How to Keep Your Brain Young | Dr. Tommy Wood & Dr. Andrew Huberman
Dr. Tommy Wood and Dr. Andrew Huberman discuss the essential role of novelty and cognitive challenge in maintaining brain health, highlighting how specific interventions like processing speed training and learning complex, multi-modal skills can preserve executive function and counteract the cognitive decline that typically accelerates after age 60.
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Keeping Your Brain Young
- 00:00If you were to tell people, look, you
- 00:04want to keep your brain as young as it
- 00:07can possibly be relative to your
- 00:08chronological age,
- 00:10you should what?
- 00:12Like it it so this is a general brain
- 00:14health question, but really I'm
- 00:16specifically asking about plasticity and
- 00:18let's make it multiple choice and then
- 00:20you can add things to it. Okay, you
- 00:21[clears throat] should exercise. So it
- 00:23can be multiple things and then we'll
- 00:24talk about which types of exercise you
- 00:26should continue to do. the things that
- 00:28you already know how to do.
- 00:30Yeah.
- 00:30And then third option um not mutually
- 00:33exclusive with the others of course is
- 00:35uh you should try to do new things that
- 00:37you can't already do.
- 00:39And I I still toil with this when I look
- 00:41at the literature on neuroplasticity and
- 00:42aging,
- 00:44right? Like [snorts] yes, use it or lose
- 00:46it is true,
- 00:48but we're also told that novelty and
- 00:50trying things that we're not good at is
- 00:52an essential component of building out
- 00:54brain circuits, continuing to make them
- 00:57function better as we get older. So, how
- 00:58do you how do you think about all of
- 01:00that?
- 01:01I'll partly answer your last question
- 01:04and then maybe give a framework for how
- 01:06I think about it. So when you look at a
- 01:12combination of epidemiological studies
- 01:13and intervention studies in older
- 01:15adults, everything about maintaining
- 01:17cognitive function later in life, you
- 01:19definitely see that those who continue
- 01:22to engage in hobbies and activities that
- 01:25are cognitively engaging or cognitively
- 01:27demanding and that can be lectures, that
- 01:30can be um volunteering, that can be you
- 01:33know reading crosswords, that kind of
- 01:35stuff. Those individuals tend to either
- 01:38have slowed rates of decline or better
- 01:40maintenance of function over time and or
- 01:42lower rates of dementia. That's of
- 01:44course observational, right? But that's
- 01:47usually people continuing to engage in
- 01:49the things that you know they've already
- 01:51been doing, right?
- 01:52So they're holding on to what they've
- 01:53got.
- 01:54Holding on to what they've got by
- 01:55continuing to do that.
Benefits Of Novel Activities
- 01:56Okay. Now, of course, it could partly be
- 01:59reverse causation because if you're
- 02:01maintaining function, then you will
- 02:02you're more likely to continue to do the
- 02:04things that that you enjoy doing, right?
- 02:06So, there's probably it probably goes in
- 02:07both both directions. However, there's
- 02:11an increasing body of literature that
- 02:13shows that by engaging older adults in
- 02:16novel cognitive activities, you see
- 02:19improvements in function. So that can be
- 02:21language learning. Uh that can be uh
- 02:23complex like cognitive movement or
- 02:26exercise. You see the same things with
- 02:28um like musical training like people
- 02:30learning a new musical instrument or
- 02:31learning um musical theory trying to
- 02:33identify different patterns in music.
- 02:35And you see in randomized control trials
- 02:38improvements particularly in executive
- 02:40function that seems to be most common
- 02:41across those different interventions.
