Physical fitness crucial for fighting age-related cognitive decline
Three recent studies point to the importance of cardiorespiratory fitness for older adults wanting to prevent cognitive decline.
Three recent studies point to the importance of cardiorespiratory fitness for older adults wanting to prevent cognitive decline.
Aids to memory such as acronyms, rhymes, linking information by creating visual images or making up a story, are called mnemonics. Most popular memory courses teach mnemonic strategies. It is however only one type of memory strategy.
Mnemonics are however particularly appropriate for remembering names and dates. In a survey of over 100 elderly adults, learning and remembering people's names, and learning and remembering dates, were the two memory skills they most wanted to improve (Leirer Morrow Sheikh & Pariante 1990).
However, although mnemonics can be very effective, they do require a great deal of effort to master. In this page I report on research into the usefulness of various mnemonic strategies for older adults.
The pegword mnemonic is a strategy for learning lists. You memorize a list that converts numbers into visual images (one is a bun, two is a shoe, etc), and then use those images as pegs for the items you wish to remember. Thus, to remember a shopping list you imagine each item in turn with these images: an apple in a bun; a shoe full of beans; etc.
While the pegword strategy is effective, it does require a lot of training to be used successfully, and doesn't appear to be a good strategy for older adults.
Four studies have found no lasting improvement in memory when middle-aged or elderly subjects have been instructed in the pegword technique (Smith 1975a, Mason & Smith 1977, Hellebusch 1976, Wood & Pratt 1987).
The method of loci (places) is the classic mnemonic, first invented by the ancient Greeks, and is considerably easier to learn than the pegword technique. Using a place you know very very well - perhaps a familiar route, your house, or a particular room in it - you mentally visualize the items you want to remember in particular places.
This technique has had somewhat more success in improving memory in older adults, although not to the extent seen in younger adults taught the strategy. This may be due to older adults' slower rate of processing information. Older adults who are already experienced in using imagery are likely to find the technique more useful.
Robertson-Tchabo, Hausman, & Arenberg (1976) found elderly subjects successfully used the method, but only when explicitly instructed to do so.
Anschutz, Camp, Markley & Kramer (1985; 1987) found elderly subjects could be trained to use the method to remember shopping list items, but tended not to use it when asked to learn new lists several weeks later, and many reported not using the strategy when interviewed several years later.
Rose & Yesavage (1983); Kliegl, Smith & Baltes (1989) found the improved memory performance seen in elderly subjects was less than that found for similarly trained young adults.
The reduced benefit of the method to older adults may be due to their slower rate of processing information. Lindenberger, Kliegl & Baltes (1992) found that elderly adults who were experienced in using imagery (graphic designers) performed better than other elderly adults, although still not to the level of young adults.
One of the most effective mnemonic strategies is the keyword method. This is particularly effective for learning new words. Gruneberg & Pascoe (1996) had success in teaching a group of older women Spanish words using the keyword method of foreign language learning.
Perhaps the most widely used mnemonic is the face-name association method. This strategy involves choosing something distinctive about the face, finding a word or phrase (the "keyword") that is similar to the name, and creating a visual image that links the distinctive feature with the keyword.
Yesavage & Rose (1984a) found older adults significantly improved their memory of names using this method, although the improvement was limited (they still only remembered 24% of names - but this was double what they remembered prior to training).
Long-lasting memory improvement is hampered by the difficulty older adults have in changing their habits - that is, they rarely use a new method without explicit instructions to do so.
The effectiveness of the method of loci and keyword method can apparently be increased by having the participants make affectiveness judgments (such as judging the degree of pleasantness) of each image they generate. This appears not only to increase the degree of improvement, but also the durability of the images (how long they are remembered for) (Yesavage & Rose 1984b (method of loci); Yesavage, Rose & Bower 1983 (face-name assoc)).
While relaxation training may improve learning in elderly adults who are anxious, it appears to hinder learning if the participants have low anxiety levels! (Yesavage, Rose & Spiegel 1982)
It does appear that age affects mnemonic training, in that it becomes less effective the older you are, especially with the more complex method of loci vs the simpler keyword methods (Yesavage, Sheikh, Friedman & Tanke 1990). This is not to say older adults cannot learn these techniques, merely that that older adults need extensive and intensive training to really benefit (Neely & Backman 1993a,b; Stigsdotter & Backman 1989).
Older adults can learn effectively by teaching themselves, but such instruction needs to be supplemented by periodic group discussions (Flynn & Storandt 1990).
Verbal mnemonics may be more useful for older adults who find imagery effortful. Hill, Storandt & Simeone (1990) found that a take-home manual on the use of organization in aiding memory resulted in substantial improvement. The story method has also been found to be of benefit (Hill, Allen & McWhorter, 1991), although its effectiveness depends on the person's ability to construct a narrative (Drevenstedt & Belleza 1993).
The most problematic memory tasks for older adults however are probably those which involve information experienced only once, incidentally – something heard in the course of conversation, remembering an action performed, remembering to do something. Training in the benefits of repetition is probably of more benefit than mnemonic training, for these instances.
A new study finds men treated with hormone therapy for prostate cancer may experience temporary cognitive changes in visual memory of figures and recognition speed of numbers. No other cognitive areas were affected. The degree of cognitive change was related to the magnitude of decline in the level of estradiol (a form of estrogen in men).
Salminen, E.K., Portin, R.I., Koskinen, A., Helenius, H. & Nurmi, M. 2005. Estradiol and Cognition during Androgen Deprivation in Men with Prostate Carcinoma. CANCER; Published Online: February 28, 2005 (DOI: 10.1002/cncr.20962); Print Issue Date: April 1, 2005.
A new study suggests that high doses of estrogen may improve long-term memory and decrease feelings of confusion in men whose testosterone levels have been lowered to treat advanced prostate cancer. The findings suggest that hormone deprivation, prostate cancer or a combination of the two significantly impair verbal memory, while estrogen therapy significantly improves verbal memory performance. Hormone deprivation appears to slow working memory performance, but did not affect accuracy. Supplementation with estrogen did not affect working memory.
Beer, T.M. & Janowsky, J. 2004. High dose estrogen may enhance memory in men with prostate cancer. Presented at the American Society for Clinical Oncology annual meeting in New Orleans, La. on June 6.
http://www.eurekalert.org/pub_releases/2004-06/ohs-ebm060604.htm
Testosterone is the main male hormone and plays a crucial role in neuronal function. However, a new study has found that high levels of testosterone triggered programmed cell death in nerve cells in culture. Increased loss of brain cells has been associated with several neurological illnesses, such as Alzheimer disease and Huntington disease. The findings point to another potential danger of steroid use.
http://www.eurekalert.org/pub_releases/2006-09/yu-etk092606.htm
A study of men undergoing testosterone deprivation therapy for prostate cancer has found that verbal memory is significantly affected. While initial learning of words is unaffected, such testosterone-deprived men show marked forgetting after two minutes. This rapid drop in memory suggests the lack of testosterone affects the function of the hippocampus. Healthy older men, on average, have about a 40% loss in their normal levels of testosterone as they age, from the ages of 20 or 30, to 70.
