Ol brain gem i save stopem dementia? Wanem ol risej i soem

Ol brain gem oli stap evriwea, mo plante oli promis se bae oli kipim brain blong yu i yang. Sipos yu stap keakem wan man we i gat dementia, o yu worri long memori blong yu seleva, i natural blong askem se ol gem ya save helpem o nao. Hia i stret wanem ol risej i soem, inkludim ol pat we i givim hop mo ol pat we i no givim hop.

Ol toktok ya i jeneral infomesen nomo, no medikol advaes. Lukim medical disclaimer.

Ol brain gem i save stopem dementia?

No gem blong brain i bin prufum se i stopem dementia. National Institute on Aging (NIA) i advaesem ol man mo woman blong fraet long ol klem se ol kompiuta mo ol gem long intanet oli save improvem memori. NIA i talem tu se i no gat plante evidens se eni komesol brain trening app i gat sem effect olsem trening we ol klinik trial oli bin testem (NIA long wei blong stopem Alzheimer’s).

Hemia i no min se ol gem oli no gat valiu. Valiu blong olgeta i long enjoyment, kampani mo rutin. I no long protektem wan man from dementia.

Wanem “near transfer” i min, mo why i impoten?

Taem yu praktis wan wok, yu usualy i kam gud long hem. Ol risasa i kolem hemia training effect. Kwestin we i harem moa se: eni improvment ya i save “transfer” o nao long narafala samting. Hemia i ken i go long ol wok we i sem (near transfer), o long ol dei blong laef olsem rimembra ol apointmen o mekem moni (far transfer).

Wan bigfala risiu long 2016 i lukluk long ol stadi we ol kompani blong brain trening oli yusum olsem ol bes evidens blong olgeta. Risiu ya i faendem plante evidens se ol man oli kam gud long ol wok we oli trenem. I gat smol evidens se oli kam gud long ol wok we i klosap sem, mo i no gat plante evidens se trening i improvem tingting blong ol dei. Plante long ol stadi ya tu i gat ol trabol long disaen, we i mekem i no posibol blong mekem strong konklusen (Simons and colleagues, Psychological Science in the Public Interest).

Wanem ol risiu long kompiuta brain trening i talem?

Cochrane reviews, we i putum tugeta ol bes trial we i stap, oli lukluk long kompiuta trening we i lastem at lis 12 wik:

• Ol hel adalt 65 mo i olsem: eit trial wetem 1,183 man mo woman. Evidens i low o very low kwaliti. I save gat smol gud long samfala taem raet afta trening, be i no gat klia evidens se i stap lelebet (Cochrane review, healthy older adults).
• Ol man mo woman we oli gat mild cognitive impairment: eit trial wetem 660 man mo woman. No eni trial i ripotem se ol man ya oli bin kam gat dementia, mo evidens i wik tumas blong mekem konklusen (Cochrane review, mild cognitive impairment).

Wanem ACTIVE trial i faendem?

ACTIVE i wan bigfala trial long USA we i stat long 1998 wetem 2,802 adalt we oli 65 mo i olsem. Ol man mo woman ya oli stap laef independen, mo oli no gat bigfala trabol long memori o tingting. Oli bin ranomli putum long wan long tri kaen smol grup trening (spid blong proses infomesen, memori, o tingting), o long wan grup we no gat kontak. Trening i go kasem ten sesen long faev o sikis wik. Sampla long ol man mo woman we oli finisim plante sesen, oli bin ranomli offarem ol extra sesen bitwin wan mo tri yia afta.

Spid trening i involvem spotem mo proses visual infomesen long ol lukluk we i fas mo fas. Level i jenji long wei we man ya i improvem.

Long 2026, ol risasa i konektem 2,021 man mo woman long rekod blong hels insiuransi blong olgeta long 20 yia (analisis 20 yia blong ACTIVE). Hemia nao wanem oli faendem:

• Spid trening wetem at least wan extra sesen: i gat lelebet ress blong ol kes blong dementia we ol dokta i rekoj, komparem wetem grup we no bin mekem trening (hazard ratio 0.75, we i min roughly 25% lo ress).
• Spid trening we no gat extra sesen: no lo ress.
• Trening blong memori o tingting: no klia effect long ol kes blong dementia.
• Olgeta grup blong trening komparem wetem grup we no bin mekem trening: i gat tendensi blong lo ress, be i no statistikli klia.

