Background. Cognitive functions are important for daily life at any age. One purpose of Smart Ageing is to investigate how to improve cognitive functions. This systematic review evaluates beneficial effects of the intervention on cognitive functions. Method. We conducted a systematic review of intervention studies of improvements of cognitive functions published or in press before December 2013. Because of the heterogeneity of the intervention programs, a systematic and critical review of the interventions and outcomes was conducted instead of a meta-analysis. Results. We identified nine completed and published studies, which were divided into four categories: cognitive training using video game, cognitive training using PC, cognitive training using paper and pencil, and exercise training. Review results showed that various intervention programs can improve cognitive functions such as executive functions, working memory, episodic memory, processing speed, and general cognitive ability/IQ. Conclusions. The systematic review demonstrated that some intervention programs can be effective for improving various aspects of cognitive functioning at any age. Some limitations to this review include its small sample size and heterogeneity of programs and cognitive function measures, in addition to unresolved issues such as transfer of everyday skills and effectiveness for nonhealthy people. 1. Background Cognitive function includes a variety of mental processes such as perception, attention, memory, decision making, and language comprehension. Cognitive function serves a critical role in everyday behavior and social behavior. For instance, when one goes shopping, it is necessary to memorize information about what to buy, how to make a proper judgment to buy, and how to have a conversation with shop assistants. Considering communication with a friend, we identify the friend by looking at faces or hearing a voice and sharing information with the friend. Our cognitive functions change during our lifetimes [1–4]. Cognitive functions improve from childhood to young adulthood. Some cognitive functions such as executive functions and working memory reach a peak during 20s or 30s [5]. However, semantic knowledge (semantic memory) develops to the age of 60 or 70 [6]. An elderly person might experience a decline of several cognitive functions, including memory [3, 7], attention [8], executive functions [9, 10], and processing speed [11]. Previous studies have demonstrated that higher cognitive functions in children and young adults are positively correlated with higher
References
[1]
T. Hedden and J. D. E. Gabrieli, “Insights into the ageing mind: a view from cognitive neuroscience,” Nature Reviews Neuroscience, vol. 5, no. 2, pp. 87–96, 2004.
[2]
S. Mejia, D. Pineda, L. M. Alvarez, and A. Ardila, “Individual differences in memory and executive function abilities during normal aging,” International Journal of Neuroscience, vol. 95, no. 3-4, pp. 271–284, 1998.
[3]
L. G. Nilsson, “Memory function in normal aging,” Acta Neurologica Scandinavica, Supplement, vol. 107, supplement 179, pp. 7–13, 2003.
[4]
R. C. Petersen, G. Smith, E. Kokmen, R. J. Ivnik, and E. G. Tangalos, “Memory function in normal aging,” Neurology, vol. 42, no. 2, pp. 396–401, 1992.
[5]
S. Blakemore and S. Choudhury, “Development of the adolescent brain: Implications for executive function and social cognition,” Journal of Child Psychology and Psychiatry and Allied Disciplines, vol. 47, no. 3-4, pp. 296–312, 2006.
[6]
D. C. Park, G. Lautenschlager, T. Hedden, N. S. Davidson, A. D. Smith, and P. K. Smith, “Models of visuospatial and verbal memory across the adult life span,” Psychology and Aging, vol. 17, no. 2, pp. 299–320, 2002.
[7]
T. A. Salthouse, “Memory aging from 18 to 80,” Alzheimer Disease and Associated Disorders, vol. 17, no. 3, pp. 162–167, 2003.
[8]
N. N. Yakhno, V. V. Zakharov, and A. B. Lokshina, “Impairment of memory and attention in the elderly,” Neuroscience and Behavioral Physiology, vol. 37, no. 3, pp. 203–208, 2007.
[9]
A. K. Coppin, A. Shumway-Cook, J. S. Saczynski et al., “Association of executive function and performance of dual-task physical tests among older adults: analyses from the InChianti study,” Age and Ageing, vol. 35, no. 6, pp. 619–624, 2006.
[10]
D. R. Royall, R. Palmer, L. K. Chiodo, and M. J. Polk, “Declining executive control in normal aging predicts change in functional status: the freedom house study,” Journal of the American Geriatrics Society, vol. 52, no. 3, pp. 346–352, 2004.
[11]
T. A. Salthouse, “The processing-speed theory of adult age differences in cognition,” Psychological Review, vol. 103, no. 3, pp. 403–428, 1996.
