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Cognitive Health
Quality Life Forum Self-Care Series
​May, 2019

​Cognitive health is the ability to clearly think, learn, and remember.   Cognitive change as a normal process of aging has been well documented in the scientific literature. Some cognitive abilities, such as vocabulary, are resilient to brain aging and may even improve with age. Other abilities, such as conceptual reasoning, memory, and processing speed, decline gradually over time.
​
Concepts of crystallized and fluid intelligence are used to describe patterns of cognitive change over the lifespan. Crystallized intelligence refers to skills, ability, and knowledge that is overlearned, well-practiced, and familiar. Vocabulary and general knowledge are examples of crystallized abilities. Crystallized abilities remain stable or gradually improve through the sixth and seventh decades of life. Because crystallized intelligence is due to accumulation of information based on one’s life experiences, older adults tend to perform better at tasks requiring this type of intelligence when compared to younger adults. In contrast, fluid intelligence refers to abilities involving problem-solving and reasoning about things that are less familiar and are independent of what one has learned. Fluid cognition includes a person’s innate ability to process and learn new information, solve problems, and attend to and manipulate one’s environment. Executive function, processing speed, memory, and psychomotor ability are considered fluid cognitive domains. Many fluid cognitive abilities, especially psychomotor ability and processing speed, peak in the third decade of life and then decline per year.

Cognitive ability can be divided into specific domains, such as
  • Processing speed - Many of the cognitive changes reported in healthy older adults are the result of slowed processing speed in cognitive activities and the speed of motor responses.
  • Attention -  A more noticeable age effect is seen on more complex attention tasks, such as selective (the ability to focus on specific information in the environment while ignoring irrelevant information) and divided attention (the ability to focus on multiple tasks simultaneously).
  • Memory - Age-related memory changes may be related to slowed processing speed, reduced ability to ignore irrelevant information, and decreased use of strategies to improve learning and memory.
  • Language - Language is a complex cognitive domain composed of both crystallized and fluid cognitive abilities. Overall language ability remains intact with aging. However, Visual confrontation naming, or the ability to see a common object and name it, remains about the same until age 70, and then declines in subsequent years. Verbal fluency, which is the ability to perform a word search and generate words for a certain category (e.g., letters, animal names) in a certain amount of time, also shows decline with aging.
  • Visuospatial abilities - This group of cognitive functions involves the ability to understand space in two and three dimensions. Visual construction skills, which involves the ability to put together individual parts to make a coherent whole (for example, assembling furniture from a box of parts) declines over time. In contrast, visuospatial abilities remain intact. These abilities include object perception, the ability to recognize familiar objects such as household items or faces, and spatial perception, the ability to appreciate the physical location of objects either alone or in relation to other objects.
  • Executive functioning/reasoning - Executive functioning refers to capacities that allow a person to successfully engage in independent, appropriate, purposive, and self-serving behavior. This includes a wide range of cognitive abilities such as the ability to self-monitor, plan, organize, reason, be mentally flexible, and problem-solve. Research has shown that concept formation, abstraction, and mental flexibility decline with age, especially after age 70. 

​Cognitive Reserve and Retraining
Certain activities may prevent age-associated cognitive decline is the theory of cognitive reserve. Passive reserve refers to genetically determined characteristics such as brain volume and the number of neurons and synapses present. Active reserve refers to the brain’s potential for plasticity and reorganization in neural processing, allowing it to compensate for neuropathologic changes. 

​The good news is that a meta-analysis of speed of processing training studies supports the idea that cognitive training can have real effects on cognitively normal subjects’ ability to perform activities of daily living. These promising findings suggest that it may be possible to use cognitive training to minimize functional decline with advancing age.

Your brain has the ability to learn and grow as you age — a process called brain plasticity — but for it to do so, you have to train it on a regular basis. Practicing a new and challenging activity in daily life is a good bet for building and maintaining cognitive skills.    

 What can you do for your cognitive health? 
  1. Be Physically active - Research has shown that regular physical exercise is one way to improve cognitive functions like memory recall, problem solving, concentration, and attention to detail.
  2. Balance and stability. Studies have shown that people who can’t stand on one leg for more than 20 seconds are more likely to have damage to small blood vessels in the brain, such as tiny bleeds or ministrokes. Balance exercises, including tai chi and yoga  can improve stability.
  3. Keep your mind active - Much research has found that creative outlets like painting and other art forms, learning an instrument, doing expressive or autobiographical writing, and learning a language also can improve cognitive function.
  4. Challenge your brain with wide range of interests. Introducing a new activity or increasing your skill set and/or knowledge stimulates the brain, engages your brain to learn something new or reach a new level, to improve learning function with focused attention and effective information processing.
  5. Get out of your comfort zone for complexity. A complex activity not only strikes a match of excitement, but forces your brain to work on specific thought processes like problem solving and creative thinking.
  6. Practice (music instruments, games, skills, etc) makes permanent. Devote how much time you can, but be committed and consistent. Practice regularity can make a greatest impact, regardless of the level of achievements. The practice is more important than get to the Carnegie Hall. 
  7. Stay connected – social interactions with other people are important. Your brain gets a workout when you are being mindful and socially active. Travel, cultural events, and classes are great for meeting new people with common interests.
  8. A healthy brain is built on a healthy body. Managing existing health conditions and enhance healthy lifestyle are foundations for cognitive fitness. Eat a plant-based diet, get enough quality sleep, and reduce toxic stress are essential parts of brain health.
  9. Feel free to contact qualitylifeforum@outlook.com for your health coaching needs.

