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Brain autopsies have revealed that a significant number of people die with Alzheimer’s disease evident in their brain, although in life their cognition wasn’t obviously impaired. From this, the idea of a “cognitive reserve” has arisen — the idea that brains with a higher level of neuroplasticity can continue to work apparently normally in the presence of (sometimes quite extensive) brain damage.

Context is absolutely critical to successful communication. Think of the common experience of being a stranger at a family gathering or a meeting of close friends. Even familiar words and phrases may take on a different or additional meaning, among people who have a shared history. Many jokes and comments will be completely unintelligible, though you all speak the same language.

The effects of exercise on cognitive function in older adults

A number of studies in the past few years have provided evidence that physical exercise can ameliorate the effects of aging on the brain, in terms both of preventing or postponing dementia, and reducing the more normal age-related decline in cognitive function. The reasons for the effect are almost certainly multiple, for example:

Genes

Several genes have been implicated in Alzheimer's, but the big one is the e4 allele of the ApoE gene (on chromosome 19). This variant is found in about a quarter of the population.

Having it doesn't mean you are foreordained to develop Alzheimer's, but it certainly increases the risk substantially. The risk goes up considerably more if both of your genes are the e4 variant (remember you inherit two: one from each parent).

The story method (sometimes called the sentence mnemonic) is the most easily learned list-mnemonic strategy, although it is not as widely known as the other simple methods we’ve talked about so far.

As its name suggests, the story method involves linking words to be learned in a story. While this is most obviously useful for learning actual lists, it can also be used for remembering the main points of a passage. In such a case, you need to reduce each point to a single word, which hopefully has the power to recall the whole point.

Retrieval practice, as its name suggests, is a simple strategy that involves retrieving the target information one or more times prior to testing. It is not the same as repetition or rehearsal! The idea is not to simply repeat the correct information, but to try and retrieve it. Feedback as to the correct answer may or may not follow.

Let’s talk about the cognitive benefits of learning and using another language.

In a recent news report, I talked about the finding that intensive learning of a very novel language significantly grew several brain regions, of which two were positively associated with language proficiency. These regions were the right hippocampus and the left superior temporal gyrus. Growth of the first of these probably reflects the learning of a great many new words, and the second may reflect heavy use of the phonological loop (a part of working memory).

What are external memory aids?

External memory aids include such strategies as:

Although I’m a cognitive psychologist and consequently think that memory and cognition is mostly about your mastery of effective strategies, when it comes to age-related cognitive decline, I’m a big believer in the importance of diet and exercise. But while we know these things can play an important role in why some people develop cognitive impairment and even dementia as they age, and others don’t, we don’t yet know with any great certainty exactly what exercise programs would be the best use of our time, and what diet would have the most benefit.

Some personal experience

I have two sons. One of them was a colicky baby. Night after night my partner would carry him around the room while I tried to get a little sleep. One night, for his own amusement, my partner chose a particular CD to play. Magic! As the haunting notes of the hymns of the 12th century abbess Hildegard of Bingen rang through the room, the baby stopped crying. And stayed stopped. As long as the music played. Experimentation revealed that our son particularly liked very early music (plainchant from the 15th century Josquin des Pres was another favorite).