- 02:43But you're seeing um improvements in
- 02:46cognitive function with novel cognitive
- 02:48stimuli. Uh there's a lot of uh recent
- 02:50trials that have also used types of
- 02:53brain training um things like the
- 02:55pointer trial that was here in the US
- 02:56maintain your brain which was a massive
- 02:59online study done in Australia recently
- 03:01and that's sort of broad cognitive
- 03:05training with like an online cognitive
- 03:06training platform. So again it's it's a
- 03:08new uh or novel um intervention or
- 03:12exposure that seems to provide a
- 03:15stimulus that improves function. So I
- 03:17think both can be or do seem to be
- 03:19important. Can I ask what
- 03:21[clears throat]
- 03:21um for an example of maybe one or two of
- 03:24the things that were in that large scale
- 03:26trial from Australia like just at a at a
- 03:28very top contour level um older adults
- 03:30meaning 65 and older um are doing what
- 03:34the maintain your brain uh study was
- 03:36actually it was um sort of midlife kind
- 03:39of uh 50s and 50s and 60s mainly and
- 03:43they actually had interventions across
- 03:45four different domains based on risk
- 03:47factors within that given individual. So
- 03:49they had uh dietary a dietary
- 03:51intervention, they had physical
- 03:52activity, they had um cognitive
- 03:55behavioral therapy for those who had um
- 03:58you know some potentially some mental
- 04:00health um concerns and then they had uh
- 04:03online brain training. Uh there was
- 04:05something similar done in the pointer
- 04:07trial uh which was in older adults now
- 04:0960s and 70s that was done here in the US
- 04:12that was a replication of an older trial
- 04:14called the finger trial that was done in
- 04:15Finland but what those guys did was
- 04:17something very similar. So it's uh diet,
Multi-Domain Cognitive Health Trials
- 04:20exercise, uh monitoring and and treating
- 04:22uh cardiovascular risk factors and then
- 04:25brain training. So what the brain
- 04:27training looks like um so the points
- 04:30trial is a good example. They did um
- 04:32they used a platform called Brain HQ
- 04:34which is an HQ
- 04:35Brain HQ um which was uh developed based
- 04:38on the work of Mike Mzinich um who's you
- 04:41know like one of the godfathers of
- 04:43learning and neuroplasticity right um
- 04:46and they
- 04:48do various tasks primarily focused on
- 04:52developing and maintaining processing
- 04:54speed. Um, some of that evidence goes
- 04:56all the way back to an older trial
- 04:59called active that was done in the US in
- 05:01the '90s. It was still the biggest ever
- 05:04trial of like pure cognitive brain
- 05:06training again in older adults. So 60s
- 05:09and 70s. They had three different um
- 05:12training groups. The uh and then a
- 05:15control group. Uh the training groups
- 05:17did memory training and kind of like you
- 05:19know pneumonics, memory palaces, that
- 05:21kind of stuff to help them remember.
- 05:23There was reasoning training which is
- 05:24kind of like looking looking for
- 05:26patterns in numbers and letters. And
- 05:27then there was processing speed training
- 05:29where in this example it's visual
- 05:31processing speed. So things flash up on
- 05:33a screen in increasingly small uh
- 05:37increments. So could be hundreds of
- 05:38milliseconds. And as you get better at
- 05:41doing it, that time gets shorter and you
- 05:43have to remember what you saw and where
- 05:45you saw it on a screen. They just
Processing Speed & Dementia Risk
- 05:47published a secondary analysis of the
- 05:49active trial that showed that um those
- 05:51who did processing speed training with
- 05:53uh booster sessions at one and three
- 05:55years had a significantly decreased risk
- 05:57of dementia 20 years later. Um and
- 05:59they've done some other studies showing
- 06:00that that kind of training improves
- 06:01co-allergic signaling in the forebrain
- 06:03um which we know is susceptible to um
- 06:06the processes of dementia. So in
- 06:09particular, it's this training uh to be
- 06:13able to improve either visual or
- 06:16auditory processing speed, which is not
- 06:18something that you know, as you get
- 06:19older, you tend to not do activities
- 06:22that require you to process information
- 06:23quickly. Like driving is probably the
- 06:25the main one, but you can do it in
- 06:28sports and music and and other
- 06:30scenarios, but if you're not doing those
- 06:32things, processing speed tends to drop
- 06:34off sometime around 60 years old. When
- 06:36you say uh well I say processing, you
- 06:39say [laughter] processing uh processing
- 06:41speed. Um are you talking about reaction
- 06:43time, improving reaction time or pushing
- 06:45people to um stay at the edge of of
- 06:48reaction time? And when I say stay at
- 06:49the edge, I should clarify for people
- 06:51some task where if you go too fast, you
- 06:54make errors. If you go too slow, there's
- 06:56also a penalty
- 06:57in this scenario. And there are, you
- 06:59know, studies that look at these
- 07:00different functions over time. probably
- 07:03the biggest one looked at data that came
- 07:06from the implicit association test
- 07:08people might have heard of where you get
- 07:09um show these pictures of different
- 07:11things and depending on how quickly you
- 07:12respond it tells you something about
- 07:13like your implicit um you like your
- 07:16implicit thought processes. Um they took
- 07:18some of the data from that. Um this is
Reaction Time Versus Processing Speed
- 07:21published in one of the nature journals
- 07:22a few years ago. And what they showed
- 07:24was that um you can separate out
- 07:27reaction time versus processing speed
- 07:29because reaction time is just is a is a
- 07:31very um just the basic of response to a
- 07:34visual stimulus whereas processing
- 07:35requires you is is based on how quickly
- 07:39you can process and remember the
- 07:40information that you're seeing. You
- 07:42actually think Yeah. So what they showed
- 07:45in this study was that reaction time
- 07:46kind of slowly decreases on average in a
- 07:48population of it was about 1.2 million
- 07:51people slowly decreases in sort of like
- 07:54from about our 30s and then and then
- 07:57maybe decreases even more once we get
- 07:59past about 60.
