Biography
Dr George Savva joined UEA in 2013, following nine years in ageing and public health research: as statistical lead for The Irish Longitudinal Study on Ageing (based at Trinity College Dublin) and as a statistician to the UK National Down's Syndrome Cytogenetic Register (at Queen Mary University of London) and the Medical Research Council Cognitive Function and Ageing Study (University of Cambridge).
Dr Savva completed his first degree in mathematics at the University of Cambridge followed by a Master's degree in Applied Statistics at University College London and a PhD in bioinformatics at the University of East Anglia. Since then his research has focused on applications of statistics in public health, particularly in the fields of dementia, mental health and healthy ageing. Recent and ongoing work includes a study of the operationalization of the frailty syndrome and its links with dementia, explorations of the links between clinical and pathological aspects of brain ageing, and studies of multimorbidity, disability and quality of life in older people.
Highlighted Publications
(2013)
Normative values of cognitive and physical function in older adults: findings from the Irish Longitudinal Study on Ageing,
in Journal of the American Geriatrics Society
61.
pp. S279-S290
Full Text UEA Repository(Article)
(Published)
(2011)
Anticholinergic medication use and cognitive impairment in the older population: the medical research council cognitive function and ageing study,
in Journal of the American Geriatrics Society
59.
pp. 1477-1483
Full Text UEA Repository(Article)
(Published)
(2009)
Age, neuropathology, and dementia,
in New England Journal of Medicine
360.
pp. 2302-2309
Full Text UEA Repository(Article)
(Published)
All Publications
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(2017)
Impaired Orthostatic Blood Pressure Recovery is associated with Unexplained and Injurious Falls,
in Journal of the American Geriatrics Society
65
(3)
pp. 474–482
Full Text UEA Repository(Article)
(Published)
(2017)
Reliability of orthostatic beat-to-beat blood pressure tests: implications for population and clinical studies,
in Clinical Autonomic Research
27
(1)
pp. 31-39
Full Text UEA Repository(Article)
(Published)
(2017)
Potential Value of Impaired Cognition in Stroke Prediction: A U.K. Population-Based Study,
in Journal of the American Geriatrics Society
Full Text UEA Repository(Article)
(E-pub ahead of print)
(2016)
Madagascar's grasses and grasslands: anthropogenic or natural?,
in Proceedings of the Royal Society B: Biological Sciences
283
(1823)
article no. 20152262
Full Text UEA Repository(Article)
(Published)
(2016)
Relationship of self-rated health to stroke incidence and mortality in older individuals with and without a history of stroke: A longitudinal study of the MRC Cognitive Function and Ageing (CFAS) population,
in PLoS ONE
11
(2)
article no. e0150178
Full Text UEA Repository(Article)
(Published)
(2016)
Measurement error, reliability and minimum detectable change in MMSE, MoCA and Color Trails Test among community living middle aged and older adults,
in Journal of Alzheimer's Disease
53
(3)
pp. 1107-1114
Full Text UEA Repository(Article)
(Published)
(2016)
Dementia: Introduction, Epidemiology and Economic Impact,
in Mental Health and Older People : A Guide for Primary Care Practitioners.
Springer
pp. 197-209
ISBN 978-3-319-29490-2
Full Text UEA Repository(Chapter)
(Published)
(2015)
Stage-Specific Changes in Neurogenic and Glial Markers in Alzheimer's Disease,
in Biological Psychiatry
77
(8)
pp. 711–719
Full Text UEA Repository(Article)
(Published)
(2015)
Negative perceptions of aging and decline in walking speed: A self-fulfilling prophecy,
in PLoS ONE
10
(4)
article no. e0123260
Full Text UEA Repository(Article)
(Published)
(2015)
Who has undiagnosed dementia? A cross-sectional analysis of participants of the Aging, Demographics and Memory Study,
in Age and Ageing
44
(4)
pp. 642-647
Full Text UEA Repository(Article)
(Published)
(2015)
Orthostatic hypotension, orthostatic intolerance and frailty: The Irish Longitudinal Study on Aging-TILDA,
in Archives of Gerontology and Geriatrics
60
(3)
pp. 507-513
Full Text UEA Repository(Article)
(Published)
(2015)
Trail Making Test performance contributes to subjective judgment of visual efficiency in older adults,
in PeerJ
3
article no. e1407
Full Text UEA Repository(Article)
(Published)
(2014)
Sustained Attention and Frailty in the Older Adult Population,
in The Journals of Gerontology, Series B
69
(2)
pp. 147-156
Full Text UEA Repository(Article)
(Published)
(2014)
Relationship between fear of falling and mobility varies with visual function among older adults,
in Geriatrics & Gerontology International
14
(4)
pp. 827–836
Full Text UEA Repository(Article)
(Published)
(2014)
Orthostatic Hypotension Is Associated With Lower Cognitive Performance in Adults Aged 50 Plus With Supine Hypertension,
in The Journals of Gerontology, Series A
69
(7)
pp. 878-885
Full Text UEA Repository(Article)
(Published)
(2014)
