Health and Me

Ishita Roy

This Game Could Cut Your Dementia Risk, Says Study

Scientists say they have uncovered the first strong evidence that a specific type of brain training could meaningfully reduce the risk of Alzheimer’s disease. The findings come from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study, a large US clinical trial that followed 2,802 healthy adults aged 65 and older for 20 years. Published in Alzheimer’s &amp; Dementia: Translational Research &amp; Clinical Interventions, the research found that participants who completed a targeted “speed of processing” brain training programme, along with booster sessions, had a 25 per cent lower risk of developing dementia compared to those who received no training.

Dementia remains one of the most pressing health challenges worldwide. In the UK alone, around 900,000 people live with the condition, with Alzheimer’s disease being the most common form. There is currently no cure. While newer drugs may modestly slow cognitive decline for some patients, they do not stop or reverse the disease.

That is why prevention, or even delay, is so crucial. Even pushing back the onset of dementia by a year or two across the population could significantly reduce strain on families, healthcare systems and social care services.

Lifestyle factors already play an important role. Regular exercise, managing blood pressure and diabetes, avoiding smoking and staying socially active are all linked to lower dementia risk. Now, this new research suggests that certain types of structured mental training may also help.

Back in the late 1990s, researchers randomly assigned older adults to one of four groups:

<ul><li>Speed-of-processing training</li><li>Memory training</li><li>Reasoning training</li><li>No training (control group)</li></ul>

Each participant attended ten hour-long sessions over five to six weeks. Some who completed most of the sessions were later randomly selected to receive additional “booster” sessions about 11 months later and again after 35 months. In total, participants completed between 10 and 22½ hours of training spread over three years.

Memory training focused on mnemonic techniques. Reasoning training involved identifying patterns and solving structured problems. But it was the speed-of-processing training, delivered through a computer-based programme, that stood out.

<h2>The Brain Game That Made a Difference</h2>

One of the key exercises, called Double Decision, required participants to quickly identify a central object (like a specific car) while simultaneously locating a road sign that briefly flashed in their peripheral vision. As players improved, the images appeared for shorter periods, increasing difficulty.

The best possible score in the game was 32 milliseconds. The average score hovered around 100 milliseconds, but participants who stuck with the programme often improved to about 50 milliseconds — nearly doubling their processing speed.

Unlike memory drills, this training targeted how quickly and accurately the brain processes visual information — a skill that tends to decline with age.

Researchers tracked participants’ health records to see who was later diagnosed with Alzheimer’s disease or related dementias. Nearly half of the control group developed dementia during the two-decade follow-up.

The same held true for those who received memory or reasoning training.

However, the group that completed speed training and received booster sessions had a strikingly different outcome: their risk of dementia diagnosis was 25 per cent lower than the control group.

The researchers themselves urge caution. The people who benefited most were those who completed the initial sessions and returned for boosters. It’s possible that these individuals were already more motivated, healthier, or cognitively stronger — factors that may independently reduce dementia risk.

To address this, booster sessions were randomly allocated among eligible participants, and analyses adjusted for age, education, baseline cognitive performance and other health factors. Still, no statistical method can completely eliminate the possibility that the most engaged participants were also those most likely to stay healthier longer.

Henry Mahncke, chief executive of Posit Science — the company behind the training software — described the results as “astonishing” and potentially transformative for brain health.

The academic authors, including researchers from Johns Hopkins School of Medicine, the University of Pennsylvania and the University of Washington, were more measured. They concluded that speed-of-processing training “has the potential to delay the diagnosis” of Alzheimer’s and related dementias — but further research is needed.

If confirmed, the implications could be profound. The idea that even later-life brain training might buy people more time before dementia sets in offers a rare note of hope in a field where breakthroughs are hard won.

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Scientists say they have uncovered the first strong evidence that a specific type of brain training could meaningfully reduce the risk of Alzheimer’s disease. The findings come from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study, a large US clinical trial that followed 2,802 healthy adults aged 65 and older for 20 years. Published in Alzheimer’s & Dementia: Translational Research & Clinical Interventions, the research found that participants who completed a targeted “speed of processing” brain training programme, along with booster sessions, had a 25 per cent lower risk of developing dementia compared to those who received no training.Why This MattersDementia remains one of the most pressing health challenges worldwide. In the UK alone, around 900,000 people live with the condition, with Alzheimer’s disease being the most common form. There is currently no cure. While newer drugs may modestly slow cognitive decline for some patients, they do not stop or reverse the disease.That is why prevention, or even delay, is so crucial. Even pushing back the onset of dementia by a year or two across the population could significantly reduce strain on families, healthcare systems and social care services.Lifestyle factors already play an important role. Regular exercise, managing blood pressure and diabetes, avoiding smoking and staying socially active are all linked to lower dementia risk. Now, this new research suggests that certain types of structured mental training may also help.Inside the ACTIVE StudyBack in the late 1990s, researchers randomly assigned older adults to one of four groups:Speed-of-processing trainingMemory trainingReasoning trainingNo training (control group)Each participant attended ten hour-long sessions over five to six weeks. Some who completed most of the sessions were later randomly selected to receive additional “booster” sessions about 11 months later and again after 35 months. In total, participants completed between 10 and 22½ hours of training spread over three years.Memory training focused on mnemonic techniques. Reasoning training involved identifying patterns and solving structured problems. But it was the speed-of-processing training, delivered through a computer-based programme, that stood out.The Brain Game That Made a DifferenceOne of the key exercises, called Double Decision, required participants to quickly identify a central object (like a specific car) while simultaneously locating a road sign that briefly flashed in their peripheral vision. As players improved, the images appeared for shorter periods, increasing difficulty.The best possible score in the game was 32 milliseconds. The average score hovered around 100 milliseconds, but participants who stuck with the programme often improved to about 50 milliseconds — nearly doubling their processing speed.Unlike memory drills, this training targeted how quickly and accurately the brain processes visual information — a skill that tends to decline with age.What Happened Over 20 Years?Researchers tracked participants’ health records to see who was later diagnosed with Alzheimer’s disease or related dementias. Nearly half of the control group developed dementia during the two-decade follow-up.The same held true for those who received memory or reasoning training.However, the group that completed speed training and received booster sessions had a strikingly different outcome: their risk of dementia diagnosis was 25 per cent lower than the control group.A Note of CautionThe researchers themselves urge caution. The people who benefited most were those who completed the initial sessions and returned for boosters. It’s possible that these individuals were already more motivated, healthier, or cognitively stronger — factors that may independently reduce dementia risk.To address this, booster sessions were randomly allocated among eligible participants, and analyses adjusted for age, education, baseline cognitive performance and other health factors. Still, no statistical method can completely eliminate the possibility that the most engaged participants were also those most likely to stay healthier longer.Henry Mahncke, chief executive of Posit Science — the company behind the training software — described the results as “astonishing” and potentially transformative for brain health.The academic authors, including researchers from Johns Hopkins School of Medicine, the University of Pennsylvania and the University of Washington, were more measured. They concluded that speed-of-processing training “has the potential to delay the diagnosis” of Alzheimer’s and related dementias — but further research is needed.If confirmed, the implications could be profound. The idea that even later-life brain training might buy people more time before dementia sets in offers a rare note of hope in a field where breakthroughs are hard won.