Paper presented at the 34th Society for Neuroscience annual meeting in San Diego in late October 2004.
http://www.eurekalert.org/pub_releases/2004-10/ohs-ost102504.php
A study of the levels of estrogen and testosterone in 300 older men enrolled in a larger study of risk factors for osteoporosis in men found that a higher level of testosterone was associated with better performance on various cognitive tests. The level of estrogen had no apparent effect. The study looked only at natural levels of hormones, and it is too soon to say whether testosterone supplements would help prevent cognitive decline. Although some previous studies have suggested that testosterone might benefit the brain, most of these studies have been of younger men.
http://www.eurekalert.org/pub_releases/2002-04/uoc--tao041502.php
Short-term declines in cognitive function can occur in elderly subjects after surgery, and persists in a small percentage.
Heart bypass surgery in particular is associated with cognitive decline - estimates of its prevalence range from 33% to 82%. This decline may persist in as many as 42% of patients. Age and level of education are both factors in determining the likelihood of long-term decline. The presence of a gene (apolipoprotein E4) carried by some 25% of the population may also increase the likelihood of decline after bypass surgery. There also seems to be a link between post-operative fever and cognitive decline. Long-term decline in cognitive function may be more a result of cardiovascular risk factors than the surgery itself.
High blood pressure in those over 60 seems to be associated with greater risk of cognitive decline.
High blood pressure and other circulatory problems, such as cardiovascular risk factors and diabetes, are linked to cognitive decline, perhaps through causing abnormalities in the white matter of elderly persons' brains.
Those with the gene ApoE4 also appear to have more difficulty recovering from traumatic brain injury.
Two drugs used for Alzheimer's have also been found to help those suffering from dementia following stroke.
A specific skills approach is having some success in helping those who suffer from attention problems following stroke.
See separate pages for
A study of over 500 relatively healthy men aged 65 years or older with high blood pressure has found that chronic use of medications with anticholinergic properties was associated with impairment in verbal memory and the ability to perform daily living tasks. The degree of impairment increased proportionally to the total amount of drug exposure. This effect was independent of age, education, morbidities, and severity of hypertension.
Han, L., Agostini, J.V. & Allore, H.G. 2008. Cumulative Anticholinergic Exposure Is Associated with Poor Memory and Executive Function in Older Men. Journal of the American Geriatrics Society, 56 (12), 2203-2210.
http://www.eurekalert.org/pub_releases/2009-01/w-cma012609.php
The Religious Orders Study has thrown up more data, this time on the subject of anticholinergic medication. Over an eight year period, 679 of the 870 elderly participants took at least one medication with anticholinergic properties. The study found those people who took anticholinergic drugs saw their rate of cognitive function decline 1.5 times as fast as those people who did not take the drugs. Anticholinergic properties are found in many medicines, such as medicines for stomach cramps, ulcers, motion sickness, and urinary incontinence.
The research was presented at the American Academy of Neurology Annual Meeting in Chicago, April 12–19.
http://www.eurekalert.org/pub_releases/2008-04/aaon-uad040208.php
A rat study has found that a single intravenous injection of human umbilical cord blood mononuclear cells in aged rats significantly improved the microenvironment of the aged hippocampus and rejuvenated the aged neural stem/progenitor cells. The increase in neurogenesis seemed to be due to a decrease in inflammation. The results raise the possibility of cell therapy to rejuvenate the aged brain.
Bachstetter, A.D. et al. 2008. Peripheral injection of human umbilical cord blood stimulates neurogenesis in the aged rat brain. BMC Neuroscience, 9, 22.
http://www.physorg.com/news124384387.html
Previous studies of a link between statins (which protect against cardiovascular disease) and cognitive decline have produced inconsistent results. A three year epidemiological study of older African Americans has now found cognitive decline in statin users was less than those who did not take statins, but those who continued to take statins from 2001 to 2004 had greater cognitive decline than those who were taking statins in 2001 but were no longer taking them in 2004. The finding that the benefit is stronger for those who had discontinued use than for continuous users points to a complex association between statins and cognitive decline.
Szwast, S.J. et al. 2007. Association of statin use with cognitive decline in elderly African Americans. Neurology, 69, 1873-1880.
http://www.eurekalert.org/pub_releases/2007-11/iu-rbs110207.php
A study of 96 older adults has found that those with uric-acid levels at the high end of the normal range had the lowest scores on tests of mental processing speed, verbal memory and working memory. The correlation persisted even when controlled for age, sex, weight, race, education, diabetes, hypertension, smoking and alcohol abuse. Uric acid levels increase with age, and higher levels are linked with high blood pressure, atherosclerosis, Type 2 diabetes and the "metabolic syndrome" of abdominal obesity and insulin resistance — all known risk factors for dementia. Because uric acid levels are so easily tested, the finding may suggest a valuable biological marker for very early cognitive problems in old age.
Schretlen, D.J. et al. 2007. Serum Uric Acid and Cognitive Function in Community-Dwelling Older Adults. Neuropsychology, 21 (1)
http://www.eurekalert.org/pub_releases/2007-01/apa-hua122706.php
Rat studies suggest that a drug made to enhance memory triggers a natural mechanism in the brain that fully reverses age-related memory loss, even after the drug itself has left the body. In middle-aged rats given ampakines twice a day for four days, there was a significant increase in the production of brain-derived neurotrophic factor (BDNF), a protein known to play a key role in memory formation, and in long-term potentiation (LTP), the process by which the connection between the brain cells is enhanced and memory is encoded. Deficits in LTP occur with age. This restoration of LTP was found in the brains even after the ampakines had been cleared from the animals' bodies.
Rex, C.S. et al. 2006. Restoration of Long-Term Potentiation in Middle-Aged Hippocampus After Induction of Brain-Derived Neurotrophic Factor. Journal of Neurophysiology, 96, 677-685.
http://www.sciencedaily.com/releases/2006/07/060727154900.htm
A small preliminary clinical trial has found that four weeks of nicotine skin patches helped decision-making and attention in people with age-associated memory impairment (the mildest form of cognitive impairment in seniors). Given the health risks of smoking, and health risks associated with nicotine patches, it is too early to recommend the use of nicotine to improve memory, however. Nicotine mimics the brain chemical acetylcholine, a nerve signal that plays a role in learning and memory.
White, H.K. & Levin, E.D. 2004. Psychopharmacology
http://www.eurekalert.org/pub_releases/2003-12/dumc-npm120303.php
Two recent studies have documented cases of amnesia and other nervous-system side effects after taking statins, the cholesterol-lowering drugs being prescribed to millions of people at risk of heart disease. It is emphasized that this is a rare problem, but given the vast numbers of people taking statins, it might still add up to a significant number of problems.
http://www.eurekalert.org/pub_releases/2003-12/ns-ymw120303.php
A study involving 679 seniors (65+) has found that those with small areas of brain damage called white matter hyperintensities, often referred to as ministrokes, were nearly twice as likely to have mild cognitive impairment that included memory loss (amnestic MCI), while those who had infarcts (areas of dead tissue usually called strokes) were more likely to experience mild cognitive impairment in abilities other than memory loss (non-amnestic MCI). In other words, ministrokes predicted memory problems, while strokes predicted non-memory problems.
Luchsinger, J.A. et al. 2009. Subclinical cerebrovascular disease in mild cognitive impairment. Neurology, 73, 450-456.
http://www.eurekalert.org/pub_releases/2009-08/aaon-bds080409.php
In a surprising and exciting finding, stroke victims left partially blind have been trained to use undamaged parts of their brains to improve their vision. The training program, involving an hour a day for at least nine months, forced them to process visual signals with parts of their brain that had not been damaged by the stroke. The seven patients in the study ranged in age from their 30s to 80s, and had suffered a stroke between eight months and three-and-a-half years previously. Impaired vision is a very common result of a stroke.
