Posts Tagged exercise

5 Must-Read Articles, and an Online Course, to Help Children with ADHD

Given the ongoing changes and controversies surrounding ADHD diagnosis and treatment, let me highlight 5 key articles written by Duke University’s Dr. David Rabiner to summarize recent scientific findings and their implications, plus a very relevant online course to help parents and professionals help children with ADHD.

1. Study finds large gaps between research and practice in ADHD diagnosis and treatment

  • Key insight: Evidence-based guidelines from the American Academy of Pediatrics on the evaluation and treatment of ADHD are frequently not followed. Many children are diagnosed with ADHD in the absence of clearly meeting DSM diagnostic criteria, and behavioral treatment is rarely recommended.
  • Key data point: Pediatricians prescribed ADHD medication to roughly 93% of youth diagnosed with ADHD. Documentation that behavioral treatment was recommended, however, was present in only 13% of the charts.

2. Study shows why children with ADHD should be reevaluated each year: Attention problems perceived by teachers are far less stable than we imagine

  • Key insight: Clinically-elevated attention problems as perceived by teachers are less stable than imagined, highlighting the importance of carefully reevaluating children each year so that children do not continue to carry a diagnosis that may no longer apply and to be treated for problems at school that are no longer evident.
  • Key data point: Data from 3 diverse samples indicates that more than 50% of elementary school children rated by their teacher as having clinically significant inattentive symptoms one year do not show similar problems the following year.

3. Don’t overlook sleep difficulties in children with ADHD; they may impair functioning as much as ADHD itself

  • Key insight: Although the link between ADHD and sleep difficulties is well-documented, evaluating sleep difficulties during an ADHD assessment may be routinely overlooked. In some cases, sleep problems may create significant difficulties for their daily functioning beyond what ADHD symptoms explain, so treating the child’s sleep difficulties should be an important treatment target.
  • Key data point: The most prevalent sleep problem – reported for 42% of the sample – was excessive daytime sleepiness, and it contributed to significantly lower life skills even after controlling for ADHD symptoms. The second most prevalent sleep problem was insomnia (for 30% of the sample), and it predicted greater social impairment–above and beyond impairment explained by ADHD symptoms.

4. Reducing the Need for High Medication Doses with Behavior Therapy

  • Key insight: The really interesting findings from this study concern the combination of medication and behavioral treatment. On virtually all ADHD measures, adding high intensity behavior management to the lowest medication dose of medication yielded comparable improvements to those produced by the high dose medication alone. For a number of measures, even low intensity behavior management combined with the lowest medication dose was as effective as high dose medication.
  • Key data point: Results suggested that a typical child with ADHD could be treated with the equivalent of 5 mg of methylphenidate 2X/day if he/she concurrently received moderate to high intensity behavior therapy. Without behavior therapy, the same child would require a 20 mg dose 2X/day to attain comparable benefits. Thus, the daily reduction in methylphenidate would be 30 mg/day.

5. Mindfulness training for children with ADHD and their parents

  • Key insight: Mindfulness training for children and parents can be a helpful intervention for ADHD. Parents can observe reductions in their child’s ADHD symptoms following training. In addition, they can observe declines in their own ADHD symptoms and parenting stress.
  • Key data point: From pre- to post test, children who received mindfulness training were rated by their parents as showing significant declines in inattentive and hyperactive impulsive symptoms; the magnitude of the decline was large for attention problems and moderate for hyperactivity. These declines remained evident and of similar magnitude at the 8-week follow-up.

We hope you enjoy those 5 must-read articles summarizing recent scientific findings and their implications.

To learn more, parents and allied professionals may also want to access the 6-hour, self-paced, online course How to Navigate Conventional and Complementary ADHD Treatments for Healthy Brain Development, featuring Dr. David Rabiner (and myself).

>> Learn More & Register Here (10%-off discount code: sharp2017)

Course description: In order to successfully promote children’s healthy brain development, every parent whose child has been diagnosed with ADHD should learn how to systematically navigate and monitor the range of potential ADHD treatments based on the latest scientific evidence. This course aims at providing the necessary information, frameworks and toolkits to make well-informed decisions, in conjunction with professional advice, about medication, behavioral therapy, exercise, neurofeedback, working memory training, meditation, diet and supplements.

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In honor of Alzheimer’s & Brain Awareness Month, let’s discuss 10 Key Facts To Harness Brain Plasticity And Prolong Brain Health

June is Alzheimer’s & Brain Awareness Month, so let me share 10 Key Facts to harness brain plasticity & prolong brain health that come from the hundreds of scientific and medical studies we analyzed to prepare the book The SharpBrains Guide to Brain Fitness: How to Improve Brain Health and Performance at Any Age:

