In April 2008, Baycrest, a leading research institute focused on aging and brain function, received $10-million from the Ontario Government to create a groundbreaking Centre for Brain Fitness. Its stated goal was to “develop and commercialize a range of products designed to improve the brain health of aging Ontarians and others around the world”.

“Our government is proud to support Baycrest and its invaluable work, which is already leading to the discovery of important new tools and approaches to treating brain diseases associated with aging,” said Minister of Research and Innovation, John Wilkinson.

We have Baycrest’s CEO with us today, to explore why Ontario and Baycrest chose to become pioneers in this area, and discuss some of the main opportunities, and challenges. Dr. William E. Reichman is President and CEO of Baycrest. Dr. Reichman, an internationally-known expert in geriatric mental health and dementia, is also Professor of Psychiatry on the Faculty of Medicine at the University of Toronto.

Alvaro Fernandez: Bill, thank you for your time. Let me start by asking, given that you just spoke at the recent Consumer Electronic Show, what do you make of the growing brain fitness field?

Bill Reichman: it looks like a classic example of a very promising but still early stage field – a lot of opportunity and enthusiasm, but also a lot of product claims that are not backed by solid research. Think about the physical fitness analogy: even today, after decades of progress, you still see people buying research-based products such as treadmills but also all types of random machines they see on TV and have not been subject to any validation. Similarly, consumers today do not know what to make of growing brain fitness claims. As another speaker pointed out, for the industry to fulfill its promise, it will need to be careful with research and claims, not to end up like the nutraceuticals category.

By the way, let me recognize that the work you are doing with SharpBrains reports and your website is very important to offer quality information.

Thank you. Let’s step back for a moment. Taking a, say, 10 years view, what is the main opportunity that technology-based brain fitness can offer to society?

First of all, let me say that I think we have an opportunity to make major progress in Brain Health in the XXI century, similar to what happened with Cardiovascular Health in the XX, and technology will play a crucial role.

Given the rapid advances we are witnessing today in the research and technology arenas, I feel confident in saying that in less than 10 years we will have both valid and reliable assessments of cognitive functions, that will be used both by Read the rest of this entry »

Concussion effect ’spans decades’ (BBC)

- “People concussed in their youth show subtle signs of mental and physical problems even more than 30 years later, say Canadian researchers.”

- “Dr Louis de Beaumont, who led the study, said: “This study shows that the effects of sports concussions in early adulthood persist beyond 30 years post-concussion, and that it can cause cognitive and motor function alterations as the athletes age.”

- “Athletes should be better informed about the cumulative and persistent effects of sports concussion on mental and physical processes so they know about the risk associated with returning to their sport.”

The study in question:

De Beaumont L, Theoret H, Mongeon D at al. Brain function decline in healthy retired athletes who sustained their last sports concussion in early adulthood. Brain 2009, Advanced online publication January 27

Given the importance of this topic, which we covered in our 2008 Market Research, we are happy to read about new resources like a new book titled Sports Neuropsychology: Assessment and Management of Traumatic Brain Injury

From a recent book review by Gary S. Solomon, Ph.D.:

- “The past 15 years has yielded an explosion of information on Read the rest of this entry »

Here you have the January edition of our monthly newsletter covering cognitive health and brain fitness topics. Please remember that you can subscribe to receive this Newsletter by email, simply by submitting your email at the top of this page.

Bird’s Eye View

Brain fitness heads towards its tipping point: How do you know when something is moving towards a Gladwellian tipping point? When health insurance companies and public policy makers launch significant initiatives. Dr. Gerard Finnemore provides a market overview, based on SharpBrains’ client webinar held last December.

Ten Reflections on Cognitive Health and Assessments: Here are 10 highlights from several stimulating January events:  Symposium on Adaptive Technology for the Aging (by Arizona State University), Health Bloggers’ Summit (by Consumer Reports), Traumatic Brain Injury (by Veteran Affairs in Palo Alto), and a new Alzheimer’s/ Dementia Expert Panel organized by the city of San Francisco.

News and Events

Nintendo Brain Age vs. Crossword Puzzles: we need much public education in order to help consumers separate reality from hope from hype. Nintendo is not helping, neither is media reporting.

Collection of recent news: including training for senior fitness trainers, reports on the importance of purpose,  on older driver safety, and more.

Upcoming events: I will be speaking soon at the New York Academy of Medicine, the American Society on Aging/ NCOA conference, and the Silvering Workforce Summit at the University of North Carolina. Let me know if you are attending any.

Education and Learning

Learning about Learning: an Interview with Joshua Waitzkin: Scott Barry Kaufman interviews “child prodigy” Joshua Waitzkin on The Art of Learning. Many fascinating insights, including “I think losing my first National Chess Championship was the greatest thing that ever happened to me, because it helped me avoid many of the psychological traps…(associated with being called a “child prodigy”)”.

Resources to help students build emotional intelligence: Daniel Goleman introduces educators and parents to a new book that “adds an important tool to the emotional intelligence kit: mindfulness, a moment-by-moment awareness of one’s internal state and external environment.”

