That the human frontal lobes are particularly vulnerable
to age-related deterioration has been frequently invoked
as an explanation of functional decline in aging. This
“frontal aging hypothesis” is evaluated in
this review by examining evidence of selectively reduced
frontal lobe function in aging. The frontal aging hypothesis
predicts that functions largely dependent on frontal regions
would decline in aging, while functions largely independent
of frontal lobes would remain relatively spared. The hypothesis
further predicts that age-related brain change would selectively
impact frontal regions. The literatures on working memory,
visuospatial attention, face recognition, and implicit
memory were reviewed as exemplars of functions dependent
on prefrontal, parietal, temporal and occipitotemporal
cortices, respectively, with a view to establishing mediating
structures and effects of aging. Age sensitivity was seen
both in functions dependent on frontal integrity as well
as in functions apparently independent of frontal integrity.
Further, although prefrontal areas exhibit age-related
decreases in regional volume, blood flow and metabolism,
nonfrontal cortical regions undergo similar declines. It
is concluded that while the frontal lobes are subject to
age-related changes reflected in both behavior and pathology,
there is only weak and conflicting evidence that frontal
regions are selectively and differentially affected by
aging. It is argued that a network-based theory of cognitive
aging has advantages over the localizationist approach
inherent in the frontal aging hypothesis. (JINS,
2000, 6, 705–726.)