Effects of video game training on cognition in the elderly: systematic review
DOI:
https://doi.org/10.15448/1980-6108.2015.3.21636Keywords:
aged, video games, cognitive training, cognition, cognitive performance.Abstract
Aims: To perform a systematic review of the literature on the effect of video game training on cognition in the elderly.
Methods: The search was conducted using LILACS, SciELO, PsyINFO and PubMed databases in both English and Portuguese. The search term used were video game training, combined with the following: cognition, cognitive effects, cognitive performance, cognitive plasticity, cognitive tests. The inclusion criteria consisted of intervention studies on video game training, original articles in English or Portuguese, full-text availability, and target population older people. Studies that failed to meet these criteria were excluded. Articles from 2005 to 2015 were collected, and the review was performed between January 2015 and July 2015.
Results: Seventy articles were found, but only twenty-one met the selection criteria. Of the 21 articles included in the study, only 7 studies (33%) revealed statistically significant improvement in speed of processing, sustained attention and alert, working visuospatial memory, cognitive flexibility, immediate and delayed visual memory, visual-motor coordination and visuospatial ability between the research groups (p<0.05). Other results were found in relation to the methodology of the studies. Of the 21 studies, 11 studies (52%) were performed with training of short duration (1-6 weeks) and total time of training ranging between 4.5 and 23.5 hours. Ten studies (47%) were performed with training of long duration (7-12 weeks) total time of training between 12 and 36 hours. The short duration training showed better performance.
Conclusions: The total time required for training was the main finding of this systematic review. Cognitive intervention using short duration training (between one and six weeks) with video games in a total time between 4.5 and 23.5 hours is effective in elderly participants. This length time between the minimum and maximum time of cognitive intervention is necessary and sufficient for the consolidation of systems and acquisition of a learning in aging. The cognitive effects observed in the studies suggest that the aging brain is able to acquire, maintain and even enrich new learnings.
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References
Toril P, Reales JM, Ballesteros S. Video game training enhances cognition of older adults: a meta-analytic study. Psychol Aging. 2014;29(3):706-16. http://dx.doi.org/10.1037/a0037507
Cameron HA, McKay RD. Adult neurogenesis produces a large pool of new granule cells in the dentate gyrus. J Comp Neurol. 2001;435(4):406e417.
Strenziok M, Parasuraman R, Clarke E, Cisler DS, Thompson JC, Greenwood PM. Neurocognitive enhancement in older adults: Comparison of three cognitive training tasks to test a hypothesis of training transfer in brain connectivity. NeuroImage. 2014;85:1027-39. http://dx.doi.org/10.1016/j.neuroimage.2013.07.069
Salthouse TA. The processing speed theory of adult age differences in cognition. Psychol Rev. 1996;103:403-28. http://dx.doi.org/10.1037/0033-295X.103.3.403
Boot WR, Champion M, Blakely DP, Wright T, Souders DJ, Charness N. Video games as a means to reduce age-related cognitive decline: attitudes, compliance, and effectiveness. Front Psychol. 2013;4:31. http://dx.doi.org/10.3389/fpsyg.2013.00031
Kühn S, Gleich T, Lorenz RC, Lindenberger U, Gallinat J. Playing Super Mario induces structural brain plasticity: gray matter changes resulting from training with a commercial video game. Mol Psychiatry. 2014;19:265-71. http://dx.doi.org/10.1038/mp.2013.120
Clark JE, Lamphear AK, Riddick CC. The effects of videogame playing on the response selection processing of elderly adults. J Gerontol. 1987;42:82-85. http://dx.doi.org/10.1093/geronj/42.1.82
Belchior PDC. Cognitive training with video games to improve driving skills and driving safety among older adults [dissertation]. Dissertation Abstract International: The Science and Engineering. 2008;68:(9-B).
