[HN Gopher] Crosswords and chess may help more than socializing ...
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       Crosswords and chess may help more than socializing in avoiding
       dementia
        
       Author : pseudolus
       Score  : 82 points
       Date   : 2023-07-17 13:09 UTC (9 hours ago)
        
 (HTM) web link (medicalxpress.com)
 (TXT) w3m dump (medicalxpress.com)
        
       | [deleted]
        
       | AlbertCory wrote:
       | As others have observed: there's a Selection Bias there. A
       | randomized, controlled study would pick people and have them
       | _start_ doing mental exercises when they weren 't already doing
       | them. And then force them to keep doing it even when they didn't
       | like it. Good luck with that one.
        
       | amadeuspagel wrote:
       | > In contrast, the size of someone's social network and the
       | frequency of external outings to the cinema or restaurant were
       | not associated with dementia risk reduction.
       | 
       | That's not a good measure of socializing. Try actual
       | conversations.
        
       | [deleted]
        
       | mcv wrote:
       | Well, that is very good news for everybody in my family.
       | 
       | Of course there are never any guarantees. I know very smart
       | people who loves puzzles who still got dementia.
        
       | LatteLazy wrote:
       | May. May not. We don't know so this is a giant waste of time and
       | money.
        
       | swayvil wrote:
       | Scholars say that scholarly activities make you smarter.
        
       | lucas_membrane wrote:
       | How could a study like this study six different categories of
       | mental activity and not include a category for making music?
       | Might be very informative to see that compared to those other
       | categories, as it uses the same parts of the brain as the
       | language-based activities, but quite possibly in very different
       | ways.
        
       | JamesBarney wrote:
       | My guess is the effect is two fold.
       | 
       | 1. On average people who love the crossword and chess tend to be
       | smarter than those who don't, and intelligence is somewhat
       | protective against dementia.
       | 
       | 2. The people who get pre-dementia tend to drop out of
       | cognitively demanding hobbies.
       | 
       | And is most likely not, crossword puzzles and chess protect you
       | from dementia.
        
       | HideousKojima wrote:
       | N=1 but my grandpa loved doing the NYT crossword and still ended
       | up with absolutely terrible Alzheimer's. Notably the article only
       | mentions a 9 to 11 percent reduction, so I wonder what the
       | mechanism at play here is (or if there's some sort of reversed
       | cause and effect here, i.e. people with a certain brain
       | characteristic that reduces Alzheimer's are more likely yo play
       | crosswords etc.).
        
       | karmakaze wrote:
       | I've heard of similar stories about sudoku being good to
       | postpone/avoid dementia.
       | 
       | The best explanation I've read is that the most important thing
       | is how much you develop your mental capacity during your
       | lifetime. The higher level you get to and maintain before mental
       | degradation happens, the longer you can go without falling to
       | dementia-related levels. So it's more of a start from a peak,
       | rather than use-it-or-lose-it mechanism. i.e. routinely doing
       | casual puzzles on their own may not make a great difference.
        
       | mettamage wrote:
       | People who do a lot of crosswords puzzles are fairly good at
       | reading in general regardless of their educational level. This on
       | its own opens up a huge way to exercise your mind: reading books
       | (e.g. fiction) or reading other things.
       | 
       | For chess, don't know how that one would work. If the thought
       | patterns are generalized (i.e. thinking a few steps ahead) then I
       | can see how that exercises the mind.
        
         | randcraw wrote:
         | Casual chess seems is entirely lookahead search, AFAIK. But
         | competitive chess involves a lot more, from learning the
         | classic strategies (openings, midgames, endings, combo play),
         | to recognizing style and intent in the historical game play of
         | masters, to creatively mixing broad strategies with narrow
         | tactics, to sussing or psyching out your opponent. There's
         | enough there to keep the little gray cells busy for a lifetime.
        
       | hesdeadjim wrote:
       | I'd love to see studies generalized to video games as a whole. To
       | me it seems that any activity that actively flexes the brain
       | should result in similar effects. I'd much rather play Factorio
       | or Xcom than chess, or _shudder_ , crosswords.
        
         | RandallBrown wrote:
         | I've been enjoying the NYTimes mini crossword puzzles enough
         | that I pay for a subscription to their app to be able to access
         | the archives of old puzzles.
         | 
         | They usually take me 30-60 seconds to finish and are usually
         | themed and topical.
        
       | usgroup wrote:
       | That "correlation is not causation" is obvious to researchers but
       | they cannot pick the treatments in their study, so instead what
       | they have to do is try to remove confounding factors instead.
       | E.g. "people that play chess may be smarter than those that knit
       | so we controlled for education level and IQ", and so on.
       | 
       | Whether the study is convincing in the end will depend partly on
       | how well the researchers covered their bases and dealt with the
       | defeaters raised during the peer review process and before it. It
       | is a standard issue with observational studies.
        
