
Scientists at the University of Toronto have uncovered a potential early indicator of cognitive decline related to how individuals speak. Their research suggests that the pace of everyday speech may be a more telling sign of early Alzheimer’s disease than the common experience of forgetting words, also known as lethologica. This finding challenges traditional views on cognitive decline, focusing on speech patterns rather than memory alone.
The study, published in 2023, involved 125 healthy adults aged between 18 and 90. Participants were asked to describe a scene in detail, after which they were presented with images of familiar objects while listening to audio that aimed to aid or confuse their responses. For example, if shown a picture of a broom, the audio may say “groom” to help recall the word. Conversely, it might introduce a related word like “mop,” which could momentarily mislead.
The results indicated a clear correlation: participants who spoke faster during the initial task were able to respond more quickly in subsequent challenges. This aligns with the processing speed theory, which posits that a general decline in cognitive processing speed, rather than memory impairment alone, is central to cognitive decline.
According to psychologist Hsi T. Wei, who led the research, “It is clear that older adults are significantly slower than younger adults in completing various cognitive tasks, including word-production tasks such as picture naming, answering questions, or reading written words.” The study also noted that older adults often produce more dysfluencies, such as pauses or filler words like “uh” and “um,” indicating a slower rate of speech.
The implications of this study extend beyond traditional diagnostic methods. In a 2024 article for The Conversation, dementia researcher Claire Lancaster remarked that the findings “have opened exciting doors… showing that it’s not just what we say but how fast we say it that can reveal cognitive changes.” This evolution in understanding highlights the importance of speech dynamics in identifying potential early signs of cognitive impairment.
Recent advancements in artificial intelligence have further illuminated this area. Certain AI algorithms have demonstrated the ability to predict an Alzheimer’s diagnosis with an accuracy of 78.5 percent based solely on speech patterns. Moreover, other studies have established that patients exhibiting more signs of amyloid plaques in their brains are 1.2 times more likely to encounter speech-related difficulties. These plaques are a well-known marker associated with Alzheimer’s disease.
Additionally, a 2024 study from Stanford University found that longer pauses and slower speech rates correlated with elevated levels of tangled tau proteins, another critical marker of Alzheimer’s. The authors concluded, “This suggests that speech changes reflect the development of Alzheimer’s disease pathology even in the absence of overt cognitive impairment.”
As research continues to progress, scientists are making strides in deciphering the nuances of human speech to better understand its connections to cognitive health. The groundwork laid by the University of Toronto study is significant, revealing that the subtleties of how we communicate may provide crucial insights into our cognitive well-being.