Resources

Top 10 Cognitive Health and Brain Fitness Books: Here you have The 10 Most Popular Brain Fitness & Cognitive Health Books, based on book purchases by SharpBrains’ readers during 2008.

10-Question Program Evaluation Checklist: To help consumers and professionals navigate through the growing number of programs making “brain fitness” or “brain training” claims, we published last year this Evaluation Checklist. Now we are making the Checklist available as a Bookmark given recent requests by universities and conference organizers.

Brain Teaser

Brain Teaser to Exercise your Memory and Reasoning Skills: Dr. Pascale Michelon offers a stimulating teaser that not only helps exercise our brain but also educates us on how and why the same activity may exercise different brains differently – depending on where we are from.

Let me summarize ten highlights and reflections from stimulating discussions on cognitive health and assessments I have had this month so far.

January 8-9th: Symposium on Co-Adaptive Learning: Adaptive Technology for the Aging (details Here), organized by the Arizona State University’s Center for Adaptive Neural Systems:

1. Cognitive health is a critical factor in overall healthcare, but is often approached in a fragmented, non-systematic way. Most speakers in the symposium did mention how cognitive health issues interact with their specific areas of focus (aging, Parkinson’s Disease, traumatic brain injury, Alzheimer’s…) but there was a lack of a common framework and taxonomy to define the problem and identify solutions and interventions to measure and help maintain cognitive health across the lifespan.

2. For example, Parkinson’s Disease. Did you know (I didn’t) that a significant percentage of Parkinson’s patients have well-identified cognitive impairments, mostly in their executive functions but also perceptual problems?

3. We truly need a Culture of Cognitive Health, as Randal Koene pointed out.

4. May online cognitive games serve as ongoing, real-time assessment of cognitive function? Misha Pavel thought so. He also added we may well see “cognitive exercise coaches” sometime in the horizon.

5. Skip Rizzo presented how virtual reality can help address Post Traumatic Stress Disorder (PTSD) and even to administer innovative cognitive assessments.

6. My presentation, titled The Emerging Cognitive Fitness Market: Status, Trends and Challenges, is available Here

7. January 22nd: Consumer Reports organized a health summit titled Read the rest of this entry »

Several readers, after enjoying my interview with Lee Woodruff on the Bob Woodruff Foundation and helping Traumatic Brain Injury survivors, asked for the address of the Bob Woodruff Foundation, in order to send a donation via check.

Here is the right address:

Bob Woodruff Foundation
PO Box 955
Bristow, VA  20136

Thank you for your generosity!

Interview with Lee Woodruff:  here

Bob Woodruff Foundation website: here

Here you have the twice-a-month newsletter with our most popular blog posts. Please remember that you can subscribe to receive this Newsletter by email, simply by submitting your email at the top of this page.

There is one type of “brain fitness program” which is not only free but also pays you back. You guessed it, that program is your “job”. Our occupations can provide beneficial mental exercise if they incorporate the key ingredients of novelty, variety, and challenge, and are not a source of chronic stress.

We start today’s newsletter with two articles related to the brain value of having mentally stimulating jobs.

Your Brain At Work

ABC Reporter Bob Woodruff’s Recovery from Traumatic Brain Injury: Former US presidential contender and Senator John Edwards recently granted an interview to reporter Bob Woodruff. The most remarkable aspect of the interview? Bob Woodruff’s spectacular recovery from the traumatic brain injury he suffered in Iraq 2 years ago. You can’t miss this interview with his wife Lee, where we discuss Bob’s recovery process (including making a documentary, co-writing a book and other projects at ABC), the Bob Woodruff Foundation, and the overall challenge of cognitive rehabilitation following traumatic brain injuries.

Research

Santiago Ramon y Cajal’s “Recollections of My Life”: Remarkable and candid views on neuroplasticity, learning, aging and life, straight from the autobiography of one of the founders of modern neuroscience, who once said “Every man can, if he so desires, become the sculptor of his own brain.”

Can food improve brain health?: Dr. Pascale Michelon provides an overview of the effects of food on the brain, building on Fernando Gomez-Pinilla’s recent study in Nature Reviews Neuroscience. Candidates for “brainy” foods contain: Omega-3 fatty acid, folic acid, flavonoids, anti-oxidant foods. Please note her warning, though: most of the studies showing positive effects have been conducted in mice.

The biology of aging: A monthly virtual gathering of bloggers to discuss Biology of Aging topics including research, policy, lifestyle guidance, and open questions. We are aware that “aging” may not be the sexiest  of words in our vocabulary… unless you consider the most common alternative.

Technology

The Future of Computer-assisted Cognitive Therapy: Cognitive therapy is one of the most researched types of brain training, especially in dealing with depression and anxiety. Why don’t more people benefit today from it? The lack of a scalable distribution model may perhaps explain that. We predict that technology will help complement the role of therapists, helping more people better cope with change, life, anxiety, and a range of cognitive and emotional challenges. Without any stigma. Just as naturally as one trains abdominal muscles today.

