brain training

It's never too late to start sharpening your cognitive skills. (Credit: Akkalak Aiempradit on Shutterstock)

Turns out you can teach an old brain new tricks.

In A Nutshell

  • Just 10 weeks of fast-paced computer games increased brain chemical markers by 2.3% in the attention center and up to 5.3% in memory regions.
  • The training works by boosting the brain’s capacity to package and release acetylcholine, a chemical critical for learning, attention, and memory.
  • This differs from dementia drugs, which only slow the breakdown of acetylcholine rather than helping the brain produce more.
  • The same training reduced dementia risk by 29-48% in a long-term study, and 79% of participants completed the full 35-hour program at home.

Just 10 weeks of playing fast-paced computer games increased levels of a critical brain chemical by enough to potentially offset 10 years of natural decline. That’s the main finding from brain imaging research conducted at McGill University. This work provides the first direct evidence in humans that specific types of cognitive training can measurably boost the brain’s chemical messaging systems.

The brain chemical in question is acetylcholine, one of the most important for learning, attention, and memory. As people age, the machinery that packages and releases acetylcholine steadily declines at an estimated rate of 2.5% per decade in a key attention and memory center called the anterior cingulate cortex. This gradual reduction contributes to the cognitive slowdown many older adults experience.

Among 92 healthy adults aged 65 and above, those who played speed-based brain training games for 35 hours over 10 weeks showed something remarkable. The speed training group saw their acetylcholine system markers increase by 2.3% from where they started, while the control group (who played non-speeded games like Solitaire) showed no change. The brain region involved plays central roles in attention, memory formation, and executive functions like planning and self-control.

“The gain achieved over a 10-week intervention may offset the estimated 2.5% decline typically observed over a decade of natural aging,” the researchers noted in findings published in JMIR Serious Games.

How Brain Training Works

The training program consisted of two exercises designed to improve how quickly and accurately your brain processes information. In one task, participants identified objects appearing briefly on screen while simultaneously locating targets in their peripheral vision. Think of it like trying to read a street sign while watching for pedestrians. The other exercise required rapid responses under time pressure, training the brain to stay alert and resist automatic responses.

Both exercises continuously adapted their difficulty based on individual performance, getting harder as you improved.

To track changes in the acetylcholine system, researchers used specialized brain imaging that reveals the proteins responsible for packaging acetylcholine for release. These proteins serve as markers of the brain’s capacity for this type of chemical signaling. Participants completed brain scans before training began and after the 10-week program.

Brain’s Memory Centers Also Boosted By Training

When researchers looked at other brain regions, they found additional changes in the speed training group. The hippocampus (your brain’s memory filing system) showed about a 4.7% increase, and a neighboring memory region showed a 5.3% increase. Both areas are essential for forming and retrieving memories and are particularly vulnerable to age-related decline. The control group showed no matching changes in these regions.

The study also tested cognitive performance. Participants who started with lower cognitive scores showed improvements in executive function after speed training that lasted through a three-month follow-up. Those who started with higher scores showed the brain chemistry changes without corresponding test improvements, possibly because the tests weren’t sensitive enough to detect changes in already high-performing individuals.

Brain training games
A look at the brain training games played by participants (top row) and the non-speed games played by the control group (bottom row). (Credit: Attarha et al / JMIR Serious Games)

Better Than Medication?

Current medications for conditions like mild cognitive impairment and Alzheimer’s work by slowing the breakdown of acetylcholine, making it linger longer between brain cells. These medications typically provide modest and temporary benefits.

Speed training appears to work differently by increasing the markers of acetylcholine-packaging capacity, suggesting it may help restore the brain’s ability to produce and release this chemical rather than just slowing its breakdown.

This finding may help explain results from a landmark trial called ACTIVE, which followed participants for a decade. In that study, older adults who completed speed training showed a 29% to 48% reduction in dementia risk depending on how many hours they trained. Other research on the same program has reported improved driving safety, reduced falls among high-risk individuals, and slower decline in daily living abilities maintained for 10 years.

