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Researchers find no strong evidence that lifestyle changes - like diet, exercise and stimulating1 the brain - make a big difference in preventing cognitive2 decline in older people.
A new study has failed to find any conclusive3 evidence that lifestyle changes can prevent cognitive decline in older adults.
But researchers say there are still good reasons to make positive changes in how we live and what we eat as we age.
Cognitive decline is the loss of ability to learn new skills, or recall words, names, and faces that is most common as we age. To reduce or avoid it, researchers have examined the effect of smoking, diet, brain-challenging games, exercise and other strategies.
Researchers at Duke University sifted4 through more than 160 published studies and found an absence of strong evidence that any of these approaches can make a big difference.
"In the observational studies we found that some of the B vitamins, like folic acid, were beneficial." said co-author James Burke, who helped design the study. "Exercise, diet, cognitive stimulation5 showed some positive effects, although the evidence was not so strong that we could actually consider these firmly established."
Some previous studies have suggested that challenging your brain with mentally stimulating activities might help. Burke said that actually does seem to help, based on randomized studies - the researcher's gold standard.
"Cognitive stimulation is one of the areas where we did find some benefit. The exact type of stimulation that an individual uses is not as important as being intellectually engaged," Burke said.
The expert review also found insufficient6 evidence to recommend any drugs or dietary supplements that could prevent or slow cognitive decline.
However, given that there is at least some evidence for positive effects from some of these lifestyle changes, plus other benefits apparently7 unrelated to cognitive decline, Burke offered some recommendations.
"I think that by having people adopt a healthy lifestyle, both from a medical standpoint as well as nutritional8 and cognitive stimulation standpoint, that we can reduce the incidence of cognitive decline, which will be proof that these factors are, in fact, important."
James Burke of Duke University is one of the authors of a study reviewing previous research on cognitive decline. The paper is published online by the Annals of Internal Medicine.
1 stimulating | |
adj.有启发性的,能激发人思考的 | |
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2 cognitive | |
adj.认知的,认识的,有感知的 | |
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3 conclusive | |
adj.最后的,结论的;确凿的,消除怀疑的 | |
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4 sifted | |
v.筛( sift的过去式和过去分词 );筛滤;细查;详审 | |
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5 stimulation | |
n.刺激,激励,鼓舞 | |
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6 insufficient | |
adj.(for,of)不足的,不够的 | |
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7 apparently | |
adv.显然地;表面上,似乎 | |
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8 nutritional | |
adj.营养的,滋养的 | |
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