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Bachelorproject

Individual Differences in Trainability on

Executive Functions in Healthy Seniors

Learning a Second Language

Milan Groot

Student number: 10560130 Accompanist: Jessika Buitenweg University of Amsterdam

Date: 27-05-2016

Total words abstract: 126 Total words article: 5050

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Abstract

The increased amount of seniors that experience cognitive impairments, led to

investigations into possible coping strategies. That is why this study aimed to

investigate if individual differences may contribute in trainability on executive

functions. Thirteen subjects participated and performed an Italian training for three

weeks. Before and after the training, three cognitive tasks were assessed to measure

their executive functioning, such as inhibition, updating and switching. Three

individual differences (quality of sleep, physical activity and attitude towards aging)

were taken into account to see if they were of any influence in trainability on

executive functions. The results did not show any significant relation and therefore,

the hypothesis was not supported. Hence, it was concluded that these three individual

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Introduction

At this moment, our life span is increasing tremendously compared to a

hundred years ago. Due to that, the number of seniors has grown (cbs, 2011). These

seniors are being confronted with restrictions associated with aging in their daily

functions. Aging often causes cognitive decline, like cognitive slowing, slight

difficulties on attention tasks, and severe memory impairment (Buckner, 2004). These

cognitive functions are part of the executive functions, which control and monitor our

behaviour and learning through life. This mainly happens unconsciously (Salthouse,

Atkinson, & Berish, 2003). Executive functions become especially active in new

situations and can be divided into three domains: shifting, updating, and inhibition,

based on latent factor analysis by Miyake and colleagues (2000; as cited in

Buitenweg, Murre, & Ridderinkhof, 2012).

The first function, shifting, refers to the possibility to switch between tasks or

actions. If the environment changes, different from a well-known situation, someone

has to adapt. This requires shifting to anticipate properly in the new situation. The

next function is updating, this is an essential aspect of working memory. Working

memory controls all incoming information and adjusts this information to be

remembered and stored in memory (Klingberg, 2010). The last function, inhibition, is

the ability to inhibit certain behavior and manage distractions from the environment.

This ability is required especially during learning or conversations in a social

environment that is associated with concentration (Hasher & Zacks, 1988; Andrés,

Guerrini, Phillips, & Perfect, 2008).

The executive functions do not have a precise location in the brain, but the

part of the brain that is most involved when using these functions, is the frontal lobe

(Hedden & Gabrieli, 2004). The frontal lobe reaches full maturity around the age of

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compared to the rest of the brain (Fuster, 2002). Due to shrinkage of the

hippocampus, prefrontal cortex, and the basal ganglia, which are also very important

structures associated with cognition, executive functions will take more effort when

aging (Buitenweg, Murre, & Ridderinkhof, 2012).

For years, people thought that brain plasticity remains static after a critical

period in early childhood (Raz, 2000). Brain training or any other form of cognitive

training was seen as a waste of time. Research showed that the brain remains plastic,

even into adulthood (Hedden & Gabrieli, 2004). This is a remarkable discovery,

especially for adults and seniors, because now we know that we can still train our

brains in order to prevent deterioration. To keep the brain healthy as long as possible

and slow down the process of cognitive decline, several interventions are possible.

Cognitive training, also known as brain training, is one possibility to train

several aspects of executive functions and postpone cognitive decline. To evaluate the

effects of training and their results on executive functions, research that examined

shifting, inhibition and updating will be discussed. Kramer, Hahn and Gopher (1999)

examined differences in switch performances between young and older adults. The

first results from the tasks showed age-related differences in switch costs, but after

some practice the switch costs between the two groups were equivalent (Kramer,

Hahn, Gopher, 1999). This suggests that this form of cognitive practice will

contribute in moments of switching, like dealing with several aspects to process at the

same moment. Elderly can train this function to feel pleasanter in new situations

where a lot of new information has to be processed.

A different study that focussed on memory showed that healthy seniors

improved on several memory tasks after practicing an updating working memory task.