Huxlin, K.R. et al. 2009. Perceptual Relearning of Complex Visual Motion after V1 Damage in Humans. Journal of Neuroscience, 29, 3981-3991.
http://www.guardian.co.uk/science/2009/mar/31/stroke-brain-training-blind-sight
A mouse study has found that male mice that lived with a female partner before and after a stroke had a much higher survival rate compared to those mice that lived alone, and also suffered much less brain damage. The findings suggest that high levels of social support may provide some protection against strokes by reducing the amount of damaging inflammation in the brain, and provides some idea of the mechanism. Significantly fewer neurons died in the brains of pair-housed mice. They also had significantly less edema (excess water in the brain), less expression of two genes associated with damaging inflammation in the brain, and significantly higher levels of interleukin-6 (IL-6), a cytokine that has an anti-inflammatory response in the brain.
The research was presented November 18 at the annual meeting of the Society for Neuroscience in Washington, D.C.
http://www.eurekalert.org/pub_releases/2008-11/osu-ssh111408.php
A study using genetically engineered mice has found that daily doses of ginkgo biloba can prevent or reduce brain damage after an induced stroke. More research is needed before its use in humans can be recommended, but the finding does lend support to other evidence that ginkgo biloba triggers a cascade of events that neutralizes free radicals known to cause cell death.
Saleem, S. et al. 2008. Ginkgo Biloba Extract Neuroprotective Action Is Dependent on Heme Oxygenase 1 in Ischemic Reperfusion Brain Injury. Stroke, published online October 9
http://www.eurekalert.org/pub_releases/2008-10/jhmi-mss100708.php
A study following 20,627 people for an average of 8.5 years has found that psychological distress was associated with an increased risk of stroke and that the risk of stroke increased the more distress the participants reported. This association remained the same regardless of cigarette smoking, systolic blood pressure, overall blood cholesterol, obesity, previous heart attack, diabetes, social class, education, high blood pressure treatment, family history of stroke and recent antidepressant medication use. However, there was no increased risk for people who had experienced an episode of major depression in the past year or at any point in their lifetime.
Surtees, P.G. et al. 2008. Psychological distress, major depressive disorder, and risk of stroke. Neurology, 70, 788-794.
http://www.eurekalert.org/pub_releases/2008-03/aaon-pdn022608.php
A Finnish study involving 60 patients who had suffered a stroke of the left or right hemisphere middle cerebral artery (MCA) has found that if stroke patients listened to music for a couple of hours a day, their verbal memory and focused attention recovered better and they had a more positive mood than patients who did not listen to anything or who listened to audio books. Patients were randomly assigned to a music listening group, a language group or a control group. During the next two months the music and language groups listened daily to music they chose themselves or to audio books respectively, while the control group received no listening material. All groups received standard stroke rehabilitation. Three months after the stroke, verbal memory improved from the first week post-stroke by 60% in music listeners, by 18% in audio book listeners and by 29% in non-listeners. Similarly, focused attention improved by 17% in music listeners, but no improvement was observed in audio book listeners and non-listeners. The differences were essentially the same six months after the stroke. The music listening group also experienced less depressed and confused mood than the patients in the control group.
Särkämö, T. et al. 2008. Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain Advance Access published online on February 20, 2008.
http://www.eurekalert.org/pub_releases/2008-02/uoh-ltm021508.php
A large study involving men and women over age 35 in the United States, Canada, and Scotland who had suffered a mild to moderate stroke within the past three months, found several factors predicted memory and disability problems after stroke: increased age, non-Caucasian race, recurrent stroke, diabetes, stroke in the left hemisphere of the brain, higher levels of homocysteine and lower levels of high-density lipoproteins (HDL), otherwise known as “good” cholesterol. “People with low levels of HDL, high levels of homocysteine, and diabetes are twice as likely as those without such problems to have poorer cognitive function and greater disability after stroke … (and) stroke recovery was the most difficult for people over the age of 57 with high levels of homocysteine ...”
Newman, G.C., Bang, H., Hussain, S.I. & Toole, J.F. 2007. Association of diabetes, homocysteine, and HDL with cognition and disability after stroke. Neurology, 69, 2054-2062.
http://www.eurekalert.org/pub_releases/2007-11/aaon-ne112007.php
Executive dysfunction is common after stroke and may impair long-term outcome. A small study of people who had had a stroke during the previous six months has found that, although there was no difference in executive function between those given antidepressants and those given a placebo at the end of the 12-week treatment period, there was a significant difference 21 months after the treatment ended. Those who had been given the placebo showed continued worsening of executive functions, whereas the group treated with antidepressants had clear and significant improvement, regardless of how their depressive symptoms changed. The researchers speculate that antidepressants may foster recovery of neural tissue not directly destroyed by the stroke, yet because the process is slow, it takes months.
Narushima, K., Paradiso, S., Moser, D.J., Jorge, R. & Robinson, R.G. 2007. Effect of antidepressant therapy on executive function after stroke. British Journal of Psychiatry, 190, 260-265.
http://www.eurekalert.org/pub_releases/2007-03/uoi-aip030207.php
Researchers have identified a protein, PirB, that stops new neural connections forming in adult brains, possibly explaining why older brains become less adaptable. The study found that the brains of adult mice that lacked PirB retained the same rewiring ability of much younger brains. Without PirB to hold them back, the old mice were, in effect, able to learn new tricks. The findings could offer hope for victims of brain injury and strokes.
http://www.sciencedaily.com/releases/2006/08/060818012553.htm
A study involving 83 stroke patients found that a 5-week 15-hour training program improved driving ability. Those given experimental simulator-based training improved more than those given driving-related cognitive tasks. Those with more education and those with less disability benefited most. 73% of the simulator group were legally allowed to resume driving compared to 42% of the other group. However, there were a large number of dropouts.
Akinwuntan, A.E., De Weerdt, W., Feys, H., Pauwels, J., Baten, G., Arno, P. & Kiekens, C. 2005. Effect of simulator training on driving after stroke: A randomized controlled trial. Neurology, 65 (6), 843-850.
Around a quarter of strokes are caused by a narrowing of the carotid arteries. A less invasive technique — carotid artery stenting — is increasingly taking the place of surgery to treat this problem. A study involving 26 patients who had undergone the procedure has tested their cognitive function at least 24 hours before and three months after the stenting procedure. The results showed that cognitive speed increased significantly after stenting, regardless of the patient's age or the severity of the stenosis, and an increase in memory function in patients with decreased blood flow in the brain.
Grunwald, I.Q. et al. 2005. The research was presented at the annual meeting of the Radiological Society of North America.
http://www.eurekalert.org/pub_releases/2005-11/rson-cas112005.php
Language activity in right-handed people is initially localized in the left side of the brain, but a new study shows that this gradually becomes a function shared by both sides. From ages 5 to 25, language activity increases in the dominant hemisphere; from 25 to 67, the nondominant hemisphere increasingly shares the load. The discovery gives new hope for rehabilitation of brain function in adults after stroke or traumatic brain injuries.
Szaflarski, J. P., Holland, S. K., Schmithorst, V. J., & Byars, A. W. (2006). fMRI study of language lateralization in children and adults. Human Brain Mapping, 27(3), 202-212.
http://www.eurekalert.org/pub_releases/2005-10/uoc-sib100605.php
A new rat study suggests antioxidant-rich fruits and vegetables may limit brain damage from stroke and other neurological disorders. The study built upon previous research showing that diets enriched with blueberries, spinach or spirulina reversed normal age-related declines in memory and learning in old rats, and found that the same diet significantly reduced brain cell loss and improved recovery of movement in rats who had an ischemic stroke induced. The size of the stroke in the rats fed blueberry or spinach supplements was half that seen in the brains of untreated rats. Rats fed spirulina-enriched diets had stroke lesions 75 percent smaller than their untreated counterparts.