       | yosito wrote:
       | It strikes me as particularly naive to think that diseases which
       | are physical in nature can be cured or avoided by some light
       | mental exercise. This seems like a clear example of selection
       | bias. Clearly, people who have dementia are not going to be
       | spending their time doing crossword puzzles.
        
       | jlmorton wrote:
       | This study almost has Illness as Metaphor vibes. Fight dementia
       | by diligently training your mind, keeping disease at bay!
       | 
       | Vascular dementia, Lewy body dementia, and Alzheimers all seem to
       | involve damage to brain structures. It strikes me as unlikely
       | that you can chess your way out of this. The causality is likely
       | reversed.
        
         | WalterBright wrote:
         | Exercising your body seems to have all sorts of disease-
         | delaying benefits. Why would exercising the mind be necessarily
         | different? After all, when you're thinking hard you're burning
         | extra calories.
        
           | WorldMaker wrote:
           | Causality is never so obvious: When you are thinking hard you
           | use more electrolytes. Deplete too many electrolytes in your
           | brain too quickly and risk causing a stroke. Strokes may
           | cause and are at least known to exacerbate dementia.
           | 
           | (Calories are a bad metric. There's so much chemical
           | complexity they intentionally avoid. Not all "calories" are
           | spent the same way, especially when you are talking about
           | brain chemistry. Optimizing for how much heat a brain
           | generates is directly optimizing for the wrong thing because
           | when the brain is literally smoking, that is a stroke and it
           | is dying.)
        
             | hattmall wrote:
             | Except that causality is frequently very obvious.
        
               | WorldMaker wrote:
               | I don't know what you are trying to say here at all. If
               | causality was "frequently" obvious _most_ of science
               | wouldn 't need to exist and the scientific process might
               | just be a few steps shorter. Determining the difference
               | between correlation and causality is _hard_. Always has
               | been. That 's just scientific reality.
        
           | jackmott42 wrote:
           | Because we have a lot off history of researching this topic,
           | wherein the benefits of mental practice usually appears to be
           | very specific and not general.
        
             | taeric wrote:
             | I am curious if this is as much a reflection on not knowing
             | how to practice, versus only playing at it. If I weight
             | lift but never progress above a 1kg weight, I would not be
             | shocked that I don't get any of the advanced muscle
             | benefits of weight lifting. Same for pretty much any
             | physical exercise. If I don't push past my current limits,
             | I am not surprised at lack of growth.
             | 
             | To that end, playing sudoku, but only staying at the "1
             | star" difficulty puzzles, I don't know why I would expect
             | brain growth, as it were. Learning the strategies and
             | modeling that is needed to solve the advanced ones, though,
             | is a very different thing.
        
               | jackmott42 wrote:
               | I've noticed its a common thing wherein:
               | 
               | 1. People imagine without any evidence, but only a
               | plausible story, that X is good for Y (say for instance,
               | vitamin C for colds, because vitamin C is involved in the
               | immune system)
               | 
               | 2. Study after study is done finding no benefit, but each
               | study you quote, someone finds some nit pick about it
               | "well maybe the dosage wasn't high enough" or "maybe they
               | did/didn't take it with calcium" and then continue to
               | believe there must be some way to derive benefit
        
               | taeric wrote:
               | I mean, this isn't wrong. At the same time, it took a
               | long time for studies to show that ulcers are not just
               | reactions to stress. Study after study for many years
               | showed the opposite. This isn't even getting into the
               | problems of studies with nutrition, in general.
               | 
               | That said, I should be clear that I'm not pushing for
               | learning some of these "brain games" for their own sake.
               | I am more throwing out that equivalent of the Tyler
               | Durden quote regarding chickens. :D
        
           | racl101 wrote:
           | > After all, when you're thinking hard you're burning extra
           | calories.
           | 
           | When I think really hard, I get depressed that can't solve
           | the problem and binge eat junk food for comfort.
        
           | taeric wrote:
           | One of the neatest claims in the book Peak, to me, was that
           | this idea is directly observable. Trained and practicing cab
           | drivers had measurably larger "spatial areas" of the brain
           | over others.
        
         | 99_00 wrote:
         | >This study almost has Illness as Metaphor vibes. Fight
         | dementia by diligently training your mind, keeping disease at
         | bay!
         | 
         | >Vascular dementia, Lewy body dementia, and Alzheimers all seem
         | to involve damage to brain structures. It strikes me as
         | unlikely that you can chess your way out of this. The causality
         | is likely reversed.
         | 
         | Do you have a problem with exercising your mind because it
         | won't work or because of some other reason related to Illness
         | as Metaphor?
         | 
         | Exercising your body to keep diseases at by is standard medical
         | advice. Do you have an issue with that also?
        
