Health experts are highlighting mahjong, a centuries-old Chinese tile game, for its potential to boost brain health and reduce the risk of cognitive decline.
Mahjong, which translates to “sparrow” in Chinese—possibly referring to the clicking sound of shuffled tiles—originated in China in the mid-to-late 1800s. The four-player game spread internationally in the 1920s and has remained popular worldwide, including among celebrities such as Julia Roberts and Meghan Markle, who have praised it for keeping their minds sharp.
Studies suggest mahjong may help slow cognitive decline, particularly among older adults. A 2020 study by North Sichuan Medical University found that elderly participants with mild cognitive impairment who played mahjong for 12 weeks showed significant improvements in executive function, including decision-making and problem-solving, as well as overall cognitive scores.
Internal medicine physician Dr Raj Dasgupta described mahjong as an effective way to support memory, focus, and mental agility. He added that its social nature helps reduce stress and improve mood, making it more beneficial than solo games like sudoku or solitaire.
Family medicine specialist Dr Castel Santana noted that while most research focuses on adults aged 65 and above, younger people could also benefit cognitively and socially, though more studies are needed.
Entrepreneur Megan Trottier, founder of mahjong brand Oh My Mahjong, is helping popularise the game among younger generations. She said playing two to three times a week can keep the brain engaged, while even weekly play may offer benefits if done consistently.
With affordable sets widely available, health experts say mahjong is an accessible way to stay mentally active while fostering meaningful social connections—an increasingly valuable combination in today’s digital age.
