Active Ageing: The science of older and wiser

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    ACTIVE AG EIN G :TH E SCIEN CE O F O LD ER

    AN D W ISER

    Dr Abhijit Das, MD, DM

    Director of NeurorehabilitationConsultant Neurologist

    Institute of Neurosciences Kolkata

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    NEUROSCIENCE OF AGEING Memorys speedand accuracy beginto slip around age! and keep ondeteriorating

    "lo#ing ofprocessing speed#ith ageing is oneof the most robust

    neuropsychological$nding

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    The Anatom y of Ageing

    Brain is thinner, lighter more in some areas

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    Loss of N eural Circuits and

    rain !lasticit"

    The ageing brain functions differently

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    Accum ulation of debris

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    The fate

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    The reality is not that bad

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    TH E RAIN TH AT CH AN G ESITSELF

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    Aged !rain " #ifferent !rain

    %he acti&ation pattern in our brainchanges as #e age

    'A()*D + hemispheric asymmetryreduction in older adults Cabe-a../

    0A"A + posterior1anterior shift in aging

    Da&is ..2/ 3*"A + %he 3arly to *ate "hift in Aging

    De# .4/

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    Ageing brains are m ore

    $u%front&

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    Ageing brains are $reacti'e&

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    AG EIN G#

    !O SITIVIT$ % W ISD O &

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    Ageing " (ositi'ity

    )lder adults e5hibit increased frontalacti&ations to emotional materials as#ell as cogniti&e biases to#ard

    positi&e &ersus negati&e stimuli6

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    Mechanisms

    "emantic elaboration

    "elf+referential processing

    3motion regulation

    Ageing " (ositi'ity

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    Ageing " ) ore inform ation

    Not all cogniti&e performances decline

    Ageing brain has more data 1 takeslonger time to analy-e them and to

    respond

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    Ageing " * isdom

    7Cogniti&e templates8 de&elop in theolder brain based on pattern recognition

    %hese can form the basis for #ise

    beha&ior and decisions6 Insights and perspecti&es from ones

    cogniti&e kno#ledge to be #ise there9ecti&e dimension/6

    %o understand and help others thecompassionate dimension/6

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    H O W TO EN EFIT FRO &AN AG EIN G RAIN

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    Rem ain Fit + Acti'e

    'igh le&el of education

    0hysical e5ercise

    "taying intellectually engaged, i6e6reading and mental acti&ities such ascross#ord pu--les

    Maintaining social and friendship

    net#orks Maintaining a healthy diet, including

    omega+: fatty acids, and protecti&e

    i id

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    The Cogniti'e Reser'e

    %he ability of an indi&idual todemonstrate no cogniti&e signs ofaging despite an aging brain is called

    cogniti&e reser&e %#o people might ha&e the same brain

    pathology, #ith one person

    e5periencing noticeable clinicalsymptoms, #hile the other continuesto function relati&ely normally6

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    Acce%tance

    An impediment to #isdom is thinking,7I cant stand #ho I am no# becauseIm not #ho I used to be,8

    0ercei&ed #orsening of their looks

    their physical abilities

    their memory their se5ual performance

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    %hankMonument Valley, AZ 2013

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