Cognitive Health: The Key to a Long and Healthy Life

In a nutshell

  1. As you go through life, your cognitive performance undergoes fluctuations with various stages characterized by distinct cognitive strengths and challenges.
  2. Early life experiences play a vital role in building cognitive reserve, which is the brain’s capacity to cope with age-related changes. However, learning opportunities and intellectual stimulation across the lifespan can enhance cognitive health and performance.
  3. Maintaining robust cognitive health by adopting healthy lifestyle changes can slow down the cognitive decline associated with aging and lower your risk of neurodegenerative diseases such as Alzheimer’s.

Your cognitive health is a cornerstone of your well-being, critical in determining your longevity and quality of life. It encompasses the optimal functioning of mental processes such as thinking, learning, reading, reasoning, memorizing, and paying attention. A well-functioning cognitive system is integral to living a long, fulfilling life.

Cognitive Health Across the Lifespan

As you journey through life, your cognitive performance undergoes various changes. In early childhood, your brain develops rapidly, with curiosity and exploration serving as key drivers of cognitive growth. During adolescence, significant neural restructuring occurs, impacting your decision-making and impulse control. As you progress into adulthood, your cognitive abilities tend to peak, making it an ideal time for continuous learning and skill acquisition.

However, as you approach middle age, you may notice a gradual decline in certain cognitive functions, such as processing speed. Engaging in regular physical activity, social interactions, and mental stimulation can help mitigate these changes.

In later years, the cognitive decline becomes more pronounced and is, unfortunately, an inevitable part of the process of aging. However, don’t get desperate! There are ways and strategies how to keep mental clarity and cognitive performance at an optimal level also during this stage of life.

Some individuals eventually develop more severe cognitive impairments, such as dementia or Alzheimer’s disease. These conditions significantly impact an individual’s ability to maintain independence and engage in everyday activities, ultimately affecting their quality of life and longevity.1 Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, Ballard C, Banerjee S, Burns A, Cohen-Mansfield J, Cooper C, Fox N, Gitlin LN, Howard R, Kales HC, Larson EB, Ritchie K, Rockwood K, Sampson EL, Samus Q, Schneider LS, Selbæk G, Teri L, Mukadam N. Dementia prevention, intervention, and care. Lancet. 2017 Dec 16;390(10113):2673-2734. doi: 10.1016/S0140-6736(17)31363-6. Epub 2017 Jul 20. PMID: 28735855. PubMed Source

Cognitive Health during Aging

Aging is a complex process, with cognitive decline being a natural part of this journey. Nevertheless, studies indicate that preserving your cognitive health can significantly enhance your chances of aging with grace and enjoying a longer, healthier life.2 Yaffe K, Falvey CM, Hoang T. Connections between sleep and cognition in older adults. Lancet Neurol. 2014 Oct;13(10):1017-28. doi: 10.1016/S1474-4422(14)70172-3. PMID: 25231524. PubMed Source 3 Li T, Yao Y, Cheng Y, Xu B, Cao X, Waxman D, Feng W, Shen Y, Li Q, Wang J, Wu W, Li C, Feng J. Cognitive training can reduce the rate of cognitive aging: a neuroimaging cohort study. BMC Geriatr. 2016 Jan 14;16:12. doi: 10.1186/s12877-016-0194-5. PMID: 26762334; PMCID: PMC4712458. PubMed Source Taking care of your cognitive health is crucial not only for maintaining your intellectual abilities but also for ensuring your emotional and social well-being.4 Fratiglioni L, Paillard-Borg S, Winblad B. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol. 2004 Jun;3(6):343-53. doi: 10.1016/S1474-4422(04)00767-7. PMID: 15157849. PubMed Source

Moreover, maintaining robust cognitive health can lower your risk of neurodegenerative diseases such as Alzheimer’s, the most common cause of dementia in older adults. Maintaining cognitive health throughout your lifespan also fosters cognitive resilience, enabling you to better adapt to age-related changes and recover from illness more rapidly.5 Stern Y. Cognitive reserve in ageing and Alzheimer’s disease. Lancet Neurol. 2012 Nov;11(11):1006-12. doi: 10.1016/S1474-4422(12)70191-6. PMID: 23079557; PMCID: PMC3507991. PubMed Source

The concept of cognitive reserve holds significant importance when discussing maintaining cognitive health. Therefore, let’s have a closer look at the idea of cognitive reserve.

Cognitive Reserve and Importance of Learning

The cognitive reserve is crucial for promoting cognitive health during later life. This concept refers to the brain’s ability to adapt and compensate for age-related changes or damage. Individuals with a higher cognitive reserve are better equipped to cope with the effects of neurodegeneration. They may experience fewer cognitive symptoms, leading to a better quality of life in later years.

Building cognitive reserve involves engaging in activities that challenge your brain and promote the growth and development of new neural connections.