The National Academies of Sciences, Engineering, and Medicine has identified cognitive training as one of three interventions with evidence for maintaining brain health in aging (along with controlling blood pressure and physical exercise). The World Health Organization recommends cognitive training for individuals with dementia in its 2024 guidelines.

Participants in this study completed training at home using either provided tablets or their own devices, with 97% completing at least 10 hours and 79% completing the full 35 hours or more. The training was accessible and doable for most older adults who tried it.

Important Limitations

The study participants were 96% white and predominantly college-educated, so we don’t yet know if these results apply equally across more diverse populations. Despite extensive recruitment efforts in minority communities, requirements for multiple brain imaging sessions and a substantial time commitment may have created barriers.

The follow-up period was also limited to three months, so longer-term effects remain unknown.

The Bigger Picture

What started as a simple question — can playing computer games actually change your brain chemistry? — now has a compelling answer. The McGill study shows that yes, 10 weeks of the right kind of training can measurably boost the acetylcholine system in brain regions critical for attention and memory. And those changes appear large enough to potentially offset about a decade of the natural decline that comes with aging.

But perhaps more importantly, this research helps explain why speed training has shown such promising long-term effects. When you can measurably increase the brain’s chemical messaging capacity, you’re not just improving performance on games. You’re potentially strengthening the neurological foundation that supports everyday thinking, decision-making, and memory.

The 29% to 48% reduction in dementia risk seen in long-term studies suddenly makes more sense when you understand what’s happening at the chemical level. You’re giving your brain more of what it needs to function well.

This doesn’t mean brain training is a magic bullet or a replacement for medical care. But it does suggest that the brain retains more capacity for positive change than many people realize—even later in life. Ten weeks to potentially offset 10 years of decline? For something you can do at home on a tablet? That’s a ratio worth paying attention to.


Disclaimer: This article is for general information only and doesn’t constitute medical advice. If you’re experiencing cognitive concerns or considering brain training programs, talk with your healthcare provider about what approach may be right for you.


Notes

Limitations

The study population was predominantly white (96%) and highly educated (mean 16.5 years of education), limiting generalizability to more racially and ethnically diverse populations. Despite extensive recruitment efforts targeting minority communities, barriers including mistrust of research, time and resource constraints, and requirements for radiotracer imaging may have discouraged participation among some groups. The relatively low Montreal Cognitive Assessment cutoff score of 23 may have inadvertently included some participants with undiagnosed mild cognitive impairment, introducing additional variance. The study did not account for potential confounders of cholinergic plasticity such as smoking or systemic estrogen use through hormone replacement therapy. The cognitive assessment battery used may not have been sensitive enough to detect changes in participants with high baseline cognitive function. The follow-up period was limited to three months, preventing assessment of longer-term maintenance of observed effects.

Funding and Disclosures

This research was supported by the National Institute on Aging of the National Institutes of Health under Award Numbers R44AG039965 and 3R44AG039965-06S1. The funders had no role in study design, conduct, data collection, analysis, interpretation, manuscript preparation, or publication decisions. Three authors (Mouna Attarha, Thomas Van Vleet, and Sarah-Jane Grant) are employees and shareholders of Posit Science, the company that develops the BrainHQ cognitive training program used in the intervention. The remaining authors (Etienne de Villers-Sidani, Ana de Figueiredo Pelegrino, Paule-Joanne Toussaint, and Lydia Ouellet) declared no competing interests. The FEOBV radioligand was approved by Health Canada (Control #252085). The study was approved by the Western Institutional Review Board (IRB00000533) and the Research Ethics Board of McGill University Health Centre (2020-6474).

Publication Details

Attarha M, de Figueiredo Pelegrino A, Ouellet L, Toussaint PJ, Grant SJ, Van Vleet T, de Villers-Sidani E. “Effects of Computerized Cognitive Training on Vesicular Acetylcholine Transporter Levels using [18F]Fluoroethoxybenzovesamicol Positron Emission Tomography in Healthy Older Adults: Results from the Improving Neurological Health in Aging via Neuroplasticity-based Computerized Exercise (INHANCE) Randomized Clinical Trial,” was published in JMIR Serious Games. 2025;13:e75161. doi:10.2196/75161.

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