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4 Ways To Build A Brain Bank & Prevent Cognitive Decline, From An Integrative Neurologist
Cognitive decline and even just normal brain changes associated with aging threaten to impact our memories and way of thinking—two things we very much want to hold on to as long as possible. But some people are more resilient to signs of memory loss than others, even when there's physiologic evidence of memory loss.
These are the folks that have built up their cognitive reserves.
What are cognitive reserves?
"In simple terms, cognitive reserve is the brain's ability to improvise and find alternate ways of getting a job done," says integrative neurologist Romie Mushtaq, M.D., ABIHM.
The brain is quite adaptable, and there's no one path to the finish line of remembering a story or staying on task. Autopsy studies in the 1980s started to show that there were people who had structural brain changes consistent with dementia1, but they had no actual symptoms in real life. “It was found they had cognitive reserves or a well-developed brain bank,” says Mushtaq.
In a sense, when dementia started to rob one part of the brain, the organ had enough cash on hand to not let that loss derail its function.
Since the 1980s, “Research has shown that people with greater cognitive reserves are better able to stave off symptoms of degenerative brain changes or neuroinflammation associated with dementia or other brain diseases2, such as Parkinson's disease, multiple sclerosis, or a stroke,” asserts Mushtaq.
As neurological conditions like this are the leading cause of illness and disability3 worldwide, building a robust brain bank may have a profound impact on your quality of life as you age.
Is it too late to build a brain bank?
According to Mushtaq, a brain bank is really built over a lifetime of education and curiosity—beginning in childhood4.
But Mushtaq assures us that it's never too late to continue to build cognitive reserves throughout your adult life.
How to build your cognitive reserves
Research on cognitive reserves is still very much evolving. Interest is only increasing as dementia cases are expected to triple5 by 2050.
The first two recommendations on this list are the ones specifically tied to cognitive reserve research whereas the last two are general lifestyle recommendations to help maintain brain function:
- Enriching lifetime experiences: This one is broad, but let's break it down. "Studies have shown that people who prevented symptoms of memory loss (dementia) had several factors in common with lifetime experiences including getting a strong education, having an engaging occupation, and working toward a meaningful purpose," says Mushtaq. If you're not feeling fulfilled in your current career, then change it up. If there's a trip you've always wanted to go on, then see if you can find a way to make that happen.
- Stimulating activities: "Stimulating activities are not just about occupation but also about combining leisure activities, learning, and social interactions," notes Mushtaq. Learning a new language is a great example of a stimulating activity. Data currently show that being bilingual6 is linked to having greater cognitive reserves, and an exciting study is underway to investigate how learning a new language or a new instrument7 at age 65 to 85 can improve cognitive control.
- Nutrition: What you eat can also positively or negatively impact the brain. Mushtaq recommends focusing on adding healthy fats to the diet (like olive oil and omega-3s) as well as antioxidants to help quell or prevent neuroinflammation. Certain supplement ingredients can also support memory and cognitive function. And when used with a healthy eating pattern (like the MIND diet) can give you an edge on things like learning, processing, retention, and cognitive performance. Here are our expert-vetted recommendations for quality memory supplements.
- Cardio exercise: Cardiovascular exercise (like walking) is vital for promoting healthy blood flow to the brain. Some studies suggest that impaired blood flow8 to the brain is associated with cognitive decline, memory loss, and an increased risk of dementia.
The takeaway
Building up your cognitive reserves is one way to help protect yourself from the overt signs of memory loss, cognitive decline, or dementia.
While a lot of these reserves are established during childhood, we can help reinforce them with enriching experiences and stimulating activities throughout adulthood. And of course practicing brain-healthy habits (like eating well, exercising, and supplementing smartly) can also help protect your memory as you age.
8 Sources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9253821/
- https://www.sciencedirect.com/science/article/abs/pii/S1474442212701916
- https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(24)00038-3/fulltext
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243389/
- https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00249-8/fulltext
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633567/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111015/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221770/
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