SharpBrains

Think about this: How can anyone take care of his or her brain when every week brings a new barrage of articles and studies which seem to contradict each other?

Do supplements improve memory? Do you need both physical and mental exercise –or is one of them enough? Which brain training approach, if any, is worth one's time and money?

We tried to address these questions, and many others, in our recent book, The SharpBrains Guide to Brain Fitness (182 pages, $24.95), that we presented at Games for Health Conference last week. The book is the result of over two years of extensive research including more than a hundred interviews with scientists, professionals and consumers, and a deep review of the scientific literature, led by neuropsychologist Elkhonon Goldberg and myself with the help of cognitive scientist Pascale Michelon. As we wrote in the Introduction, what we wanted to do first of all was to debunks these 10 myths on brain health and brain training:

Myth 1. Genes determine the fate of our brains.
Facts: Lifelong neuroplasticity allows our lifestyles and actions to play a meaningful role in how our brains physically evolve, especially given longer life expectancy.

Myth 2. Aging means automatic decline.
Facts: There is nothing inherently fixed in the precise trajectory of how brain functions evolve as we age.

Myth 3. Medication is the main hope for cognitive enhancement.
Facts: Non-invasive interventions can have comparable and more durable effects, side effect-free.

Myth 4. We will soon have a Magic Pill or General Solution to solve all our cognitive challenges.
Facts: A multi-pronged approach is recommended, centered around nutrition, stress management, and both physical and mental exercise.

Myth 5. There is only one “it” in “Use It or Lose it”.
Facts: The brain is composed of a number of specialized units. Our life and productivity depend on a variety of brain functions, not just one.

Myth 6. All brain activities or exercises are equal.
Facts: Varied and targeted exercises are the necessary ingredients in brain training so that a wide range of brain functions can be stimulated.

Myth 7. There is only one way to train your brain.
Facts: Brain functions can be impacted in a number of ways: through meditation, cognitive therapy, cognitive training.

Myth 8. We all have something called “Brain Age”.
Facts: Brain age is a fiction. No two individuals have the same brain or expression of brain functions.

Myth 9. That “brain age” can be reversed by 10, 20, 30 years.
Facts: Brain training can improve specific brain functions, but, with research available today, cannot be said to roll back one’s “brain age” by a number of years.

Myth 10. All human brains need the same brain training.
Facts: As in physical fitness, users must ask themselves: What functions do I need to improve on? In what timeframe? What is my budget?

Do you have other myths in mind you would like  us to address?

We have started to receive great feedback from the healthcare community, such as this email from a neurosurgeon in Texas:

"I really like the book, it is comprehensive without being too technical. I have recommended it to several patients. There are some other books that I expected would be greeted with enthusiasm, but were too complex for most of my patients. I think this book is right in the sweet spot".

And this great book review by an Internist Physician and Robert Wood Johnson Foundation Fellow, titled Is Your Brain A Couch Potato?:

“…a short, sweet, entertaining read of a complex topic, with timely (written in 1/09) reviews of 21 top technology products, as well as informed and expert predictions of where this burgeoning brain-fitness field is headed. More importantly, after you read it, you'll have a good, detailed sense of where you, personally, can act to improve your own couch-potato brain - and how to keep it fit and flexible your whole life. The SharpBrains Guide To Brain Fitness reminds of us all why books (and not just googling a topic) can be well worth your time and money. Two Stethoscopes Up - check it out. life."

—Doc Gurley, book review for SFGate.com (06/08/09)

The book:  The SharpBrains Guide to Brain Fitness (available via Amazon.com Here, review copies available upon request).

Description: While most of us have heard the phrase “use it or lose it,” very few understand what “it” means, or how to properly “use it” in order to maintain brain function and fitness. The SharpBrains Guide to Brain Fitness is an invaluable guide that helps readers navigate growing brain research and identify the lifestyle factors and products that contribute to brain health and fitness. By gathering insights from eighteen of the world’s top scientists and offering tools and detailed descriptions of over twenty products, this book is an essential guide to the field of brain fitness, neuroplasticity and cognitive health. An accessible and thought-provoking read, The SharpBrains Guide to Brain Fitness educates lifelong learners and professionals in healthcare, education, business, etc., on emerging trends and forecasts of what the future will hold.

