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Characteristics such as larger hippocampal volume, APOE\u2010\u03b54 allele absence, higher educational attainment, female sex, and lifelong cognitive stimulation are associated with cognitive performance compatible with super\u2010aging. These findings are based on predominantly white research samples. Limited data are available on African\u2010American super\u2010agers. To fill this gap, we explored potential factors associated with super\u2010aging in older African\u2010American adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data from African\u2010American participants aged \u226580 in the National Alzheimer's Coordinating Center (NACC) dataset were analyzed. Using global Clinical Dementia Rating (CDR) scores, participants were first categorized as impaired (score \u22650.5) or non\u2010impaired\/normal cognition (NC) (score\u2009=\u20090). From the NC group, super\u2010agers were identified using NACC\u2010data\u2010driven cutoffs. Participants were considered super\u2010agers if their memory performance was similar to persons aged 50\u201360 with NC, and their performance on other domains was within one standard deviation of the mean for persons aged \u226580. We examined group characteristics (NC, super\u2010ager, impaired) using\n                      <jats:italic>chi\u2010square<\/jats:italic>\n                      and ANOVA with pairwise comparisons. Multinomial logistic regression, adjusted for sex and education, evaluated correlates of super\u2010ager group assignment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data for 1285 African\u2010American participants aged \u226580 were analyzed. We identified 24.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009316) NC, 4.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200961) super\u2010agers, and 70.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009905) impaired. Super\u2010agers were mostly female and more educated, had similar vascular comorbidities as the other groups, and had less sleep disorders, depression, and alcohol use. After adjusting for sex and education, super\u2010ager group assignment was associated with less sleep disorders, less depression, and moderate alcohol use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants with controlled vascular risk, mental health, alcohol use, and sleep disorders tended to be in the super\u2010ager group. These factors may be important focus areas in clinical practice to support cognitive resilience with aging in older African\u2010American adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18882","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T02:04:22Z","timestamp":1711764262000},"page":"1995-2005","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Characterization of African\u2010American Super\u2010Agers in the National Alzheimer's Coordinating Center cohort"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5343-154X","authenticated-orcid":false,"given":"Antoine R.","family":"Trammell","sequence":"first","affiliation":[{"name":"Department of Medicine Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicia 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