Ol limit blong risalt ya

• I aplae long wan kaen spid trening we i gat man i lidim, wetem ol extra sesen. I no aplae long brain gem long ful.
• Risalt we i impoten i kamaot long wan smol grup (ol man mo woman we oli finisim plante long ol fas sesen mo oli bin offarem ol extra sesen). I no kamaot long ful grup blong spid trening.
• Dementia i bin mesurem long kod blong dagnosis long ol rekod blong insiuransi, i no long ol dokta i lukluk long wanwan man. Abaot wan kwota blong ol orijinal man mo woman oli bin lusum, from oli stap long wan kaen insiuransi plan we i no gat ful rekod blong claim.
• Ol man mo woman oli no gat klia trabol long tingting taem oli stat. Ol risalt ya i no talem nating long ol gem blong ol man mo woman we oli already gat dementia.

Hemia i wan intresting risalt we i fitim blong gat moa risej. Be i no evidens se eni app i stopem dementia.

Wanem FTC i talem long Lumosity?

Long Janueri 2016, Lumos Labs, we i mekem Lumosity, i agri blong pem US$2 million blong settlem ol klem blong Federal Trade Commission long ol advertising we i no stret. FTC i talem se kompani ya i klemem, wetem no gud saens, se ol gem blong hem i save improvem wok mo skul performans. I klemem tu se oli save slouem ol jenis we i kamaot wetem eij, mild cognitive impairment, dementia mo Alzheimer’s. Oda i talem se kompani i mas gat stret mo strong saentifik evidens bifo oli mekem ol klem olsem long fiuja (FTC press release).

Lesen blong ol famili: stap sospisis long eni gem, app o program we i promis blong protektem memori o stopem dementia.

Ol gem i save helpem wan man we i already gat dementia?

Oli save add long wan gud dei, wanem i impoten tumas. Aproj we i gat plante stadi long hem i cognitive stimulation: ol grup aktiviti we i fanem, olsem toktok, tingting bak long ol taem we i pas (reminiscence), gem blong wod, puzol mo miusik. Usualy oli stap long wan smol grup we wan fasilitator i lidim.

Wan Cochrane review long 2023 blong 37 trial wetem 2,766 man mo woman we oli gat dementia long lelebet to moderet lvel i faendem (Cochrane review blong cognitive stimulation):

• wan smol gud long short taem long ol test blong tingting (evidens i gat moderet kwaliti);
• improvments we i impoten long toktok mo long mekem ol kampani (evidens i gat hae kwaliti, from smol namba blong stadi);
• smol gud long kwaliti blong laef, fil gud mo fasin.

Ol gud risalt oli mesurem moslotaem raet afta long ol program we i lastem abaot ten wik. Plante stadi oli no jekem se oli stap lelebet. Cognitive stimulation i wan strakje grup program, so ol risalt ya i no ototomatik aplae long wan man we i pleim gem seleva long wan tablet.

Long 2024, Lancet Commission i talem tu se ol aktiviti program oli impoten long ol man mo woman we oli gat dementia, blong keepem enjoyment mo purpos (Lancet Commission).

Wanem ol gem i gud blong?

Taem oli jusum gud, ol gem i save givim:

• Enjoyment. Wan hafa aoa we i fan i gat valiu long hem seleva.
• Kampani. Pleim long saed bae i givim samting we i isi blong sheraem taem toktok i hard. Lukim hao blong pleim tugeta.
• Rutin. Wan aktiviti we i famliar long sem taem evri dei i save karem komfot.
• Konfiden. Aktiviti we i fitim long wanem man ya i stil save mekem gud i letem hem fil se hem i save, no fil se hem i stap testem.
• Toktok. Wan piksa o wan save we i famliar i save opem wan stori. Traem conversation cards o finish the saying.

Ol samting we yu mas avoidem: taem, skor, streak mo eni samting we i fil olsem wan memori test. Sipos man ya i frustret, stopem. Stopem erli, o jus sidaon tugeta, i wan gud aotkam. Gaed blong yumi long chusum ol app mo gem i gat wan jeklis.

Wanem Golden Moments i stap long hem

Ol gem blong Golden Moments, olsem picture pairs, picture puzzle mo large-print word search, oli mekem blong enjoyment mo taem blong stap wetem. Oli no gat klok mo no gat skor. Oli no tritmen, mo oli no stopem o slouem dementia. Mifala i wantem talem yu long stret wei long saed ya, i gud winim blong promis wan samting we eni gem i no save mekem.

Toktok wetem dokta

Sipos yu worri long ol jenis long memori long yu seleva o long wan man we yu keakem, go lukim dokta. No jes rilaes long wan app. Dokta i save lukim ol kod we i save treatem mo i save toktok long ol step we i gat bes evidens, olsem kontrolem presa blong blad mo jekem harem. Lukim Can dementia be prevented? blong moa infomesen. Sipos i gat sudden konfiuzen o ol narafala sudden jenis, kasem urgent medical help kwik.