A three-times-per-week, 6-month Tai Chi program is effective in decreasing the number of falls, the risk for falling, and the fear of falling, and it improves functional balance and physical performance in physically inactive persons aged 70 years or older.

We examined the neural basis of self-regulation in individuals from a cohort of preschoolers who performed the delay-ofgratification task 4 decades ago. Nearly 60 individuals, now in their mid-forties, were tested on "hot" and "cool" versions of a go/ nogo task to assess whether delay of gratification in childhood predicts impulse control abilities and sensitivity to alluring cues (happy faces). Individuals who were less able to delay gratification in preschool and consistently showed low self-control abilities in their twenties and thirties performed more poorly than did high delayers when having to suppress a response to a happy face but not to a neutral or fearful face. This finding suggests that sensitivity to environmental hot cues plays a significant role in individuals' ability to suppress actions toward such stimuli. A subset of these participants (n = 26) underwent functional imaging for the first time to test for biased recruitment of frontostriatal circuitry when required to suppress responses to alluring cues. Whereas the prefrontal cortex differentiated between nogo and go trials to a greater extent in high delayers, the ventral striatum showed exaggerated recruitment in low delayers. Thus, resistance to temptation as measured originally by the delay-of-gratification task is a relatively stable individual difference that predicts reliable biases in frontostriatal circuitries that integrate motivational and control processes.reward | behavioral suppression | functional MRI | inferior frontal gyrus | longitudinal T he ability to resist temptation in favor of long-term goals is an essential component of individual, societal, and economical success. Developmentally, this ability has been assessed by measuring how long a young child can resist an immediate reward (e.g., a cookie) in favor of a larger, later reward (e.g., two cookies) (1). Even as adults we vary in our ability to resist temptations. Alluring situations can diminish our control (2-4); what serves as an alluring situation that requires a capacity to control our impulses, however, changes as a function of age (e.g., from cookies to social acceptance). In the present study we examined the extent to which individual differences in delay of gratification assessed when participants were in preschool and in their 20s and 30s predict control over impulses and sensitivity to social cues at the behavioral and neural level when the participants were in their 40s.Delay of gratification depends importantly on cognitive control (5). Cognitive control refers to the ability to suppress competing inappropriate thoughts or actions in favor of appropriate ones (6-11). Previously, we have shown that performance on the delay-of-gratification task in childhood predicts the efficiency with which the same individuals perform a cognitive control task (the go/nogo task) as adolescents and young adults (5). Individuals who as preschoolers directed their attention toward rewarding aspects of the classic delay-of-gratification situation, such as focusing on the cookie...

In the 1960s, Mischel and colleagues developed a simple 'marshmallow test' to measure preschoolers' ability to delay gratification. In numerous follow-up studies over 40 years, this 'test' proved to have surprisingly significant predictive validity for consequential social, cognitive and mental health outcomes over the life course. In this article, we review key findings from the longitudinal work and from earlier delay-of-gratification experiments examining the cognitive appraisal and attention control strategies that underlie this ability. Further, we outline a set of hypotheses that emerge from the intersection of these findings with research on 'cognitive control' mechanisms and their neural bases. We discuss implications of these hypotheses for decomposing the phenomena of 'willpower' and the lifelong individual differences in self-regulatory ability that were identified in the earlier research and that are currently being pursued.