A list of unknown letters (varying between five and eleven) was shown and the

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memory performances of the participants and achievements for unpractised tasks

improved as well (Morrison & Chein, 2011). This suggests that training working

memory skills will result in fewer decline compared to no exercise. Brain training,

such as puzzles, is a fun and doable way to improve memory, which results in less

difficulty in recalling information (Nouchi et al., 2013).

Inhibitory processes require executive control that is supported by the frontal

cortex. Because of shrinkage of some structures in the frontal lobe, inhibition of

distracting factors takes more effort when getting older (West, 1996; Jurado &

Rosselli, 2007). Results from a Stroop interference practicing study showed that older

adults have hard times in developing new automatic processes and to adjust their

existing processes (Andrés, Guerrini, Phillips, & Perfect, 2008). Bilingualism is

associated with positive cognitive progress, based on developmental studies (boek, E

bialystok, 2001). That is why a lot of research studied bilinguals on several cognitive

tasks, like inhibition tasks, and compared the results to monolinguals. Results were

associated with more frontal activation, which is associated with executive functions.

Blumenfeld and Marian (2011) showed that bilinguals are better at suppressing

task-irrelevant information compared to monolinguals. Because the results from bilingual

studies are promising, the aim of this study is to examine if individual differences in

elderly may contribute in learning a new language as cognitive training.

Besides cognitive training, individual differences may be important factors

that have their influence on the training process. Research is mostly based on

participants divided into two or more groups. Their conclusions tell something about

an effect based on an average of the population. This study will look at the individual

differences to see if personal factors influence their trainability, because individual

differences are factors that influence performances on cognitive tasks (Humphreys &

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some individual differences, such as the quality of sleep, physical activity, and

attitude towards aging, which may contribute in cognitive training.

The first individual difference that is being discussed is attitude towards aging.

When we get older, as discussed above, physical and cognitive performances will

decline. Difficulty with retrieving information will be interpreted as the first signs of

dementia (Hess, Auman, Colcombe, & Rahhal, 2003). This goes along with

negativity, because it is frustrating for people when information cannot be

remembered. Negative judgements about aging can intensify cognitive decline. But

on the other hand, interventions that activate positive stereotypes of aging improve

memory performance, memory self-efficacy and views of aging in old participants

(Hess, Auman, Colcombe, & Rahhal, 2003). These results suggest that having a

negative idea about aging will influence cognitive performances in a negative manner.

The opposite is true when having a positive view. That is why this study will ask the

subjects to share their experiences of aging and if their experiences are in a way

positive or negative, to check if their attitude towards aging has any influence on

trainability.

Quality of sleep is another individual difference that is an important factor

when training cognitive performances, demonstrated in a research by Walker et al.

(2002). The association between good quality of sleep and cognitive performance is

strong. Differences between poor and good sleepers on tests of working memory,

attentional set shifting, and abstract problem solving were significant (Nebes et al.,

2009). Due to these results, this study will include quality of sleep as an individual

difference and examine if there is a positive association with cognitive performances.

This will also count for the physical activity of the participants. A research from

Bixby et al. (2007) supported the relationship between physical activity and cognition

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lobe (besides the benefits from cognitive stimulation), the region that is mainly

associated with executive functions. Speed, spatial, controlled, and executive

functions derived benefit from aerobic training (Raz, 2000). Therefore, this study will

include the hours of physical activity from the participants to see if there is a positive

relation between physical activity and trainability.

A good number of articles have been written about interventions to prevent

seniors from cognitive decline. This study will investigate a new intervention to

explore brain training from a new perspective and hopefully will add some promising

data to the existing literature. Based on the promising results from bilingual studies

discussed above, the cognitive training in this study will contain Italian language

training. Individual differences will be used as moderators to test if they contribute in

trainability. Figure 1 shows this relationship.

Three Individual Differences

Language Training Executive functions

Figure 1. Three individual differences that influence the effect of language training on

executive functions.

