High level of evidence for cognitive training

A recently published report funded by the National Institutes of Health (NIH) reviews the extensive literature on cognitive decline and Alzheimer’s disease in search of factors that might delay or prevent these age-related conditions. Of all the factors reviewed, including diet and dietary supplements, physical exercise, social engagement, and other leisure activities, only cognitive training was found to have a high level of evidence for being associated with a decreased risk of cognitive decline. So, if you want to engage in activities that are known to be associated with a reduced risk of cognitive decline, this report says that cognitive training is the only thing that currently fits the bill.

The nearly 800-page manuscript was prepared by the Duke Evidence-based Practice Center for the Agency of Healthcare Research and Quality (AHRQ), a part of the U.S. Department of Health and Human Services. This exhaustive report was created to support the NIH State-of-the-Science Conference “Preventing Alzheimer’s Disease and Cognitive Decline.” The conference brought together health experts with specific expertise in aging and age-related changes in cognition to discuss the current state of knowledge related to treatments for age-related cognitive decline and Alzheimer’s disease. The report takes a very conservative approach to its evaluation of risk factors and potential treatments for age-related problems of cognition. In fact, only cognitive training was found to have a high degree of evidence for reducing the risk of age-related cognitive decline. Hundreds of studies were reviewed, and while many studies offered evidence that was suggestive of reducing risks, most were correlational, rather than experimental, in nature. For instance, some studies showed a relationship between eating a “Mediterranean diet” and reduced risk of cognitive decline. But these studies typically just ask people about their diet and correlate these factors to cognitive performance. Conversely, there have been several randomized, controlled trials that have shown improved cognitive performance through cognitive training. This higher degree of rigor earned cognitive training the “high degree of evidence” designation in this report.

Of course, that’s not to say you shouldn’t take care of yourself in other ways. Other factors such as a diet high in vegetables and omega-3 fatty acids, physical activity, and some leisure activities were found to be associated with a decreased risk of cognitive decline, albeit with a low level of evidence. In other words, these things are likely good for your brain, but the authors did not feel there was enough evidence to say so definitively. Given that most of these lifestyle factors are good for you in other ways, there’s certainly no harm in eating better, getting more exercise, or spending more time with friends and family. If you want to see how your lifestyle may be affecting your brain health, take our Brain Grade test.

This report is just another reason to make cognitive training — like Lumosity.com — a regular part of your brain health routine.

Even mice benefit from brain training!

Working memory training has been shown to be effective in improving fluid intelligence in humans. Now, research out of Rutgers has shown a similar effect in mice. This finding in mice reinforces the idea that brain enhancement through neuroplasticity is generally possible among mammals, and it opens up exciting possibilities for future research.

Researchers trained mice on a task that exercised working memory and attention, and measured their ability to perform a range of mentally challenging tasks before and after training. The mice that received focused brain training improved on measures of generalized cognitive function compared to control mice with no training. The researchers, who recently published this work in the prestigious journal Current Biology, imply that you can think of these tests as IQ tests for mice. In other words, working memory training seems to have actually made these mice smarter!

For training, the mice needed to simultaneously remember two maze configurations, and be able to make their way through either one. The mice then completed several tests to measure the effect of the training on their intelligence and ability to learn. The training made the mice better at tests that didn’t involve mazes at all, like learning how to avoid an unpleasant stimulus.

So, as in brain training studies in humans, the mice didn’t just get better at what they were practicing – they also became generally more intelligent. This transfer of training is the gold standard in assessing the effectiveness of brain training. Transfer implies that underlying brain systems are fundamentally changed by the learning, and it’s not just that the subject learned how to take the test.

This kind of transfer has been shown many times in human studies — including transfer from speed of processing training to driving ability, auditory processing training to memory performance, and working memory training to fluid intelligence — but, this is the first such result demonstrated in a non-human animal. This is significant for a few reasons. First of all, it implies that improvement in general cognitive function with brain training is a fundamental capacity of the mammalian brain, not just a human trait. Also, this paradigm allows for research that is difficult to perform on humans. The environment of mice can be very carefully controlled, eliminating many of the confounding variables inherent in research on humans. Researchers can breed mice to have certain characteristics and even knock out certain genes and replace them with others. This opens up the possibility of testing the effects of brain training on conditions like Alzheimer’s Disease, for which there are mouse models. Many new avenues of research are opened by the demonstration of this effect in mice.

This result represents an important milestone in study of brain training! It reinforces what we already know — the brain is highly adaptable and can be improved with training, and it gives us new avenues to explore. We’re looking forward to seeing what this team comes up with next.

Joe Hardy, PhD

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.

Looking For A Memory Workout? Test Our New Games!

Gift lists, driving directions, the order of ingredients for Grandma’s spiced eggnog: the holidays can really test your memory! Why not spruce up your memory and help us put the finishing touches on two of our newest games at the same time?

Play Face Workout and Rhyme Workout, and then let us know what you think by clicking the link at the bottom of the score screen at the end of each game!

Intelligence Training Comes to Lumosity

Can you actually become more intelligent?  For years, neuroscientists thought that this basically didn’t happen.  According to this view, you can take in more information and learn new things, but you can’t really become “more intelligent.”  Recent research conducted by scientists at the University of Michigan shows that this old view is probably dead wrong.

