Memory mysteries revealed by new ‘SuperAgers’ brain research

An extraordinary group of older adults is challenging conventional understanding of cognitive decline, maintaining mental sharpness comparable to people decades younger. These individuals, known as SuperAgers, demonstrate that memory loss and reduced mental capacity aren’t inevitable consequences of aging.

Northwestern University’s SuperAging Research Program has conducted research on these outstanding elderly individuals for more than twenty years, uncovering intriguing insights into brain health during older age. The program characterizes SuperAgers as people over 80 whose memory test performance matches that of healthy individuals in their 50s or 60s. Their findings indicate that keeping cognitive capacities youthful involves both biological benefits and lifestyle preferences.

Sel Yackley, an 85-year-old participant in the study, exemplifies the SuperAger profile. Her packed schedule includes crafting jewelry, singing in a choir, knitting for charity, participating in a book club, regular gym visits, and civic engagement – all while maintaining healthy sleep patterns. “Take good care of your health, eat right, and be sociable,” Yackley advises, summarizing her approach to aging well.

The Northwestern research team has identified several common traits among SuperAgers through extensive psychological testing, brain imaging, and in some cases, postmortem brain examinations. Their findings challenge assumptions about Alzheimer’s disease and cognitive aging.

Neurological examinations of SuperAger brains after death revealed significantly fewer tau protein tangles – a hallmark of Alzheimer’s – in memory centers compared to typical older adults. Surprisingly, amyloid plaque accumulation, another Alzheimer’s indicator, appeared similar between groups. This discovery raises important questions about current Alzheimer’s treatments that primarily target amyloid plaques.

SuperAgers also show distinct brain structural differences. Their entorhinal cortex neurons, crucial for memory formation, remain larger and more robust than those of their peers. Additionally, they possess higher concentrations of von Economo neurons, specialized cells associated with social cognition and emotional intelligence.

While genetics clearly play a role – SuperAgers typically lack high-risk Alzheimer’s genes like APOE4 – researchers emphasize that DNA isn’t destiny. The study participants display diverse lifestyles, with some following exemplary health regimens while others indulge in various vices. What unites them appears to be an engaged, purposeful approach to life rather than any single behavior.

Social connection emerges as a recurring theme among SuperAgers, though the nature of these bonds varies widely. Some maintain strong family ties, others connect through artistic communities, and many find meaning in civic participation or spiritual practices. “You don’t see many detached SuperAgers,” notes Dr. Tamar Gefen, a Northwestern psychiatry professor involved in the research.

The rarity of SuperAgers makes them particularly valuable to science. During initial study recruitment, only 10% of applicants met the stringent cognitive criteria. The current active research cohort includes 101 individuals aged 81 to 111, whose ongoing participation helps scientists understand protective factors against age-related cognitive decline.

These exceptional elders are contributing to science not just during their lives but beyond. Many, like Yackley, have pledged to donate their brains to the Northwestern Brain Bank. “I don’t want to be underground,” Yackley says, explaining her decision to donate her body to medical research and education.

The SuperAger phenomenon offers hope and guidance for those seeking to maintain mental acuity throughout life. While genetic advantages can’t be replicated, the observed patterns of social engagement, intellectual stimulation, and physical activity provide actionable strategies for supporting brain health at any age.

As research continues, scientists hope to identify specific protective biological mechanisms that could lead to new approaches for preventing or treating dementia. The SuperAger study reminds us that aging doesn’t necessarily mean cognitive decline, and that maintaining a sharp, engaged mind into advanced age remains an achievable goal for many.

At this moment, Yackley stays busy, involved in a personal scrapbook venture amid her various pursuits. Her story and that of her fellow SuperAgers serve as tangible evidence that the later years can indeed be full of cognitive energy and meaningful engagement.