Journal-of-the-American-Medical-Association

To screen, or not to screen (for dementia), that is still the question

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A lead­ing group of med­ical experts on Tues­day declined to endorse cog­ni­tive screen­ing for old­er adults, fuel­ing a debate that has sim­mered for years.

The U.S. Pre­ven­tive Ser­vices Task Force said it could nei­ther rec­om­mend nor oppose cog­ni­tive screen­ing, cit­ing insuf­fi­cient sci­en­tif­ic evi­dence of the practice’s ben­e­fits and harms and call­ing for fur­ther studies.

The task force’s work informs poli­cies set by Medicare and pri­vate insur­ers. Its rec­om­men­da­tions, an accom­pa­ny­ing sci­en­tif­ic state­ment and two edi­to­ri­als were pub­lished Tues­day in the Jour­nal of the Amer­i­can Med­ical Association.

The task force’s new posi­tion comes as con­cern mounts over a ris­ing tide of old­er adults with Alzheimer’s dis­ease and [Read more…] about To screen, or not to screen (for demen­tia), that is still the question

Brain Health Business Grows With Research and Demand

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I wrote this arti­cle for the March/ April edi­tion of the pub­li­ca­tion Aging Today, pub­lished by the Amer­i­can Soci­ety on Aging, and received per­mis­sion to repro­duce it here.

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In recent years, most pro­fes­sion­als in aging have become aware of the grow­ing sci­en­tif­ic evi­dence show­ing that human brains retain the abil­i­ty to gen­er­ate neu­rons and change over a life­time, dis­cov­er­ies that have bro­ken the sci­en­tif­ic par­a­digm preva­lent dur­ing the 20th cen­tu­ry. Fur­ther­more, neu­roimag­ing and cog­ni­tive train­ing stud­ies are show­ing how well-direct­ed exer­cise presents peo­ple major oppor­tu­ni­ties for healthy brain aging.

How can peo­ple use emerg­ing tech­nolo­gies to keep their brains healthy and pro­duc­tive as long as pos­si­ble? An emerg­ing mar­ket for brain health– $225 mil­lion mar­ket in 2007, in the Unit­ed States alone, of which con­sumers account for $80 million–is try­ing to address that ques­tion in a way that com­ple­ments oth­er impor­tant more tra­di­tion­al pil­lars (and mul­ti-bil­lion indus­tries) of brain health, such as phys­i­cal exer­cise, bal­anced diet, stress man­age­ment (stress has been shown to actu­al­ly kill neu­rons and reduce the rate of cre­ation of new ones) and over­all men­tal stim­u­la­tion and life­long learning.

2007 AN ACTIVE YEAR

A series of impor­tant events took place in 2007, a sem­i­nal year for the brain health field, begin­ning in Jan­u­ary when many main­stream media pub­li­ca­tions, such as Time Mag­a­zine and CBS News, start­ed to pub­lish major sto­ries on neu­ro­plas­tic­i­ty and brain exer­cise. This media cov­er­age fol­lowed the pub­li­ca­tion of the long-await­ed results from nation­al clin­i­cal tri­als show­ing that sig­nif­i­cant per­cent­ages of the par­tic­i­pants age 65 and old­er who trained for five weeks improved their mem­o­ry, rea­son­ing and infor­ma­tion-pro­cess­ing speed. Find­ings from the Advanced Cog­ni­tive Train­ing for Inde­pen­dent and Vital Elder­ly (ACTIVE) Study appeared in the Jour­nal of the Amer­i­can Med­ical Asso­ci­a­tion (Dec. 20, 2006) and revealed that even after five years, par­tic­i­pants in the ACTIVE com­put­er-based pro­gram showed less of a decline in infor­ma­tion-pro­cess­ing skills than those in a con­trol group that received no cog­ni­tive training.

