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A tough question: When should an older driver stop driving?

Navigating whether or when an older person should limit or stop driving is tricky. Whether these concerns are about a family member or yourself, it's helpful to be aware of red flags and to understand how driving abilities –– and risk for motor vehicle accidents –– change with age.

"Unsticking" sticky thoughts

It's hard to get rid of sticky thoughts, which play repeatedly in the mind and cause distress. Strategies that can help include going for a walk, staying busy by scheduling activities, limiting worry time to one specific period of each day, and talking to family and friends. If sticky thoughts don't go away after a few weeks, it might be time to talk to a primary care doctor or a therapist. Treatment might involve cognitive behavioral therapy, which helps someone recognize sticky thoughts and redirect them in ways that are less negative and more manageable.

Try this: Look, snap, and connect for better memory recall

Mnemonics are techniques for recalling information. One type of mnemonic is called "look, snap, connect," which uses visualization, word association, and storytelling to help solidify a memory so people can recall it later.

Hearing aids may reduce cognitive decline

A 2023 study suggests using hearing aids may reduce the risk of cognitive decline, especially in older adults with the highest risk of developing severe cognitive impairment.

Does poor sleep diminish the cognitive benefits of exercise?

In a 2023 study, among people age 50 or 60 who reported high rates of exercise, those who said they slept less than six hours per night had faster rates of cognitive decline over the next 10 years than those who said they got six to eight hours of sleep per night.

Mastering memory maintenance

Memory loss is a pervasive worry. Dementia will affect an estimated nine million Americans by 2030 and 12 million by 2040. A 2023 study suggests six healthy lifestyle factors can significantly slow memory decline: eating a healthy diet, exercising regularly, not smoking, not drinking alcohol, being socially active, and engaging in brain-challenging activities. Another 2023 study suggests regular Internet use may be linked to a lower risk of dementia.

Heart attacks may speed cognitive decline

Accelerated cognitive decline may be more common after a heart attack, probably because the same factors that lead to narrowed heart arteries (the root cause of most heart attacks) can also cause tiny, silent strokes. An accumulation of these strokes shows up as bright areas (called white matter lesions) on an MRI scan. These lesions are markers of typical cognitive changes that occur with age. But people who have heart attacks likely have more white matter lesions and experience even greater cognitive decline.

Magnesium-rich foods might boost brain health, especially in women

A 2023 study suggests that eating more magnesium-rich foods contribute to better brain health—especially in women—as people get older. This may lower the risk of dementia.

When everyday noises upset you

Misophonia is a sensory processing disorder characterized by extreme aversion to sounds people make, such as chewing, sniffling, throat-clearing, and heavy breathing. A 2023 study suggests one in five adults deals with misophonia, which can hamper family and social life. Treatment options typically blend behavior-based therapies with medication. Cognitive behavioral therapy is emerging as an evidence-based treatment. People with misophonia can also ease sound aversions by wearing earplugs or headphones and using white noise machines.

Will a multivitamin help my brain?

Increasing evidence suggests that people who take a daily multivitamin pill have a lower risk of cognitive decline compared with people who don't take multivitamins. In particular, two randomized controlled trials published in the spring of 2023 found that people older than age 60 who take a multivitamin are less likely to experience a slight age-related cognitive decline, at least over the next three years, compared to those taking a placebo. The benefit appeared to be particularly true for people who had cardiovascular disease.

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