By definition, normal age-related cognitive change does not impair a person’s ability to perform daily activities.   However, studies show that normal cognitive aging can result in subtle declines in complex functional abilities, such as the ability to drive, which requires visual attention/processing (the ability to select visual stimuli based on spatial location), visual perception (the ability to accurately perceive and interpret what is seen), executive function, and memory. 

Safety first. It is important to detect safety issues early. If you or your loved ones experiencing any cognitive difficulties in driving, don’t risk it.

It will become increasingly important to understand the cognitive changes that accompany aging, both normal and pathologic. Dementia and mild cognitive impairment are common and even those who do not have these conditions may experience subtle cognitive changes associated with aging. These normal cognitive changes are important to understand because they can affect an older adult’s day to day function.

There is significant variability in age-related cognitive changes from person to person. Some of these variability can be attributed to genetic differences, medical illness, psycho-social factors, and sensory deficits such as vision and hearing impairment, may accelerate age-related cognitive decline.  A individualized coaching program can help you achieving your personal cognitive health goals. Click
qualitylifeforum@outlook.com to book a free call and learn more.

Summary: Cognitive health is the ability to clearly think, learn, and remember. Cognitive changes, such as conceptual reasoning, memory, and processing speed, decline gradually over time as part of normal aging process. Normal age-related cognitive change does not impair a person’s ability to perform daily activities. It will become increasingly important to understand the cognitive changes that accompany aging, both normal and pathologic. Dementia and mild cognitive impairment are common. There is significant variability in age-related cognitive changes from person to person. The good news is that your brain has the ability to learn and grow as you age under active training on a regular basis. Practicing a new and challenging activity in daily life is a good bet for building and maintaining cognitive skills.   


Reference:
https://www.nia.nih.gov/health/cognitive-health
https://www.health.harvard.edu/mind-and-mood/train-your-brain
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015335/

© All rights reserved

Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.

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  • Home
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    • Coaching Programs >
      • Loneliness Breakthrough
      • Therapeutic Lifestyle Changes
      • Time-Restricted Feeding for Healthy Aging
      • Patient-centered Health Navigation Program
      • Customized program
      • A Special Health Coaching Package
    • Self-Care >
      • 2021 Aug The Milestone of Age 65
      • 2021 March Make a Self-Care Plan for Your Golden Years
      • 2018 Jan The Golden Keys for the Golden Years
      • 2018 July Golden Mindset
      • 2019 Jan Empty Nest
      • 2018 Feb loneliness Breakthrough
      • 2016 Feb Wellness Mindset
      • 2023 Jan Setting and Meeting Your Goals
      • 2019 Sept Time for change
      • 2020 Oct Process and Results
      • 2021 Sept Aging Brain
      • 2019 May Cognitive Health
      • 2021 Oct Muscle Memory and Cognition
      • 2020 July Listening to your body
      • 2019 March Body Image and Self-Care After Midlife
      • 2020 Nov Moderation
      • 2022 Aug Knowing When Doing More Is Harm Than Good
      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
      • 2022 Dec Holiday Homecoming
    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
      • 2017 April Longevity and Quality of Life
      • Blog Are You Motivated for a Healthy Life Style?
      • 2018 June TLC Transformation
      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
      • 2019 April Exercise is Medicine
      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
      • 2016 Mar Get Active
      • 2018 Sept Keep Life in Motion
      • 2020 Aug Keep Fit for Your Age
      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
      • 2018 March Regulate Blood Pressure
      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
      • 2016 June Vitamin D Deficiency
      • 2022 May Aging Skin and Sun Safety
      • 2022 Feb Aging Eye Facts
      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
      • 2017 Feb Live with Thyroid Nodules
      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
      • 2016 July Weight Management
      • 2018 Nov Dealing with chronic stress
      • 2021 June Managing Chronic Insomnia
      • 2017 Aug Facing a life-threatening illness
      • 2016 May Emotional Healing
    • Advocacy and Empowerment >
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      • 2020 Dec Invest In yourself
      • 2016 Aug Health Literacy
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      • 2019 Oct Action is what counts
      • 2021 Nov Navigation for Healthcare Needs
      • 2016 Nov Gratitude for life
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