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Prevalence

Vascular dementia, as its name suggests, is caused by poor blood flow, produced by a single, localized stroke, or series of strokes.

It is the second most common dementia, accounting for perhaps 17% of dementias. It also co-occurs with Alzheimer's in 25-45% of cases. Although there are other types of dementia that also co-occur with Alzheimer's, mixed dementia generally refers to the co-occurrence of Alzheimer's and vascular dementia.

Michael Gove is reported as saying that ‘Learning facts by rote should be a central part of the school experience’, a philosophy which apparently underpins his shakeup of school exams. Arguing that "memorisation is a necessary precondition of understanding", he believes that exams that require students to memorize quantities of material ‘promote motivation, solidify knowledge, and guarantee standards’.

I’ve discussed on a number of occasions the effects that stereotypes can have on our cognitive performance. Women, when subtly reminded that females are supposedly worse at math, do more poorly on math tests; African-Americans, when subtly reminded of racial stereotypes, perform more poorly on academic tests. And beliefs about the effect of aging similarly affect memory and cognition in older adults.

Consider our facts about blood:

  • arteries are thick and elastic and carry blood that is rich in oxygen from the heart.
  • veins are thinner, less elastic, and carry blood rich in carbon dioxide back to the heart.

We could, as is often advised, simply turn these into why questions. And we can answer these on the basis of the connections we’ve already made:

Why are arteries elastic?

Because they need to accommodate changes in pressure

Why are arteries thick?

Because they need to accommodate high pressure

In October I reported on a study that found older adults did better than younger adults on a decision-making task that reflected real-world situations more closely than most tasks used in such studies. It was concluded that, while (as previous research has shown) younger adults may do better on simple decision-making tasks, older adults have the edge when it comes to more complex scenarios. Unsurprisingly, this is where experience tells.

Prevalence of Parkinson's Disease

After Alzheimer's disease, the second most common neurodegenerative disorder is Parkinson’s disease. In the U.S., at least 500,000 are believed to have Parkinson’s, and about 50,000 new cases are diagnosed every year1 (I have seen other estimates of 1 million and 1.5 million — and researchers saying the numbers are consistently over-estimated while others that they are consistently under-estimated!). In the U.K., the numbers are 120,000 and 10,0002.

The limitations of working memory have implications for all of us. The challenges that come from having a low working memory capacity are not only relevant for particular individuals, but also for almost all of us at some points of our lives. Because working memory capacity has a natural cycle — in childhood it grows with age; in old age it begins to shrink. So the problems that come with a low working memory capacity, and strategies for dealing with it, are ones that all of us need to be aware of.

A very common situation today, which is probably responsible for a great deal of modern anxiety about failing memory, is that where we're required to “multitask”, that trendy modern word for trying to do more than one thing at a time. It is a situation for which both the normal consequences of aging and low working memory capacity has serious implications.

The evidence that diet, physical exercise, and mental stimulation all help prevent age-related cognitive decline and reduce the risk of mild cognitive impairment and Alzheimer’s, is now very convincing.

Studies of mice and (rather intriguingly) beagles, have provided evidence that ‘enriched’ environments — ones that provide opportunities for regular exercise and mental stimulation — reduce or prevent age-related cognitive decline, and reduce the risk of Alzheimer’s.

Compulsory Education: When it starts and how long it lasts

Around the world, for the most part, compulsory schooling starts at 6, although some start at 7, and a very few at 5 or even younger. There is less consensus about how long compulsory education should last, but 9 years is the most common length, with 10 years running a close second.