Wang, Y., Chang, C-F., Chou, J., Chen, H-L., Deng, X., Harvey, B.K., Cadet, J.L. & Bickford, P.C. 2005. Dietary supplementation with blueberries, spinach, or spirulina reduces ischemic brain damage. Experimental Neurology, 193 (1), 75-84.
http://www.eurekalert.org/pub_releases/2005-04/uosf-adr041205.php
New research reveals why particular neurons in the hippocampus are most vulnerable to death from oxygen starvation during a stroke, and may lead to drugs that selectively protect those cells, leaving other brain cells unaffected. The findings could also lead to drugs that protect vulnerable brain cells in sufferers of amyotrophic lateral sclerosis, or Lou Gehrig's disease.
Liu, S-H., Lau, L., Wei, J-S., Zhu, D-Y., Zou, S., Sun, H-S., Fu, Y-P., Liu, F. & Lu, Y-M. 2004. Expression of Ca2+-Permeable AMPA Receptor Channels Primes Cell Death in Transient Forebrain Ischemia. Neuron, 43 (1), 43-55.
http://www.eurekalert.org/pub_releases/2004-07/cp-stm070204.php
A new large-scale study supports earlier suggestions that those with a high risk for stroke within 10 years are also at risk for lowered cognitive function and show a pattern of deficits similar to that seen in mild vascular cognitive impairment. It is speculated that the reason may lie in structural and functional changes in the brain that do not rise to the level of clinical detection, and this is supported by a recent brain imaging study showing that abnormal brain atrophy is related both to higher risk of stroke and poorer cognitive ability. The probability of experiencing stroke within 10 years was calculated using weighted combinations of age, systolic blood-pressure, presence of diabetes, cigarette smoking, history of cardiovascular disease, treatment for hypertension and atrial fibrillation.
Elias, M.F., Sullivan, L.M., D’Agostino, R.B., Elias, P.K., Beiser, A., Au, R., Seshadri, S., DeCarli, C. & Wolf, P.A. 2004. Framingham Stroke Risk Profile and Lowered Cognitive Performance. Stroke, 35, 404-9.
http://www.eurekalert.org/pub_releases/2004-01/ama-rfl010804.php
The herb gastrodine has been used in China for centuries to treat disorders such as dizziness, headache and even ischemic stroke. Now a 12-week, randomized, double-blind trial comparing gastrodine with Duxilâ (a drug used to treat stroke patients in China) has been done in Beijing Dongzhimen Hospital. The trial involved 120 stroke patients who were diagnosed with mild to moderate vascular dementia. Both treatment groups showed similar improvement in memory, orientation, calculation, and language (as measured by the MMSE). The gastrodine group also showed a significant difference in the Blessed Behavioral Scale (BBS) score - including behavior, activities of daily living, and also suffered fewer side effects. Researchers say combined results showed the gastrodine group improvement was 51.43 percent, with 16 of the 70 cases showing much improvement, 20 cases with some improvement, and 34 cases with no change. The improvement rate for patients treated with Duxilâ was 52 percent, with seven of the 50 cases showing much improvement, 19 cases with some improvement, and 24 cases with no change.
The research was presented at the American Heart Association's Second Asia Pacific Scientific Forum in Honolulu on June 10.
http://www.eurekalert.org/pub_releases/2003-06/aha-nhd052303.php
Following mouse studies showing that ginseng increased the activities of the brain chemicals acetylcholine and choline acetyltransferase, a pilot study of 40 patients (average age 67) with mild to moderate vascular dementia was undertaken by Chinese researchers. 25 patients were randomly selected to receive ginseng extract, while 15 received the drug Duxil® (used to improve memory in elderly dementia patients). Overall, researchers found that patients who took the ginseng compound significantly improved their average memory function after 12 weeks. More research (larger samples, placebo-controls) is needed before this finding can be confirmed.
The study was reported at the American Stroke Association's 28th International Stroke Conference on February 14 in Phoenix.
http://www.eurekalert.org/pub_releases/2003-02/aha-gmi020403.php
Every year, about 750,000 Americans suffer a loss of blood flow to the brain, an ischemic stroke. When the stroke occurs on the left side of the brain, language abilities may be lost (aphasia). However, many of those who initially lose language abilities after a stroke recover much of their ability within six to 12 months. Several studies have suggested that such language recovery occurs because the right hemisphere of the brain takes over language functions. A new imaging study demonstrates that, indeed, areas on the opposite side of the brain to the damaged language areas are active during language tasks, and demonstrate expected patterns of activation with practice.
Blasi, V., Young, A.C., Tansy, A.P., Petersen, S.E., Snyder, A.Z., Corbetta, M. 2002. Word retrieval learning modulates right frontal cortex in patients with left frontal damage. Neuron, 36, 1-20.
http://www.eurekalert.org/pub_releases/2002-09/wuso-rso092502.php
Treatment programs for people who suffer from attention problems following a stroke or other traumatic brain injuries often involve abstract cognitive exercises designed to directly restore impaired attention processes. But a review of 30 studies involving a total of 359 participants shows that an alternative and lesser-used therapy that teaches patients to relearn the tasks that affect their daily lives the most may be more effective. In this specific skills approach, people with brain damage learn to perform attention skills in a way that is different from non-brain-damaged people. In one study, for example, participants whose brain injuries affected their ability to drive a car used small electric cars in the lab to practice specific driving exercises, such as steering between pylons that were moved closer and closer together. Those that practiced specific exercises showed substantial improvement on a variety of driving related tasks compared to those who drove the car, but did not practice the exercises.
58. Park, N. W., & Ingles, J. L. (2001). Effectiveness of attention rehabilitation after an acquired brain injury: A meta-analysis. Neuropsychology, 15(2), 199-210.
http://www.eurekalert.org/pub_releases/2001-04/APA-Rlsm-0704101.php
Cognitive decline is less in those who engage more frequently in cognitively stimulating activities.
Activities that keep you actively searching for words (such as scrabble and crosswords) may help reduce those tip-of-the-tongue experiences where particular words cannot quite be recalled.
Cognitive training programs can reverse cognitive impairment in many seniors
An 8-year study of over 2,500 seniors in their 70s, has found that 53% showed normal age-related decline, 16% showed major cognitive decline, and an encouraging 30% had no change or improved on the tests over the years. The most important factors in determining whether a person maintained their cognitive health was education and literacy: those with a ninth grade literacy level or higher were nearly five times as likely to stay sharp than those with lower literacy levels; those with at least a high school education were nearly three times as likely to stay sharp as those who have less education. Lifestyle factors were also significant: non-smokers were nearly twice as likely to stay sharp as smokers; those who exercised moderately to vigorously at least once a week were 30% more likely to maintain their cognitive function than those who do not exercise that often; people working or volunteering and people who report living with someone were 24% more likely to maintain cognitive function.
http://www.eurekalert.org/pub_releases/2009-06/aaon-ssn060209.php
A review of clinical trials which have examined the effect of cognitive exercise on longitudinal cognitive performance in healthy elderly individuals found 7 studies that met the criteria, and concluded that cognitive exercise training in healthy older individuals produced strong and long-lasting protective effects on cognitive performance, although it has yet to be shown to prevent incident dementia.
