Taxi Drivers: The mean age at death is approximately 67.8 years.
General Population: in the same dataset, life expectancy averaged 74 years.
The average age at which patients are typically diagnosed with Alzheimer's disease is 79.
People in these jobs don't live long enough on average to get diagnosed, at the same rate. The same effect will happen in any job that lowers your life expectancy.
That's very interesting but why do taxi drivers have a job that lowers life expectancy? Is it because they're sitting too much? Or because they're inhaling CO from cars too much? Or staying inside (the car) too much? Or is it just stressful?
For from the look of it it doesn't look like an exceptionally hard job (btw a brother of mine did years of "VTC": "Vehicule de Tourisme avec Chauffeur", basically high-end taxis without the "taxi" logo).
> In one landmark 2000 study, neuroscientists compared the brains of licensed London taxi drivers with those of people who did not drive cabs.
Location is very important here. London cabbies have to pass The Knowledge which is an extremely difficult memory exam that only people with particular kind of brain can do.
When I was in my early 20s I had a job delivering pizza. I very quickly learned the delivery area, I knew pretty much every street and alleyway and shortcut to get from one place to another. Much smaller than London but I think the human brain is very good at remembering routes and where things are in an area, as this would have been an evolutionary advantage (go out hunting and be able to find your way back). No GPS, didn't even carry a map with me. We had a large map on the wall at the store, and if I had to deliver to a street I didn't recognize I'd find it on the map, see where it was relative to the streets I did know, and then I never had any problem finding places.
My 2019 car had the cardinal directions in the mirror (N, NE, E, ES, S etc). My 2025 does not anymore. I hate it. I think it helps to get that baseline of orientation, and then you look at the street numbers, and it all starts to come together.
Pretty much my only issue with CarPlay is that I can’t seem to set the map so that north is up. It turns everything into “third right ahead” instead of “this is just 2 blocks east of that coffee shop I was at last week”.
Same. First thing they had me buy was a map book with all the local neighborhoods. The map on the wall helped get shortcuts from others. This is where I learned the difference between the different kinds of shortcuts. Some saved time, others distance, and some even potholes. It was a fun time.
I find the title highly misleading. The actual claim is a 40% lower chance (1 in 100 as opposed to 1 in 60) for taxi and ambulance drivers when compared to the average.
That’s a big drop but the title implies that Alzheimer’s is rare in taxi drivers specifically and I don’t think the difference warrants that claim whatsoever.
True, though the article does also mention another study not based on taxi drivers, but just living in high spatial complexity ZIP codes puts you at a lower risk.
> Research on cognitive maps points toward the same conclusion as the study on taxi drivers. In 2023, researchers ran a machine learning model on more than 22,500 people in a national dataset and were able to predict which ZIP codes had higher rates of Alzheimer’s with 84% accuracy based on how complex the environment was. Those living in spatially complex surroundings – the kind that force active map building, such as dense street networks with numerous intersections, diverse points of interest and landmarks, and multiple path options – were less likely to develop Alzheimer’s.
I would assume that the task of being a taxi driver would act as a near constant test for Alzheimer’s, would be interesting to do GWAS studies on older taxi drivers and compare against taxi drivers who quit earlier in their careers.
Perhaps specific types of thinking cause somewhat sustained brain activity during waking hours that mitigates adverse physical changes leading to Alzheimer’s.
The opposite of this is how sleep and unconsciousness allows the brain to perform cerebrospinal fluid transfer based maintenance routines via the glymphatic system, and why sleep is important to neural health.
My grandfather was a taxi driver and delivery driver for many years. He made it to 93 and I don't recall him dealing with any cognitive decline. He used to tell me different routes to get to a stadium that was closed before I was even born.
The thing about taxi drivers is that they have something at stake, while video games have no fail state effectively. You can be punished in-game, but overall it does not matter.
Also video games in general are pretty derivative, so playing the same genre probably won't help much after a certain point. But playing different ones can be very helpful, I imagine (same with other mediums).
