Trusted medical advice from the
American Academy of Family Physicians.

Brain Training for Seniors

“Use it or lose it” commonly refers to the importance of exercising your body and staying fit. Exercising your brain is just as important. Your brain needs a regular workout, especially as you age. After the age of 65, your risk of developing dementia doubles approximately every five years.

Dementia is not a disease. It’s a collection of symptoms resulting from damaged brain cells caused by other diseases. These cells affect your memory, personality, and decision-making abilities. Brain damage can occur from a head injury, stroke, or disease, such as Alzheimer’s dementia (the no. 1 form of dementia). Other diseases, such as uncontrolled type 2 diabetes, can cause another form of dementia known as vascular dementia (the 2nd most common form of the condition). Vascular dementia is caused by poor blood supply to the brain. It also affects memory, personality, and decision-making abilities.

While some forms of dementia cannot be cured and the brain damage cannot be reversed, research shows that keeping your brain active with activity, a healthy diet, and physical exercise may help delay the onset of dementia. It also may help prevent brain damage caused by injury or disease. The earlier you start brain-training activity, the better the benefits.

Path to improved health

If you are healthy and younger than 65, stimulating your brain with activities and games can keep your mind sharp later in life (unless you develop a dementia-related disease or have a stroke or a head injury). If you currently have some form of dementia, brain games and “active mind” activity can still help.

There are plenty of online games and apps available to play on the computer, your cell phone, or tablet. Some are free and some require a one-time or monthly fee. Don’t forget the benefits of playing simple board games, such as checkers, chess, matching games, or a jigsaw puzzle. Other puzzle games, such as Sudoku and crossword puzzles, are challenging, as well, and are often found in your local newspaper.

As you search for online games and apps, look for activities that stretch your short-term memory, listening, attention, language, logic, reaction time, hand-eye coordination, alphabetizing, and visual and special abilities. Consider adding brain-training activities that apply to your everyday life. For example:

  • Write a to-do list and then memorize it.
  • Listen to a new song and write down some of the lyrics.
  • Draw a map from your home to the library.
  • Research a new topic

Other ways to challenge your brain include:

  • Changing the way you do something. If you are right-handed and stir your coffee with that hand, trying to stir with your left hand.
  • Read a how-to book.
  • Learn a new language.
  • Try a new craft or hobby.
  • Learn to play a musical instrument.
  • Take a class at your local college or community center.

It’s important to supplement your brain activity with a healthy lifestyle, too.

  • Maintain a healthy weight and eat healthy.
  • Get moving with physical exercise.
  • Don’t smoke.
  • Limit your alcohol.
  • Get adequate sleep.
  • Do your best to avoid injuries.
  • Lower your stress.
  • Follow your doctor’s orders for managing your diseases or conditions.
  • Focus on activities that support your mental health.
  • Maintain an active social life by regularly spending time with friends, volunteering, or joining a club.

Things to consider

Brain training and lifestyle changes may be overwhelming. Don’t try to change everything at once. Start slow by choosing one brain game. If you can add more, that’s even better. If you find yourself getting bored with the same game, choose another one to stay active. Don’t give up. Change up your daily living routine, too. For example, if you always brush your teeth and then comb your hair, try reversing your routine. Do the same thing with your healthy living. Swap a fried food for the grilled version. Add five minutes to your exercise routine. Schedule your annual health exam and screenings. Make a date with a friend.

Unfortunately, there’s no guarantee that brain training and lifestyle changes will prevent all forms of dementia. It will not cure certain forms of dementia, such as Alzheimer’s disease. However, you can improve dementia that is tied directly to disease (such as uncontrolled type 2 diabetes) by managing the disease with medicine and healthy living.

Dementia may be difficult to spot on your own. Often, it takes a family member or close friend to notice changes. Unfortunately, there is not enough evidence to determine the pros and cons of physician screening for dementia, according to the American Academy of Family Physicians (AAFP). Certain medicines and depression can be tied to memory loss.

It is important to note that depression in the elderly often looks a lot like dementia to others, so supporting their mental health is critical.

When to see your doctor

Don’t be concerned about occasional memory loss. That is normal. However, memory loss related to dementia grows worse over time and progresses at a faster rate. Signs that you or a loved one may be suffering from dementia might include:

  • Memory loss of recent events or information. This might be noticeable if you or a loved one repeats the same question and can’t remember the answer.
  • Forgetting how to perform familiar tasks, such as driving, cooking, or bathing
  • Language problems, such as not using the correct word
  • Not remembering how to get somewhere familiar or how you got there
  • Poor judgment for simple things, such as wearing a different shoe on each foot
  • An inability to think in abstract ways, such as understanding the purpose of money
  • Losing things and finding them in strange places, such as putting clothing in the refrigerator
  • Mood and personality changes that can turn a usually happy person into an angry, rude person, or a confident person into a fearful, suspicious person
  • Loss of interest in things that once mattered, such as time with friends and family or hobbies
  • Difficulty making choices

Questions to ask your doctor

  • How many hours a day should I spend playing brain games?
  • Should I be concerned if I perform poorly on the brain games? Is that an indication of early dementia?
  • What does it mean if I get tired after playing games?
  • How can I tell if playing brain games is making a difference?
  • Is it better to play brain games on your own or with a partner?
  • How can I tell if my memory problems is normal aging versus dementia?

Resources

Alzheimer’s Association: Brain Health

Centers for Disease Control and Prevention: Healthy Brain Initiative

National Institute on Aging: Cognitive Health and Older Adults

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