Research has shown that the majority of cognitive reserve is built during early life.6 Fritsch T, McClendon MJ, Smyth KA, Lerner AJ, Friedland RP, Larsen JD. Cognitive functioning in healthy aging: the role of reserve and lifestyle factors early in life. Gerontologist. 2007 Jun;47(3):307-22. doi: 10.1093/geront/47.3.307. PMID: 17565095. PubMed Source However, studies have also suggested that it is possible to continue building cognitive reserve throughout one’s life, even in mid and late adulthood, albeit to a lesser extent.7 Richards M, Hardy R, Wadsworth ME. Does active leisure protect cognition? Evidence from a national birth cohort. Soc Sci Med. 2003 Feb;56(4):785-92. doi: 10.1016/s0277-9536(02)00075-8. PMID: 12560011. PubMed Source 8 Wilson RS, Yu L, Lamar M, Schneider JA, Boyle PA, Bennett DA. Education and cognitive reserve in old age. Neurology. 2019 Mar 5;92(10):e1041-e1050. doi: 10.1212/WNL.0000000000007036. Epub 2019 Feb 6. PMID: 30728309; PMCID: PMC6442015. PubMed Source 9 Bindoff AD, Summers MJ, Hill E, Alty J, Vickers JC. Studying at university in later life slows cognitive decline: A long-term prospective study. Alzheimers Dement (N Y). 2021 Sep 8;7(1):e12207. doi: 10.1002/trc2.12207. PMID: 34522765; PMCID: PMC8424760. PubMed Source Especially it is true for functions associated with communication, social interaction, and maintaining independence.

Thus, by continuously engaging your mind in new and challenging activities, you help create new neural connections and strengthen existing ones. This can range from learning a new language or musical instrument to painting, mastering a new sport, or even starting a new university degree. The more you challenge your brain, the more resilient it becomes, allowing you to maintain cognitive health even as you age.



Other Factors Contributing to Cognitive Reserve

Social engagement is another critical factor in building cognitive reserve. Studies show that regular social interaction fosters cognitive health by stimulating mental processes and enhancing cognitive reserve.10Holtzman RE, Rebok GW, Saczynski JS, Kouzis AC, Wilcox Doyle K, Eaton WW. Social network characteristics and cognition in middle-aged and older adults. J Gerontol B Psychol Sci Soc Sci. 2004 Nov;59(6):P278-84. doi: 10.1093/geronb/59.6.p278. PMID: 15576855. PubMed Source 11Kelly ME, Duff H, Kelly S, McHugh Power JE, Brennan S, Lawlor BA, Loughrey DG. The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: a systematic review. Syst Rev. 2017 Dec 19;6(1):259. doi: 10.1186/s13643-017-0632-2. PMID: 29258596; PMCID: PMC5735742.PubMed Source

Regularly interacting with friends, family, and peers helps stimulate your mind and fosters emotional well-being. Participating in group activities, joining clubs, or volunteering in your community are excellent ways to stay socially connected and maintain cognitive health. For tips on improving your social connections, please see our guide on this topic.

Regular physical activity not only strengthens the body but also bolsters cognitive function. Research indicates that exercise promotes memory and cognitive skills.12 Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci. 2003 Mar;14(2):125-30. doi: 10.1111/1467-9280.t01-1-01430. PMID: 12661673. PubMed Source

A well-balanced diet is no less important. Many research studies show that eating a diet full of antioxidants and anti-inflammatory substances can help keep your brain healthy as you age. To do this, enjoy foods like fruits, nuts, veggies, and fish, which may help protect your mind from age-related decline and lower the chance of getting dementia.13 Melzer TM, Manosso LM, Yau SY, Gil-Mohapel J, Brocardo PS. In Pursuit of Healthy Aging: Effects of Nutrition on Brain Function. Int J Mol Sci. 2021 May 10;22(9):5026. doi: 10.3390/ijms22095026. PMID: 34068525; PMCID: PMC8126018. PubMed Source

Adequate sleep is indispensable for cognitive health, as it allows the brain to rest and rejuvenate. Aim for 7-9 hours of quality sleep per night.14Dzierzewski JM, Dautovich N, Ravyts S. Sleep and Cognition in Older Adults. Sleep Med Clin. 2018 Mar;13(1):93-106. doi: 10.1016/j.jsmc.2017.09.009. Epub 2017 Dec 8. PMID: 29412987; PMCID: PMC5841581. PubMed Source


Fostering cognitive health is pivotal for longevity and well-being. By embracing lifelong learning, fostering social connections, exercising, maintaining a nutritious diet, and prioritizing sleep, you can promote cognitive resilience and enjoy a thriving life.


Recap and final thoughts

Cognitive decline, which starts after middle age, is a natural part of body aging. The brain has the capacity to compensate for age-related changes, known as cognitive reserve, which is largely built up early in life. But it’s never too late to start learning and challenging yourself, which can positively impact your cognitive health throughout your lifetime.