However, Verreyt et al. (2016) did find prove against the idea that dominating

a second language will compensate for age-related deterioration, and thinks that

switching itself results in less decline in executive functioning instead of dominating a

second language. To check this hypothesis, participants in this study will get training

in a new language, lasting for three weeks. Before and after the training, executive

functions will be measured using different cognitive tasks. Afterwards, the scores

from the participants will be analysed to see if their cognitive performances improved

compared to their scores before the training, and individual differences will be taken

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individual differences, a higher score on physical activity, the quality of sleep and

view of aging, is associated with a higher score on the cognitive tests and the

language quiz.

Method

Participants

A total of 26 healthy seniors participated in this experiment, consisting 15

females. Other researches that engaged in this study hypothesized that learning a

second language would improve executive functions, and therefore they used a

control condition with 25 participants to investigate the effect of language training on

executive functions. This study did not take the control condition into account. The

healthy seniors from 65 years of age and above (M = 70.15, SD =4.24) were recruited

from flyers and via several elderly associations and societies. Participants were

excluded from participation in this experiment if they had any history of

neuropsychological diseases. Besides the psychological health, subjects who were

bilinguals, or had any experience with the Italian language, they were not allowed to

participate in this study. These exclusion criteria were based on the idea that

executive functions will be better performed when dominating a second language

(Bialystok et al., 2004). All participants came to the laboratory for two sessions, of

approximately 1 hour each. The interval between the two sessions was three weeks.

After the training, participants received a little present, a brochure about keeping the

brain healthy as long as possible, and they could keep the language training if

preferred.

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This study examined language trainability in seniors, which included language

training in Italian. The training contains a written book with vocabulary and grammar

material, and an audiotape with different exercises (Studieplan, Italiaans voor

beginners). The participants had to practice daily for 30 minutes, during three weeks

(Cohen, 2011). The subjects were given a log book to fill in, in order to check if the

training was performed daily, how well the subject slept the night before, and how

many hours of physical activity was performed. This log book was used to analyse

individual differences as explained above. Before and after the training, participants

had to perform three executive function tasks in the laboratories. The first was the

Simon Task, developed by J. R. Simon, who first published the effect in 1967 (Simon,

& Wolf, 1963; Bialystok, et al., 2004). This task measures the ability of inhibition.

Participants had to respond to two different colored lights, green or blue, after a focus

cross in the middle of the screen of a laptop. When the green light popped up, the

subject had to press a key with the right index finger and when the blue light popped

up, the subject had to use the left index finger. The location of the stimulus differed

throughout the experiment; the stimulus location was congruent or incongruent to the

index finger. The task consisted 16 practice trials, and two blocks of 36 trials (36

congruent, 36 incongruent). This amount of trials was based on a study by Bialystok,

Craik, Klein, & Viswanathan (2004). The second task was the Corsi Block task,

which assesses short-term working memory (Kessels et al., 2000). This task involved

mimicking a computer as it tapped a sequence of identical spatially separated blocks.

Participants had to click on the blocks using the mouse of the computer to mimic the

tapped sequence. The task began with 2 numbers of blocks, rose until the subject

made two errors in a row, and closed after the errors. The last task was the Trail

Making Test, which assesses task switching (Gaudino, Geisler, & Squires, 1995;

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connect a set of numbered dots (1 to 10), or dots with a letter of the alphabet (a to j),

in the right order. The first part consisted only numbers or letters, and in the second

part, the subject had to alternate between the numbers and letters (1, A, 2, B, etc.).

The participants had to finish both parts as quickly as possible, and the time to

complete the task was used as a performance metric. Besides the executive function

tasks, the Shipley questionnaire was used to measure the IQ of each participant. The

questionnaire consisted 20 questions about sequences of numbers or words that had to

be completed (Shipley, 1940; Schmand & Smeding, 2000). For example: white -

black, short - tall, down - ... At last, the participants had to perform a language quiz

with 32 questions, consisting of words or small sentences in Dutch or Italian, as a

manipulation check. Participants had to translate the questions to Dutch or Italian.

This test was performed before and after the training, The two language quizzes were

randomized in order to make sure that the level of difficulty was equal.