Products Reviewed (we reviewed scientific studies published before January 2009, when the manuscript text was closed):

- Overall brain maintenance: Brain Age series (Nintendo), BrainWare Safari (Learning Enhancement Corporation), FitBrains.com (Vivity Labs), Happy-Neuron.com (Scientific Brain Training), Lumosity.com (Lumos Labs), MindFit (CogniFit), (m)Power (Dakim)

- Targeted brain workout: Classic and InSight (Posit Science), Working Memory Training JM and RM (Cogmed), DriveFit (CogniFit), Earobics (Houghton Mifflin), Fast ForWord (Scientific Learning), IntelliGym (Applied Cognitive Engineering), Vision Restpration Therapy (NovaVision)

- Emotional self-regulation: emWave PC and Personal Stress Reliever (HeartMath), Journey to the Wild Divine (Wild Divine), RESPeRATE (InterCure), StressEraser (Helicor)

You may be reading all about brain fitness and brain training. It seems every week brings a new barrage of articles and studies which often contradict what you read the month before: Does Gingko Biloba help delay Alzheimer’s Disease? Can physical exercise help you stay sharp as you age? Which computer-based “brain fitness programs”, if any, are worth your money?

All this coverage reflects very exciting scientific findings but also poses a key dilemma: How to become an informed lifelong learner and consumer when there are few and contradictory authoritative guidelines?

The SharpBrains Guide to Brain Fitness (to be published in May 2009; $24.95) aims to fill that void. This guide is the result of over a year of extensive research including more than a hundred interviews with scientists, professionals and consumers, and a deep literature review. Below you have some of the main findings from our effort. The guide not only covers these aspects in more depth and offers practical guidance, but also includes 18 interviews with prominent scientists to help you understand the research better.

Can we introduce you to your Brain?

The Guide will start at the obvious starting point: The Human Brain. In order to make informed decisions about brain health, one needs to first understand the basic organization of the human brain and how it tends to change as we get older.

• The brain is composed of a number of regions serving distinct functions. Forget IQ: our life and productivity depend on a variety of brain functions, not just one.

• There is nothing inherently fixed in the trajectory of how brain functions evolve as we age. Your lifestyle, actions, and even thoughts, do matter.

The 4 Pillars of Brain Maintenance

Neuroplasticity is the lifelong capacity of the brain to change and rewire itself in response to the stimulation of learning and experience. The latest scientific research shows that specific lifestyles and actions can, no matter our age, improve the health and level of functioning of our brains.

What factors seem to have the most influence? Continue Reading »

Here you have the March edition of our monthly newsletter covering cognitive health and brain fitness topics. Please remember that you can subscribe to receive this Newsletter by email, using the box at the top of this page. I know I am biased - but do believe this Newsletter issue might well be our best so far. I hope you find the time to enjoy it!

Bird's Eye View

Brain Fitness Survey: Over 2,000 thoughtful responses to our January survey (Thank You!) reinforce the need for public awareness initiatives and quality information to help evaluate and navigate lifestyle and product claims, as well as the need for more research, an expanded healthcare culture, as more. Given this context, we are publishing The SharpBrains Guide to Brain Fitness in May 2009, a book with 18 Interviews with Scientists, Practical Advice, and Product Reviews, in addition to our annual market report for professionals and executives (to be published in April). If you have ideas to help us promote the book, please reply to this email and let us know!

Lifelong Learning

A person who helped reinvent "aging", "retirement" and "learning", contributing to the cognitive health of millions of individuals as a result:

Martin P. 'Marty' Knowlton dies at 88; co-founder of Elderhostel (Los Angeles Times)

- "Martin P. "Marty" Knowlton, a world traveler who fought ageism by co-founding Elderhostel, a program that pioneered learning vacations for mature adults, has died. He was 88."

- "Knowlton died Thursday of natural causes at a nursing home in Ventura, said David Bianco, who started Elderhostel with his friend in 1975."

- "When he was about 50, Knowlton became highly annoyed by two things: the prevailing wisdom that "as you got older, your mind automatically began to fail" and the government notifying him that "old age begins at 55," he told the Ventura County Star in 2000."

The article: Here

Elderhostel website: Here

Here you have the February 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.

Cognitive training (or structured mental exercise) definitely seems to work - as long as we define properly what "work" means, don't expect magic cures, and help navigate options. Please keep reading...