Susanne Jaeggi, Martin Buschkuehl, and their colleagues at Michigan did a study looking at what happens when people play a challenging working memory task called Dual N-Back.  They found that after training on this task for 25 minutes a day for a few weeks, the young adults in their study actually scored much better on tests of fluid intelligence – the ability to creatively solve new problems.  Fluid intelligence is part of standard IQ tests, so we can say that these subjects actually increased their intelligence following this training.

The Dual N-Back training is now available (free for a limited time) on Lumosity!  We have worked closely with Dr. Jaeggi and Dr. Buschkuehl to create a version of the Dual N-Back training that replicates what was used in their earlier study.  And, we’re going to support their ongoing research by hosting the program which will be used in their studies of intelligence training going forward.

Try it for yourself, but be warned: this training is not for the faint of heart. It’s hard! But the effort is worth it. After you’ve started, why not share your experiences with other users in our dual n-back forum?

Working memory training changes the brain

By Gregory Kellett, a cognitive neuroscience researcher at SFSU and science writer for Lumos Labs .

It seems that working memory training may work by physically altering the brain. Stockholm Brain Institute researchers put healthy people through working memory exercises for 35 minutes per day over a period of 5 weeks. Changes in dopamine receptor density were measured with positron emission tomography (PET) before and after the training.

Following working memory training, they found:

• An increase in the density of dopamine receptors.
• An improvement in working memory performance.

The neurotransmitter dopamine plays a central role in working memory. This research implies that improving working memory performance through several weeks of training might work by increasing the quantity of dopamine receptors in the brain.

References:
Buschkuehl, M., Jaeggi, S. M., Hutchison, S., Perrig-Chiello, P., Däpp, C., Müller, M., et al. (2008). Impact of working memory training on memory performance in old-old adults. Psychology and Aging, 23(4), 743-53.

Dahlin, E., Neely, A. S., Larsson, A., Bäckman, L., & Nyberg, L. (2008). Transfer of learning after updating training mediated by the striatum. Science (New York, N.Y.), 320(5882), 1510-2.

McNab, F., Varrone, A., Farde, L., Jucaite, A., Bystritsky, P., Forssberg, H., et al. (2009). Changes in cortical dopamine D1 receptor binding associated with cognitive training. Science (New York, N.Y.), 323(5915), 800-2.

Improving Memory with Magnets?

By Gregory Kellett, a cognitive neuroscience researcher at SFSU and UCSF, and science writer for Lumos Labs.

Scientists at the university of Sydney in Australia have recently claimed to be able to make people’s memory more accurate by reducing the occurrence of false memories… via magnets.

Although it is often possible to increase the precision of memory by paying better attention at the time of an event, little till now has been able to help improve remembrance after the fact.

The experimenters used electro-magnetic pulses via a technique called transcranial magnetic stimulation to decrease brain activity in such a way as to mimic the minds of people with anterior temporal lobe dementia and autism.  The logic behind this being that one of the common characteristics of these conditions is a more literal memory with greater accuracy for details.

Participants were given a list of words to memorize and then either actual magnetic brain manipulation, a sham manipulation or no treatment at all.

Those who actually had their brains magnetically pulsed after seeing the list of words showed a 36% decrease in false memories, meaning thinking a word was initially presented when it was not, over those whose brains were left untouched.

Although this leaves us with more questions than answers, the authors point to a possible future application in the courtroom, where memories frequently get a little too creative.

Reference:

Gallate, J., Chi, R., Ellwood, S., & Snyder, A. (2009). Reducing false memories by magnetic pulse stimulation. Neuroscience Letters, 449(3), 151-154. doi: 10.1016/j.neulet.2008.11.021.

Staying Sharp by Keeping Fit

By Gregory Kellett, a cognitive neuroscience researcher at SFSU and science writer for Lumos Labs.

It turns out there may be a link between cardiovascular fitness and the size of one’s hippocampus, a portion of the brain important for the formation of new memories.

Researchers from the University of Illinois and the University of Pittsburgh, looked at the cardiovascular fitness of 165 adults between the ages of 59 and 81. They also measured (via MRI) the size of each participant’s hippocampus and tested for spatial reasoning abilities.

What they found:

• Elderly adults who are physically fit tend to have larger hippocampi than those who are less fit.
• Having a larger hippocampus is correlated with better performance on spatial memory tasks.

Exercise has been linked to hippocampus size and spatial memory in rodents, but this is the first study to demonstrate a similar relationship in humans.

This is good news because although variable between individuals, it is well established that the hippocampus typically shrinks with age and that this shrinkage is associated with subtle but definite declines in memory and spatial orientation.

References:

Erickson, K. I., Prakash, R. S., Voss, M. W., Chaddock, L., Hu, L., Morris, K. S., et al. (2009). Aerobic fitness is associated with hippocampal volume in elderly humans. Hippocampus.

Kitabatake, Y., Sailor, K. A., Ming, G., & Song, H. (2007). Adult neurogenesis and hippocampal memory function: new cells, more plasticity, new memories? Neurosurgery Clinics of North America, 18(1), 105-13, x.