I assume there is enough variation to be aware of -- seasons change, constructions, car crashes, so you need to alter the route a bit. Today you have the maps with navigation, but I assume you still need to be quite aware on where to park, where is the best entrance to some places, etc. So you basically need to keep some fresh info on top of your mind.
Guys... Alzheimer's is 60-80% heritable, and driven largely by APOE genotype. No, you cannot get out of it with One Quick Trick. We have to find therapeutics to make real progress here.
This kind of misdirection is not helpful to the research community, or encouraging politicians to fund effective projects. Everyone WANTS a quick lifestyle change and will latch onto these things, but this is a real biological disease that needs real molecular fixes. Sorry, it's just how it is.
Half of people with Alzheimer's carry at least one APOE ε4 allele. However, a full quarter of the population carries that mutation, and most carriers never go on to develop Alzheimer's. Lifestyle matters a lot here.
This kind of misdirection is not helpful for educating people on changes they can make now to reduce their risk, rather than waiting for a silver bullet. Alzheimer's research is well-funded in the US as the octogenarians running our congress are personally invested in it.
To the extent that lifestyle helps, which is not zero, you need to exercise. "Become a cabbie" is NOT an intervention that is going to help whatsoever.
Taxi Drivers: The mean age at death is approximately 67.8 years.
General Population: in the same dataset, life expectancy averaged 74 years.
The average age at which patients are typically diagnosed with Alzheimer's disease is 79.
People in these jobs don't live long enough on average to get diagnosed, at the same rate. The same effect will happen in any job that lowers your life expectancy.
That's very interesting but why do taxi drivers have a job that lowers life expectancy? Is it because they're sitting too much? Or because they're inhaling CO from cars too much? Or staying inside (the car) too much? Or is it just stressful?
For from the look of it it doesn't look like an exceptionally hard job (btw a brother of mine did years of "VTC": "Vehicule de Tourisme avec Chauffeur", basically high-end taxis without the "taxi" logo).
> In one landmark 2000 study, neuroscientists compared the brains of licensed London taxi drivers with those of people who did not drive cabs.
Location is very important here. London cabbies have to pass The Knowledge which is an extremely difficult memory exam that only people with particular kind of brain can do.
The first study referenced is in the US, and across 443 occupations.
Indeed. Elsewhere in the world taxi drivers just follow the GPS.
We had taxis long before GPS.
When I was in my early 20s I had a job delivering pizza. I very quickly learned the delivery area, I knew pretty much every street and alleyway and shortcut to get from one place to another. Much smaller than London but I think the human brain is very good at remembering routes and where things are in an area, as this would have been an evolutionary advantage (go out hunting and be able to find your way back). No GPS, didn't even carry a map with me. We had a large map on the wall at the store, and if I had to deliver to a street I didn't recognize I'd find it on the map, see where it was relative to the streets I did know, and then I never had any problem finding places.
My 2019 car had the cardinal directions in the mirror (N, NE, E, ES, S etc). My 2025 does not anymore. I hate it. I think it helps to get that baseline of orientation, and then you look at the street numbers, and it all starts to come together.
Pretty much my only issue with CarPlay is that I can’t seem to set the map so that north is up. It turns everything into “third right ahead” instead of “this is just 2 blocks east of that coffee shop I was at last week”.
Same. First thing they had me buy was a map book with all the local neighborhoods. The map on the wall helped get shortcuts from others. This is where I learned the difference between the different kinds of shortcuts. Some saved time, others distance, and some even potholes. It was a fun time.
I find the title highly misleading. The actual claim is a 40% lower chance (1 in 100 as opposed to 1 in 60) for taxi and ambulance drivers when compared to the average. That’s a big drop but the title implies that Alzheimer’s is rare in taxi drivers specifically and I don’t think the difference warrants that claim whatsoever.
The ones that do stopped being taxi drivers.
True, though the article does also mention another study not based on taxi drivers, but just living in high spatial complexity ZIP codes puts you at a lower risk.
