Older adults looking to slow down memory loss might find some help in a classic brain-teaser: the crossword puzzle.
That’s the suggestion of a small study that followed older adults with mild cognitive impairment — problems with memory and thinking that may progress to dementia over time. Researchers found that those randomly assigned to do crossword puzzles for 18 months showed a small improvement in tests of memory and other mental skills.
That was in contrast to study participants who were assigned to a more modern brain exercise: computer games designed to engage various mental abilities. On average, their test scores declined slightly over time.
Experts cautioned that the study was small and had other limitations. For one thing, it lacked a “control group” of participants who did not perform brain exercises. So it’s not clear whether doing crossword puzzles or playing games is significantly better than doing nothing.
“This is not definitive,” said lead researcher Dr. Davangere Devanand, a professor of psychiatry and neurology at Columbia University in New York City.
He said that larger studies, including a control group, are still needed.
As it is, the current results were unexpected, according to Devanand. Going into the trial, the researchers suspected that computer games would reign superior. Past studies have found that such games can help older adults with no cognitive impairments sharpen their mental acuity.
It’s not clear why crosswords were the winner in this trial. But, Devanand said, there was evidence that the puzzles were specifically more effective for people in the “late” stage of mild cognitive impairment — which may suggest that crosswords were easier for them to manage.
The findings were published online recently in the journal NEJM Evidence.
Mild cognitive impairment is common with age, and does not always progress to dementia. But in many cases it does. It’s estimated that among adults age 65 and older who have such impairments, 10% to 20% develop dementia over a one-year period, according to the U.S. National Institute on Aging.
Researchers want to find ways to delay or prevent that progression to dementia, and mentally stimulating activities are one avenue under study.
Some research has found that brain games may help people with mild cognitive impairment boost their memory and thinking skills — though studies have found a lot of variation in the types of improvements seen.
And one question, according to Devanand, is whether any particular types of brain exercises are better than others.
So his team set out to compare the effects of web-based computer games and web-based crossword puzzles.