Valenzuela, M. & Sachdev, P. 2009. Can Cognitive Exercise Prevent the Onset of Dementia? Systematic Review of Randomized Clinical Trials
with Longitudinal Follow-up. American Journal of Geriatric Psychiatry, 17 (3), 179-187.
http://journals.lww.com/ajgponline/Abstract/2009/03000/Can_Cognitive_Exercise_Prevent_the_Onset_of.2.aspx
In the first study to link a commercially available software program to improvement on unaffiliated standard measures of memory and to better performance on everyday tasks, a study involving 487 healthy adults over the age of 65 has found that those who used the Brain Fitness Program for 40 hours over the course of eight weeks (an hour a day, five days a week) became twice as fast in processing, while those who spent the same amount of time watching videos on art, history and literature topics followed by quizzes showed no significant improvement. They also performed significantly better on memory and attention tests for which they did not train, and many also reported significant improvements in everyday cognitive activities such as remembering names or understanding conversations in noisy restaurants. The Brain Fitness Program consists of six auditory exercises designed to help the brain improve the speed and accuracy of processing.
Smith, G.E. et al. 2009. A Cognitive Training Program Based on Principles of Brain Plasticity: Results from the Improvement in Memory with Plasticity-based Adaptive Cognitive Training (IMPACT) Study.
http://www.eurekalert.org/pub_releases/2009-02/uosc-cei021109.php
http://www.eurekalert.org/pub_releases/2009-02/mc-mcr_1021009.php
A study involving 1321 randomly selected people aged 70 to 89, of whom 197 had mild cognitive impairment, has found that reading books, playing games, participating in computer activities or doing craft activities such as pottery or quilting was associated with a 30 to 50% decrease in the risk of developing memory loss compared to people who did not do those activities. Also, those who watched television for less than seven hours a day were 50% less likely to develop memory loss than people who watched for more than that. Other activities in later age were not significantly associated with a reduced chance of having MCI. Only two activities during middle age (50-65) were significantly associated with a reduced chance of later memory loss: participation in social activities and reading magazines.
Geda, Y.E. et al. 2009. Cognitive Activities Are Associated with Decreased Risk of Mild Cognitive Impairment: The Mayo Clinic Population-Based Study of Aging. Presented April 28 at the American Academy of Neurology's 61st Annual Meeting in Seattle, April 25 to May 2, 2009.
http://www.eurekalert.org/pub_releases/2009-02/aaon-cey021009.php
A review of research on the impact of cognitive training on the healthy elderly (not those with mild cognitive impairment or Alzheimer's disease), has found no evidence that structured cognitive intervention programs affects the progression of dementia in the healthy elderly population. This is not to say that it doesn’t; the fault lies in the quality of the research. The researchers found only a very small number of studies that met their criteria. Those that did meet the criteria were mostly found to be limited in their methodologies or lacking in follow-up. They concluded that more random clinical trials in cognitive training need to be conducted with sufficient follow-up time that can actually measure changes in daily functioning.
Papp, K.V., Walsh, S.J. & Snyder, P.J. 2009. Immediate and delayed effects of cognitive interventions in healthy elderly: A review of current literature and future directions. Alzheimer's & Dementia, 5 (1), 50-60.
http://www.eurekalert.org/pub_releases/2009-02/l-sqe020909.php
A study involving some 6,500 older Chicago residents being interviewed 3-yearly for up to 14 years (average 6.5 years), has found that while at the beginning of the study, those with more education had better memory and thinking skills than those with less education, education was not related to how rapidly these skills declined during the course of the study. The result suggests that the benefit of more education in reducing dementia risk results simply from the difference in level of cognitive function.
Wilson, R.S., Hebert, L.E., Scherr, P.A., Barnes, L.L., de Leon, C.F.M. & Evans, D.A. 2009. Educational attainment and cognitive decline in old age. Neurology, 72, 460-465.
http://www.eurekalert.org/pub_releases/2009-02/aaon-emn012709.php
Data gathered from 1998 to 2004 from the very large U.S. Health and Retirement Study has supported previous research suggesting that social activity is associated with slower cognitive decline. Indeed, memory decline among those with the highest social integration was less than half the rate among the least integrated. Social integration was assessed by marital status, volunteer activity, and frequency of contact with children, parents, and neighbors. The findings were independent of sociodemographic factors (such as age, gender, and race) and health status in 1998. The researchers found that the protective effect of social integration was largest among individuals with fewer than 12 years of education. There was no evidence that a poor or declining memory caused social withdrawal.
Ertel, K.A., Glymour, M.M. & Berkman, L.F. 2008. Effects of Social Integration on Preserving Memory Function in a Nationally Representative U.S. Elderly Population. American Journal of Public Health, 98 (7), 1215-1220.
http://www.eurekalert.org/pub_releases/2008-05/hsop-asl052708.php
Incidentally, another study that appeared in the same issue found that larger social networks were associated with a lower risk of dementia in women aged 78 and older. The study examined 2249 members of a health maintenance organization who were free of dementia at the start of the study. 268 (12%) of these were identified as having dementia four years later.
Crooks, V.C. et al. 2008. Social Network, Cognitive Function, and Dementia Incidence Among Elderly Women. American Journal of Public Health, 98, 1221-1227.
A seven-year study involving over 7,000 people 70 years and older has found that a 70-year old person with at least 12 years of education can expect to live 14.1 more years without cognitive impairment, which is two-and-a-half years more than 70-year olds with fewer than 12 years of education. They can then expect to spend 1 year with impairment, which is about 7 months less than a person with fewer years of education. The impairment is also likely to be more severe for the more educated, and associated with worse health. This is consistent with the idea of cognitive reserve — that education provides a “buffer” that enables people to continue functioning well despite physical damage in the brain. However, when the damage finally can no longer be compensated for, the effects will be greater. But it shouldn’t be assumed that it is all downhill from there — even the severely impaired may recover, depending on the cause. Overall, about 11% of the mentally impaired recover, presumably because the decline is caused by a treatable condition.
Lièvre, A., Alley, D. & Crimmins, E. 2008. Educational Differentials in Life Expectancy With Cognitive Impairment Among the Elderly in the United States. Journal of Aging and Health, 20, 456-477.
http://www.eurekalert.org/pub_releases/2008-05/uosc-mlo051208.php
A study of 3,610 people aged 24—96 examined mental functioning and social interaction, and found that, across all ages, cognitive functioning was better the The higher the level of participants' social interaction. Participants' level of social interactions was assessed by asking how often each week they talked on the phone with friends, neighbors and relatives, and how often they got together. Researchers controlled for age, education, race/ethnicity, gender, marital status and income, physical health and depression. In a second experiment involving college students, short-term social interaction lasting for just 10 minutes boosted participants' intellectual performance as much as engaging in so-called 'intellectual' activities for the same amount of time.
Ybarra, O., Burnstein, E., Winkielman, P., Keller, M. C., Manis, M., Chan, E., & Rodriguez, J. (2008). Mental Exercising Through Simple Socializing: Social Interaction Promotes General Cognitive Functioning. Personality and Social Psychology Bulletin, 34(2), 248 –259. doi:10.1177/0146167207310454
http://www.eurekalert.org/pub_releases/2007-10/uom-tmo102907.php
A mouse study has found that while physical exercise (a running wheel) and mental stimulation (toys), singly and together, improved memory in old mice, exercise alone or exercise and stimulation improved memory in middle-aged mice but not stimulation alone, and only exercise alone benefited young mice. The results suggest that as we get old and maybe less able to exercise, cognitive stimulation can help to compensate, but exercise is central to memory reinforcement at all ages.