  • 1. Genes do not determine the fate of our brains (not even the infamous APOE4). Thanks to lifelong neuroplasticity, our lifestyles are as important as our genes-if not even more important- in determining how our brains grow and our minds evolve.
  • 2. There is more than one “It” in “Use It or Lose It” — our performance depends on a variety of brain functions and cognitive skills, not just one (be it “attention” or “memory” or any other).
  • 3. Physical exercise and increased fitness promote brain functioning through a variety of mechanisms, such as increased brain volume, blood supply and growth hormone levels. In particular, cardiovascular exercise seems to bring the greatest brain benefits.
  • 4. Mental stimulation strengthens the connections between neurons (synapses), improving neuron survival and cognitive functioning and building your cognitive reserve–which helps your brain better cope with normal aging and Alzheimer’s pathology in the long-term.
  • 5. The only leisure activity that has been associated with reduced cognitive function is watching television. What could explain that? Well, routine, passive activities do not challenge the brain. Keeping up the challenge requires going to the next level of difficulty, trying something new, generating new thoughts and strategies and lessons learned.
  • 6. The Mediterranean Diet, supplemented with olive oil and nuts, is associated with decreased risk of cognitive decline.
  • 7. Moderate doses of caffeine increase alertness but there is no clear sustained lifetime health benefit (or harm).
  • 8. Taking “brain supplements”  does not seem to boost cognitive function or reduce risks of cognitive decline or dementia, unless directed to address an identified deficiency.
  • 9. Chronic stress reduces and can even inhibit neurogenesis. Memory and general mental flexibility are impaired by chronic stress…so it’s good to see the growing evidence that meditation and biofeedback can successfully teach users to self-regulate physiological stress.
  • 10. No size fits all…so, to improve and prolong brain function, it’s critical to understand and address individual needs and starting point.

What counts in terms of neuroplasticity and brain health is not reading this article–or any other–but practicing healthy behaviors every day. Please revisit the fact above that really grabbed your attention–ideally one that you may have overlooked and therefore may bring most “bang for the buck” now–and make a decision to try something new this summer.

To learn more:

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Top 30 Brain Health and Fitness Articles of 2008

Here brain teasers job interview you have SharpBrains’ 30 most popular articles, ranked by the number of people who read each article in 2008. Thirteen Expert Contributors and staff members have written these articles for you, covering a wide range of brain health and fitness topics.

Please note that, since the first article already includes most of our most popular brain teasers, we have excluded teasers from the rest of the ranking.