> Research on cognitive maps points toward the same conclusion as the study on taxi drivers. In 2023, researchers ran a machine learning model on more than 22,500 people in a national dataset and were able to predict which ZIP codes had higher rates of Alzheimer’s with 84% accuracy based on how complex the environment was. Those living in spatially complex surroundings – the kind that force active map building, such as dense street networks with numerous intersections, diverse points of interest and landmarks, and multiple path options – were less likely to develop Alzheimer’s.
or there's a million confounding factors around people living in dense cities versus rural areas
I guessed the probably died in a car accident or of something related to pollution exposure or being sedentary their entire adult lives.
I would assume that the task of being a taxi driver would act as a near constant test for Alzheimer’s, would be interesting to do GWAS studies on older taxi drivers and compare against taxi drivers who quit earlier in their careers.
Yeah, that was the first thing that comes to mind.
And the second thing: What about modern taxi drivers that rely almost exclusively on GPS?
Something with more data:
https://pmc.ncbi.nlm.nih.gov/articles/PMC3920458/
Seems strange to me that a specific type of thinking could influence something where most causes being investigated are physical
Unless the arrow of causality is the other way: those that would tend to develop memory problems do not become or remain as Taxi drivers.
Right, so we're speedrunning the studies here. Best to just stopover on TFA and see what they found.
For example, airline pilots do not have a reduced level of alzheimers deaths, and that _certainly_ is not a place where you can coast with dementia.
And taxi drivers have _increasing_ anti-Alzheimer signals - with time, the areas that are known to diminish grow _more_.
Not strange when you realize thinking is also physical.
Wouldn’t thinking be like exercise for the mind? And we know what happens to people that don’t exercise
Perhaps specific types of thinking cause somewhat sustained brain activity during waking hours that mitigates adverse physical changes leading to Alzheimer’s.
The opposite of this is how sleep and unconsciousness allows the brain to perform cerebrospinal fluid transfer based maintenance routines via the glymphatic system, and why sleep is important to neural health.
https://www.science.org/content/article/scientists-uncover-h...
My grandfather was a taxi driver and delivery driver for many years. He made it to 93 and I don't recall him dealing with any cognitive decline. He used to tell me different routes to get to a stadium that was closed before I was even born.
Taxi driver also live shorter lives than average, which would fit with lower levels of alzheimers. But interesting link nonetheless.
Can video games provide similar benefits?
I’m sure Crazy Taxi provides the same benefits! :)
The thing about taxi drivers is that they have something at stake, while video games have no fail state effectively. You can be punished in-game, but overall it does not matter.
Also video games in general are pretty derivative, so playing the same genre probably won't help much after a certain point. But playing different ones can be very helpful, I imagine (same with other mediums).
Yeah but, Taxi drivers usually don't hop around from place to place. They work in a specific metro area.
I assume there is enough variation to be aware of -- seasons change, constructions, car crashes, so you need to alter the route a bit. Today you have the maps with navigation, but I assume you still need to be quite aware on where to park, where is the best entrance to some places, etc. So you basically need to keep some fresh info on top of your mind.
Maybe when played at a high level. But too many games are too casual without much mental effort.
I mean, they should be. Games are for fun, not for work.
Guys... Alzheimer's is 60-80% heritable, and driven largely by APOE genotype. No, you cannot get out of it with One Quick Trick. We have to find therapeutics to make real progress here.
This kind of misdirection is not helpful to the research community, or encouraging politicians to fund effective projects. Everyone WANTS a quick lifestyle change and will latch onto these things, but this is a real biological disease that needs real molecular fixes. Sorry, it's just how it is.
Half of people with Alzheimer's carry at least one APOE ε4 allele. However, a full quarter of the population carries that mutation, and most carriers never go on to develop Alzheimer's. Lifestyle matters a lot here.
This kind of misdirection is not helpful for educating people on changes they can make now to reduce their risk, rather than waiting for a silver bullet. Alzheimer's research is well-funded in the US as the octogenarians running our congress are personally invested in it.
To the extent that lifestyle helps, which is not zero, you need to exercise. "Become a cabbie" is NOT an intervention that is going to help whatsoever.