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Active Body, Active Mind – Effects On Brain Development

Tommy Wood, BA (Cantab), BM BCh (Oxon), PhD

Associate Professor of Pediatrics and Neuroscience

University of Washington, Seattle, USA

Research Team Lead

Food for the Brain

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My work

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Overview

  • A way to think about what the brain needs

  • The importance of stimulating the brain during development
    • Primary drivers of adaptation

  • The importance of rest and recovery
    • Time for that adaptation to occur

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The brain takes ~30 years to develop

  • The brain is dynamic and responsive across the entire lifespan
  • Possible to intervene regardless of age

Brouwer et al. Nature Neuroscience 2022

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The human brain is (slowly) shaped by the environment

Lindhout et al., Nature 2024

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The human brain is (slowly) shaped by the environment

  • Most recently evolved brain structures mature the slowest
    • Responsible for the most complex cognitive functions

Hill et al., PNAS 2010

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Cognitive function is driven by environment

  • 697 extremely preterm infants assessed at 2-years old

Wood, Juul et al., eClinicalMedicine 2023

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Home-ics and brain development

Christensen et al., Pediatric Research 2024

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A system for brain health

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A simplified model – strength as an example

Stimulus

  • Train
  • Lift Weights

💪🏻💪🏻💪🏻

Supply

  • Adequate Protein/Calories
  • Micronutrients

Function

  • Strength

Structure

  • Muscle Mass

Support/Recovery

  • Sleep
  • Rest

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Demand-function coupling in the brain

  • The function of a tissue is determined by the stimulus
    • Same as with exercise and fitness/strength
  • Similar across all stages of life

Turknett and Wood, Cells 2022

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Your brain is just like your muscles

  • Multiple interacting factors for brain development

  • Stimulus
    • Physical activity, cognitive, and social activity

  • Supply
    • Vascular health and nutrient status

  • Support
    • Sleep, stress, avoiding toxic exposures

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My model of brain function

Turknett and Wood, Cells 2022

Credit: Alex Stewart, Derek & Eric Design Agency

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Lifting weights for your brain

  • Brain function is driven by learning new things
    • Adapting to the environment

  • Complex skill learning improves cognitive function in kids
    • Languages
    • Music
    • Unstructured play
    • Sports
    • Video games

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Education shows the importance of stimulus

  • Education and the peak and age of cognitive function

Guerra-Carrillo et al., PLoS One 2017

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Education

  • Greater cognitive stimulus for longer during childhood
    • Higher peak of cognitive function
    • Lasts your entire lifetime

Lövdén et al., Psych Sci Pub Int 2020

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Music and the developing brain

  • Randomized studies show music lessons improve:
    • Working memory
    • Decision making
    • Cognitive flexibility

  • Benefits all age groups
    • 3 year-olds up to young teens
    • May be better started earlier
    • Higher benefit in those who are less socioeconomically advantaged

Román-Caballero et al., Education Research Review 2022; Le et al., Frontiers in Psychology 2025

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Music in primary school children

  • One hundred and forty-seven primary school children
  • Four groups over 2.5 years
    • Control, art, and two music groups
    • 1–2 h lessons weekly. Collective music making, singing and improvising.

Jaschke et al., Frontiers in Neuroscience 2018

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Languages and brain development

  • Bilinguals often outperform monolinguals in executive function
    • Better inhibitory control
    • Split-second decision making
    • Due to the brain having to constantly control language output

  • Recent report by the British Academy/UCL suggests foreign language learning can improve creativity

  • Foreign language learning in childhood is associated with improved maths skills

Stocco et al. International Journal of Bilingualism 2012; Woll and Wei British Academy 2019; Nucett et al., Bilingualism: Language and Cognition 2024

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Physical activity

  • Multiple studies show that physical activity improves:
    • Focus/attention
    • Executive function
    • Academic performance

  • Physical fitness and strength are associated with better academic performance

  • Similar benefits seen in children with neurodevelopmental disorders
    • Dose-dependent effects

Educating the Student Body 2013; Robinson et al, Sports Med 2023; James et al., Children 2023; Liu et al., Preventive Medicine 2025

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Exercise in neurodevelopmental disorders

  • Meta-analysis of 35 studies
    • Beneficial interventions included
      • Swimming
      • Racquet and ball sports (table tennis, football)
      • Running
      • Martial arts

Liu et al., Preventive Medicine 2025

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Exercise and focus/memory

  • 9-10 year-old children
  • Running vs complex skills
    • 45 minutes 3x per week for 10 weeks
      • Playful balance, coordination, ball games, skipping ropes etc

Koutsandréou et al. Med Sci Sports Exerc 2016

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Brain-boosting effect of coordinative exercise