Procedure

All the participants were emailed with an intake questionnaire, which

contained personal questions like age, experience with a Roman language, but also

their view of aging and how they experienced the phenomenon of getting older on a 1

to 7 scale (1 = negative, 7 = positive). This was a check to see if the subjects met any

of the exclusion criteria and to measure some individual differences. If the

participants were approved to participate in this study, they were invited for the first

session. When the participants arrived at the lab, they had the ability to read the

information brochure about the study and had to sign the informed consent if agreed.

This session began with the Shipley test, to measure their IQ. When finished, all three

executive functions tasks were performed in the following order, Simon task, Corsi

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After the first session, the experimenter explained how to use the language training

they got to take home, and how to fill in the log book. The second session took place

after three weeks and the participants had to bring their log book. In this session, only

the three executive functions tasks and the language quiz were performed. At the end

of the session, the participants were thanked for participation and were handed a small

present and a brochure with information about keeping the brain healthy as long as

possible.

Results

The aim of this study was to test the hypothesis that individual differences

may contribute in learning a new language and will improve executive functioning in

elderly. Based on an a priori sample size calculator for Multiple Regression

(http://www.danielsoper.com/), the required sample size was 76 with a power level of

0.8. This study started with only 26 participants, but nine participants dropped out

because they thought the training was too onerous and four participants were

excluded from this study, two due to illness and two due to refusal to study Italian.

The data of the remaining thirteen participants was used in the analyses. Two outliers

were found in de data, but because of interest in individual differences, these outliers

were not excluded from the data.

To make sure that the participants studied any Italian during the training and

improved their Italian, a manipulation check was executed. The average from the

language quiz before and after the training was calculated with the accompanying

standard deviation, see Table 1.

Table 1

Average Language Quiz scores and Standard Deviations of the Pre- and Post-test

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Experimental Condition

16,5 (1,9) 26,2 (2,7) 9,7

Note. Effect = Post test – Pre test.

On average, the scores from the participants on the language quiz were higher

after the language training (M = 26.2, SE = 9.6), compared to their scores before the

training (M = 16.5, SE = 6.7). This difference, 9.7, was significant t(12) = -3.417, p =

.005. A significance level of 5% was used in this study (Field, 2013), and therefore,

the manipulation check succeeded.

A Multiple Regression was used in this study, because this study is interested

in the relationship of the individual differences in trainability, rather than the average

scores and the effect of the training on cognitive performances. The three cognitive

task scores are separately analysed in relation to the individual differences and the

training because a Multivariate test cannot analyse the overall model. Three separate

Multiple Regressions will be executed, in which the cognitive task scores are the

dependent variables and the language training and individual differences are the

independent variables.

First, the individual differences and the language training were analysed in

relation to the difference scores of the Simon task. The assumptions of normality,

linearity between the independent and dependent variables, reliability and

homoscedasticity were met. Because the effect was not significant F(8) = .270, p =

.889, the model was not able to predict the outcome variable. However, the

unstandardized beta coefficients were taken into account to see the influence of

individual differences in trainability on executive functions. Participants' predicted

Simon scores were equal to -422 + 22 (sleep) + .2 (physical) + 35 (attitude), where

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scale score. Participants' Simon scores increased with 22 points for each hour of

sleep, .2 points for each unit of physical activity (in percentages) and 35 points for

each extra point on the attitude scale. Figure 2 shows the individual scores on the

Simon task.

Figure 2. Mean scores per individual on the Simon task, before and after the training.

Figure 2 shows that the majority of the participants had a lower average score

after the training compared to their scores before the training. This implies that the

participants were more accurate and faster when responding to the congruent and

incongruent stimuli. The positive scores on the y-axis correspond to the more correct

responses to congruent stimuli compared to incongruent stimuli. However, hours of

sleep, hours of physical activity and attitude towards aging were not significant

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Second, the individual differences and the language training were analysed in

relation to the difference scores of the Corsi Block task. The assumptions of

normality, linearity between the independent and dependent variables, reliability and

homoscedasticity were met. Because the effect was not significant F(8) = .294, p =

.874, the model was not able to predict the outcome variable. However, the

unstandardized beta coefficients were taken into account. Participants' predicted Corsi

Block scores were equal to -4 - .06 (sleep) + .02 (physical) + .4 (attitude).

