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(Editor's Note: I recently came across an excellent book and resource, The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems, recently released in paperback. Dr. Murali Doraiswamy, one of the authors and leading Alzheimer's expert, kindly helped us create a 2-part article series to share with SharpBrains readers advice on a very important question, "How can we help the public at large to distinguish Alzheimer's Disease from normal aging --- so that an interest in early identification doesn't translate into unneeded worries?" What follows is an excerpt from the book, pages 72-78, discussing the Pros and Cons of the most common assessments).

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While no single test (other than a brain biopsy, which is a very invasive and risky procedure) can conclusively prove that a person has Alzheimer’s, many tests can give us a good idea. A list of all the tests that help us assess memory and thinking problems appears at the end of this chapter. Meanwhile, let’s take a good look at the whys and hows of a thorough memory assessment.

WHAT A DIFFERENCE AN EXTRA TEST CAN MAKE

To understand why getting tested (and retested as symptoms change and the disease progresses) is important, check out the experience of Katherine, who went to the doctor complaining of a memory slowdown. She took five of the most important neuropsychological tests, which assess brain function without actually physically looking at the brain. Then she underwent brain scans, a cardiovascular workup, and blood tests to see what else was going on that might be undermining her mental function. Continue Reading »

Here you have the April 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.

We are excited to release our 2009 market report The State of the Brain Fitness Software Market 2009. To be formally released on May 4th but available now for our clients and readers, this report aims to inform decision-makers at healthcare, insurance, research, public policy, investment and technology organizations about important developments in the brain fitness and cognitive health space.

2009 Market Report

The State of the Brain Fitness Software Market 2009: This new 150-page report finds sustained growth in the brain fitness software market (from $225m in 2007 to $265m in 2008) and promising seeds for future growth, combined with increased confusion given aggressive marketing claims and lack of education and standards. The report includes, for the first time, a Market & Research Momentum Matrix to categorize 21 key vendors, 10 Research Executive Briefs written by 12 leading scientists, and the complete results of our market survey with 2,000+ respondents. You can learn more, and acquire the report, Here.

News and Resources

Cognitive Health News April Round-Up: New cognitive track at the Games for Health conference, bilingual brains, poverty's effect on the brain and working memory due to stress, diabetes, neuroenhancing drugs, Kellogg's settlement with the FTC, neurocognitive testing in the military.

Normal Aging vs. Alzheimer's Disease: Dr. Murali Doraiswamy shares his very insightful views on the key question, "How can we help the public at large to distinguish Alzheimer's Disease from normal aging --- so that an interest in early identification doesn't translate into unneeded worries?", based on his recent book The Alzheimer's Action Plan.

Upcoming Guide

(Editor's Note: I recently came across an excellent book and resource, The Alzheimer's Action Plan: The Experts' Guide to the Best Diagnosis and Treatment for Memory Problems, just released in paperback. Dr. Murali Doraiswamy, one of the authors and leading Alzheimer's expert, kindly helped us create a 2-part article series to share with SharpBrains readers advice on a very important question, "How can we help the public at large to distinguish Alzheimer's Disease from normal aging --- so that an interest in early identification doesn't translate into unneeded worries?" What follows is an excerpt from the book, pages 3-8).

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As it turns out, Jane did not have Alzheimer’s. She consulted a doctor, who, in docspeak, told her that the passage of time (getting older) had taken a slight toll on her once-superquick memory. She was slowing down a little, and if she relaxed, the name or date or other bit of information she needed would come to her soon enough. She was still good at her job and home life. She had simply joined the ranks of the worried well.

Normal brain aging, beginning as early as the forties in some people, may include:

• Taking longer to learn or remember information
• Having difficulty paying attention or concentrating in the midst of distractions
• Forgetting such basics as an anniversary or the names of friends
• Needing more reminders or memory cues, such as prominent appointment calendars, reminder notes, a phone with a wellstocked speed dial

Although they may need some assistance, older people without a mental disorder retain their ability to do their errands, handle money, find their way to familiar areas, and behave appropriately.

How does this compare to a person with Alzheimer’s? When Alzheimer’s slows the brain’s machinery, people begin to lose their ability to 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.

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 »

Learning & the Brain is a conference that gets marked on my calendar annually because I always return home having either been exposed to new information, or with a new perspective on an old topic. Last month’s conference in Cambridge, MA, themed Using Emotions Research to Enhance Learning & Achievement, was no exception. As with previous conferences, in addition to the many keynote sessions, I focused on the adult learning strand, since so much of my time is spent providing professional development for, and collaborating with adults. Here are five conference cues as they relate to education.

1. CHALLENGE YOURSELF WITH NEW LEARNING

Aaron Nelson stated that our memory starts to decline between ages twenty-five and thirty, or to phrase it a bit more positively, Sam Wang says our memory peaks around age thirty. On the other end of the age spectrum, according to Ken Kosik, there is unequivocal evidence that education protects against Alzheimer's. Both Nelson and Kosik mentioned the theory of cognitive reserve, which translates roughly to the more we learn, the more connections we create, and therefore the greater the neuronal buffer we have to draw upon as we age.