Harburger, L.L., Nzerem, C.K. & Frick, K.M. 2007. Single Enrichment Variables Differentially Reduce Age-Related Memory Decline in Female Mice. Behavioral Neuroscience, 121 (4), 679-688.
http://www.eurekalert.org/pub_releases/2007-08/apa-eam080107.php
A study of 134 participants from the Religious Orders Study or the Memory and Aging Project has found that, although they didn't have cognitive impairment at the time of their death, more than a third of the participants (50) met criteria for a pathologic diagnosis of Alzheimer's disease. This group also scored significantly lower on tests for episodic memory, such as recalling stories and word lists. The results provide further support for the idea that a ‘cognitive reserve’ can allow people to tolerate a significant amount of Alzheimer's pathology without manifesting obvious dementia. It also raises the question whether we should accept any minor episodic memory loss in older adults as 'normal'.
Bennett, D.A., Schneider, J.A., Arvanitakis, Z., Kelly, J.F., Aggarwal, N.T., Shah, R.C. & Wilson, R.S. 2006. Neuropathology of older persons without cognitive impairment from two community-based studies. Neurology, 66, 1837-1844.
http://www.eurekalert.org/pub_releases/2006-06/aaon-apr062006.htm
A study involving 17 people (35–69 years) with mild self-reported memory complaints but normal baseline memory performance scores, has found that 2 weeks on a program combining a brain healthy diet plan (5 small meals a day; diet rich in omega-3 fats, antioxidants and low-glycemic carbohydrates like whole grains), relaxation exercises, cardiovascular conditioning (daily walks), and mental exercise (such as crosswords and brain teasers) resulted in participants' brain metabolism decreasing 5% in working memory regions (left dorsolateral prefrontal cortex), suggesting an increased efficiency. Compared to the control group, participants also performed better in verbal fluency.
Small, G.W. et al. 2006. Effects of a 14-Day Healthy Longevity Lifestyle Program on Cognition and Brain Function. American Journal of Geriatric Psychiatry, 14, 538-545.
A study of 3,957 people from the general population of Olmsted County, Minnesota is currently in train to find how many of those who did not have dementia might have mild cognitive impairment. A report on the findings so far suggests 9% of those aged 70 to 79 and nearly 18% of those 80 to 89 have MCI. Prevalence varied not only with age but also years of education: 25% in those with up to eight years of education, 14% in those with nine to 12 years, 9% in those with 13 to 16 years, and 8.5% in those with greater than 16 years.
Findings from this study were presented April 4 at the American Academy of Neurology meeting in San Diego.
http://www.eurekalert.org/pub_releases/2006-04/mc-mci033006.htm
A small 14-day study found that those following a memory improvement plan that included memory training, a healthy diet, physical exercise, and stress reduction, showed a 5% decrease in brain metabolism in the dorsal lateral prefrontal region of the brain (involved in working memory) suggesting they were using their brain more efficiently. This change in activity was reflected in better performance on a cognitive measure controlled by this brain region, and participants reported that they felt their memory had improved. The memory training involved doing brainteasers, crossword puzzles and memory exercises. Diet involved eating 5 small meals daily (to prevent fluctuations in blood glucose levels) that were rich in omega-3 fats, low-glycemic index carbohydrates (e.g., whole grains) and antioxidants. Physical exercise involved brisk walking and stretching, and stress reduction involved stretching and relaxation exercises.
The study was presented at the American College of Neuropsychopharmacology's Annual Meeting on December 11-15, in Hawaii.
http://www.eurekalert.org/pub_releases/2005-12/g-nsf121205.htm
Research has indicated that higher education helps protect older adults from cognitive decline. Now an imaging study helps us understand how. The study compared adults from two age groups: 18-30, and over 65. Years of education ranged from 11 to 20 years for the younger group, and 8 to 21 for the older. Participants carried out several memory tasks while their brain was scanned. In young adults performing the memory tasks, more education was associated with less use of the frontal lobes and more use of the temporal lobes. For the older adults doing the same tasks, more education was associated with less use of the temporal lobes and more use of the frontal lobes. Previous research has indicated frontal activity is greater in old adults, compared to young; the new study suggests that this effect is related to the educational level in the older participants. The higher the education, the more likely the older adult is to recruit frontal regions, resulting in a better memory performance.
Springer, M.V., McIntosh, A.R., Winocur, G. & Grady, C.L. 2005. The Relation Between Brain Activity During Memory Tasks and Years of Education in Young and Older adults. Neuropsychology and Aging, 19 (2)
http://www.eurekalert.org/pub_releases/2005-03/apa-bi030705.htm
A new study of beagles provides more evidence that diet and mental stimulation are important in reducing or preventing age-related cognitive decline. The study, involving 48 older beagles (aged 7 to 11), compared four combinations of behavioral enrichment (regular exercise and lots of mental stimulation) and supplementation of diet with antioxidants had on a beagle's ability to learn: regular diet and regular experience; regular diet and enriched experience; regular experience and an enriched diet; and enriched diet and an enriched experience. The study followed the beagles over two years. Those in the groups with either an enriched diet or enriched environment did better than those without either, but those who had both the enriched diet and an enriched environment did noticeably better than all the rest.
Milgram, N.W., Head, E., Zicker, S.C., Ikeda-Douglas, C.J., Murphey, H., Muggenburg, B., Siwak, C., Tapp, D., & Cotman, C.W. 2005. Learning ability in aged beagle dogs is preserved by behavioral enrichment and dietary fortification: a two-year longitudinal study. Neurobiology of Aging, 26, 77-90.
http://www.eurekalert.org/pub_releases/2005-01/uot-mtc011705.htm
http://www.eurekalert.org/pub_releases/2005-01/nioa-des011805.htm
A study of 104 people aged between 30 and 88 has found that those who were fluent in two languages rather than just one were sharper mentally. Those fluent in two languages responded faster on tasks assumed to place demands on working memory, compared to those who were fluent in just English, at all age groups. This is consistent with the theory that constant management of 2 competing languages enhances executive functions. Bilingual volunteers were also much less likely to suffer from the mental decline associated with old age. The finding is consistent with other research suggesting that mental activity helps in protecting older adults from mental decline. The participants were all middle class, and educated to degree level. Half of the volunteers came from Canada and spoke only English. The other half came from India and were fluent in both English and Tamil.
Bialystok, E., Craik, F.I.M., Klein, R. & Viswanathan, M. 2004. Bilingualism, Aging, and Cognitive Control: Evidence From the Simon Task. Psychology and Aging, 19 (2), 290–303.
http://news.bbc.co.uk/2/hi/health/3794479.stm
A British study questioned some 5,350 civil servants aged between 35 and 55 about their participation in 13 leisure activities, ranging from DIY and housework to cultural visits and evening classes. They were then given tests in verbal memory, mathematical reasoning, vocabulary and verbal fluency. Independent of socio-economic position, the highest level of cognitive ability was associated with regular cultural visits to theatres, art galleries and stately homes. This was closely followed by reading and listening to music, then by involvement in clubs and voluntary organisations, and participation in courses and evening classes. The association was stronger among men. While the researchers suggested that seeking mental stimulation may have a beneficial effect on cognition in middle age, and the research was popularly reported as indicating that “going to the pub is good for the brain” (going to the pub was indeed associated with a slightly higher cognitive ability, but less so that the afore-mentioned), it must be remembered that correlation does not imply causation.