Taking care of your brain with healthy habits can help slow down the natural decline that comes with aging, and reduce your risk of developing diseases like Alzheimer’s.

References

  • 1
    Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, Ballard C, Banerjee S, Burns A, Cohen-Mansfield J, Cooper C, Fox N, Gitlin LN, Howard R, Kales HC, Larson EB, Ritchie K, Rockwood K, Sampson EL, Samus Q, Schneider LS, Selbæk G, Teri L, Mukadam N. Dementia prevention, intervention, and care. Lancet. 2017 Dec 16;390(10113):2673-2734. doi: 10.1016/S0140-6736(17)31363-6. Epub 2017 Jul 20. PMID: 28735855. PubMed Source
  • 2
    Yaffe K, Falvey CM, Hoang T. Connections between sleep and cognition in older adults. Lancet Neurol. 2014 Oct;13(10):1017-28. doi: 10.1016/S1474-4422(14)70172-3. PMID: 25231524. PubMed Source
  • 3
    Li T, Yao Y, Cheng Y, Xu B, Cao X, Waxman D, Feng W, Shen Y, Li Q, Wang J, Wu W, Li C, Feng J. Cognitive training can reduce the rate of cognitive aging: a neuroimaging cohort study. BMC Geriatr. 2016 Jan 14;16:12. doi: 10.1186/s12877-016-0194-5. PMID: 26762334; PMCID: PMC4712458. PubMed Source
  • 4
    Fratiglioni L, Paillard-Borg S, Winblad B. An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol. 2004 Jun;3(6):343-53. doi: 10.1016/S1474-4422(04)00767-7. PMID: 15157849. PubMed Source
  • 5
    Stern Y. Cognitive reserve in ageing and Alzheimer’s disease. Lancet Neurol. 2012 Nov;11(11):1006-12. doi: 10.1016/S1474-4422(12)70191-6. PMID: 23079557; PMCID: PMC3507991. PubMed Source
  • 6
    Fritsch T, McClendon MJ, Smyth KA, Lerner AJ, Friedland RP, Larsen JD. Cognitive functioning in healthy aging: the role of reserve and lifestyle factors early in life. Gerontologist. 2007 Jun;47(3):307-22. doi: 10.1093/geront/47.3.307. PMID: 17565095. PubMed Source
  • 7
    Richards M, Hardy R, Wadsworth ME. Does active leisure protect cognition? Evidence from a national birth cohort. Soc Sci Med. 2003 Feb;56(4):785-92. doi: 10.1016/s0277-9536(02)00075-8. PMID: 12560011. PubMed Source
  • 8
    Wilson RS, Yu L, Lamar M, Schneider JA, Boyle PA, Bennett DA. Education and cognitive reserve in old age. Neurology. 2019 Mar 5;92(10):e1041-e1050. doi: 10.1212/WNL.0000000000007036. Epub 2019 Feb 6. PMID: 30728309; PMCID: PMC6442015. PubMed Source
  • 9
    Bindoff AD, Summers MJ, Hill E, Alty J, Vickers JC. Studying at university in later life slows cognitive decline: A long-term prospective study. Alzheimers Dement (N Y). 2021 Sep 8;7(1):e12207. doi: 10.1002/trc2.12207. PMID: 34522765; PMCID: PMC8424760. PubMed Source
  • 10
    Holtzman RE, Rebok GW, Saczynski JS, Kouzis AC, Wilcox Doyle K, Eaton WW. Social network characteristics and cognition in middle-aged and older adults. J Gerontol B Psychol Sci Soc Sci. 2004 Nov;59(6):P278-84. doi: 10.1093/geronb/59.6.p278. PMID: 15576855. PubMed Source
  • 11
    Kelly ME, Duff H, Kelly S, McHugh Power JE, Brennan S, Lawlor BA, Loughrey DG. The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: a systematic review. Syst Rev. 2017 Dec 19;6(1):259. doi: 10.1186/s13643-017-0632-2. PMID: 29258596; PMCID: PMC5735742.PubMed Source
  • 12
    Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci. 2003 Mar;14(2):125-30. doi: 10.1111/1467-9280.t01-1-01430. PMID: 12661673. PubMed Source
  • 13
    Melzer TM, Manosso LM, Yau SY, Gil-Mohapel J, Brocardo PS. In Pursuit of Healthy Aging: Effects of Nutrition on Brain Function. Int J Mol Sci. 2021 May 10;22(9):5026. doi: 10.3390/ijms22095026. PMID: 34068525; PMCID: PMC8126018. PubMed Source
  • 14
    Dzierzewski JM, Dautovich N, Ravyts S. Sleep and Cognition in Older Adults. Sleep Med Clin. 2018 Mar;13(1):93-106. doi: 10.1016/j.jsmc.2017.09.009. Epub 2017 Dec 8. PMID: 29412987; PMCID: PMC5841581. PubMed Source
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