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They're Not Their Father's 70 Year Olds!
By
Joan Wright

Norwell - Reading the headline: “70-Year- Olds Smarter Than They Used To Be,” reminds me of Mark Twain’s muse that he couldn’t understand how smart his father got from the time Mark was 14 to the time Mark was 21. This particular headline referred to a Swedish study providing data on cognitive symptoms used to predict the development of dementia. Results of a battery of tests taken over a period of years showed that what worked well with an earlier group of 70 year-olds born in the early 1900s in identifying those at risk of developing dementia, could not offer any clues for the present group of 70 yr-olds born in 1930. The study suggests that today’s 70 year-old is a more “learned” person.

Intelligence has little bearing on the development of dementia; it is non-discriminating in affecting people at all intelligence levels. But, “intellectual activity” such as learning, may make just the difference. Much research has been done on “cognitive reserves” and creating new pathways in the brain to “take over” when other pathways have been damaged by strokes, aneurysms and dementia. This research is vital considering the fact that beginning January 1, 2011; the baby boomers will turn 65 at the rate of one every eight seconds. This translates into more than four million people each year facing an increased risk of developing dementia such as Alzheimer’s.

So how do we develop those cognitive reserves? One way is to keep physically well. The famous “Nun’s Study” that followed 700 nuns over more than 20 years supported just that by uncovering the link between strokes and heart attacks and Alzheimer’s and dementia. It also found that stimulating intellectual activity can provide protection from many types of cognitive decline.

Likewise, the Columbia University study by Dr Yaakov Stern, the Bronx Aging Study by Dr. Joe Verghese, and the Rush University Medical Center study by Dr David Bennet all support the theory that stimulating activities can reduce the risk of developing Alzheimer’s. And the work by Lynn Serper, EdD further illustrates the point. Cognitive reserve is not something you’re born with but rather develop through life, starting as a child. Education, occupation and social activity all add to the reserve; with more extensive education and more challenging jobs offering greater benefits.

Is it too late to develop one’s cognitive reserve when you’re middle aged or older? Absolutely not! It’s as simple as “use it or lose it.” When using your brain in unusual ways, blood flows into different neural regions and new connections are formed. Dr. Stern refers to this as building the brain’s “software” instead of its “hardware.”* So, using your non-dominant hand for brushing your teeth or hair, taking up ballroom dancing, learning a foreign language or how to play chess and how to play a musical instrument all tap into those different neural regions of your brain, and thus contributes to your cognitive reserve. Being more social and making connections with people (as opposed to watching television) is also extremely beneficial. And again, remaining physically active and eating well helps prevent heart disease, circulation problems, diabetes and other health issues that in turn can lead to compromising the brain.

Perhaps a less “easy” change to incorporate in our lives is reducing stress and anxiety. Yet they factor heavily in cognitive decline. Taking a yoga class not only helps with stress reduction, but creates another social venue, and offers a new learning experience. And no, you don’t need to be able to get “pretzel-like” to do yoga! There are many chair yoga, gentle yoga, and beginner yoga programs out there. Learning meditation, incorporating breathing exercises into one’s daily routine, and adapting daily walks to include both of these practices, is extremely beneficial.

Statistics and predictions about Alzheimer’s and its victims are overwhelming and science has yet to uncover a cure. But we do have the power to create our own cognitive reserve to help in the fight.

References and Resources
  “Fight Alzheimer’s with an active brain”, Associated Press, msnbc.com, 6/20/2005
  “Leisure Activities and the Risk of Dementia in the Elderly”, New England Journal of Medicine, 6/19/ 2003
  www.serpermethod.com
  www.rush.edu/rumc

 
About The Author

Joan Wright, CMC, a certified geriatric care manager, is a member of Norwell VNA and Hospice’s Alzheimer’s Care Specialty Team and geriatric care management team. She co-facilitates NVNA and Hospice’s support groups for caregivers of early, mid and late stage Alzheimer’s. For more information on NVNA and Hospice and all of its programs, you may call (781)659-2342 or visit the agency’s web site at www.nvna.org.
 

 


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