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 “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 “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”.

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.”

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

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? Read the rest of this entry »

Below you have a col­lec­tion of recent news and announcements:

1) Brain Fit­ness Com­ing to Senior Exer­cise Classes (press release):

- “The Amer­i­can Senior Fit­ness Asso­ci­a­tion (SFA) has announced a new brain fit­ness train­ing pro­gram designed for exer­cise pro­fes­sion­als. Brain Fit­ness for Older Adults teaches senior fit­ness instruc­tors and per­sonal train­ers how to incor­po­rate effec­tive cog­ni­tive fit­ness into phys­i­cal activ­ity pro­grams, offer­ing seniors the oppor­tu­nity to boost both phys­i­cal and men­tal fit­ness simultaneously.”

Com­ment: a very timely ini­tia­tive, given the inter­est we see in brain fit­ness edu­ca­tion and ini­tia­tives, and the ben­e­fits of both phys­i­cal and men­tal exer­cise on brain health. It makes a lot of sense to enhance pub­lic aware­ness through train-the-trainer ini­tia­tives. What remains unclear in this SFA pro­gram is what is the direct evi­dence for some­thing that is billed as a “brain fit­ness train­ing pro­gram” and seems to advo­cate one par­tic­u­lar set of exer­cises and move­ments for their train­ers and train­ers’ clients. It is one thing to claim a prod­uct pro­vides good infor­ma­tion & is edu­ca­tional (like a book, or this blog, or classes on the brain & brain health) and another one to claim that it is a “brain fit­ness train­ing pro­gram”, for which we should ask Read the rest of this entry »

“For­tu­nately, our field has moved beyond par­ti­san, and some­times polit­i­cal, pref­er­ence and now asks, What treat­ment is most effec­tive for which patients in what con­text?” — Ray­mon A. Levy and J. Stu­art Ablon, clin­i­cal direc­tor and direc­tor of the psy­chother­apy research pro­gram in the depart­ment of psy­chi­a­try at Mass­a­chu­setts Gen­eral Hospital.

Yesterday’s New York Times Book Review included some Let­ters to the Edi­tor that were even bet­ter that the orig­i­nal book review of Amer­i­can Ther­apy.

We are see­ing a grow­ing num­ber of research-based tools and tech­niques (includ­ing cog­ni­tive ther­apy, reviewed in the arti­cle) to mea­sure and help main­tain cog­ni­tive and emo­tional health, both technology-based and technology-free. Now, none of them is a gen­eral solu­tion (in the same way that no sin­gle drug is best for every­one and every­thing), so the ques­tion posed above couldn’t be more relevant.

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)
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: Read the rest of this entry »

Great arti­cle in the New York Times on Obama’s emo­tional self-regulation abil­i­ties:
The Cool Fac­tor: Never Let Them See You Sweat

- “We even ele­vate such equi­lib­rium to the super­hu­man: calm, as applied to No Drama Obama, often comes linked to the mod­i­fier “preternatural.”

- “But the calm tem­pera­ment is not so super­hu­man, nor is it entirely the gift of the cho­sen few. It can be cul­ti­vated, even as the world cleaves around us.”

- “So how do we get there with­out a steady diet of beta block­ers and Xanax? Calm, per se, doesn’t appear in the tax­on­omy of those who study per­son­al­ity and temperament.”

As the arti­cle later dis­closes, this abil­ity is often called “emo­tional self-regulation” by cog­ni­tive sci­en­tists, and its devel­op­ment can assisted with tools such as med­i­ta­tion, cog­ni­tive ther­apy and biofeedback.

Per­haps one day this will be part of everybody’s school cur­ricu­lum and lead­er­ship programs?

My apolo­gies for not writ­ing in a few days…the Global Agenda Sum­mit in Dubai has required all my atten­tion — I will sum­ma­rize the great expe­ri­ence when I land back in San Fran­cisco tomor­row night.

The con­cepts of night and day do become chal­leng­ing when work­ing for a few days in a place with a 12-hour time dif­fer­ence with one’s home base. Sleep is indeed very impor­tant to main­tain top cog­ni­tive shape…which leads me to a fas­ci­nat­ing news announcement:

Health insur­ance firms offer­ing online cog­ni­tive ther­apy for insom­nia (Los Ange­les Times)

- “help­ing con­sumers get a good night’s sleep has become a pri­or­ity for most of the top-tier U.S. health insur­ance com­pa­nies, includ­ing Well­Point, Aetna, Cigna, Kaiser Per­ma­nente and sev­eral Blue Cross plans. Their new pro­grams don’t involve sleep­ing pills. Instead, insur­ers are advo­cat­ing the use of cog­ni­tive behav­ior ther­apy. Tra­di­tion­ally, the ther­apy has been done largely through face-to-face ses­sions, but many of the pro­grams are now avail­able online.”

- “And use of sleep­ing pills has sky­rock­eted. A study this year Read the rest of this entry »

We just received this quote of how a major health sys­tem is using our Brain Fit­ness Mar­ket Report:

“At Sut­ter Health Part­ners we rec­og­nize the impor­tance of brain health and how much the health of the brain and the body are inter­de­pen­dent.  The mar­ket report helped us fur­ther tar­get our coach­ing efforts to inte­grate brain fit­ness and upgrade our entire coach­ing plat­form.  It is easy to read and gives you the indus­try per­spec­tive in a thor­ough yet con­cise man­ner.  I highly rec­om­mend it!”

– Mar­garet Sabin, CEO of Sut­ter Health Part­ners and VP, New Prod­uct Devel­op­ment, at Sut­ter Health.

You may won­der, “what is the link between  well­ness coach­ing and brain fitness”?

In prac­tice, good health and well­ness coaches pro­vide excel­lent brain health advice, given that the areas they focus on (nutri­tion, phys­i­cal exer­cise, stress man­age­ment) do play an impor­tant role in main­tain­ing our brains in top shape.

Addi­tion­ally, pio­neers  such as Sut­ter Health Part­ners are adding a Brain “lens” to their work. How?

First, by bet­ter under­stand­ing and explain­ing the brain ben­e­fits of what they already do, in order to pro­vide addi­tional moti­va­tion to stick with healthy behav­iors. For exam­ple, most peo­ple will be able to recite mul­ti­ple ben­e­fits of mod­er­ate car­dio­vas­cu­lar exer­cise. But how many know  that it can also con­tribute to neu­ro­ge­n­e­sis –the cre­ation of new neu­rons — in adult brains?

Sec­ond, by start­ing to offer brain fit­ness guide­lines to clients who want too go beyond cross­word puz­zles and sudoku.

I had a great train­ing ses­sion with a num­ber of Sut­ter Health coaches last week — let me sum­ma­rize some of the main points we cov­ered. Read the rest of this entry »

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 »