Participants' Corsi Block scores decreased with .06 points for each hour of sleep,

increased with .02 points for each unit of physical activity (in percentages) and .4

points for each extra point on the attitude scale. Figure 3 shows the individual scores

on the Corsi Block task.

Figure 3. Mean scores per individual on the Corsi Block task, before and after the

training.

Figure 3 shows that the participants scored variously before and after the

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scored worse. Based on these findings, the results did not accord with the hypothesis.

In response to these findings and the insignificant results from the analysis, the three

individual differences were not significant predictors of the Corsi Block scores.

At last, the individual differences and the language training were analysed in

relation to the difference scores of the Trail Making Test. The assumptions of

normality, linearity between the independent and dependent variables, reliability and

homoscedasticity were met. Because the effect was not significant F(8) =1.969, p =

.192, the model was not able to predict the outcome variable. However, the

unstandardized beta coefficients were taken into account. Participants' predicted TMT

scores were equal to 254 - 27 (sleep) - .3 (physical) - 4 (attitude), thus their TMT

scores decreased with 27 points for each hour of sleep, .3 points for each unit of

physical activity (in percentages) and 4 points for each extra point on the attitude

scale. Figure 4 shows the individual scores on the TMT task.

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Figure 4 shows that the participants scored variously before and after the

training. Some participants performed better, corresponding to a lower score after the

training, and others scored worse. Based on these findings, the results did not accord

with the hypothesis. Hours of sleep, hours of physical activity and attitude towards

aging were not significant predictors of the TMT scores.

The overall effects were not significant and therefore it was concluded that

individual differences did not contribute in trainability on cognitive functions. This

accounted for the individual differences that were analysed together in comparison to

the executive functions. The analyses also showed the significance results per

individual difference in the coefficients table, in comparison to the executive

functions. None of the individual differences showed any significant effect in

comparison to the executive functions.

Discussion

The aim of this study was to investigate if individual differences contribute in

trainability on cognitive performances. No significant relationship was found between

the three individual differences and the three cognitive scores. Therefore, it was

concluded that quality of sleep, physical activity and attitude towards aging did not

influence trainability. These findings are not in line with the literature discussed

above about the three individual differences and their effect on executive functions.

The study by Nebes et al. (2009) showed significant results between poor and

good sleepers on working memory, attentional shifting and problem solving. The

exact hours of sleep per night and the association between good cognitive

performances has not yet been found. Hence, a positive relation has been found

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The results in this study did not confirm any of these findings. This may be due to the

assessment of quality of sleep. Participants had to report how many hours they slept

the night before in their log book. The averages hours of sleep per night were 6.9

(1.13), but the hours of day time napping were not reported. At the second session,

several participants reported that it is really common to have a nap during daytime.

Because of these naps, the hours of sleep at night have been less compared to their

lives before. This was not taken into account and therefore, the quality of sleep has

not been assessed correctly. Results from previous studies showed an association

between hours of daytime napping and cognition. Blackwell et al. (2005) showed that

women of 65 years of age or older, had worse cognition when taking a nap for two

hours or more. Based on these results, assessment of the quality of sleep has not been

executed correctly.

Another individual difference, physical activity, has not been assessed in the

right way. Participants were asked to report if they performed less or more than 30

minutes of physical activity per day. Participants reported that they performed more

than 30 minutes per day due to walking, grocery shopping and going to the gym.

Walking and grocery shopping are no physical activities in which the heart rate is

really much increased. Therefore, the reports in this study were not accurate.

