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 »

(Editor's Note: we are pleased to bring you this article thanks to our collaboration with Greater Good Magazine.)

At a time when educators are preoccupied with standards, testing, and the bottom line, some researchers suggest the arts can boost students' test scores; others aren't convinced. Karin Evans asks, What are the arts good for?

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When poet and national endowment for the Arts Chairman Dana Gioia gave the 2007 Commencement Address at Stanford University, he used the occasion to deliver an impassioned argument for the value of the arts and arts education.

"Art is an irreplaceable way of understanding and expressing the world," said Gioia. "There are some truths about life that can be expressed only as stories, or songs, or images. Art delights, instructs, consoles. It educates our emotions."

For years, arts advocates like Gioia have been making similar pleas, stressing the intangible benefits of the arts at a time when many Americans are preoccupied with a market–driven culture of entertainment, and schools are consumed with meeting federal standards. Art brings joy, these advocates say, or it evokes our humanity, or, in the words of my 10–year–old daughter, "It cools kids down after all the other hard stuff they have to think about."

Bolstering the case for the arts has become increasingly necessary in recent years, as school budget cuts and the move toward standardized testing have profoundly threatened the role of the arts in schools. Under the No Child Left Behind Act, passed in 2002, the federal government started assessing school districts by their students' scores on reading and mathematics tests.

As a result, according to a study by the Center on Education Policy, school districts across the United States increased the time they devoted to tested subjects—reading/language arts and math—while cutting spending on non–tested subjects such as the visual arts and music. The more a school fell behind, by NCLB standards, the more time and money was devoted to those tested subjects, with less going to the arts. The National Education Association has reported that the cuts fall hardest on schools with high numbers of minority children.

And the situation is likely to worsen as state budgets get even tighter. Already, in a round of federal education cuts for 2006 and 2007, arts education nationally was slashed by $35 million. In 2008, the New York City Department of Education's annual study of Continue Reading »

Today we continue the conversation with Maggie Jackson, author of Distracted: The Erosion of Attention and the Coming Dark Age.

You can read part 1 here.

Q - In your Harvard Management Update interview, you said that "When what we pay attention to is driven by the last email we received, the trivial and the crucial occupy the same plane." As well, it seems to be that a problem is our culture's over-idealization of "always on" and "road warrior" habits, which distract from the importance of executive functions such as paying attention to one's environment, setting up goals and plans, executing on them, measuring results, and internalizing learning. How can companies better equip their employees for future success? Can you offer some examples of companies who have positive cultures that encourage and reward employees fully put their frontal lobes into good use?

A – As I mentioned above, we are working and living in ways that undermine our ability to strategize, focus, reflect, innovate. Skimming, multitasking and speed all have a place in 21st-century life. But we can’t let go of deeper skills of focus and thinking and relating, or we’ll create a society of misunderstanding and shallow thinking.

To create workplaces that foster strategic thinking, deep social connection and innovation, we need to take three steps:

First, question the values that venerate McThinking and undermine attention. Recently, my morning paper carried a front-page story about efforts “in an age of impatience” to create a quick-boot computer. “It’s ridiculous to ask people to wait a couple of minutes to start up their computer,” explained one tech executive. The first hand up in the classroom, the hyper business-man or –woman who can’t sit still, much less listen – these are icons of success in American society. Still, many of us are beginning to question our adoration of instant gratification and hyper-mobility.

Second, we need to set the stage for focus individually and collectively by rewriting our climate of distraction and inattention. To help, some companies and business leaders are experimenting with “white space” – the creation of physical spaces or times on the calendar for uninterrupted, unwired thinking and Continue Reading »

You may have watched the new series Lie To Me, with Tim Roth, based on the work of Paul Ekman.

The second episode, which you can watch for free via Hulu.com Here, is pretty interesting, but the best part happens in the beginning, so you only need to watch a few minutes to learn why what are called "lie detectors" are nothing but biofeedback systems that measure physiological anxiety.

Biofeedback can be a very effective training tool for emotional self-regulation and stress management, precisely because it enables a faster feedback-based learning loop. Indeed, we are seeing a growing number of applications in the market, with names such as EmWave, StressEraser, RESPeRATE, Journey to the Wild Divine, and others.

Simply, don't believe the technology is an effective lie detector.

