A few col­leagues referred me over the week­end to a very nice arti­cle at busi­ness pub­li­ca­tion Port­fo­lio.

While the arti­cle does an excel­lent job at intro­duc­ing the reader to the con­cept and promise of com­put­er­ized cog­ni­tive assess­ments, it also con­tributes to the mythol­ogy of “Brain Age”.

Let’s first take a look at the arti­cle How Smart Are You: The busi­ness of assess­ing cog­ni­tion and mem­ory is mov­ing from test­ing brain-impaired patients to assess­ing healthy peo­ples’ brains online.

A cou­ple of quotes:

- “Cog­ni­tive Drug Research is one a hand­ful of busi­nesses, most of them out­side of the U.S., that work with phar­ma­ceu­ti­cal com­pa­nies to test how new drugs for every­thing from nico­tine addic­tion to Alzheimer’s dis­ease affect the mind’s abil­ity to remem­ber things, make deci­sions, and ana­lyze information.”

- “Cog­ni­tive tests have been around for a cen­tury as exam­i­na­tions taken with paper and pen­cil. In the 1970s and ‘80s the tests shifted to com­put­ers, Cog­ni­tive Drug Research founder Keith Wesnes says.

So far, so good. In fact, one of the key high­lights from the mar­ket report we released in March was that “Large-scale, fully-automated cog­ni­tive assess­ments are being used in a grow­ing num­ber of clin­i­cal tri­als. This opens the way for the devel­op­ment of inex­pen­sive consumer-facing, base­line cog­ni­tive assess­ments.” And we pro­filed a few lead­ing com­pa­nies in the space: Brain Resource Com­pany, Cog­ni­tive Drug Research, CNS Vital Signs and CogState.

Now, the arti­cle is accom­pa­nied by a 5–7 minute quick test that promises to give us our “Brain Age”. And this doesn’t come from Nin­tendo, but from Cog­ni­tive Drug Research, a respected science-based company.

You can check it out your­self: Take the Test

Why do I find this mis­lead­ing? Because the con­cept of hav­ing a “brain age” is, itself, pro­foundly unsci­en­tific. It is one thing to have that con­cept pop­u­lar­ized by a game devel­oper such as Nin­tendo through its pop­u­lar Brain Age/ Train­ing Series, and another one to have it rein­forced by com­pa­nies that are devel­op­ing and mar­ket­ing science-based applications.

Another exam­ple: the radio ads for the PBS pro­gram titled Brain Fit­ness Pro­gram, where lis­ten­ers of all ages get the impres­sion (as many friends and col­leagues have reported) that, should they buy the Posit Sci­ence Brain Fit­ness Pro­gram, they can expect their brains “reju­ve­nated” by 10 years. This, I hear often, must be true, com­ing from PBS.

Unfor­tu­nately, it isn’t. And it isn’t because the claim is founded on the same faulty premise of hav­ing a “brain age”.

What is going on?

First, the good news. Today we know today that the brain retains life­long plas­tic­ity (the abil­ity to change itself through expe­ri­ence). Aging does not mean auto­matic decline.

Fur­ther­more, we know that a vari­ety of lifestyle fac­tors, includ­ing phys­i­cal and men­tal exer­cise, can influ­ence how our men­tal abil­i­ties evolve as we age. We can delay or slow down age-related decline. Not only that, we can improve our abil­i­ties, and a num­ber of computer-based pro­grams have shown how they can help spe­cific groups of peo­ple train and enhance spe­cific cog­ni­tive skills.

Now, what is impor­tant to rec­og­nize is that there is not one over­all “brain age”. We can view our brain func­tions or cog­ni­tive abil­i­ties as a vari­ety of skills, some more perception-related, some more memory-related, some more language-related, some more visual, some more abstract-thinking and plan­ning ori­ented. All science-based brain fit­ness prod­ucts in the mar­ket today tar­get spe­cific cog­ni­tive skills. The research that has been pub­lished shows how spe­cific brain func­tions can be improved. But there is no gen­eral “brain age” that can be mea­sured or trained in a mean­ing­ful way.

Let’s ana­lyze the PBS Posit Science-related mes­sage: you can reju­ve­nate your brain by 10 years. What would this mean, were it to be true? per­haps that ALL cog­ni­tive abil­i­ties would go back to where they were 10 years before. and that this would hap­pen for indi­vid­u­als of all ages: in our 30s, 40s, 50s, 60s, 70s and so on. It would also mean that, given that reju­ve­nated “brain age”, our risk of devel­op­ing Alzheimer’s symp­toms would be adjusted to reflect our “new” brain age. And that the evo­lu­tion of our cog­ni­tive abil­i­ties over the rest of our lives would reflect our new-found “brain age”.

Has this been shown? Unfor­tu­nately, not. The “10 years” claim seems based on one pub­lished study, and sev­eral unpub­lished ones, where indi­vid­u­als with an aver­age age of around 70 years take on a very intense audi­tory pro­cess­ing train­ing pro­gram that enables them to improve related audi­tory cog­ni­tive skills by a sig­nif­i­cant per­cent­age. Whereby, on aver­age, and on those spe­cific skills, they reach a level com­pa­ra­ble to peo­ple 60 years old.

But this doesn’t say any­thing about other cog­ni­tive skills. Or Alzheimer’s related risks. Or the cog­ni­tive tra­jec­to­ries that will follow.

Just think about this: if, by attend­ing an inten­sive ten­nis camp, you were able to serve at a level com­pa­ra­ble to peo­ple 10 years younger than your age…would you say that your body is now 10 years younger? Prob­a­bly not. You’d say that now you play ten­nis bet­ter. Which is a sig­nif­i­cant ben­e­fit in itself if that’s what you are after.

I am aware that these dis­tinc­tions, rooted in cog­ni­tive sci­ence, may not be as com­pelling as one that promises “you can reduce your brain age by 10 years”. But it is impor­tant to invest in edu­ca­tion for the pub­lic and health pro­fes­sion­als to help the mar­ket mature in a ratio­nal way. Not to try to out­com­pete Nintendo.

In sum­mary, the great news is that there are more tools avail­able than ever before to assess and train a vari­ety of cog­ni­tive skills, in what is still today a very small, but grow­ing mar­ket. Nin­tendo, Posit Sci­ence, Cog­ni­tive Drug Research and oth­ers are offer­ing valu­able prod­ucts and services.

The bad news (is this really news?) is that we shouldn’t be expect­ing magic pills and that “brain age” is a fiction.

In case you wonder…I do have and enjoy my copy Nin­tendo Brain Age, and appre­ci­ate it as a stim­u­lat­ing game. I sim­ply don’t out­source my brain fit­ness to Dr. Kawashima.

Fur­ther reading:

- Neu­ro­science Inter­view Series

- It is Not Only Cars That Deserve Good Main­te­nance: Brain Care 101

- 10-Question Pro­gram Eval­u­a­tion Checklist

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