Interview: Baycrest

Interview with Baycrest's CEO Dr. William Reichman: Discussing the recent Centre for Brain Fitness at Baycrest, Dr. Reichman suggests that "we have an opportunity to make major progress in Brain Health in the XXI century, similar to what happened with Cardiovascular Health in the XXth, and technology will play a crucial role." A major obstacle? We need a consensus on "widely accepted standards for outcome measures".

Does It Work?

Does cognitive training work? (For Whom? For What?): The growing field of cognitive training (one of the tools for brain fitness) can appear very confusing as the media keeps reporting contradictory claims. These claims are often based on press releases, without a deeper understanding of the scientific evidence. Dr. Pascale Michelon, SharpBrains' Research Manager for Educational Initiatives, analyzes a couple of recent studies, clarifying what they mean - and what they don't mean.

It Works, and It Doesn't Work: the IMPACT study (a major, multi-site study on the Posit Science auditory program) will be published at the Journal of the American Geriatrics Society in April. Results support that cognitive training works - but doesn't support the grandiose "brain age" claims we see too often.

Cognitive Training can Influence Brain Biochemistry: Dr. David Rabiner discusses a recent scientific study that "shows that brain biochemistry can be modified by experience", and that computerized cognitive training (Cogmed working memory training) can provide that experience.

The Big Picture

Making Healthy Choices - Primare Care and Prevention: a panel at the recent World Economic Forum explored why "New markets and industries are arising – “silver industries” such as financial services, health, housing and hospitality geared to senior citizens. Longevity needs to be linked to health – including cognitive health – and lifestyle choices play a major role in health."

Enrich your environment now and benefit your future offspring: Dr. Robert Sylwester reports that "all sorts of long held-beliefs about our brain and cognition are being re- examined by cognitive neuroscientists" because of fascinating studies such as the one  he reviews (with mice): "The study's findings seemed to suggest that acquired characteristics can be genetically transmitted...long-term benefits accrue from a stimulating early environment that encourages curiosity and exploration."

Managing Emotions

From Distress to De-Stress: helping anxious, worried kids: In a detailed 2-part article, (Part 1, Part 2), Dr. Jerome Schultz provides great tips on how to help children learn to self-regulate emotions, adding that "Teachers, occupational therapists, physical education teachers and parents need to actually teach children (of all ages) how to get themselves into a physical state of being relaxed. This doesn’t happen automatically. If it did, there wouldn’t be so many adult yoga classes!"

Lie to Me, Paul Ekman and Biofeedback: You may have watched the new series Lie To Me, with Tim Roth, based on the work of Paul Ekman. The introduction to the second episode shows why what are called "lie detectors" are nothing but biofeedback systems that measure physiological anxiety.

News

Brain Games for Baby Boomers: round-up of other recent news, covering the effects of gaming, cognitive training for driving skills, and brain fitness classes.

Neurocognitive assessments and sports concussions: a new study and a new resource to understand and address the 1.6 to 3.8 million cases of sports-related concussions that occur annually in the United States.

Brain Teaser

How will you, your organization, your neighbors, participate in Brain Awareness Week, March 16th-22nd, organized by the Dana Foundation with the participation of thousands of outreach partners, including SharpBrains? You can find event ideas, excellent resources (yes, including puzzles), and a calendar of events, Here.

Have a great month of March!

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 Continue Reading »

Welcome to the 8th edition of Hourglass, the blog carnival devoted to biogerontology. Enjoy!

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Use It or Lose It

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Cognitive Enhancement, Health and Assessments

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The Benefits of Caloric Restriction Continue Reading »

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.

Fyi, I will be speaking at the following events:

>> March 5th, New York Academy of Medicine, NYC. I will present Brain Fitness Software - Consumers Guide to distinguishing hope from hype, at the Comprehensive Approach to Dementia Symposium sponsored by Montefiore Medical Center and with credit designated by Albert Einstein College of Medicine.

>> March 15-19th, ASA/ NCOA annual conference in Las Vegas. I will be presenting two sessions. Registration is open now at 2009 Aging in America Conference, but there is limited information on the sessions. Will blog when there are detailed abstracts available.

- The State of the Brain Fitness Market, 16-Mar-09, 08:00 PM - 09:30 AM

- Brain Fitness in Senior Housing: 18-Mar-09, 11:30 AM - 12:30 PM

>> April 8th, University of North Carolina Greensboro: Cognitive Fitness and the Aging Workforce: Opportunities and Challenges, at the Silvering Workforce Summit.

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 Continue Reading »