However, a study by Aichberger et al. (2010) showed that any type of regular activity

influenced cognitive decline in a positive way after a study of 2,5 years. But when the

participants engaged in vigorous activities more than once a week, they showed even

less cognitive decline. Accordingly, the participants in this study had to be informed

properly to get an accurate measure of physical activities. Due to the incorrect

assessment, the data consisted of percentages of the total days of less or more than 30

minutes of physical activity, from the three weeks of training. These results were

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Besides the incorrect ways of measuring the individual differences, a

remarkable matter in this study was the low amount of participants. Based on the

calculation of the sample size, 76 people should have participated in this study with a

power level of 0.8 to be able to find an effect (http://www.danielsoper.com/).

Unfortunately, the time that was set for recruiting people for this study was very

short. Additionally, the exclusion criteria were very strict and the amount of

self-study during the experiment led to the fact that a lot of potential participants were not

allowed or wanted to participate. The information brochure and flyers that were

distributed in several elderly associations and societies or on the streets were provided

with the exclusion criteria, such as bilingualism, no experience with Italian or

suffering a neuropsychological diseases. Also, the amount of self-study was reported,

and based on the reactions of potential participants, it was concluded that the amount

of self-study was too much due to the short period of time that was arranged.

These reactions in combination with the expectations about the short period

that was arranged to study Italian, led to the conclusion that only three weeks of

training would not result in any effects. Morrison and Chein (2011) found a

significant improvement in memory performances in elderly after a training lasting

for eight weeks. The existing literature about mastering the basics of a new language

did not contain a certain amount of hours of practicing to find an effect. Therefore, it

is not possible to determine the minimum amount of hours of practice during an

experiment, but based on literature about learning a new language, the more time is

spend, the better you manage a language and has it effects on cognition (Scovel,

2003). However, the participants in this study showed a significant effect when

comparing the language results before and after the training. But the improvement did

not result in any effect on executive functions. Hence, it was concluded that only

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individual difference scores on the language test.

Figure 5. Mean scores per individual on the language task, before and after the

training.

Figure 5 shows that the majority of the participants improved their scores on

the language task after training. The mean differences per individual were small. This

may be due to the fact that the period of training was only three weeks. Besides, the

mean scores on the first language task were higher than expected, because one of the

exclusion criteria was that the participant was not skilled in Italian. But based on the

results from the first language test, it seems that some of the participants already knew

Italian. This may be due to the fact that some participants went to Italy for holidays or

watch Italian television or films, and remember some basic words on the test. In this

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multicultural society we live in. Some basic knowledge of Italian was already known

or might have been inferred if they knew French or Spanish, and that could explain

the high scores on the first language test.

At last, in the intake the participants had to answer the question if they

suffered from any neuropsychological diseases. None of the participants answered

yes, but the intake did not contain a question about intake of medicines. This may be

an imported question because medicines could have influences on cognitive

performances. Altogether, these points of discussion discussed above, should be taken

into account in replication studies.

The number of participants should be 76, to be able to find a significant effect

(http://www.danielsoper.com/). Only with this minimum amount of participants a

study is able to find a possible significant outcome. To reach this number of

participants, the period of training should be extended to as long as possible (Scovel,

2003). This would decline the intensity of the training and make it possible for the

participants to have enough time to study well and master a new language. Besides

the time of training, an individual self training will mostly led to less improvement

compared to a mandatory language training (Feldman, 2003). A mandatory class will

cause regularity in training and study, which occurs less in self-study. This change in

training will led to a big improvement in a new language, and therefore, a significant

result in its effect on executive functions.

At last, any replication should be really accurate in the way of measuring

individual differences. Literature about similar topics should help to assess the

components properly. Besides, the individual differences did not effect trainability on

executive functions, but there might be other individual differences that could be

taken into account and investigate their effect in trainability on executive functions.

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the individual differences (sleep, physical activity and attitude towards aging)

contribute in trainability on cognitive performances. Due to the small amount of

participants no relevant conclusion can be made about the hypothesis. A replication of

this study with at least 76 participants could show more promising data about the

influence of individual differences in trainability on cognitive performances. At this

moment, with the immense growth of the elderly population, these studies should

shed light on possible interventions that people can take to prevent cognitive decline.

More research about this subject should be implemented to give elderly and

prospective seniors evidence-based results to handle cognitive deterioration and

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