[Read more…] about Brain Health Busi­ness Grows With Research and Demand

Improving Driving Skills and Brain Functioning- Interview with ACTIVE’s Jerri Edwards

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Jerri Edwards- Active trialToday we are for­tu­nate to inter­view Dr. Jer­ri Edwards, an Asso­ciate Pro­fes­sor at Uni­ver­si­ty of South Flori­da’s School of Aging Stud­ies and Co-Inves­ti­ga­tor of the influ­en­cial ACTIVE study. Dr. Edwards was trained by Dr. Kar­lene K. Ball, and her research is aimed toward dis­cov­er­ing how cog­ni­tive abil­i­ties can be main­tained and even enhanced with advanc­ing age.

Main focus of research

Alvaro Fer­nan­dez: Please explain to our read­ers your main research areas 

Jer­ri Edwards: I am par­tic­u­lar­ly inter­est­ed in how cog­ni­tive inter­ven­tions may help old­er adults to avoid or at least delay func­tion­al dif­fi­cul­ties and there­by main­tain their inde­pen­dence longer. Much of my work has focused on the func­tion­al abil­i­ty of dri­ving includ­ing assess­ing dri­ving fit­ness among old­er adults and reme­di­a­tion of cog­ni­tive decline that results in dri­ving difficulties.

Some research ques­tions that inter­est me include, how can we main­tain health­i­er lives longer? How can train­ing improve cog­ni­tive abil­i­ties, both to improve those abil­i­ties and also to slow-down, or delay, cog­ni­tive decline? The spe­cif­ic cog­ni­tive abil­i­ty that I have stud­ied the most is pro­cess­ing speed, which is one of the cog­ni­tive skills that decline ear­ly on as we age.

ACTIVE results

Can you explain what cog­ni­tive pro­cess­ing speed is, and why it is rel­e­vant to our dai­ly lives? 

Pro­cess­ing speed is men­tal quick­ness. Just like a com­put­er with a 486 proces­sor can do a lot of the same things as a com­put­er with a Pen­tium 4 proces­sor, but it takes much longer, our minds tend to slow down with age as com­pared to when we were younger. We can do the same tasks, but it takes more time. Quick speed of pro­cess­ing is impor­tant for [Read more…] about Improv­ing Dri­ving Skills and Brain Func­tion­ing- Inter­view with ACTIVE’s Jer­ri Edwards

Customer Satisfaction Survey/ Tech Museum Awards

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We usu­al­ly spend more time in this blog talk­ing about brain fit­ness sci­ence, pro­grams and trends than talk­ing about peo­ple. Today we are going to change that, since we have been receiv­ing great feed­back from a num­ber of sources. While we still need to improve a lot, we can start to see the results of what we do in our “brain fit­ness cen­ter”. And we could­n’t be hap­pi­er about the nom­i­na­tion this week of Dr. Elkhonon Gold­berg and myself, as Sharp­Brains cofounders, for The Tech Muse­um Awards — Tech­nol­o­gy Ben­e­fit­ing Human­i­ty, in the Health category.

I. Anony­mous Feed­back from an online sur­vey of our online store cus­tomers

  • 58% respon­dents are Very Sat­is­fied, and 42% Sat­is­fied, with the prod­ucts and ser­vices they chose. I promise that there were more options (Dis­sat­is­fied, Very Dissatisfied)
  • “As a trad­er, I real­ly need to sus­tain atten­tion for long peri­ods. Your pro­gram (here) has been eye-open­ing and very helpful.”
  • “I LOVE the pro­gram! It is fun, chal­lenges me and gives me hope for improv­ing in the areas where I have lim­i­ta­tions. Staff sup­port & edu­ca­tion­al infor­ma­tion has been great. It is very impor­tant to be able to talk to some­one about the ques­tions or process prob­lems that we experience…your mem­ber on-line site gives us the oppor­tu­ni­ty to get answers & need­ed sup­port. Thanks for all you are doing. My hus­band and I love get­ting feed­back about our progress…it is a very pos­i­tive experience!”
  • “Keep devel­op­ing pro­grams so when we fin­ish doing the Mind­Fit (here) pro­gram there will be anoth­er one to build upon the first! I am impressed at how well your pro­grams are indi­vid­u­al­ized. Good Job to all involved!”
  • “Good, I enjoy the games (here) and I can tell a dif­fer­ence in my mem­o­ry and over­all awareness.”

II. Feed­back about our Stress Man­age­ment for Peak Per­for­mance work­shop (here)