[12]
H. L. Swanson and M. Beebe-Frankenberger, “The relationship between working memory and mathematical problem solving in children at risk and not at risk for serious math difficulties,” Journal of Educational Psychology, vol. 96, no. 3, pp. 471–491, 2004.
[13]
H. L. Swanson and C. Sachse-Lee, “Mathematical problem solving and working memory in children with learning disabilities: both executive and phonological processes are important,” Journal of Experimental Child Psychology, vol. 79, no. 3, pp. 294–321, 2001.
[14]
T. E. Rohde and L. A. Thompson, “Predicting academic achievement with cognitive ability,” Intelligence, vol. 35, no. 1, pp. 83–92, 2007.
[15]
W. S. Barnett, “Long-term cognitive and academic effects of early childhood education on children in poverty,” Preventive Medicine, vol. 27, no. 2, pp. 204–207, 1998.
[16]
F. A. Campbell, E. P. Pungello, S. Miller-Johnson, M. Burchinal, and C. T. Ramey, “The development of cognitive and academic abilities: growth curves from an early childhood educational experiment,” Developmental Psychology, vol. 37, no. 2, pp. 231–242, 2001.
[17]
H. W. Stevenson, J. W. Stigler, S. Y. Lee, G. W. Lucker, S. Kitamura, and C. C. Hsu, “Cognitive performance and academic achievement of Japanese, Chinese, and American children,” Child Development, vol. 56, no. 3, pp. 718–734, 1985.
[18]
P. Barberger-Gateau and C. Fabrigoule, “Disability and cognitive impairment in the elderly,” Disability and Rehabilitation, vol. 19, no. 5, pp. 175–193, 1997.
[19]
D. A. Cahn-Weiner, P. F. Malloy, P. A. Boyle, M. Marran, and S. Salloway, “Prediction of functional status from neuropsychological tests in community-dwelling elderly individuals,” Clinical Neuropsychologist, vol. 14, no. 2, pp. 187–195, 2000.
[20]
M. C. Carlson, L. P. Fried, Q. Xue, K. Bandeen-Roche, S. L. Zeger, and J. Brandt, “Association between executive attention and physical functional performance in community-dwelling older women,” Journals of Gerontology B: Psychological Sciences and Social Sciences, vol. 54, no. 5, pp. S262–S270, 1999.
[21]
J. Grigsby, K. Kaye, J. Baxter, S. M. Shetterly, and R. F. Hamman, “Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley health and aging study,” Journal of the American Geriatrics Society, vol. 46, no. 5, pp. 590–596, 1998.
[22]
Y. Lee, J. H. Kim, K. J. Lee, G. Han, and J. L. Kim, “Association of cognitive status with functional limitation and disability in older adults,” Aging Clinical and Experimental Research, vol. 17, no. 1, pp. 20–28, 2005.
[23]
C. Owsley and G. McGwin Jr., “Association between visual attention and mobility in older adults,” Journal of the American Geriatrics Society, vol. 52, no. 11, pp. 1901–1906, 2004.
[24]
P. Verhaeghen, A. Marcoen, and L. Goossens, “Improving memory performance in the aged through mnemonic training: a meta-analytic study,” Psychology and Aging, vol. 7, no. 2, pp. 242–251, 1992.
[25]
S. Colcombe and A. F. Kramer, “Fitness effects on the cognitive function of older adults: a meta-analytic study,” Psychological Science, vol. 14, no. 2, pp. 125–130, 2003.
[26]
C. Lustig, P. Shah, R. Seidler, and P. A. Reuter-Lorenz, “Aging, training, and the brain: a review and future directions,” Neuropsychology Review, vol. 19, no. 4, pp. 504–522, 2009.
[27]
C. S. Green and D. Bavelier, “Exercising your brain: a review of human brain plasticity and training-induced learning,” Psychology and Aging, vol. 23, no. 4, pp. 692–701, 2008.
[28]
H. Takeuchi, Y. Taki, and R. Kawashima, “Effects of working memory training on cognitive functions and neural systems,” Reviews in the Neurosciences, vol. 21, no. 6, pp. 427–449, 2010.
[29]
M. Valenzuela and P. Sachdev, “Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up,” The American Journal of Geriatric Psychiatry, vol. 17, no. 3, pp. 179–187, 2009.
[30]
K. V. Papp, S. J. Walsh, and P. J. Snyder, “Immediate and delayed effects of cognitive interventions in healthy elderly: a review of current literature and future directions,” Alzheimer's and Dementia, vol. 5, no. 1, pp. 50–60, 2009.