Ball K, Owsley C, Sloane M, Roenker D, Bruni J. Visual attention problems as a predictor of vehicle crashes in older drivers. Invest. Ophthalmol Vis Sci. 1993;34:3110-23.
Diehl M., Willis SL, Schaie KW. Everyday problem solving in older adults: Observational assessment and cognitive correlates. Psychol Aging. 1995;10:478-91. http://dx.doi.org/10.1037/0882-7974.10.3.478
Drew B, Waters J. Video games: Utilization of a novel strategy to improve perceptual motor skills and cognitive functioning in the non-institutionalized elderly. Cognitive Rehabilitation.1986;4(2):26-31.
Torres A. Cognitive effects of video games on older people. International Conference on Disability, Virtual Reality & Associated Technologies [Abstract]. 2008;19:191-8.
Royall DR, Palmer R, Chiodo LK, Polk MJ. Declining executive control in normal aging predicts change in functional status: the freedom house study. J Am Geriatr Soc. 2004;52:346-52. http://dx.doi.org/10.1111/j.1532-5415.2004.52104.x
Anguera JA, Boccanfuso J, Rintoul JL, Al-Hashimi O, Faraji F, Janowich J, Kong E, Larraburo Y, Rolle C, Johnston E, Gazzaley A. Video game training enhances cognitive control in older adults. Nature. 2013;501(7465):97-101. http://dx.doi.org/10.1038/nature12486
Nikolaidis A, Voss MW, Lee H, VO LT, Kramer AF. Parietal plasticity after training with a complex video game is associated with individual differences in improvements in an untrained working memory task. Front Hum Neurosci. 2014;8:169. http://dx.doi.org/10.3389/fnhum.2014.00169
Goh JO, Park DC. Neuroplasticity and cognitive aging: the scaffolding theory of aging and cognition. Restor Neurol Neurosci. 2009;27(5):391-403. http://dx.doi.org/10.3233/RNN-2009-0493
Cameirão MS, Badia SB, Oller ED, Verschure PF. Neurorehabilitation using the virtual reality based Rehabilitation Gaming System: methodology, design, psychometrics, usability and validation. J Neuroeng Rehabil. 2010;7:48. http://dx.doi.org/10.1186/1743-0003-7-48
Rönnlund M, Nyberg L, Bäckman L, Nilsson LG. Stability, growth and decline in adult life span development of declarative memory: Cross-sectional and longitudinal data from a population-based study. Psychol Aging. 2005;20:3-18. http://dx.doi.org/10.1037/0882-7974.20.1.3
Simon SS, Yokomizo JE, Bottino CM.Cognitive intervention in amnestic Mild Cognitive Impairment: a systematic review. Neurosci Biobehav Rev. 2012;36(4):1163-78. http://dx.doi.org/10.1016/j.neubiorev.2012.01.007
Nilsson LG. Memory function in normal aging. Acta Neurol Scand Suppl. 2003;179:7-13. http://dx.doi.org/10.1034/j.1600-0404.107.s179.5.x
Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer's disease and vascular dementia. Cochrane Database Syst Rev. 2013;6:CD003260. http://dx.doi.org/10.1002/14651858.cd003260.pub2
Hampstead BM, Stringer AY, Stilla RF, Deshpande G, Hu X, Moore AB, Sathian K. Activation and effective connectivity changes following explicit-memory training for face-name pairs in patients with mild cognitive impairment: a pilot study. Neurorehabil Neural Repair. 2011;25(3):210-22. http://dx.doi.org/10.1177/1545968310382424
Kueider AM, Parisi JM, Gross AL, Rebok GW.Computerized Cognitive Training with Older Adults: A Systematic Review. PLoS One. 2012;7(7):e40588. http://dx.doi.org/10.1371/journal.pone.0040588
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009 Jul 21;6(7):e1000100. http://dx.doi.org/10.1371/journal.pmed.1000100.