Singh-Manoux, A., Richards, M. & Marmot, M. 2003. Leisure activities and cognitive function in middle age: evidence from the Whitehall II study. Journal of Epidemiology and Community Health, 57, 907-913.
http://news.bbc.co.uk/1/hi/health/3239641.stm
A 15-year study of 92 seniors found that those with a low sense of self worth were more likely to suffer from memory loss as they got older. Moreover, the brains of those with low self-worth were up to a fifth smaller than those who felt good about themselves. It is speculated that those who are anxious and think negatively may set themselves up for memory loss by not bothering to engage themselves in activities that would stimulate and enrich their brains.
The study was presented at a conference at the Royal Society in London.
http://news.bbc.co.uk/2/hi/health/3224674.stm
6,158 persons aged 65 years and older from a biracial community in Chicago self-rated current frequency of participation in seven cognitive activities (e.g., reading a newspaper) and nine physical activities (e.g., walking for exercise). Four years later, 842 of those judged dementia-free were given a detailed clinical evaluation. 139 of these met criteria for Alzheimer's on clinical evaluation. When adjusted for age, education, sex, race, and possession of the gene allele associated with Alzheimer's, a one-point increase in cognitive activity score was associated with a 64% reduction in risk of Alzheimer's. Weekly hours of physical activity had no effect. Education and occupation were both associated with Alzheimer's risk, but these effects were substantially reduced when cognitive activity was taken into account.
Wilson, R.S., Bennett, D.A., Bienias, J.L., Aggarwal, N.T., de Leon, M.C.F., Morris, M.C., Schneider, J.A. & Evans, D.A. 2002. Cognitive activity and incident AD in a population-based sample of older persons. Neurology, 59, 1910-1914.
PET scans of the prefrontal cortex reveal that older adults who perform better on a simple memory task display more activity on both sides of the brain, compared to both older adults who do less well, and younger adults. Although this seems counter-intuitive – the older adults who perform less well show activity patterns more similar to that of younger adults, this supports recent theory that the brain may change tactics as it ages, and that older people whose brain is more flexible can compensate for some aspects of memory decline. Whether this flexibility is neurological, or something that can be taught, is still unknown.
Cabeza, R., Anderson, N.D., Locantore, J.K. & McIntosh, A.R. 2002. Aging Gracefully: Compensatory Brain Activity in High-Performing Older Adults. NeuroImage, 17(3), 1394-1402
http://www.nytimes.com/2002/11/19/health/aging/19AGIN.html?8vd
Earlier research has indicated cognitively stimulating activities (such as doing crosswords, playing scrabble, bridge, etc.) may help protect against cognitive decline (and perhaps even Alzheimers). Now a new report (not yet published) from the Institute for Social Research at the University of Michigan supports and extends this research by suggesting that simply talking helps keep your mind sharp at all ages. The lead researcher also speculates that, by encouraging children to develop their social skills, parents and teachers could also be helping them to improve their intellectual skills. And in the workplace, instead of encouraging employees to keep their noses to computer monitors and complete their tasks, effective supervisors might encourage them to take plenty of time out to socialize.
http://www.eurekalert.org/pub_releases/2002-10/uom-sig102202.php
A study of 700 seniors over several years found that more frequent participation in cognitively stimulating activities, such as reading books, newspapers or magazines, engaging in crosswords or card games, was significantly associated with a reduced risk of Alzheimer’s disease (AD). General cognitive decline was also less among people who did more cognitively stimulating activities, in particular, in working memory, perceptual speed, and episodic memory. It is not yet known whether engaging in such activities helps prevent cognitive decline, or whether those who develop cognitive impairment are less likely to engage in cognitively stimulating activities.
Wilson RS, Mendes de Leon CF, Barnes LL, & et al. (2002). Participation in cognitively stimulating activities and risk of incident alzheimer disease. JAMA, 287(6), 742–748. doi:10.1001/jama.287.6.742
http://www.eurekalert.org/pub_releases/2002-02/nioa-io020802.php
1,772 people age 65 or older participated in a 7-year study that investigated the effect of leisure activities on risk of dementia. It was found that, even when controlling for factors like ethnic group, education and occupation, those with high leisure activity had 38% less risk of developing dementia. There also appeared to be a cumulative effect, with an additional 8% risk reduction associated with each leisure activity engaged. Activities of all kinds were shown to be beneficial, but intellectual activities were associated with the highest risk reduction.
Scarmeas, N., Levy, G., Tang, M-X., Manly, J. & Stern, Y. 2001. Influence of leisure activity on the incidence of Alzheimer’s Disease. Neurology, 57, 2236-2242.
http://www.eurekalert.org/pub_releases/2001-12/aaon-lad121401.php
Memory failures in which you feel the information you want is "on the tip of my tongue" appear to occur because the memory trails to those items have become faint, either because the items haven't been used regularly or because of age. Similar sounding items can help recall. To keep your memory trails strong, you need to use them - by reading, doing crosswords, anything that uses language and keeps you meeting new words.
James, L. E., & Burke, D. M. (2000). Phonological Priming Effects on Word Retrieval and Tip-of-the-Tongue Experiences in Young and Older Adults,. Journal of Experimental Psychology: Learning, Memory, and Cognition, 26(6), 1378–1391.
Age-related macular degeneration (AMD) is the leading cause of visual impairment in industrialized nations, and like Alzheimer's disease, involves the buildup of beta-amyloid peptides in the brain, as well as sharing similar vascular risk factors. A study of over 2000 older adults (69-97) has revealed an association between early-stage AMD and cognitive impairment, as assessed by the Digit Symbol Substitution Test (a test of attention and processing speed). There was no association with performance on the Modified Mini-Mental State Examination (used to assess dementia).
It’s worth noting that in the same journal two studies into the association between dietary fat intake and AMD appeared. The first, four-year, study involved over 6700 older adults and found that higher trans-unsaturated fat intake was associated with a higher incidence of AMD, while higher omega-3 fatty acid and higher olive oil intake were each associated with a lower incidence. The second, ten-year, study involving nearly 2500 older adults, found regular consumption of fish, greater intake of omega-3 fatty acids, and low intake of linoleic acid (perhaps because a higher intake implies a lower intake of omega-3 oils? linoleic acid is an omega-6 fatty acid), were all associated with a lower incidence of AMD. Fish and omega-3 oils have of course been similarly associated with lower rates of dementia and age-related cognitive impairment.
http://www.eurekalert.org/pub_releases/2009-05/jaaj-aed050709.php
Age-related macular degeneration (AMD) develops when the macula, the portion of the eye that allows people to see in detail, deteriorates. An investigation into the relationship between vision problems and cognitive impairment in 2,946 patients has been carried out by The Age-Related Eye Disease Study (AREDS) Research Group. Tests were carried out every year for four years. Those who had more severe AMD had poorer average scores on cognitive tests, an association that remained even after researchers considered other factors, including age, sex, race, education, smoking, diabetes, use of cholesterol-lowering medications and high blood pressure. Average scores also decreased as vision decreased. It’s possible that there is a biological reason for the association; it is also possible that visual impairment reduces a person’s capacity to develop and maintain relationships and to participate in stimulating activities.