Blog Channel
Article
1. Top 50 Brain Teasers and Games to Test your Brain
– By Alvaro Fernandez
It is always good to stimulate our minds and to learn a bit about how our brains work. Here you have a selection of the 50 Brain Teasers that people have enjoyed the most.
2. The Ten Habits of Highly Effective Brains
– By Alvaro Fernandez
Let’s review some good lifestyle options we can follow to maintain, and improve, our vibrant brains. My favorite: don’t outsource your brain (even to us).
3. Why do You Turn Down the Radio When You’re Lost?
– By Caroline Latham
You’re driving through suburbia one evening looking for the street where you’re supposed to have dinner at a friend’s new house. You slow down to a crawl, turn down the radio, stop talking, and stare at every sign. Why is that? Neither the radio nor talking affects your vision. Or do they?
4. Brain Plasticity: How learning changes your brain
– By Pascale Michelon
You may have heard that the brain is plastic. As you know the brain is not made of plastic! Neuroplasticity or brain plasticity refers to the brain’s ability to CHANGE throughout life.
5. Top 10 Brain Training Future Trends
– By Alvaro Fernandez
In an emerging market like brain fitness training, it is difficult to make precise projections. But, we can observe a number of trends that executives, consumers, public policy makers, and the media should watch closely in the coming years, as brain fitness and training becomes mainstream, new tools appear, and an ecosystem grows around it.
6. Brain Exercise and Brain Health FAQs
– By Alvaro Fernandez
Answers to 7 most common questions around brain exercise and health, to help you navigate this emerging field.
7. It is Not Only Cars That Deserve Good Maintenance: Brain Care 101
– By Alvaro Fernandez
If we can all agree on the importance of maintaining our cars that get us around town, what about maintaining our brains sitting behind the wheel?
8. Evaluation Checklist for Brain Fitness Software and Training Games
– By Alvaro Fernandez
Unless you have been living in a cave, you have read by now multiple articles about the brain training and brain exercise craze. Now, how do you know which of the new programs can help you more, or whether you need any of them?
9. Brain Training Games: Context, Trends, Questions
– By Alvaro Fernandez
This past Tuesday, the MIT Club of Northern California, the American Society on Aging, and SmartSilvers sponsored an event to explore the realities and myths of this growing field. Here is the summary.
10. Stress Management Workshop for International Women’s Day
– By Alvaro Fernandez
Global consulting company Accenture organized a series of events, and I was fortunate to lead a fun workshop on The Neuroscience of Stress and Stress Management in their San Francisco office, helping over 125 accomplished women (and a few men).
11. Mindfulness and Meditation in Schools for Stress Management
– By Jill Sutie
With eyes closed and deep breaths, students are learning a new method to reduce anxiety, conflict, and attention disorders. But don’t call it meditation.
12. Stress and Neural Wreckage: Part of the Brain Plasticity Puzzle
– By Gregory Kellet
“My brain is…fried, toast, frazzled, burnt out.” How many times have you said or heard one version or another of these statements. Most of us think we are being figurative when we utter such phrases, but research shows that the biological consequences of sustained high levels of stress may have us being more accurate than we would like to think.
13. How can I improve my short term memory? Is there a daily exercise I can do to improve it?
– By Caroline Latham
By choosing to attend to something and focus on it, you create a personal interaction with it, which gives it personal meaning, making it easier to remember.
14. Cognitive and Emotional Development Through Play
– By David Elkind
Play is rapidly disappearing from our homes, our schools, and our neighborhoods. Decades of research has shown that play is crucial to physical, intellectual, and social-emotional development at all ages.
15. Judith Beck: Train Your Brain to Think Like a Thin Person
– By Alvaro Fernandez
Brain Fitness doesn’t require the use of expensive equipment. Your brain is enough. We were honored to interview Dr. Judith Beck on how cognitive techniques can be applied to develop a number of important mental skills. The latest application of these?. Losing weight.
16. Easy Steps to Improve Brain Health
– By Caroline Latham
We can summarize a lot of research by saying that there are four essential pillars to maintaining a healthy brain that functions better now and lasts longer. Those pillars are: 1) Physical Exercise, 2) Mental Exercise, 3) Good Nutrition, 4) Stress Management.
17. Report: The State of the Brain Fitness/ Training Software Market 2008
– By Alvaro Fernandez
After many months of work, we have just released our inaugural report on the emerging Brain Fitness Software Market, the first to define the brain fitness and training software market and analyze the size and trends of its four customer segments.
18. Improve Memory with Sleep, Practice, and Testing
– By Bill Klemm
There are whole markets (think crosswords, herbal supplements, drugs, brain fitness software) aimed at helping us improve our memory. Now, what is ¨memory¨? and how does the process of memory work?.
19. 10 Brain Tips To Teach and Learn
– By Laurie Bartels
If you agree that our brains are designed for learning, then as educators it is incumbent upon us to be looking for ways to maximize the learning process for each of our students, as well as for ourselves.
20. Cognitive Training and Brain Fitness: Interview with Dr. Elkhonon Goldberg
– By Alvaro Fernandez
Dr. Elkhonon Goldberg is a clinical professor of neurology at New York University School of Medicine. His areas of expertise include executive functions, memory, attention deficit disorder, dementia, traumatic brain injury. Dr. Goldberg was a student and close associate of the great neuropsychologist Alexander Luria.
21. Maximize the Cognitive Value of Your Mental Workout
– By Schlomo Breznitz
Like in the case of physical fitness, cognitive fitness requires deliberate exercising. The main reason for this rests on the fact that our brains are basically lazy. There are in principle two very different modes of activity that our brains engage in whenever faced with a problem.
22. Brain Fitness Program and Neuroplasticity @ PBS
– By Alvaro Fernandez
Information on the PBS special program on neuroplasticity, brain fitness, aging and the brain titled “Brain Fitness Program”.
23. Mindfulness Meditation for Adults & Teens with ADHD
– By David Rabiner
Although medication treatment is effective for many individuals with ADHD, including adolescents adults, there remains an understandable need to explore and develop interventions that can complement or even substitute for medication.
24. Can Intelligence Be Trained? Martin Buschkuehl shows how
– By Alvaro Fernandez
Dr. Martin Buschkuehl is one of the University of Michigan’s Cognitive Neuroimaging Lab researchers involved in a recent cognitive training study that received much media attention since it was published at the Proceedings of the National Academy of Sciences.
25. How Strong is the Research Support for Neurofeedback in Attention Deficits?
– By David Rabiner
Understanding the extent of available research can help families better understand the strengths and limitations of the existing research on neurofeedback and enable them to make a better informed decision about whether to consider this treatment option for their child.
26. Exercising the body is exercising the mind
– By Adrian Preda
One of the most important development in neuroscience was when the official dogma claiming that there was no neurogenesis (production of new brain cells) in the adult brain was toppled.
27. Brain Evolution and Why it is Meaningful Today to Improve Our Brain Health
– By Larry McCleary
You may feel overwhelmed by the stream of seemingly contradictory suggestions regarding the best way to maintain mental clarity as you age. Based on an analysis of seminal factors in the development of modern brain anatomy, I believe it is possible to make some very compelling recommendations for growing big brains, enhancing their function, and making them resistant to the aging process.
28. Physical Exercise and Brain Health
– By Pascale Michelon
What is the connection between physical and mental exercises? Do they have additive effects on brain health? Are they redundant? Let’s start by reviewing what we know about the effects of physical exercise on the brain.
29. Posit Science, Nintendo Brain Age, and Brain Training Topics
– By Alvaro Fernandez
The concept of having a “brain age” is, itself, profoundly unscientific. It is one thing to have that concept popularized by a game developer such as Nintendo through its popular Brain Age/ Training Series, and another one to have it reinforced by companies that are developing and marketing science-based applications.
30. Sleep, Tetris, Memory and the Brain
– By Shannon Moffet
Sleep is so obvious a physiologic need (from insects to mammals, all animals sleep) that it doesn’t even occur to most of us to wonder why we have to do it.

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