Lampit A, Hallock H, Valenzuela M. Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS Med. 2014;11(11):e1001756. http://dx.doi.org/10.1371/journal.pmed.1001756
Peretz C, Korczyn AD, Shatil E, Aharonson V, Birnboim S, Giladi N. Computer-base d, personalized cognitive training versus classical computer games: a randomized double-blind prospective trial of cognitive stimulation. Neuroepidemiology. 2011;36(2):91-9. http://dx.doi.org/10.1159/000323950
Stern Y, Blumen HM, Leigh W, Alexis R ,Herzberg G,Gopher D. Space Fortress game training and executive control in older adults: A pilot intervention. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2011;18(6):653-77. http://dx.doi.org/10.1080/13825585.2011.613450
Kim KW, Choi Y, You H, Na DL, Yoh MS, Park JK, Seo JH, Ko MH. Effects of a serious game training on cognitive functions in older adults. J Am Geriatr Soc. 2015; 63(3):603-5. http://dx.doi.org/10.1111/jgs.13304
Hughes TF, Flatt JD, Bo Fu, Butters MA, Chang CCH, Ganguli M. Interactive video gaming compared with health education in older adults with mild cognitive impairment: a feasibility study. Int J Geriatr Psychiatry 2014; 29: 890–898. http://dx.doi.org/10.1002/gps.4075
Sosa, G. The impact of video game intervention in the cognitive functioning, self-efficacy, self-esteen and video games attitude of older adults . A final project. CUG Theses and Dissertations (2011).
Fernández-Calvo B,Rodríguez-Pérez R, Contador I, Rubio-Santorumy A, Ramos F. Eficacia del entrenamiento cognitivo basado en nuevas tecnologias en pacientes con demencia tipo Alzheimer. Psicothema. 2011;23:44-50.
Maillot P, Perrot A, Hartley A. Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. Psychol Aging. 2012;27(3):589-600. http://dx.doi.org/10.1037/a0026268
McGaugh JL. Time-dependent processes in memory storage. Science. 1966;153:1351-8. http://dx.doi.org/10.1126/science.153.3742.1351
Izquierdo I. Different forms of posttraining memory processing. Behav Neural Biol. 1989;51:171-202. http://dx.doi.org/10.1016/S0163-1047(89)90812-1
Izquierdo I. Memória. 2ª ed. Porto Alegre: Artmed. 2011.
Izquierdo I, Medina JH. Memory formation, the sequence of biochemical events in the hippocampus and its connection to activity in other brain structures. Neurobiol Memory. 1997;68:285-316. http://dx.doi.org/10.1006/nlme.1997.3799
Izquierdo I, Bevilaqua L, Rossato JL, Bonini JS, Medina JH, Cammarota M. Different molecular cascades in different sites of the brain control consolidation. Trends Neurosci. 2006;29:496-505. http://dx.doi.org/10.1016/j.tins.2006.07.005
Luscher C, Nicoll RA, Malenka RC, Muller D. Synaptic plasticity and dynamic modulation of the postsynaptic membrane. Nat Neurosci. 2000;3:545-50. http://dx.doi.org/10.1038/75714
EbbingHaus H. On Memory. New York. 1964: Dover Edition (Original Work Published, 1885).
