Saturday, February 05, 2011

With early retirement, your brain retires too


The two economists call their paper “Mental Retirement,” and their argument has intrigued behavioural researchers.

Data from the US, England and 11 other European countries suggest that the earlier people retire, the more quickly their memories decline. The implication, the economists and others say, is that there really seems to be something to the “use it or lose it” notion — if people want to preserve their memories and reasoning abilities, they may have to keep active.

“It's incredibly interesting and exciting,” said a Dr.. “It suggests that work actually provides an important component of the environment that keeps people functioning optimally.” While not everyone is convinced by the new analysis, published recently , a number of leading researchers say the study is, at least, a tantalising bit of evidence for a hypothesis that is widely believed but surprisingly difficult to demonstrate.


Researchers repeatedly find that retired people as   a group tend to do less well on cognitive tests than people who are still working. But, they note, that could be because people whose memories and thinking skills are declining may be more likely to retire than people whose cognitive skills remain sharp.

And research has failed to support the premise that mastering things like memory exercises, crossword puzzles and games like Sudoku carry over into real life, improving overall functioning.

“If you do crossword puzzles, you get better at crossword puzzles,” said a Dr. “If you do Sudoku, you get better at Sudoku. You get better at one narrow task. But you don't get better at cognitive behaviour in life.”

The study was possible, explains one of its authors,  because the National Institute on Aging began a large study in the US nearly 20 years ago. Called the Health and Retirement Study, it surveys more than 22,000 Americans over age 50 every two years, and administers memory tests.

That led European countries to start their own surveys, using similar questions so the data would be comparable among countries. Now, Japan and South Korea have begun administering the survey to their populations. China is planning to start doing a survey next year. And India and several countries in Latin America are starting preliminary work on their own.

This is a new approach that is only possible because of the development of comparable data sets around the world, .

The memory test looks at how well people can recall a list of 10 nouns immediately and 10 minutes after they heard them. A perfect score is 20, meaning all 10 were recalled each time. Those tests were chosen for the surveys because memory generally declines with age, and this decline is associated with diminished ability to think and reason. People in the US did best, with an average score of 11. Those in Denmark and England were close behind, with scores just above 10. In Italy, the average score was around 7, in France it was 8, and in Spain it was a little more than 6.

Examining data from the various countries, noticed that there are large differences in the ages at which people retire.

In the US, England and Denmark, where people retire later, 65 to 70 per cent of men were still working when they were in their early 60s. In France and Italy, the figure is 10 to 20 per cent, and in Spain it is 38 per cent.

Economic incentives produce the large differences in retirement age. Countries with earlier retirement ages have tax policies, pension, disability and other measures that encourage people to leave the work force at younger ages.

The researchers find a straight-line relationship between the percentage of people in a country who are working at age 60 to 64 and their performance on memory tests. The longer people in a country keep working, the better, as a group, they do on the tests when they are in their early 60s.

The study cannot point to what aspect of work might help people retain their memories. Nor does it reveal whether different kinds of work might be associated with different effects on memory tests. And, it has nothing to say about the consequences of staying in a physically demanding job that might lead to disabilities. There has to be an out for people who face physical disabilities if they continue.

And of course not all work is mentally stimulating. But,  work has other aspects that might be operating. There is evidence that social skills and personality skills -- getting up in the morning, dealing with people, knowing the value of being prompt and trustworthy — are also important. They go hand in hand with the work environment. 

There are many differences among countries besides retirement ages. The correlations do not prove causation. They also,  do not prove that there is a clinical significance to the changes in scores on memory tests.  Nonetheless,it's a strong finding; it's a big effect.

If work does help maintain cognitive functioning, it will be important to find out what aspect of work is doing that.Is it the social engagement and interaction or the cognitive component of work, or is it the aerobic component of work?. Or is it the absence of what happens when you retire, which could be increased TV watching?

It's quite convincing, but it's not the complete story. This is an opening shot. But it's got to be followed up.

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