       | ljf wrote:
       | Key is 'patients who routinely' - they didn't prescribe
       | Crosswords and Chess - these are people already disposed to doing
       | those things, which will be a subset of all people.
       | 
       | I remember a friend taking up tennis for a similar reason (he
       | read that those who play tennis, live longer) - but the article
       | negated to note all the things in a person's life that will set
       | them apart if they are a regular tennis player - which are not
       | caused by playing tennis (relative wealth, free time, ability to
       | easily travel to the location of tennis courts, job/family life
       | set up that allows for hobbies etc).
       | 
       | I didn't tell him to stop playing tennis, nor do a feel that
       | keeping an active brain is pointless - especially as it can help
       | highlight when changes do happen.
        
         | racl101 wrote:
         | Cargo culting activities that improve mental or physical health
         | in general.
        
           | discreteevent wrote:
           | Copying someone who exercises is not cargo culting. There's a
           | causitive relationship between excercise and health.
        
             | isk517 wrote:
             | Depends, taking up exercise to improve your health isn't
             | necessarily, but believing that you need to take up a
             | specific exercise is a strong indication that your cargo
             | culting.
        
               | hungryforcodes wrote:
               | Whatever works man. So many Americans are obese, I
               | wouldn't diss it.
               | 
               | For example, my friends always said I should try
               | crossfit. I tried it 3 times all with failure. Then I
               | began indoor rock climbing because my friend lost weight
               | doing it. I tried it and loved it. Now I'm 30kg lighter.
               | Took a couple of years, but whatever.
               | 
               | My conclusion: whatever keeps you going.
        
             | dontlaugh wrote:
             | Healthy and wealthy people find it easier to exercise, too.
             | There's a dialectical relationship, not a one way cause.
        
               | comfypotato wrote:
               | That's beside the point.
               | 
               | There are mountains of controlled evidence that exercise
               | is extremely good for you.
        
               | dontlaugh wrote:
               | Yes and we should all exercise.
               | 
               | Also, the effect is overstated because those that find it
               | easiest to exercise need it least.
        
       | charlieyu1 wrote:
       | In Asia, old people often play Mahjong and those who play often
       | are unlikely to suffer from dementia
        
       | everdrive wrote:
       | I wonder what the actual mechanism is here. I'm sort of under the
       | impression that dementia is a literal destruction of brain tissue
       | at some level. (Via atrophy of tissue, or plaque buildup, or
       | other things)
       | 
       | People talk about how staying active helps stave off dementia,
       | but what does this actually do? Are you just rebuilding
       | connections in your dying brain, and therefore doing a bit more
       | with less? Are you actually preventing some of the damage in the
       | first place somehow?
        
         | kypro wrote:
         | No idea how true this is because I've not look into it all that
         | much, but I believe some people believe alzheimer's disease to
         | be a kind of 'diabetes of the brain'.
         | 
         | I think I'm right in saying it's linked to inflammation so if
         | you're in an inflammatory state say because you're diabetic,
         | get little exercise, have poor sleep, etc you're more likely to
         | develop alzheimer's.
         | 
         | My guess and I'm almost certainly wrong, but it could simply be
         | that the people who are doing crosswords regularly are in a
         | cohort of people that's less at risk of alzheimer's generally.
         | 
         | I agree with you that it seems odd that cognitive tasks would
         | be protective of alzheimer's (given what I understand of the
         | disease), but I'd imagine those who do crossword puzzles
         | regularly eat better, get better sleep and get more exercise.
         | 
         | Would be interested if anyone can shed some more light though..
        
         | jwestbury wrote:
         | > People talk about how staying active helps stave off
         | dementia, but what does this actually do?
         | 
         | IIRC -- based on Bill Bryon's "The Body" -- there some good
         | evidence that this is a result of bone density, as bones
         | produce hormones that may be important in whether Alzheimer's
         | develops. There's been some fairly recent research in this
         | area.
         | 
         | It's important to note that I don't believe any of the
         | available research establishes a causal link one way or the
         | other, so it's possible that Alzheimer's causes a loss of bone
         | density or that they're both caused by an underlying shared
         | factor; but bone density _is_ correlated with dementia!
        
           | OfSanguineFire wrote:
           | > Bill Bryon's "The Body"
           | 
           | Bill Bryson is not an actual expert on anything but a pop-sci
           | journalist who writes whatever naive publishers will accept.
           | As a linguist, I was shocked that his book on the history of
           | English ( _The Mother Tongue_ ) has a factual error or urban
           | legend on virtually every single page, and so I would not
           | trust him about any other subjects either.
        
         | JamesBarney wrote:
         | My guess is activity helps your cognitive systems through
         | better blood flow, reduced risk of cardiovascular events which
         | can set you up for dementia. And probably a minor effect from
         | increased trophic factors like BDNF.
        
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