  • 12 males in their 20’s-30’s, cross-over study
    • 400m track with/without obstacles for 60 min
    • Pace constant to maintain similar exertion
    • Both types increased BDNF
      • Obstacles > Normal running

Bahramnejad et al. IJES 2023

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The importance of play and risk

  • Increasing mental health problems in children
    • Inability to deal with stressful situations
    • Decreased outdoor/adventurous play and increased indoor time

  • Outdoor/adventurous play associated with
    • Less anxiety and fear
    • Better mental health during Covid-19 lockdown

  • Increased ”risky” play improves a kid’s ability to assess risk

  • Restrictive parenting increases risk-seeking behavior later

Dodd et al. Child Psych Hum Dev 2022; Loebach et al., J Outdoor Envir Educ 2023; Hansen and Breivik, Personality and Individual Differences 2001

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Risk ≠ Danger

  • Beneficial risky play
    • Play with heights or high speed (climbing, running, jumping)
    • Rough‐and‐tumble play
    • Risk of getting lost (within reason)

  • Principles of beneficial risky play
    • Attempting things above current skill level
    • Requires concentration and determination
    • Requires control and thought to prevent injury
    • Failure comes with a risk of minor injury

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Are video games good for your brain??

  • Large US study of 2,217 9-10 year-old children
    • Gamers (~3h per day) vs non-gamers (0h per day)
    • Gamers had slightly better reaction times and decision making

  • Several studies in adults show benefit of computer games
    • Complex movement/puzzle solving in new environments
    • Usually Super Mario

Charaani et al. JAMA Network Open 2022; Clemson and Stark, J Neurosci 2105

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Video games in context

  • Video games can be a beneficial stimulus for the brain

  • As long as it doesn’t prevent you doing other important things:
    • Eating a nutritious diet
    • Sleep
    • Learning
    • Time outside
    • Doing physical activity/sports
      • Replacing physical activity with screen time increases depression risk
    • Spending time with real people

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The importance of recovery

  • Recovery and sleep is how you get stronger and smarter

  • Sleep is when:
    • You save memories
    • The brain makes new connections
    • Your brain cleans itself

  • Sleep deprivation results in:
    • Lower cognitive function
    • Decreased empathy
    • More negative emotional responses
    • Impaired decision making

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Sleep and academic performance

  • Seattle Sleepmore study
    • All schools started an hour later
    • Kids slept 34 minutes longer on average
    • 4.5% Higher grades
    • Higher attendance and more graduates

  • Two important factors for sleep in children/teens
    • Caffeine
    • Screen time
    • Both also relevant to adults(!)

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Caffeine

  • Children who consume caffeine sleep less well
    • Study of 10-16 year-olds
    • Caffeine consumers:
      • Fall asleep ~1 hour later
      • Spend an hour less in bed
      • Get less deep sleep

  • Afternoon caffeine impairs sleep
    • Last strong coffee ~12h before bed
    • Last Coca-cola ~8-9h before bed
    • Small amounts of caffeine in tea is OK

Aepli et al. Brain Scinces 2015; Gardiner et ali., Sleep Medicine Reviews 2023

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Screens

  • Sleep is initiated by the hormone melatonin
    • Starts to increase ~2h before sleep

  • Melatonin production is decreased by bright light

Klerman et al. Clin Transl Med 2022

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Melatonin in children

  • Children are much more susceptible to light than adults
    • 9-10 years-old children have about twice the melatonin suppression
    • Minimise bright overhead lights in the evening
    • Stop screens at least 1-2h before you want to fall asleep

Higuchi et al. J Clin Endocrinol Metab 2014

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Social media – the opposite of rest

  • Increasing social media use is associated with higher depression
    • Greater risk in girls
    • Many schools banning smartphones

Social Median and Mental Health: Haidt, Lausch and Twenge

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Social media can drive stress

  • We’ve evolved to be social animals

  • Loneliness causes stress/inflammation
    • Survival response

  • Similar response to “social stress”
    • Being left out
    • Being bullied
    • Seeing people who are “better” than you

Slavich et al., Lifestyle Medicine 2022

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Active bodies and minds

  • Function of the brain is driven by learning and challenge

  • Critical to provide children with a variety of demanding stimuli
    • Music
    • Languages
    • Physical activity (especially with a coordinative component)
    • Social interaction
    • Play and risk taking
      • The developing brain will go looking for limits if they are denied

  • Support stimulus with adequate rest and recovery

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Active Body, Active Mind – Effects On Brain Development

Tommy Wood, BA (Cantab), BM BCh (Oxon), PhD

Associate Professor of Pediatrics and Neuroscience

University of Washington, Seattle, USA

Research Team Lead

Food for the Brain