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How to Improve Your Memory & Cognitive Function at Any Age | Dr. Alan Castel

Explore episode Jul 13, 2026
Health & Fitness
Balance Is the Most Overlooked Health Metric

How to Improve Your Memory & Cognitive Function at Any Age … · Jul 13, 2026 Health & Fitness

One in four people over 65 will fall, often triggering a cascade of physical and cognitive decline. Yet most people think their balance is fine because they haven't fallen yet. Try closing your eyes while balancing on one foot — you'll discover otherwise. The good news: balance can be dramatically improved in one to two months with simple training.

Where this was said

Exercise & Hippocampal Volume, Falls & Balance

At 55:30 · chapter starts 52:34

The most concrete prescription of the episode lands here: aerobic exercise — specifically, walking — doesn't just slow hippocampal decline, it can reverse it. In the study Castel describes, the walking group grew their hippocampus by 1% over a year while the stretching control group showed continued shrinkage, and their memory performance improved correspondingly. Castel is careful not to oversell the mechanism, but notes that improved oxygenation, better sleep, and elevated mood are likely contributors. He then pivots to what he considers an even more neglected risk: balance. Most people think their balance is fine because they haven't fallen yet — but the one-leg-eyes-closed test in his presentations reliably reveals to audiences of all ages just how fragile their equilibrium is. Falls in older adults cascade into hip fractures, bed rest, muscle loss, reduced exercise, and cognitive decline. The good news is sharp: balance is more trainable than almost any other physical metric, with noticeable gains achievable in one to two months through simple daily practice.

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