Chaves, P.H.M. et al. 2006. Association Between Mild Age-Related Eye Disease Study Research Group. 2006. Cognitive Impairment in the Age-Related Eye Disease Study: AREDS Report No. 16. Archives of Ophthalmology,124, 537-543.
http://www.eurekalert.org/pub_releases/2006-04/jaaj-avp040606.php
Studies indicate that congenitally blind people have superior verbal memory abilities than the sighted. A new study helps us understand why this is so. Some 25% of the human brain is devoted to vision. Until now it was assumed that loss of vision rendered these regions useless. Now it appears that in those blind from birth, the part of the occipital cortex usually involved in vision is utilized for other purposes. Extensive regions in the occipital cortex, in particular the primary visual cortex, are activated not only during Braille reading, but also during performances of verbal memory tasks, such as recalling a list of abstract words. No such activation was found in a sighted control group. It also appears that the greater the occipital activation, the higher the scores in the verbal memory tests.
http://www.eurekalert.org/pub_releases/2003-06/huoj-hur061703.php
Treating HIV requires patients to rigorously follow a medication schedule; more than most diseases, the virus easily develops a resistance to the drugs if not taken reliably. Moreover, HIV can cause brain damage, making it more difficult for some patients to remember. A device known as Jerry (more formally, the Disease Management Assistance System) flashes a light and verbally tells the patient the exact dosage and medication to take at the correct time. Of the 58 patients in a recent study, those with Jerry took their medication 80% of the time, while those without did so only 65% of the time. The difference was only significant for those with memory impairment: of the 31 memory-impaired patients, those using Jerry had a 77% adherence rate, while those without Jerry had a 57% adherence rate.
Andrade, A.S.A. et al. 2005. A Programmable Prompting Device Improves Adherence to Highly Active Antiretroviral Therapy in HIV-Infected Subjects with Memory Impairment. Clinical Infectious Diseases, 41, 875-882.
http://www.eurekalert.org/pub_releases/2005-09/jhmi-afr091305.php
It has been established that those with a certain allele of a gene called ApoE have a much greater risk of developing Alzheimer’s (those with this allele on both genes have 8 times the risk; those with the allele on one gene have 3 times the risk). Recent studies also suggest that such carriers are also more likely to show signs of deficits in episodic memory – but that these deficits are quite subtle. In the first study to look at prospective memory in seniors with the “Alzheimer’s gene”, involving 32 healthy, dementia-free adults between ages of 60 and 87, researchers found a marked difference in performance between those who had the allele and those who did not. The results suggest an exception to the thinking that ApoE status has only a subtle effect on cognition.
http://www.eurekalert.org/pub_releases/2005-01/apa-opw011805.php
A new study suggests a way to help older people remember to take medications and follow other medical advice. Researchers found older adults (aged 60 to 81) who spent a few minutes picturing how they would test their blood sugar were 50% more likely to actually do these tests on a regular basis than those who used other memory techniques. Participants were assigned to one of three groups. One group spent one 3-minute session visualizing exactly what they would be doing and where they would be the next day when they were scheduled to test their blood sugar levels. Another group repeatedly recited aloud the instructions for testing their blood. The last group were asked to write a list of pros and cons for testing blood sugar. All participants were asked not to use timers, alarms or other devices. Over 3 weeks, the “imagination” group remembered 76% of the time to test their blood sugar at the right times of the day compared to an average of 46% in the other two groups. They were also far less likely to go an entire day without testing than those in the other two groups.
http://www.eurekalert.org/pub_releases/2004-06/nioa-ho060104.php
A new study involving 763 participants (465 female, 298 males) used self-report questionnaires: the Prospective Memory Questionnaire (PMQ), the Everyday Memory Questionnaire (EMQ), and the UEL (University of East London) Recreational Drug Use Questionnaire, and found that heavy users of alcohol reported making consistently more errors than those who said that they consumed little or no alcohol. More specifically, those who reported higher levels of alcohol consumption were more likely to miss appointments, forget birthdays and pay bills on time (prospective memory), as well as more problems remembering whether they had done something, like locking the door or switching off the lights or oven, or where they had put items like house keys. The study also found a significant increase in reported memory problems by people who claimed to drink between 10 and 25 units each week in comparison to non-drinkers – this is within the ’safe drinking’ limits suggested by U.K. government guidelines.
Ling, L., Heffernan, T.M., Buchanan, T., Rodgers, J., Scholey, A.B. & Parrott, A.C. 2003. Effects of Alcohol on Subjective Ratings of Prospective and Everyday Memory Deficits. Alcoholism: Clinical and Experimental Research, 27(6), 970-974.
http://www.eurekalert.org/pub_releases/2003-06/ace-add060903.php
Primary Progressive Aphasia is a little-known form of dementia in which people lose the ability to express themselves and understand speech. People can begin to show symptoms of PPA as early as in their 40's and 50's. A new study has found has discovered a gene mutation in two unrelated families in which nearly all the siblings suffered from PPA. The mutations were not observed in the healthy siblings or in more than 200 controls.
http://www.eurekalert.org/pub_releases/2007-01/nu-rdg011507.php
Why is it that we can look at something, know what it is and still call it by the wrong name? A new study suggests that the problem doesn’t lie in haste or a lack of attention, but rather in a fault in speech planning.
Griffin, Z.M. 2004. The eyes are right when the mouth is wrong. Psychological Science, 15 (12), 814-820.
http://www.eurekalert.org/pub_releases/2004-12/aps-sot120804.php
In a study involving older adults (average age 75) and younger adults (average age 19), participants studied lists of paired related words, then viewed new lists of paired words, some the same as before, some different, and some with only one of the two words the same. In those cases, the "prime" word, which was presented immediately prior to the test, was plausible but incorrect. The older adults were 10 times more likely than young adults to accept the wrong word and falsely "remember" earlier studying that word. This was true even though older adults had more time to study the list of word pairs and attained a performance level equal to that of the young adults. Additionally, when told they had the option to "pass" when unsure of an answer, older adults rarely used the option. Younger adults did, greatly reducing their false recall. The findings reflect real-world reports of a rising incidence of scams perpetrated on the elderly, which rely on the victim’s poor memory and vulnerability to the power of suggestion.
http://www.eurekalert.org/pub_releases/2005-05/apa-gmc051005.php
Warnings about particular products may have quite the opposite effect than intended. Because we retain a familiarity with encountered items far longer than details, the more often we are told a claim about a consumer item is false, the more likely we are to accept it as true a little further down the track. Research also reveals that older adults are more susceptible to this error. It is relevant to note that in the U.S. at least, some 80% of consumer fraud victims are over 65.
http://www.eurekalert.org/pub_releases/2005-03/uocp-nrr032905.php
Source memory is memory for the broad contextual aspects surrounding an event, such as who was speaking, or whether you learned something from a book or TV. Previous research has found that it is in this aspect of memory that older people tend to be particularly poor. In a study that compared older individuals with undergraduates, it was found that those who performed above average on frontal-lobe tests, showed no significant impairment of source memory, regardless of age. Those with below-average performance, tended to have impaired source memory (as a group). In other words, source-memory problems are not an inevitable consequence of aging, as has been widely thought, but rather are a function of frontal-lobe efficiency. The proportion of older adults who experience frontal-lobe decline, at what ages, and to what degree, is unknown at this time.
What’s more, when researchers required people to consider the relation between an item and its context (source), age differences in memory performance completely disappeared, suggesting older adults can learn strategies to remember the context better.
http://www.eurekalert.org/pub_releases/2001-09/apa-ada083101.php