Caroline and I wrote an article on Paul Ekman's work a couple of years ago - let me republish it now, given his work has made it all the way to mainstream TV!

Paul Ekman has conducted extensive research on identifying emotions through facial expressions. As part of that research, and as part of the power of discipline and training, he learned how to consciously manipulate 42 facial muscles, including many that in most of us are beyond our control, and even awareness.

In the 60s and 70s when Ekman began looking into the universality of facial expressions, all the major contemporary social scientists, like Margaret Mead, believed that expressions were culturally learned, not innate. He traveled all over the world with pictures of people making distinct facial expressions and found people in cultures everywhere, from modern to stone age, agreed on the emotion behind the expression. He then turned to Continue Reading »

Dear reader and member of SharpBrains' community,
We want to thank you for your attention and support in 2008, and wish you a Happy, Prosperous, Healthy and Positive 2009!

Below you have the December edition of our monthly newsletter. Enjoy:

Best of 2008

Top 30 Brain Fitness Articles of 2008: We have compiled SharpBrains' 30 most popular articles, written by thirteen Expert Contributors and staff members for you. Have you read them all?

November-December News: No month goes by without significant news in the field of cognitive fitness. Summarized here are 10 recent developments worthy of attention, including an upcoming brain training product for ice hockey players, my lecture at New York Public Library, and more.

Interviews: Videogames, Meditation

Are videogames good for your brain?: A landmark study by Dr. Arthur Kramer and colleagues has shown that playing a strategy videogame can bring a variety of significant mental benefits to older brains. Another recent study, also by Kramer and colleagues, does not show similar benefits to younger brains (despite playing the same game). How can this be? Dr. Kramer, who has kindly agreed to serve on SharpBrains' Scientific Advisory Board, elaborates.

Meditation on the Brain: Dr. Andrew Newberg provides an excellent overview of the brain benefits of practices such as meditation. He recommends, "look for something simple, easy to try first, ensuring the practice is compatible with one's beliefs and goals. You need to match practice with need: understand the specific goals you have in mind, your schedule and lifestyle, and find something practical."

The Need for Objective Assessments

Cognitive screenings and Alzheimer's Disease: The Alzheimer's Foundation of America just released a thoughtful report advocating for widespread cognitive screenings after the age of 65 (55 given the right conditions). SharpBrains readers, probed by Dr. Joshua Steinerman, seem to agree.

Quantitative EEG for ADHD diagnosis: Dr. David Rabiner reports on the findings from a recent study that documents the utility of Quantitative EEG as an objective test to assist in the diagnosis of ADHD. If this procedure were to become more widely used, he suggests, the number of children and adolescents who are inappropriately diagnosed and treated for the disorder would diminish substantially.

Shall we question the brand new book of human troubles?: The fights over the new version of the psychiatric diagnostic manual, the DSM-V, are starting to come to light. Dr. Vaughan Bell wonders why the public debate avoids the key question of whether diagnosis itself is useful for mental health and why psychometrics are simply ignored.

Resources for Lifelong Learning

Education builds Cognitive Reserve for Alzheimers Disease Protection: Dr. Pascale Michelon reviews a recent study that supports the Cognitive Reserve hypothesis - mentally stimulating experiences throughout life, such as formal education, help build a reserve in our brains that contributes to a lower probability of developing Alzheimer's symptoms.

5 Tips on Lifelong Learning & the Adult Brain: Laurie Bartels asks us to please please 1) challenge ourselves with new learning, 2) remember that neuroplasticity and neurogenesis are hallmarks of our brains, 3) check for mis-learning on an ongoing basis, 4) more visuals, less text, 5) move it, move it - start today!

Here you have several recent articles and developments worthy of attention:

1) Boom times for brain training games (CNN)
2) Navigating the brain fitness landscape: do's and don'ts (McKnight's Long Term Care News)
3) USA Hockey and Intelligym (press release)
4) Brain Fitness at New York Public Library (NYPL blog)
5) McDonnell Foundation grant harnesses cognitive science to improve student learning (press release)
6) Health insurance firms offering online cognitive therapy for insomnia (Los Angeles Times)
7) HeadMinder Cognitive Stability Index: Computerized Neurocognitive ... (Press release)
8) THE AGE OF MASS INTELLIGENCE (Intelligent Life)
9) Working Later in Life May Facilitate Neural Health (Cerebrum)
10) The Cool Factor: Never Let Them See You Sweat (New York Times)

Links, selected quotes and commentary: Continue Reading »

Here you have SharpBrains' 30 most popular articles, ranked by the number of people who have read each article in 2008.

