We just came across a new sci­en­tific study on the value and lim­i­ta­tions of cog­ni­tive train­ing in Mild Cog­ni­tive Impair­ment (MCI), based on a pro­gram of cog­ni­tive exer­cises pro­vided by Lumos Labs (devel­op­ers of lumosity.com).

Study: Com­put­erised Cog­ni­tive Train­ing for Older Per­sons With Mild Cog­ni­tive Impair­ment: A Pilot Study Using a Ran­domised Con­trolled Trial Design (Brain Impair­ment): Read the rest of this entry »

Editor’s note:
Ken­neth S. Kosik, MD, and Ellen Clegg, authors of a recent book on Alzheimer’s Dis­ease pre­ven­tion and treat­ment, force­fully pro­pose a new frame­work and model for brain care: What about set­ting up “cog­ni­tive shops” as “a sort of one-stop shop­ping for every­thing from Alzheimer’s dis­ease pre­ven­tion to guided care for mild or mod­er­ate dis­ease”. What fol­lows is the thought-provoking con­clu­sion sec­tion from their book “The Alzheimer’s Solu­tion. How Today’s Care Is Fail­ing Mil­lions and How We Can Do Bet­ter” (repro­duced with per­mis­sion), not very dif­fer­ent from the “brain fit­ness cen­ter” model we have talked about in the past.

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Chap­ter 10. CONCLUSIONS

Just as the idea of hos­pice care rev­o­lu­tion­ized death and dying in Amer­ica, the idea of bundling many aspects of Alzheimer’s care under one roof in a cog­ni­tive shop could change the way we approach this dire disease—one that has no cure and leaves no sur­vivors. Cer­tainly, the scope of the prob­lem poses med­ical and eco­nomic risks for the coun­try. These risks, and poten­tial steps for a solu­tion, were charted by the bipar­ti­san Alzheimer Study Group in the spring of 2009. The report, issued by the Alzheimer Study Group co-chaired by for­mer con­gress­man Newt Gin­grich and for­mer sen­a­tor Bob Ker­rey, minces few words. Read the rest of this entry »

I was really inter­ested in the recent cri­tique of the BBC brain train­ing exper­i­ment by Dr. Eliz­a­beth Zelin­ski. I think Owens et al (2010) was a crit­i­cal piece of research which was not con­ducted in the right way and was focus­ing on the wrong sam­ple pop­u­la­tion.  I totally agree with the com­ments by Dr. Zelin­ski regard­ing the poten­tial for sam­ple bias and the use of some ques­tion­able cog­ni­tive mea­sures. How­ever, I would like to take this cri­tique fur­ther and ques­tion whether the study was value for money when there are other stud­ies which can­not achieve fund­ing but would, in my opin­ion, show the criticism/scepticism of the use-it-or-lose-it theory.

I think there is not enough crit­i­cism about the age of the sam­ple pop­u­la­tion used in Owens et al. (2010). We have con­clu­sive cog­ni­tive and neu­ro­log­i­cal evi­dence that cognitive/neurological plas­tic­ity exists in young adults. There is also ade­quate evi­dence that neu­ro­plas­tic­ity is evi­dent in older adults. The crit­i­cal point which I want to make about the sam­ple pop­u­la­tion in Owens et al. study is that it did not tar­get the cor­rect sam­ple pop­u­la­tion, that is, older adults who are at risk of cognitive/neuronal atro­phy. It does not mat­ter if younger adults improve on brain train­ing tasks, or if skills picked up by younger adults from brain train­ing are not trans­ferred to other cog­ni­tive domains, sim­ply because younger adults are good at these skills/cognitive func­tions. There­fore there is a pos­si­bil­ity that ceil­ing or scal­ing effects mask the true find­ings in Owens et al. (2010), as indi­cated by Zelinski.

The recruit­ment of the sam­ple pop­u­la­tion is also very con­cern­ing and I do not feel that their con­trol group was appro­pri­ate. Read the rest of this entry »

Here you have the July 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.

Pub­lic libraries have long offered the pub­lic more than books. And now, recent demo­graphic and sci­en­tific trends are con­verg­ing to fun­da­men­tally trans­form the role of libraries in our cul­ture. You may enjoy read­ing this recent arti­cle I wrote for the May-June 2009 Issue of Aging Today, the bimonthly pub­li­ca­tion of the Amer­i­can Soci­ety on Aging: Pub­lic Libraries: Community-Based Health Clubs for the Brain.

The Big Picture

Can You Out­smart Your Genes? An Inter­view with Author Richard Nis­bett: David DiS­alvo inter­views Richard Nis­bett, the author of Intel­li­gence and How to Get It: Why Schools and Cul­tures Count, who has emerged as a per­sua­sive voice mar­shalling evi­dence to dis­prove the heredity-is-destiny argument.

Yes, You Can Build Willpower: Daniel Gole­man dis­cusses how the brain makes about 10,000 new cells every day, how they migrate to where they are needed, and how each cell can make around 10,000 con­nec­tions to other brain cells. Impli­ca­tion? Med­i­tate, mind­fully, and build pos­i­tive habits.

Bird’s Eye View of Cog­ni­tive Health Inno­va­tion: Alvaro Fer­nan­dez opened the Cog­ni­tive Health Track dur­ing the Games for Health Con­fer­ence (June 11-12th, Boston) with an overview of the seri­ous games, soft­ware and online appli­ca­tions that can help assess and train cog­ni­tive abil­i­ties. The pre­sen­ta­tion is avail­able Here.