Elkhonon Goldberg, at last April's conference, stated that “as one ages, the domain of the novel shrinks, and the domain of what is known grows". He cautioned the audience to beware of being on mental autopilot. Thus, the goal is not to simply get better at doing more of the same. The type of learning that makes a difference consists specifically of new, novel challenges. The result of such engagement is that Continue Reading »

A couple of recent research findings are making the media rounds, bringing much needed attention to the high Alzheimer's rates among Latinos and to preventive approaches based on the Cognitive Reserve - such as, what jobs we choose:

More Alzheimer's risk for Hispanics, studies find (International Herald Tribune):

- Studies suggest that many Hispanics may have more risk factors for developing dementia than other groups, and a significant number appear to be getting Alzheimer's earlier. And surveys indicate that Latinos, less likely to see doctors because of financial and language barriers, more often mistake dementia symptoms for normal aging, delaying diagnosis.

- "This is the tip of the iceberg of a huge public health challenge," said Yanira Cruz, president of the National Hispanic Council on Aging. "We really need to Continue Reading »

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.

Have you ever wondered how we can maintain SharpBrains' website, blog and newsletter without selling any products and with only limited advertising? The answer is, we offer market research to organizations such as healthcare providers, research centers, technology developers, venture capital firms, consulting and training companies, and more.

Our new Premium Research Sponsors program will allow pioneering organizations to collaborate with us to shape the future of the brain fitness and cognitive health field, by sponsoring and accessing the most up-to-date information on the science and best practices to assess and improve cognitive functioning across the lifespan. You can learn more about the Premium Research Sponsors program Here.

Market News

The Cognitive Health and Fitness Market On The Move: As you have probably seen, the Cognitive Health and Brain Fitness field is rapidly evolving. Here we highlight some of the main developments affecting the field over the last 6-months: public policy initiatives in Canada and the US, the growing role of computerized assessments, several venture capital rounds, major initiatives by insurance companies, and significant research findings.

 The Big Picture

Executive Summary of the Brain Fitness Market: Let's step back and ask ourselves, "Why is the field evolving in such a fast way? What is hope, what is hype, what is reality?" A spate of recent global news coverage on brain fitness and brain training reflects a growing interest in natural, non drug-based interventions to keep our brains sharp as we age. This interest is very timely, given an aging population, the increased prevalence of Alzheimer’s rates, and soaring health care costs in the US that place more emphasis than ever on prevention and lifestyle changes. This article summarizes the main market dynamics, open questions, and top trends to watch for.

Nourishing Our Brains and Minds

Philosophy as the Missing Link in School Curricula: Kimberly Wickham answers provides some good answers to the question, "Why would anyone want to teach philosophy to pre-adolescent children?” that will engage your critical thinking skills.

A User's Guide to Lifelong Brain Health: Drs Simon Evans and Paul Burghardt hope (as we do) that the emerging emphasis on cognitive exercise and fitness helps complement -not substitute- other lifestyle factors important for the "physical health of the brain and all the systems it communicates with". Think: nutrition, exercise, sleep.

Excellent Reader Comments: Our last newsletter generated a round of excellent  comments by readers on cognitive training, Posit Science and Alzheimer's Australia, gerontology and the brain, and the value of videogames. Come enjoy this collective wisdom and participate as you wish.

Brainy Haikus:
river with haikus
flowing in since the summer
keeping  us afloat

The Challenges of Gerontology?: The World Economic Forum has asked me, as one of the 16 members of the Global Agenda Council on the Challenges of Gerontology, for "an 800 word summary of your most compelling actionable idea on the challenges of gerontology." Feel free to help me out by offering your own actionable ideas, either related to the discipline of gerontology itself or on ways to best engage the growing number of brains over the age of 60 in our planet.

Enjoy!

I have fallen behind on answering a few excellent recent comments -on cognitive training overall, Posit Science and Alzheimer's Australia, gerontology and the brain, the value of videogames-, so let me address them here:

1) Nicks says (Brain Fitness Programs For Seniors Housing, Healthcare and Insurance Providers: Evaluation Checklist)

"This report is interesting and it addresses many very important questions that cognitive neuropsychologists, such as myself have. I feel that many of the products on the market now make claims which are generally unsubstantiated.

I find it concerning that many of these programmes have been marketed to target older adults in particular without making any specific statement on whether the activities are beneficial and have been supported with empirical research.

i have recently conducted a cognitive intervention study which used a large array of outcome measures which focus on Continue Reading »

Brain-fitness plan can improve memory (Sydney Morning Herald), reports on the recent endorsement of Posit Science's programs (Posit Science Program Classic, focused on auditory processing training, and Posit Science Cortex^™ with InSight^™, on visual processing). Quotes: Continue Reading »