You have may have seen a few weeks ago the interview between former US presidential contender John Edwards and reporter Bob Woodruff. All the resulting media coverage centered on Edwards’ declarations. However, there is something much more remarkable that surfaced at that interview: Bob Woodruff’s spectacular recovery.

This is the same reporter who suffered a severe traumatic brain injury when a roadside bomb detonated next to his vehicle in January 29th 2006 as he was covering news developments in Iraq.

Today we are fortunate to interview Lee Woodruff, Bob’s wife and pillar throughout his recovery. Lee and Bob co-wrote the fantastic book In an Instant: A Family’s Journey of Love and Healing.

Alvaro Fernandez: Lee, many thanks for your time. I was amazed reading your book, where you share your journey, and then watching Bob interview John Edwards, the best display I can imagine of his recovery. Can you please summarize for us what Bob -and you- went through since January 2006?

Lee Woodruff: As you know, Bob suffered a life-threatening traumatic brain injury in Iraq. He was promptly taken under military care and underwent a series of surgeries for head injuries, with a joint Army & Air Force neurosurgical team in Iraq, in a US Army Medical Command hospital in Germany, and at Bethesda Naval Hospital, back here in the US.

During this time, spanning around 4 months, he spent 37 days in coma, and his skull had to be surgically rebuilt. The cognitive rehabilitation process started then, at a medical facility closer home.

Can you please explain what kind of cognitive rehab Bob has gone though-both in a formal way, with a therapist, and informally, on his own?

The first thing I’d like to say is that rehab is a long process. Doctors told me that Bob, despite the severity of his injuries, had better chances to recover than other victims, because of the reserve of neurons and connections he had built thanks to Read the rest of this entry »

You know your weight. And your physical fitness. And a variety of health-related metrics.

What about your brain fitness?

Two recent announcements bring out how the assessment of cognitive abilities, or brain functions, is increasingly being done thanks to new computerized options:

1) Last week, OptumHealth announced an exclusive 3-year agreement (estimated at $18m) with the Australian company Brain Resource. OptumHealth will be embedding the Brain Resource platform into their overall Behavioral Solutions program.

- OptumHealth Behavioral Solutions will work with Brain Resource to provide clinicians with a Web-based assessment that measures general cognition (how people process information) and social cognition (how people manage their emotions). This 40-minute assessment is based on well-known and validated tests of memory, attention, executive function, and response speed, and mood, social skills and emotional resilience.

Read the rest of this entry »

After many months of work (and we hope many new neurons and stronger synapses in our brains), we have just released our inaugural report on the emerging Brain Fitness Software Market, the first to define the brain fitness and training software market and analyze the size and trends of its four customer segments. We estimate the size of the US brain fitness software market at $225M in2007, up from $100m in 2005 (50% CAGR). The two segments that fueled the market growth: consumers (grew from $5m to $80m, 300% CAGR) and healthcare & insurance providers (grew from $36m to $65m, 35% CAGR).

Highlights from The State of the Brain Fitness Software Market 2008 report include:

1) 2007 was a seminal year for the US Brain Fitness software market, which reached $225 million in revenues – up from an estimated $100 million in 2005.

2) Over 20 companies are offering tools to assess and train cognitive skills to four customer segments: consumers; healthcare and insurance providers; K12 school systems; and Fortune 1000 companies, the military, and sports teams.

3) The Nintendo Brain Age/ Brain Training phenomenon has driven much of the growth. The consumer segment grew from a few million in 2005 to an estimated $80 million in 2007.

4) There is major confusion in the market, so education will be key. Users and buyers need help to navigate the maze of products and claims.

Read the rest of this entry »

The CDC has reported a joint initiative with the Alzheimer’s Association to create the Healthy Brain Initiative: A National Public Health Roadmap for Cognitive Health. Some quotes from their announcement:

• “In order to maintain and improve the cognitive performance of all adults, the Centers for Disease Control and Prevention (CDC) and the Alzheimer’s Association today released the first-ever National Public Health Road Map to Maintaining Cognitive Health (Road Map) at the 2nd Alzheimer’s Association International Conference on Prevention of Dementia in Washington, DC.”
• “The Road Map highlights the importance of maintaining and improving cognitive health to the overall health of the nation. The Road Map is both a call to action and a guide for implementing a coordinated approach to raising the public’s awareness about cognitive health and increasing the nation’s commitment to understanding both the risks for cognitive decline and ways of maintaining brain health.”
• “Efforts to maintain and improve public health have focused mostly
  ‘below the neck,’ addressing diseases and conditions affecting the heart
  and other bodily organs,” said Harry Johns, Alzheimer’s Association
  President and CEO. “The National Public Health Road Map to Maintaining
  Cognitive Health shifts the focus ‘above the neck’ to draw attention to
  maintaining the health of our brains, which arguably is the most important
  organ in our bodies.”

We hope the message gets well-heard!

Related posts:

• The Dana Guide to Brain Health book review
• Easy Steps to Improve Your Brain Health Now