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Columnist and Mind

What are the best ways to improve your cognitive reserve?

There are three types of cognitive reserve that can protect against decline as we age. Columnist Helen Thomson explores the lifestyle choices that can help you build a more resilient brain 鈥 and finds that midlife is a critical time to implement them

By Helen Thomson

5 August 2025

How can you keep your brain healthy for longer?

Tom Wang / Alamy

As we get older, a few cognitive slip-ups might seem inevitable. But what鈥檚 become apparent over the past decade or so is that not everyone鈥檚 brain ages in the same way. Some people remain razor-sharp, even when their brains are riddled with the plaques associated with Alzheimer鈥檚, while others notice significant cognitive decline after only modest damage.

The difference? A major factor is cognitive reserve 鈥 your brain鈥檚 ability to defend against ageing and adapt to damage. This cognitive buffer is heavily shaped by your lifestyle, behaviours and maybe even your mindset.

Now that we understand cognitive reserve better, researchers are increasingly focusing on how to strengthen it. And it turns out there are plenty of evidence-backed ways to build our neural defences 鈥 particularly at certain times of life.

The idea of cognitive reserve first emerged after at Columbia University in New York showed people with more education and a demanding job were less likely to get dementia. Over the years, it鈥檚 been revealed the brain we build for ourselves 鈥 through many different lifestyle factors 鈥 can account for differences in the degree of brain degeneration and its outcome on our mind.

While we loosely call this 鈥渃ognitive reserve鈥, there are actually three types of reserve. 鈥淏rain reserve鈥 is simply how big your brain is. If you assume cognition diminishes at some threshold of damage, then a bigger brain is going to succumb later. There鈥檚 also 鈥渃ognitive reserve鈥, our brain鈥檚 dynamic ability to compensate in the face of atrophy. You might think of this as using a side route when the motorway is blocked. Finally, there鈥檚 鈥渂rain maintenance鈥, your brain鈥檚 ability to defend itself against disease.

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The good news is, in addition to education, researchers have identified a number of lifestyle factors that can influence these crucial defenses against decline . 鈥淲e now consider cognitive reserve as a dynamic property that continues to develop and thus gets shaped throughout life,鈥 says at Harvard Medical School.

One of the best-supported factors is bilingualism. at York University in Canada, who first discovered the link between speaking a second language and increased cognitive reserve, recently showed bilingualism can delay dementia onset by four years. The mental effort of switching between languages, constantly suppressing one or the other, seems to give bilingual people greater neural flexibility 鈥 helping them use those side routes when the main road is damaged. The result is billinguals with Alzheimer鈥檚 show no difference in cognitive function compared to monolinguals, despite having greater atrophy in the brain. Last year, research also showed , a brain region involved in memory.

Another powerful activity is musical training. A study showed older adults with musical training were better at discriminating speech in noisy environments than non-musicians. Brain scans showed why: unlike non-musicians, their brains weren鈥檛 having to recruit additional networks to perform the task, suggesting regular musical practice maintains neural architecture as people age.

But what if you only play occasionally? Studies suggest in which playing an instrument with any frequency offers a modest cognitive benefit, but the real jump comes from playing for at least an hour most days.

Exercise too, is said to help, but evidence is mixed. In one study, researchers analysed 454 people鈥檚 brains post-mortem and found those who鈥檇 been most physically active two years before their death had , even controlling for the fact that cognitive decline reduced their ability to exercise. Exercise improves blood flow and increases protective brain chemicals, so it may contribute to brain maintenance 鈥 but more research is needed.

Is it ever too late to boost cognitive reserve?

For a long time, experts assumed cognitive reserve was largely set in childhood, and there鈥檚 some truth to this. 鈥淲ithout stimulation during childhood, a given pathway is less developed. If not used as adults, a pathway that was initially developed during childhood can become less efficient over time,鈥 says at the University of California, Los Angeles.

But now we know cognitive reserve continues to evolve across our life. Midlife may be a particularly valuable window of opportunity. Studies have shown people who stay mentally and physically active during their 40s and 50s 鈥 by reading, , , learning musical instruments and similar 鈥 enjoy better cognition later in life. Importantly, these benefits are , suggesting midlife offers a unique opportunity to contribute to your neural reserves.

And there鈥檚 no excuse to stop there 鈥 piano lessons in later life still , for instance. Even if you start to experience the decline you鈥檙e trying to avoid, there are still opportunities to build your reserves, says Pascual-Leone. 鈥淚ndividuals with early, mild cognitive problems due to Alzheimer’s disease can, and should, still work on enhancing their cognitive reserve, which will help reduce the risk of or delay the development of dementia,鈥 he says. 鈥淚t鈥檚 never too late.鈥

Lastly, while it鈥檚 easy to focus on physical activities that help cognitive reserves, emerging evidence suggests psychological traits may have an equally powerful role.

Take the feeling of purpose, for instance. People who have experience better cognitive function, despite similar levels of Alzheimer鈥檚 damage in the brain.

Similarly, a coherent mindset 鈥 the belief that life is comprehensible and manageable 鈥 also allows us to better tolerate a damaged brain. While the mechanisms remain unclear, some research suggests compared to those with less coherence, hinting that they have enhanced neural efficiency.

The takeaway is you can鈥檛 change the brain you were born with, or the education you received early in life 鈥 but it鈥檚 never too late to change how it ages. It鈥檚 not necessarily easy: 鈥淲hat鈥檚 hard for the brain is good for the brain,鈥 Bialystok tells me. But socialising, moving your body, learning a language, tickling the ivories and trying to find some purpose in life doesn鈥檛 seem like such a big ask 鈥 not for the prize of a sharper mind well into old age.

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