[31]
L. Jean, M. Bergeron, S. Thivierge, and M. Simard, “Cognitive intervention programs for individuals with mild cognitive impairment: systematic review of the literature,” The American Journal of Geriatric Psychiatry, vol. 18, no. 4, pp. 281–296, 2010.
[32]
P. J. Smith, J. A. Blumenthal, B. M. Hoffman et al., “Aerobic exercise and neurocognitive performance: a meta-analytic review of randomized controlled trials,” Psychosomatic Medicine, vol. 72, no. 3, pp. 239–252, 2010.
[33]
C.-N. Tseng, B.-S. Gau, and M.-F. Lou, “The effectiveness of exercise on improving cognitive function in older people: a systematic review,” Journal of Nursing Research, vol. 19, no. 2, pp. 119–131, 2011.
[34]
Y.-K. Chang, C.-Y. Pan, F.-T. Chen, C.-L. Tsai, and C.-C. Huang, “Effect of resistance-exercise training on cognitive function in healthy older adults: a review,” Journal of Aging and Physical Activity, vol. 20, no. 4, pp. 497–517, 2012.
[35]
M. N. McDonnell, A. E. Smith, and S. F. MacKintosh, “Aerobic exercise to improve cognitive function in adults with neurological disorders: a systematic review,” Archives of Physical Medicine and Rehabilitation, vol. 92, no. 7, pp. 1044–1052, 2011.
[36]
J. G. Z. van Uffelen, M. J. M. Chin A Paw, M. Hopman-Rock, and W. van Mechelen, “The effects of exercise on cognition in older adults with and without cognitive decline: a systematic review,” Clinical Journal of Sport Medicine, vol. 18, no. 6, pp. 486–500, 2008.
[37]
L. Clare and R. T. Woods, “Cognitive training and cognitive rehabilitation for people with early-stage Alzheimer's disease: a review,” Neuropsychological Rehabilitation, vol. 14, no. 4, pp. 385–401, 2004.
[38]
H. Takeuchi, Y. Taki, H. Hashizume et al., “Effects of training of processing speed on neural systems,” The Journal of Neuroscience, vol. 31, no. 34, pp. 12139–12148, 2011.
[39]
T. Klingberg, “Training and plasticity of working memory,” Trends in Cognitive Sciences, vol. 14, no. 7, pp. 317–324, 2010.
[40]
L. L. Richmond, A. B. Morrison, J. M. Chein, and I. R. Olson, “Working memory training and transfer in older adults,” Psychology and Aging, vol. 26, no. 4, pp. 813–822, 2011.
[41]
J. D. Edwards, V. G. Wadley, D. E. Vance, K. Wood, D. L. Roenker, and K. K. Ball, “The impact of speed of processing training on cognitive and everyday performance,” Aging & Mental Health, vol. 9, no. 3, pp. 262–271, 2005.
[42]
B. Carretti, E. Borella, and R. De Beni, “Does strategic memory training improve the working memory performance of younger and older adults?” Experimental Psychology, vol. 54, no. 4, pp. 311–320, 2007.
[43]
D. F. Bjorklund, P. H. Miller, T. R. Coyle, and J. L. Slawinski, “Instructing children to use memory strategies: Evidence of utilization deficiencies in memory training studies,” Developmental Review, vol. 17, no. 4, pp. 411–441, 1997.
[44]
H. W. Mahncke, B. B. Connor, J. Appelman et al., “Memory enhancement in healthy older adults using a brain plasticity-based training program: a randomized, controlled study,” Proceedings of the National Academy of Sciences of the United States of America, vol. 103, no. 33, pp. 12523–12528, 2006.
[45]
R. Nouchi, Y. Taki, H. Takeuchi et al., “Brain training game improves executive functions and processing speed in the elderly: a randomized controlled trial,” PLoS ONE, vol. 7, no. 1, Article ID e29676, 2012.
[46]
D. J. Miller and D. P. Robertson, “Using a games console in the primary classroom: Effects of 'Brain Training' programme on computation and self-esteem,” British Journal of Educational Technology, vol. 41, no. 2, pp. 242–255, 2010.
[47]
R. Nouchi, Y. Taki, H. Takeuchi et al., “Brain training game boosts executive functions, working memory and processing speed in the young adults: a randomized controlled trial,” PLoS ONE, vol. 8, no. 2, Article ID e55518, 2013.
