Targeted Cognitive Exercises Improve Mental Abilities

Training with cognitive exercises can improve targeted mental functions, conclude the authors of a review article published recently in the journal Alzheimer’s and Dementia.  The authors (Kathryn Papp and Stephen Walsh from the University of Connecticut and Peter Snyder from Brown University) reviewed ten randomized controlled trials involving cognitive training interventions in healthy adults published since 1992.  They find that specific abilities such as memory, reasoning, and speed of processing can be improved through targeted training programs.  This is an important conclusion, and it is consistent with the growing evidence in support of the effectiveness of cognitive training.

The authors point out that the benefits of cognitive training tend to be specific to the trained domain.  So, if you want improved memory — train on games designed to improve memory.  If you want improved attention — train with attention games, and so on.  The relationship to physical exercise is apparent.  If you want big biceps — do curls.  If you want ripped abs — do sit ups.  Lumosity was designed with these principles in mind.  This is why the site contains over 30 games targeting cognitive functions spanning speed of processing, memory, attention, flexibility, and problem solving — a complete gym for the brain.

It is also clear from this review that there is still much to learn.  Few of the studies have follow-up testing longer than a few months, and many of them lack measures of real-world benefits such as activities of daily living.  However, where longer follow-ups and real-world benefits are measured, benefits are seen to be long lasting and quite general.  For example, in the ACTIVE study of cognitive training in normal healthy older adults, benefits to activities of daily living are seen 5 years after the training intervention ended.

While there is still much to learn, the weight of the evidence is showing that cognitive training can be highly effective when properly designed and executed.

Brain Imaging Study Supports the “Cognitive Reserve” Hypothesis

Individuals with higher education levels appear to score higher on cognitive tests despite having evidence of brain plaques associated with Alzheimer’s disease, according to a report in the November issue of Archives of Neurology, one of the JAMA/Archives journals.

Newswise— Individuals with higher education levels appear to score higher on cognitive tests despite having evidence of brain plaques associated with Alzheimer’s disease, according to a report in the November issue of Archives of Neurology, one of the JAMA/Archives journals.

The cognitive reserve hypothesis holds that individuals with greater cognitive (thinking, learning and memory) abilities are able to delay symptoms of Alzheimer’s disease despite underlying changes in the brain, according to background information in the article. Education is commonly used as a substitute measure of cognitive reserve. “Adjusting for level of Alzheimer disease pathological burden determined at autopsy, greater education has been associated with better cognitive function during life,” the authors write. “Education interacts with Alzheimer disease pathological burden such that a greater pathological burden is required to show an effect on cognition among persons with more education.”

Catherine M. Roe, Ph.D., and colleagues at the Washington University School of Medicine, St. Louis, studied 37 individuals with dementia of the Alzheimer type and 161 individuals without dementia between 2003 and 2008. Participants reported their education history and took cognitive tests. They were injected with a marker known as carbon 11–labeled Pittsburgh Compound B ([11C]PiB) and then underwent a 60-minute positron emission tomography (PET) scan of the brain. Recent studies have shown that [11C]PiB adheres to beta-amyloid brain plaques associated with Alzheimer’s disease, allowing researchers to identify these characteristics of the disease in living patients.

The level of [11C]PiB uptake interacted significantly with years of education in predicting cognitive test scores. Among individuals whose brains took up higher levels of [11C]PiB, indicating the presence of beta-amyloid plaques, performance on the test increased with increasing education levels. Education was not associated with cognitive scores among those with low [11C]PiB uptake, indicating no plaques.

“The results support the hypothesis that cognitive reserve influences the association between Alzheimer disease pathological burden and cognition,” the authors write. “Based on autopsy data, there may be a ceiling effect when extensive beta-amyloid pathological burden is present as in late-stage dementia of the Alzheimer type. Presumably, as the Alzheimer disease pathological burden increases, a greater proportion of highly educated participants reaches the threshold for dementia and the initial advantage provided by cognitive reserve decreases. Longitudinal imaging of beta-amyloid pathology in vivo will soon allow us to determine whether these inferences from cross-sectional studies are accurate.”

Reference: Arch Neurol. 2008;65[11]:1467-1471

Genetic Component of Alzheimer’s Disease

By Lumos Labs Science Associate, Paul Li, MS Neuroscience.

There is some new evidence that Alzheimer’s disease is much more likely for people whose parents both have the neurodegenerative disorder than if only one parent has it. Researchers examined families in which both parents have Alzheimer’s, and found that their children ended up with the disease 42% of the time.

This finding supports the evidence that genes play an important role in determining whether you end up with Alzheimer’s. One of the genetic components responsible for the disease is known as the gene Apolipoprotein E (ApoE). Fortunately your genes do not entirely determine your fate. Your lifestyle is important too, and although we do not have control of our genetic makeup, we can control how we live. With the proper cognitive and physical exercise, brain food, and even attitude toward life, one can better buffer their brain from later years of cognitive decline and delay the risk of dementia.

