“…The link between cognitive activity and cognitive functioning is consistent with the "use it or lose it" hypothesis, which 820 N. Sharifian et al states that engaging in cognitively stimulating activities, such as playing board games and attending lectures, may help to preserve cognitive functioning and promote cognitive reserve, whereas disuse can lead to deterioration of cognitive skills (Hultsch, Hertzog, Small, & Dixon, 1999;Reed et al, 2011). Cognitively stimulating activities may maintain cognition through their impact on brain structure and function, such as white matter integrity (Arfanakis et al, 2016) and synaptic plasticity (Buitenweg, Murre, & Riddenrinkhof, 2012). For example, in an intervention study, older adults who engaged in a strategy-based real-time video game over 7-8 weeks demonstrated improvements in executive functioning compared to the no-contact control group (Basak, Boot, Voss, & Kramer, 2008), suggestive of the protective effects of cognitive activity for cognition.…”