[48]
S. Bergman Nutley, S. S?derqvist, S. Bryde, L. B. Thorell, K. Humphreys, and T. Klingberg, “Gains in fluid intelligence after training non-verbal reasoning in 4-year-old children: a controlled, randomized study,” Developmental Science, vol. 14, no. 3, pp. 591–601, 2011.
[49]
D. J. Miller and D. P. Robertson, “Educational benefits of using game consoles in a primary classroom: a randomised controlled trial,” British Journal of Educational Technology, vol. 42, no. 5, pp. 850–864, 2011.
[50]
J. L. Mozolic, A. B. Long, A. R. Morgan, M. Rawley-Payne, and P. J. Laurienti, “A cognitive training intervention improves modality-specific attention in a randomized controlled trial of healthy older adults,” Neurobiology of Aging, vol. 32, no. 4, pp. 655–668, 2011.
[51]
K. Ball, D. B. Berch, K. F. Helmers et al., “Effects of cognitive training interventions with older adults: a randomized controlled trial,” Journal of the American Medical Association, vol. 288, no. 18, pp. 2271–2281, 2002.
[52]
R. C. Cassilhas, V. A. R. Viana, V. Grassmann et al., “The impact of resistance exercise on the cognitive function of the elderly,” Medicine & Science in Sports and Exercise, vol. 39, no. 8, pp. 1401–1407, 2007.
[53]
P. Perrig-Chiello, W. J. Perrig, R. Ehrsam, H. B. Staehelin, and F. Krings, “The effects of resistance training on well-being and memory in elderly volunteers,” Age and Ageing, vol. 27, no. 4, pp. 469–475, 1998.
[54]
C. L. Davis, P. D. Tomporowski, J. E. McDowell et al., “Exercise improves executive function and achievement and alters brain activation in overweight children: a randomized, controlled trial,” Health Psychology, vol. 30, no. 1, pp. 91–98, 2011.
[55]
J. D. Bransford, A. L. Brown, and R. R. Cocking, How People Learn, National Academy Press, Washington, DC, USA, 2000.
[56]
S. M. Barnett and S. J. Ceci, “When and where do we apply what we learn? A taxonomy for far transfer,” Psychological Bulletin, vol. 128, no. 4, pp. 612–637, 2002.
[57]
E. M. Zelinski, “Far transfer in cognitive training of older adults,” Restorative Neurology and Neuroscience, vol. 27, no. 5, pp. 455–471, 2009.
[58]
J. D. Edwards, V. G. Wadley, R. S. Myers, D. L. Roenker, G. M. Cissell, and K. K. Ball, “Transfer of a speed of processing intervention to near and far cognitive functions,” Gerontology, vol. 48, no. 5, pp. 329–340, 2002.
[59]
J. Karbach and J. Kray, “How useful is executive control training? Age differences in near and far transfer of task-switching training,” Developmental Science, vol. 12, no. 6, pp. 978–990, 2009.
[60]
A. Liberati, D. G. Altman, J. Tetzlaff et al., “The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration,” Annals of Internal Medicine, vol. 151, no. 4, pp. 65–94, 2009.
[61]
A. P. Verhagen, H. C. W. De Vet, R. A. De Bie et al., “The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus,” Journal of Clinical Epidemiology, vol. 51, no. 12, pp. 1235–1241, 1998.
[62]
H. Takeuchi, Y. Taki, Y. Sassa et al., “Working memory training using mental calculation impacts regional gray matter of the frontal and parietal regions,” PLoS ONE, vol. 6, no. 8, Article ID e23175, 2011.
[63]
H. Takeuchi, Y. Taki, R. Nouchi et al., “Effects of working memory training on functional connectivity and cerebral blood flow during rest,” Cortex, vol. 49, no. 8, pp. 2106–2125, 2013.
[64]
H. Takeuchi, Y. Taki, R. Nouchi et al., “Anatomical correlates of quality of life: evidence from voxel-based morphometry,” Human Brain Mapping, vol. 35, no. 5, pp. 1834–1846, 2014.
[65]
R. Nouchi, Y. Taki, H. Takeuchi et al., “Four weeks of combination exercise training improved executive functions, episodic memory, and processing speed in healthy elderly people: evidence from a randomized controlled trial,” AGE, vol. 36, no. 2, pp. 787–799, 2014.
[66]
S. Uchida and R. Kawashima, “Reading and solving arithmetic problems improves cognitive functions of normal aged people: a randomized controlled study,” AGE, vol. 30, no. 1, pp. 21–29, 2008.