Cognitive performance in orthostatic hypotension: Findings from a nationally representative sample,
in Journal of the American Geriatrics Society
62
(1)
pp. 117-122
Full Text UEA Repository(Article)
(Published)
(2014)
Variation in incentive effects across neighbourhoods: An example from the Irish Longitudinal Study of ageing,
in Survey Research Methods
8
(1)
pp. 19-30
UEA Repository(Article)
(Published)
(2014)
Factor structure for the frailty syndrome was consistent across Europe,
in Journal of Clinical Epidemiology
67
(9)
pp. 1008–1015
Full Text UEA Repository(Article)
(Published)
(2014)
Using Timed Up and Go and Usual Gait Speed to Predict Incident Disability in Daily Activities Among Community-Dwelling Adults Aged 65 and Older,
in Archives of Physical Medicine and Rehabilitation
95
(10)
pp. 1954–1961
Full Text UEA Repository(Article)
(Published)
(2014)
Age-related normative changes in phasic orthostatic blood pressure in a large population study: findings from The Irish Longitudinal Study on Ageing (TILDA),
in Circulation
130
(20)
pp. 1780-9
Full Text UEA Repository(Article)
(Published)
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Key Research Interests
Anticholinergics, Benzodiazepines, Cognition and Dementia. We are currently exploring the effect of anticholinergic medications and benzodiazepines on dementia incidence, using data from cohort studies and primary care data.
How does frailty affect cognitive function? Using data from longitudinal studies of ageing across Europe we aim to improve the understanding of the frailty syndrome, in particular how best to measure frailty in older people and to understand the links between physiological frailty and cognitive impairment. Frailty is amenable to intervention and so may represent a novel opportunity to prevent cognitive decline among vulnerable older people.
How do multiple chronic diseases interact? Chronic diseases become increasingly prevalent as we age, and lead to disability, a loss of independence and an impaired quality of life. It is estimated that most people aged 65 and over suffer from at least two chronic conditions; we are using population representative surveys of older people to understand how these interact with respect to their effects on self-rated health, disability, quality of life.
How does social isolation and loneliness effect cognitive health among older men and women? It is well known that social isolation leads to negative health outcomes. Recent reports have suggested that loneliness and social isolation are risk factors for dementia. However, little is known about the mechanisms that might explain this link, and or whether increasing social capital at a personal or environmental level could lead to dementia prevention.
Measurement of cognitive and physical function of older people. We are establishing normative values and estimated of reliability of commonly applied geriatric tests, and working on innovative ways to disseminate these values into the research and clinical environments. Understanding the measurement properties of tests and the factors affecting test scores is essential for their successful application. Tests of cognitive and physical function, biometric measures, mood, sensory function and bone density are included in our analyses. Apps for mobile devices are under development so that individual results can be compared with normative values in a clinical setting while incorporating the test-retest reliability and inter-rater reliability of each.
Recent grants
- Savva GM, Fox C, Arthur A, Ince P, Myint P, Maidment I, Matthews F, Steel N, Brayne C. ABCD study: Anticholinergics, Benzodiazepines, Cognition and Dementia £318,228 - Alzheimer's Society 2014-2017
- Kenny RA, Maty S, Savva GM. Socioeconomic position, anxiety, depression and diabetes in the ageing population of Ireland €300,000 – Health Research Board (Ireland). 2012.
- Kenny RA, Savva GM, Sofroniou N. Frailty and cognitive impairment in the older population €297,000 – Health Research Board (Ireland). 2011.
- Savva GM, Sofroniou N, Richardson KJ, Kenny RA. Disability and multimorbidity in the older population of Ireland. €18,723 – Centre for Ageing Research and Development in Ireland (CARDI). 2010.
As collaborator (with substantial contribution to development of proposal)
- Kenny RA, Shelley E, Fahey T, Normand C, O’Neill C, Barrett A. Effecting change in cardiovascular health of older Irish adults: rapid implementation of cardiovascular health research findings into policy and practice in a recession. €589,327 Health Research Board (Ireland). 2012
Teaching Interests
My teaching focuses on quantitative research methods in particular statistics and statistical software, quantitative evidence synthesis (meta-analysis), observational study design and analysis, quantitative critical appraisal.
Administrative Posts
As Associate Director for Research I contribute to the strategic planning and co-ordination of research within the School of Health Sciences, and have responsibility for researcher career development.