The incidence of Alzheimer’s increases with age, and is typically diagnosed after the age of 65. By then, there’s not much you can do to slow the disease. So what can you do earlier to help your chances of preserving cognitive function? For me personally, I have been implementing some of the brain health tips on this blog, as well as training my brain with Lumosity, as part of my daily routine. This is not just to practice what I preach, but rather to address a concern I have when I constantly need to remind my parents about certain things, such as taking their meds. I’d rather start my cognitive training regimen early so that when I someday reach my parents’ age my brain will be in the best condition it can be.

Memory impairment in those over 70

A study released recently by Duke Medical Center declares a depressing prognosis for those of us reaching the golden years. The study found that more than 1 out 3 people over the age of 70 have some degree of memory loss. While some of this group had Alzheimer’s, the majority had a degree of memory loss that was disruptive but not clinical.

The article does offer some hope:

“…notes Richard Suzman, Ph.D., director of the NIA’s Behavioral and Social Research Program. ‘Research is now beginning to suggest that interventions – such as controlling hypertension and diabetes or perhaps cognitive training – might help maintain or improve mental abilities with age. As such interventions are tested and widely applied, we should be able to track their impact through this type of research.’”

Brain Food – Fruit for Thought

More evidence that you should eat fruit. Cornell’s Chang Y. Lee found that the antioxidants in fruit prevented neurons from dying when exposed to oxidative stress.

“Our results suggest that fresh apples, banana and orange in our daily diet along with other fruits may protect neuron cells against oxidative stress-induced neurotoxicity and may play an important role in reducing the risk of neurodegenerative disorders such as Alzheimer’s disease,” Lee concluded.

Go Fish!

By Lumos Labs Science Associate Paul Li, MS Neuroscience.

One of the top brain foods you can have in your diet is fish. This brain food, also in pill form, is a good source of omega-3 fatty acids that the body alone cannot produce. Recently, scientists from UCLA further discovered that omega-3 fatty acid docosahexaenoic acid, or DHA, increases the production of a protein called LR11, which is known to destroy the beta amyloid plaques that are associated with Alzheimer’s. A fish diet may possibly be a deterrent against this debilitating neurodegenerative disease. With that said, take care of that brain of yours by eating right and exercising, both physically and mentally.

Early Biomarker for Alzheimer’s?

By contributing author Paul Li, a neuroscience graduate student at Columbia.

Researchers from Stanford might have found a biological marker for Alzheimer’s disease via a simple blood test. This is exciting news given that it might predict the onset of the disease several years before the symptoms begin. The procedure involves examining 18 key proteins in the blood that are typical in Alzheimer’s patients. Preliminary tests have been 90% accurate at detecting the disease. Dr Susanne Sorensen, of the Alzheimer’s Society, said that “Early diagnosis is essential if we are ever to develop treatments that can change the course or halt the progression of dementia rather than just treat the symptoms.”

Cognitive reserve

Elizabeth Buchen, neuroscientist, science writer and advisor to Lumos Labs, explains the concept of ‘cognitive reserve’, and why people with more education are generally better at coping with brain damage.

The first Alzheimer’s diseased brain I ever touched looked horrific. The cortex was shriveled, the ventricles were large, cavernous voids, and when I stained the sample I saw a galaxy of proteinaceous tangles and masses. The brain had clearly been degenerating steadily for over a decade, and it was difficult to imagine how the patient could have functioned. I was shocked to discover that, according to his charts, the patient’s dementia had only been detectable for a few years. In contrast, certain brains I analyzed appeared dramatically more intact, yet came from patients who had suffered from severe dementia for over a decade.

These patients exemplify the dramatically different ways people can respond to neurodegenerative changes. Even when confronted with the same disease and comparable severity, people vary considerably in the extent of cognitive decline. Specifically, people with higher levels of education and occupational attainment are more successful at coping with the same amount of brain damage.

One hypothesis that accounts for this discrepancy is the concept of cognitive reserve. The cognitive reserve hypothesis posits that people who have challenged their minds for significant portions of their lives (i.e. they didn’t just start playing Sudoku at the age of 60) can compensate for brain damage or degeneration by recruiting alternate brain networks as backup or “reserve.” In support of this hypothesis, functional brain imaging shows that “high-functioning” older adults activate significantly more areas of their brains than both “low-functioning” older adults and young adults when performing certain cognitive tasks. This indicates neural compensation; the “high-functioning” old engage in alternative neural strategies in response to neural deficits or declines in cognitive abilities. Importantly, this type of compensation may be facilitated by a more flexible organization of the brain, which results from early cognitive experience.

Of course, people who did not start challenging themselves until later in life should not despair. Other requisites of compensation, such as plasticity (including the birth of new neurons and enhanced signaling between neurons), may be improved by cognitive experience throughout life (although the earlier the better). Further, in a complementary aspect of cognitive reserve, people who challenge their brains throughout life may be able to protect their existing brain networks. Intellectually stimulating activities may increase the efficiency and capacity of these networks, enabling them to withstand a greater degree of age-related change while maintaining intact functioning (again, the earlier the better).