Please note that, since the first article already includes most of our most popular brain teasers, we have excluded teasers from the rest of the ranking. (If those 50 are not enough for you, you can also try these brain teasers).

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Continue Reading »

"If Dr. Rob can interview Santa, why can't I interview a select group of health & medical bloggers? They will have some good ideas to share".

So did President-elect Obama came to realize a few days ago. After his people kindly contacted our people, we felt compelled to grant him open access to our collective wisdom. Without further ado, below you have Grand Rounds 5:12 - a Q&A session led by the incoming President on how to reform (for the better, we hope) healthcare.

On Health Insurance

Q:  How does the blogosphere perceive the problem of having a significant group of people uninsured?

Health Insurance Colorado: a growing economic burden, which may lead to emergency rooms turning people away if they are unable to provide proof of health insurance.

Dr Rich: well, a recent article in the Journal of the American Medical Association showed how overcrowding in American emergency rooms is NOT due to the uninsured. Rather, it is due to insured Americans who cannot get in to see their primary care physicians. We may need improved care both for the insured and uninsured groups.

InsureBlog: I'd second that. Lack of health insurance is a major problem but is it really our Biggest Problem?

It's All about Attitude

Q: You may have heard my campaign mantra, "Yes We Can". Can I count on your support?

ButYouDontLookSick: Yes. If Leslie Hunt can talk so openly about her chronic illness (Lupus) yet fulfill her American Idol dreams, we can fulfill our dreams too.

Notes of an Anesthesioboist: you are talking to the group of professionals willing to self-experiment with our own body for the benefit of science and our patients.

Medviews: My wife, son, and I signed up to work as medical volunteers for your upcoming inauguration.

EmergiBlog: I am on board too. But, please, remember that caring is the essence of nursing. And that is why my patients will always be my “patients” and never my “clients".

Neuroanthropology: Mr. President-elect, it seems to me that, despite all our good intentions, balancing the budget and multiple competing priorities will be a challenge. May I suggest you start practicing some capoeira for equilibrium training?

Shrink Rap: Happy to help. Now, we will need to protect some time for quality sleep time.

Training

Q: I am encouraged by your words. How can my team and I better support you in your daily activities?

Aequanimitas: we need more role models for us to “learn to think, observe, and compare” and that the patient is our “first, last, and only teacher”.

Mudphudder: Couldn't agree more. We need Continue Reading »

Dr. Andrew Newberg is an Associate Professor in the Department of Radiology and Psychiatry and Adjunct Assistant Professor in the Department of Religious Studies at the University of Pennsylvania. He has published a variety of neuroimaging studies related to aging and dementia. He has also researched the neurophysiological correlates of meditation, prayer, and how brain function is associated with mystical and religious experiences.

Dr. Newberg, thank you for being with us today. Can you please explain the source of your interests at the intersection of brain research and spirituality?

Since I was a kid, I had a keen interest in spiritual practice. I always wondered how spirituality and religion affect us, and over time I came to appreciate how science can help us explore and understand the world around us, including why we humans care about spiritual practices. This, of course, led me to be particularly interested in brain research.

During medical school I was particularly attracted by the problem of consciousness. I was fortunate to meet researcher Dr. Eugene D'Aquili in the early 1990s, who had been doing much research on religious practices effect on brain since the 1970s. Through him I came to see that brain imaging can provide a fascinating window into the brain.

Can we define religion and spirituality -which sound to me as very different brain processes-, and why learning about them may be helpful from a purely secular, scientific point of view?

Good point, definitions matter, since different people may be searching for God in different ways. I view being religious as participating in organized rituals and shared beliefs, such as going to church. Being spiritual, on the other hand, is more of an individual practice, whether we call it meditation, or relaxation, or prayer, aimed at expanding the self, developing a sense of oneness with the universe.

What is happening is that specific practices that have traditionally been associated with religious and spiritual contexts may also be very useful from a mainstream, secular, health point of view, beyond those contexts. Scientists are researching, for example, what Continue Reading »