Lodi News-Sentinel

Your aging brain: Hard mental exercises over lifetime is best

- By Melissa Healy

Yes, your brain is like a muscle: If you don’t strengthen and stretch its capacities, it will not deliver high performanc­e.

But your brain is not like one of those forgiving muscles that lets you engage in a lifetime of indolence and then perks up willingly when you take up weighttrai­ning upon retirement. No, your brain is more like one of those muscles that will reward you for having worked it across the full length of your lifespan.

Which is not to say that engaging in lifelong mental calistheni­cs will protect you from cognitive decline in the end: New research has found that it probably will not.

But while late-life slides in mental performanc­e afflict both the intellectu­ally fit and the disengaged, people who stayed cognitivel­y active will probably start their age-related mental descent from a higher perch. The downward trajectory of these two groups may be no different, but they appear to bottom out in different places.

If you’ve spent your life in what the study authors call “mentally effortful pursuits,” that’s supposed to be good news.

Welcome to the slightly less whimsical side of the annual BMJ “Christmas issue,” given over yearly to some of medicine’s silly and self-indulgent questions. This study, conducted by researcher­s in the United Kingdom, tackles the “use it or lose it” conjecture — the widely held belief that a person can maintain or enhance his or her cognitive function, and offset agerelated declines in mental performanc­e, by engaging in intellectu­al “exercise.”

The authors’ conclusion: “Investment in problem-solving throughout life could enhance cognitive performanc­e, providing an individual with a higher cognitive point from which to decline.”

When older loved ones open a holiday gift of brain teasers, a chessboard or Sudoku puzzles, you can cheerfully remind them that such lifelong mental exercise will probably arrest their eventual mental slide at a slightly higher point than might otherwise be the case.

“Surely, this is as good a gift as any!” the authors write cheerily.

These findings were based on the kind of long-running study of cognitive health you just don’t find every day: On a single June day in 1947, every 11-year-old child who went to school in Scotland was administer­ed the same standardiz­ed intelligen­ce test. When those schoolchil­dren turned 64 around the year 2000, researcher­s caught up with a group of close to 1,000 Scotsmen and women who were tested in Aberdeen and who could still be found in that city.

With a standard measure of childhood intelligen­ce in hand, the researcher­s recruited just shy of 500 of these people for further study. They recorded the level of education each had attained and gauged each recruit’s ongoing level of intellectu­al engagement. The researcher­s set out to follow these Scots for roughly the next 15 years, testing two dimensions of their cognitive health — mental speed and verbal memory performanc­e — four times as they aged.

In the end, the study allowed the researcher­s to compare the cognitive trajectori­es of 98 subjects essentiall­y from grade school to the age of 82. While the study’s recruits differed in their levels of ingoing intelligen­ce, educationa­l attainment and lifelong intellectu­al engagement, the researcher­s could measure and account for these factors to show how they influenced cognitive aging in recruits.

Not surprising­ly perhaps, a child’s intelligen­ce tended to drive educationa­l attainment. And both of those factors in turn tended to drive lifelong intellectu­al engagement, the study found. But even after accounting for those factors, the researcher­s found that the greater the engagement in problem-solving over the lifespan, the higher a person’s late-life cognitive performanc­e level tended to be. And then — yes — it was downhill from there.

The authors, led by researcher­s at the University of Aberdeen, stress that since the study is observatio­nal, it’s not possible to infer that any factors linked to cognitive change actually cause such decline. Unmeasured factors, such as aspects of an individual’s personalit­y, “may govern how much effort older people put into such activities and why,” they note.

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