Brain Tests and Myths

The Best Mem­ory Tests, from the Alzheimer’s Action Plan: Dr. Murali Doraiswamy dis­cusses the Pros and Cons of the most com­mon assess­ments to iden­tify cog­ni­tive prob­lems, includ­ing what the Mini-Mental State Exam (MMSE) does and doesn´t, and inno­v­a­tive com­put­er­ized neu­ropsy­cho­log­i­cal tests.

Debunk­ing 10 Brain Health Myths: Does your brain have a “Brain Age”? Is a Magic Pill to “pre­vent mem­ory prob­lems” right around the cor­ner? Does “aging” equal “decline”? Check out the facts to debunk 10 com­mon myths on brain health.

Resources

Free Webi­nar: On July 21st, 10am Pacific Time/ 1pm East­ern Time, Dr. Elkhonon Gold­berg and Alvaro Fer­nan­dez, co-authors of The Sharp­Brains Guide to Brain Fit­ness, will cover the main high­lights from this new book and address the ques­tions sub­mit­ted by read­ers. You can learn more and reg­is­ter HERE.

Research Ref­er­ences:  This is a par­tial list of the sci­en­tific stud­ies reviewed dur­ing the research phase of SharpBrains’s new book, orga­nized by rel­e­vant chap­ter, for those of you who like to explore top­ics in depth by read­ing orig­i­nal research (per­haps PubMed should pro­mote itself as a never end­ing source of men­tal stimulation?).

Brain Teasers

Brain Teasers on Brain Fit­ness: Are you ready to test your knowl­edge of sev­eral key brain fit­ness met­rics? For exam­ple: How many sol­diers in the US Army have gone through com­put­er­ized cog­ni­tive test­ing before being deployed, and why?
Finally, a request: if you have already read The Sharp­Brains Guide to Brain Fit­ness, and could write a brief cus­tomer review at Amazon.com, we would surely appre­ci­ate! The Amazon.com book page is Here.

Best regards, and enjoy the month

(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. Read the rest of this entry »

We have talked about the value of med­i­ta­tion before (see Mind­ful­ness and Med­i­ta­tion in Schools), as a form of well-directed men­tal exer­cise than can help train atten­tion and emo­tional self-regulation.  Which other stud­ies have shown how it strength­ens spe­cific parts of the brain, mainly in the frontal lobe.

Dr. Rabiner shares with us, below, an excel­lent review of a new study that ana­lyzes the ben­e­fits of mind­ful­ness for ado­les­cents and adults with atten­tion deficits. He writes that “although this is clearly a pre­lim­i­nary study, the results are both inter­est­ing and encouraging.”

- Alvaro

Does Mind­ful­ness Med­i­ta­tion Help Adults & Teens with ADHD

– By Dr. David Rabiner

Although med­ica­tion treat­ment is effec­tive for many indi­vid­u­als with ADHD, includ­ing ado­les­cents adults, there remains an under­stand­able need to explore and develop inter­ven­tions that can com­ple­ment or even sub­sti­tute for med­ica­tion. This is true for a vari­ety of rea­sons includ­ing:
1) Not all adults with ADHD ben­e­fit from med­ica­tion.
2) Among those who ben­e­fit, many have resid­ual dif­fi­cul­ties that need to be addressed via other means.
3) Some adults with ADHD expe­ri­ence adverse effects that pre­vent them from remain­ing on medication.

Read the rest of this entry »

Salon.com pub­lished yes­ter­day a thought-provoking arti­cle focused on Posit Science’s Brain Fit­ness Pro­gram, titled Buff Up Your Brain, that com­bined a) some pretty good analy­sis and great points about that spe­cific pro­gram and jus­ti­fi­able (to a point) crit­i­cism of the com­mer­cial tone of a recent PBS Spe­cial, with b) the error of con­fus­ing a tree with the for­est, that led the author to make sev­eral unwar­ranted claims regard­ing the field.

Com­put­er­ized cog­ni­tive train­ing has been around since way before Posit Sci­ence, and will be here way beyond Posit Sci­ence (and Sharp­Brains, and Salon.com), and their audi­tory pro­cess­ing product-featured in the PBS Spe­cial– is not, in our view, the most par­tic­u­larly impres­sive exam­ple. Well-directed cog­ni­tive exer­cise can enhance men­tal skills and trans­fer to real-life out­comes, act­ing as a good com­ple­men­tary tool, when used prop­erly, to other lifestyle options and tools.

Read the rest of this entry »

Eliane writes a great post esti­mat­ing the size of the Seri­ous Games Mar­ket, build­ing on the over­all Price­Wa­ter­house­C­oop­ers report that seemed to indi­cate that the Global Video Game Mar­ket is Set to Explode.

Some quotes

• “The over­all gam­ing audi­ence con­tin­ues to expand and become some­what more female and older than in the past thanks to casual games and games becom­ing an “impor­tant part of cul­ture” — which in my view would embed the Seri­ous Games segment.”
• “Whereas the mil­i­tary was one of the first cus­tomers of Seri­ous Games, it has been joined by a long line of users, includ­ing other gov­ern­ment agen­cies, health­care providers, schools (both K-12 and uni­ver­si­ties) and For­tune 500 com­pa­nies (for team build­ing, lead­er­ship train­ing, sales train­ing and prod­uct edu­ca­tion, among others).”
• “This is my con­ser­v­a­tive esti­mate: the Seri­ous Games mar­ket would be rang­ing between $200 — 400 mil­lion per year only in US, in 2007. ”
• “There is now an emer­gent sup­ply chain for Cor­po­rate Seri­ous Games, with a num­ber of cor­po­ra­tions tak­ing Read the rest of this entry »