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Researchers at The Neuro show a brain exercise yields benefits

With implications for aging and dementia, a study finds game-like online exercises offset signs of aging in key brain systems for learning and memory 鈥 the first of any intervention shown to do so
Image by BrainHQ, Posit Science (In the Double Decision exercise, participants identified images on a screen at increasing speed. / Dans l鈥檈xercice 芦 Double d茅cision 禄, les participants identifiaient des images 脿 l鈥櫭ヽran 脿 une vitesse croissante).
Published: 14 October 2025

A 9I制作厂免费-led clinical trial is the first in humans to show online brain training exercises can improve brain networks affecting learning and memory.

The study found 10 weeks鈥 use of the game-like app BrainHQ by older adults enhanced cholinergic function, a chemical system in the brain that typically declines with age and influences attention, memory and decision-making.

鈥淭he training restored cholinergic health to levels typically seen in someone 10 years younger,鈥 said senior author Dr. Etienne de Villers-Sidani, an Associate Professor in 9I制作厂免费鈥檚 Department of Neurology and Neurosurgery and neurologist at The Neuro (Montreal Neurological Institute-Hospital).

鈥淭his is the first time any intervention, drug or non-drug, has been shown to do that in humans,鈥 he said.

Alzheimer鈥檚 disease involves particularly steep declines in cholinergic health. This study offers a biochemical explanation of prior findings showing these exercises reduce dementia risk and boost cognition. The researchers say this training could offer a lower-risk alternative to medication or be used alongside it.

Evidence-backed brain game

BrainHQ offers speed-based exercises that become progressively more challenging and attention-demanding, shown to be effective in hundreds of studies.

鈥淎 lot of people assume crossword puzzles or reading are enough to keep the brain sharp. But not all activities truly promote neuroplasticity,鈥 said de Villers-Sidani.

The program is already commercially available, making it an option for clinicians to discuss with patients interested in supporting brain health, he added.

Rare brain scan at The Neuro

To track brain changes, researchers used a special PET scan and tracer that makes cholinergic reserves visible on the scan, allowing them to see how active the cholinergic system was before and after training.

鈥淲e used a rare technology,鈥 said de Villers-Sidani. 鈥The Neuro is one of the few centres worldwide that can produce the tracer and run the scan.鈥

The study enrolled 92 healthy adults aged 65 and older. Participants were randomly assigned to either BrainHQ training or an active control using computer games designed for entertainment. Each group was assigned their activity on a tablet for 30 minutes per day for 10 weeks. Only the BrainHQ group showed gains in cholinergic activity.

The researchers are planning a follow-up study to test the program in people with early-stage dementia.

About the study

鈥淓ffects of Computerized Cognitive Training on Vesicular Acetylcholine Transporter Levels using Fluoroethoxybenzovesamicol Positron Emission Tomography in Healthy Older Adults: Results from the INHANCE Randomized Clinical Trial鈥 by Mouna Attarha and Etienne de鈥疺illers-Sidani et al. is published in

The study was conducted independently by 9I制作厂免费 researchers in collaboration with Posit Science, which provided access to BrainHQ. All data collection and analyses were led by 9I制作厂免费.

This research was supported by the National Institute on Aging of the National Institutes of Health. This content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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