- 08:00Processing speed on average tended to be
- 08:03more stable until about 60 years old and
- 08:05then tends to drop off. So in what
- 08:07you're doing in these um training
- 08:09modalities is you're being shown
- 08:12information
- 08:14for a very short period of time and then
- 08:17having to remember what it was you saw
- 08:18and where you saw it. Um so requires you
- 08:20to actually think and you know remember
- 08:23process the information rather than just
- 08:24like responding to a stimulus.
- 08:27So for people that want to jump to the
- 08:29okay what do I do? Um
- 08:32can we conclude okay if you like
- 08:34crossword puzzles keep doing them but do
- 08:37really hard ones for you. If you like
Choosing Effective Cognitive Challenges
- 08:39lifting weights, continue to challenge
- 08:42yourself with those. If you like to run,
- 08:45you know, push harder. Or should it be
- 08:47we shift domains? You like to lift and
- 08:50run, great. Start swimming again.
- 08:52Andrew, I'm telling myself, I used to I
- 08:54you know, I just noticed over time it's
- 08:56it's such a cliche of aging, right? Um
- 08:59that you one does tend to become more
- 09:01narrow, quote unquote, set in their
- 09:03ways. You like what you like, you don't
- 09:04want like what you don't. You get
- 09:06busier. Probably don't actually get
- 09:07busier, but you convince yourself, well
- 09:09I'll do I'm doing these things and I do
- 09:11plenty of them so but I'm not doing
- 09:14these other things. Or for those of us,
- 09:17I think this is everybody. If they
- 09:18really ask themselves an answer
- 09:21honestly, you'd love to hold on to your
- 09:23motor function and cognitive function as
- 09:24[clears throat] long as you can,
- 09:26maybe even improve it. Should we push
- 09:28ourselves to do something that's really
- 09:29far outside the box or maybe
- 09:32sort of current skill adjacent? So, I
- 09:34think of those three categories. What
- 09:36What do the data say? If you want the
- 09:39greatest effect for the minimum amount
- 09:40of [clears throat] time, assuming you're
- 09:41still going to do all the stuff you
- 09:42normally do, you're going to add
- 09:44something else.
- 09:45Should it be something really different,
- 09:46slightly different, or just push harder
- 09:48in the thing you do?
- 09:50I think it's going to depend a little
- 09:51bit on what it what it is the things
- 09:54that you currently do, right? So like
- 09:55crosswords are a good a good example.
- 09:57Even if you're doing hard ones, if you
- 10:00look at the work of people like uh
- 10:02Gloria Mark, the things like Crossword
- 10:05and Sudoku, they're less of like a true
- 10:07cognitive challenge, right? It's it's
- 10:10almost has more of like a meditation
- 10:12meditative like effect, right? Which can
- 10:14be a good thing, right? So you're
- 10:15focused but not challenged really. uh
- 10:18whereas if we're trying to build
- 10:21capacity, you need to spend some time
- 10:24doing something where you are both
- 10:25focused and challenged um cognitively.
Learning Complex New Skills
- 10:28So that can come from um learning new
- 10:33skills be they motor, language, social
- 10:38um and ideally as broad as possible
- 10:41because you're going to get better like
- 10:46overall stimulus as well as kind of like
- 10:48broader potential for for transfer into
- 10:50other areas of of daily life. In
- 10:53reality, the narrowness of the response
- 10:55or the breadth of the response is
- 10:57proportional to the narrowness or the
- 10:59breadth of the stimulus, right? So, you
- 11:02could get really good at one very
- 11:04specific thing or you could try and
- 11:08learn a new skill that requires a that
- 11:12involves a wide variety of tasks. So,
- 11:13I'll give like like an example is
- 11:15learning a new ball sport, right? that
- 11:18is going to require multiple assets of
- 11:20motor skills, social skills. Um, it's
- 11:23going to include both visual and
- 11:25auditory processing that's going to get
- 11:28faster and faster and harder and harder
- 11:29the better you get. So, something like
- 11:31that
- 11:33uh creates a much broader stimulus um
- 11:36than you know if you get very good at
- 11:38one very specific brain training task on
- 11:41like one computer program, right? This
- 11:44is one of the main arguments against
- 11:47online or you know digital brain
- 11:49training is that you get very good at
- 11:51doing that one specific thing but it
- 11:52doesn't transfer over to other areas of
- 11:54your life. Whereas some of these broader
- 11:56more complex ultimately more human
- 11:59skills probably give us much broader
- 12:02transfer as well as you know you know
- 12:04because of the the multiple pathways or
- 12:06networks that are being activated.
- 12:14[music]