Being bilingual may help aging brains to perform beyond expectations

Graphic shows a brain mapped out, including language centre

Speaking two languages may do more than just help you communicate better. A new study led by researchers at York University’s Department of Psychology provides evidence that being bilingual may also grant a distinct advantage to cognitive reserve − the ability to perform at a higher level than would be predicted by brain structure. The study, published in Brain Structure & Function, aims to better understand why some patients with brain pathology show symptoms of dementia and others do not.

Ellen Bialystok

In the study, 32 cognitively healthy older adult bilinguals were matched with 32 older adult monolinguals from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database for age, sex, education and details of brain structure integrity. The question was whether the older adult monolinguals with the same brain status and other demographic factors as the bilinguals were also experiencing healthy aging. Senior author Ellen Bialystok, Distinguished Research Professor in York’s Department of Psychology, Faculty of Health, first author PhD student Matthias Berkes, and post-doctoral student Noelia Calvo, both in Bialystok’s lab, used clinical records in the ADNI database to determine the answer. The researchers found that 100 per cent of bilinguals retained normal cognitive levels over time while 41 per cent of the monolinguals were diagnosed with a clinical impairment related to dementia.

“The findings suggest that as brain structure declines with aging, bilinguals can maintain healthy cognitive levels, but monolinguals experience cognitive decline. This is essentially the definition of cognitive reserve,” said Bialystok.

The goal of the study was to determine the cognitive outcomes for monolinguals if their brain integrity was at the level of bilinguals. Unlike previous research, the study matched participants on brain structure using measures of white matter integrity and then observed the corresponding cognitive level. Most studies evaluate participants on cognitive health and then compare brain structure.

“To our knowledge this is the first study to examine cognitive and clinical outcomes between bilinguals and monolinguals by using this “brain swap” technique to match individuals on brain health rather than the reverse. In our method, we imagine what would happen to cognition if a bilingual brain were to be put into a monolingual head,” said Bialystok. “Our data provides strong evidence for bilingualism as a source of cognitive reserve.”

Researchers say the study results demonstrate that some life experiences, like bilingualism, make predictions about brain structure from a cognitive level and predictions about cognitive level from brain structure. Therefore, it is essential for clinicians to consider information from both brain and behavior in order to detect, diagnose, and treat forms of cognitive decline including dementia. Bialystok says the findings not only have implications for why individuals should maintain heritage languages and use them and pass them to their children but also for education systems to offer and promote foreign language training, community organizations to support and maintain the use of immigrant languages and government policy to acknowledge linguistic diversity and encourage societal multilingualism.