[67]
Y. Tachibana, A. Fukushima, H. Saito, S. Yoneyama, K. Ushida, and R. Kawashima, “A new mother-child play activity program to decrease parenting stress and improve child cognitive abilities: a cluster randomized controlled trial,” PLoS ONE, vol. 7, no. 7, Article ID e38238, 2012.
[68]
R. Kawashima, “Mental exercises for cognitive function: clinical evidence,” Journal of Preventive Medicine and Public Health, vol. 46, supplement 1, pp. S22–S27, 2013.
[69]
H. Takeuchi and R. Kawashima, “Effects of processing speed training on cognitive functions and neural systems,” Reviews in the Neurosciences, vol. 23, no. 3, pp. 289–301, 2012.
[70]
Y. Tachibana, Y. Akitsuki, and R. Kawashima, “Cognitive interventions to imporve prfrontal functions,” Brain Research Journal, vol. 3, no. 3-4, pp. 185–205, 2011.
[71]
R. Nouchi, Y. Taki, H. Takeuchi et al., “Beneficial effects of short-term combination exercise training on diverse cognitive functions in healthy older people: study protocol for a randomized controlled trial,” Trials, vol. 13, article 200, 2012.
[72]
R. Nouchi, Y. Taki, H. Takeuchi et al., “Beneficial effects of reading aloud and solving simple arithmetic calculations (learning therapy) on a wide range of cognitive functions in the healthy elderly: study protocol for a randomized controlled trial,” Trials, vol. 13, article 32, 2012.
[73]
Y. Tachibana, J. Yoshida, M. Ichinomiya et al., “A GO intervention program for enhancing elementary school children's cognitive functions and control abilities of emotion and behavior: study protocol for a randomized controlled trial,” Trials, vol. 13, article 8, 2012.
[74]
N. Ma?onchi-Pino, Y. Taki, S. Yokoyama et al., “Is the phonological deficit in developmental dyslexia related to impaired phonological representations and to universal phonological grammar?” Journal of Experimental Child Psychology, vol. 115, no. 1, pp. 53–73, 2013.
[75]
H. Takeuchi, M. Sugiura, Y. Sassa et al., “Neural correlates of the difference between working memory speed and simple sensorimotor speed: an fMRI study,” PLoS ONE, vol. 7, no. 1, Article ID e30579, 2012.
[76]
S. Kanoh, Y. M. Murayama, K. Miyamoto, T. Yoshinobu, and R. Kawashima, “A NIRS-based brain-computer interface system during motor imagery: system development and online feedback training,” in Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 2009, pp. 594–597, 2009.
[77]
H. Takeuchi, A. Sekiguchi, Y. Taki et al., “Training of working memory impacts structural connectivity,” Journal of Neuroscience, vol. 30, no. 9, pp. 3297–3303, 2010.
[78]
R. Kawashima, K. Okita, R. Yamazaki et al., “Reading aloud and arithmetic calculation improve frontal function of people with dementia,” Journals of Gerontology A: Biological Sciences and Medical Sciences, vol. 60, no. 3, pp. 380–384, 2005.
[79]
Y. Tachibana, Y. Hwang, Y. Abe, S. Goto, K. Sugai, and R. Kawashima, “Reading aloud improves executive function of children with autism spectrum disorder: a pilot randomized controlled trial,” International Journal on Disability and Human Development, vol. 12, no. 1, pp. 91–101, 2013.
[80]
R. Kawashima, “A new intervention program for improvement of cognitive functions of senile dementia patients,” Seishin Shinkeigaku Zasshi, vol. 107, no. 12, pp. 1305–1309, 2005.
[81]
R. Kawashima, “Cognitive rehabilitation for Alzheimer disease—the learning therapy,” Rinsho Shinkeigaku, vol. 45, no. 11, pp. 864–866, 2005.
[82]
A. Sekiguchi and R. Kawashima, “Cognitive rehabilitation—the learning therapy for the senile dementia,” Brain and Nerve, vol. 59, no. 4, pp. 357–365, 2007.
[83]
Z. Shipstead, T. S. Redick, and R. W. Engle, “Is working memory training effective?” Psychological Bulletin, vol. 138, no. 4, pp. 628–654, 2012.
[84]
J. A. Cunningham, K. Kypri, and J. McCambridge, “Exploratory randomized controlled trial evaluating the impact of a waiting list control design,” BMC Medical Research Methodology, vol. 13, no. 1, article 150, 2013.
[85]
L. M. Friedman, C. Furberg, and D. L. DeMets, Fundamentals of Clinical Trials, Springer, New York, NY, USA, 1998.