share in the future surveys,” Sohmer said.

Jean Muth Newman participat­ed in the study while attending Parkville Senior High School. The 73-year-old retired administra­tor, who now lives in North Carolina, said she remembers researcher­s saying they would follow her for a long time. She just didn’t know it would be this long.

After taking the test, her guidance counselor pulled her into the office and told her she really should be taking collegepre­paratory courses because she did so well in the sciences and spatial thinking.

“You have to remember I was a girl in the ’60s and many girls were told not to go to college. That was an aspiration for boys,” said Newman, who took some college courses before getting married.

She is happy to still be participat­ing in the study. She also has taken part in a study looking at twins who took the original surveys. She hopes it one day leads to breakthrou­ghs in science.

“I hope I live long enough to see many more great things come out of it,” she said.

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