Wang Z, Zhou R, Shah P. Spaced cognitive training promotes training transfer. Front Hum Neurosci. 2014;8:217. http://dx.doi.org/10.3389/fnhum.2014.00217
Penner IK, Vogt A, Stöcklin M, Gschwind L, Opwis K, Calabrese P. Computerised working memory training in healthy adults: a comparison of two different training schedules. Neuropsychol Rehabil. 2012;22(5):716-33. http://dx.doi.org/10.1080/09602011.2012.686883
Nouchi R, Taki Y, Takeuchi H, Hashizume H, Akitsuki Y,Shigemune Y, Sekiguchi A, Kotozaki Y, Tsukiura T, Yomogida Y, Kawashima R. Brain Training Game Improves Executive Functions and Processing Speed in the Elderly: A Randomized Controlled Trial. PLoS One. 2012;7(1):e29676. http://dx.doi.org/10.1371/journal.pone.0029676
Altschuler EL,Wisdom SB, Stone L, Foster C, Galasko D, Llewellyn DME, RamachandranVS. Rehabilitation of hemiparesis after stroke with a mirror. Lancet. 1999;353:2035-6. http://dx.doi.org/10.1016/S0140-6736(99)00920-4
Kwakkel G, Van Peppen R, Wagenaar RC, Wood Dauphinee S, Richards C, Ashburn A, Miller K, Linclon N, Partridge C, Wellwood I, Langhorne P.Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35:2529-39. http://dx.doi.org/10.1161/01.STR.0000143153.76460.7d
August K, Lewis JA, Chandar G, Merians A, Biswal B, Adamovich S. FMRI analysis of neural mechanisms underlying rehabilitation in virtual reality: activating secondary motor areas. Conf Proc IEEE Eng Med Biol Soc. 2006;1:3692-5. http://dx.doi.org/10.1109/IEMBS.2006.260144
Ertelt D, Small S, Solodkin A, Dettmers C, McNamara A, Binkofski F, Buccino G. Action observation has a positive impact on rehabilitation of motor deficits after stroke. Neuroimage. 2007;36(Suppl 2):T164-73. http://dx.doi.org/10.1016/j.neuroimage.2007.03.043
D'Amato, R.C., Hartlage, L.C. Essentials of neuropsychological assessment. New York: Springer; 2008.
Cassavaugh ND, Kramer AF. Transfer of computer-based training to simulated driving in older adults. Appl Ergon. 2009; 40(5):943-52. http://dx.doi.org/10.1016/j.apergo.2009.02.001
Bozoki A, Radovanovic M, Winn B, Heeter C, Anthony JC. Effects of a computer based cognitive exercise program on age-related cognitive decline. Arch Gerontol Geriatr. 2013;57(1):1-7. http://dx.doi.org/10.1016/j.archger.2013.02.009
Basak C, Boot WR, Voss MW, Kramer AF. Can training in a real-time strategy video game attenuate cognitive decline in older adults? Psychol Aging. 2008;23(4):765-77. http://dx.doi.org/10.1037/a0013494
Mayas J, Parmentier FBR, Andrés P, Ballesteros S. Plasticity of Attentional Functions in Older Adults after Non-Action Video Game Training: A Randomized Controlled Trial. PLoS One. 2014;9(3):e92269. http://dx.doi.org/10.1371/journal.pone.0092269
Van Muijden J, Guido PH.B, Hommel B. Online games training aging brains: limited transfer to cognitive control functions. Front Hum Neurosci. 2012;6:221. http://dx.doi.org/10.3389/fnhum.2012.00221
Ballesteros S, Prieto A ,Mayas J, Toril P, Pita C, Ponce de León L, Reales JM, Waterworth J. Brain training with non-action video games enhances aspects of cognition in older adults: a randomized controlled trial. Front Aging Neurosci. 2014;6:277. http://dx.doi.org/10.3389/fnagi.2014.00277
Ackerman PL, Kanfer R,Calderwood C. Use it or Lose it? Wii Brain Exercise Practice and Reading for Domain Knowledge. Psychol Aging. 2010;25(4):753-66. http://dx.doi.org/10.1037/a0019277
Nacke LE, Nacke A, Lindley CA. Brain training for silver gamers: effects of age and game form on effectiveness, efficiency, self-assessment, and game play experience. Cyberpsychol Behav. 2009;12(5):493-9. http://dx.doi.org/10.1089/cpb.2009.0013
McDougall S, House B. Brain training in older adults: evidence of transfer to memory span performance and pseudo-Matthew effects. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2012;19(1-2):195-221. http://dx.doi.org/10.1080/13825585.2011.640656
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