Cognitive Speed Training Cuts Dementia Risk Over 20 Years

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#cognition #dementia #brain_training #aging #research

This form of mental exercise may cut dementia risk for decades - NPR
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Cognitive Speed Training Shows Lasting Dementia Protection

A groundbreaking two-decade study reveals that a specific form of brain training can significantly reduce dementia risk in older adults. Researchers from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study found that participants who completed cognitive speed training were 25% less likely to receive a dementia diagnosis over the following 20 years compared to control groups.

The Training That Makes a Difference

The study involved nearly 3,000 older adults who participated in 10 training sessions focused on processing visual information and making quick decisions. Remarkably, those who received booster sessions showed the most impressive results. Researchers were surprised that such a modest investment—just 14 to 22 hours of training—produced benefits lasting decades, challenging assumptions about brain plasticity in aging.

Implications for Brain Health

These findings represent one of the first large-scale randomized trials demonstrating that cognitive interventions can lower Alzheimer's disease incidence. Experts emphasize that staying mentally engaged through learning activities may offer substantial protective benefits for long-term cognitive health.

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About the Organizations Mentioned

Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study

# Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Study The **ACTIVE Study** is a landmark longitudinal research initiative designed to investigate cognitive training's effectiveness in preserving mental function and independence among older adults.[1] Rather than a traditional organization, ACTIVE represents a collaborative, multi-site randomized controlled trial that has become the largest study on cognitive training ever conducted.[2] ## Overview and Mission Launched in September 1996 across six academic research centers—including Johns Hopkins University, Penn State University, and the University of Alabama at Birmingham—ACTIVE tests three cognitive interventions targeting memory, reasoning, and visual speed of processing.[1] These abilities were selected because they decline relatively early in aging, beginning around the mid-sixties, and directly impact daily living skills critical for maintaining independence.[1] ## Key Achievements With 2,832 participants, ACTIVE has demonstrated that healthy older adults can achieve significant cognitive improvements through structured training and practice.[2] A groundbreaking recent finding revealed that adults age 65 and older who completed cognitive speed training experienced a **reduced dementia incidence up to 20 years later**, with approximately a 25% risk reduction.[6] This discovery carries substantial public health implications, potentially saving billions in annual dementia care costs estimated at $400 billion.[6] ## Research Approach and Impact The study employs a sophisticated conceptual model expecting domain-specific training effects—memory training improves memory without necessarily enhancing reasoning or processing speed.[1] Remarkably, the training regimen is modest: participants engaged in tasks for one hour twice weekly over five to six weeks, with booster sessions at one and three years.[6] ## Current Status ACTIVE continues evolving through partnerships with the National Institute on Aging's Data LINKAGE program, linking study data with Centers for Medicare & Medicaid Services records.[

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