Spring Arbor Living Blog

While no one can promise a sure-fire treatment for memory care, there are strategies that can significantly improve your chances of keeping Alzheimer's at bay...Introducing: “How to Protect Your Memory and Brain Health”.

8 Key Strategies Focused on Saving Your Memory With Evidence-Based Research to Support Each Step

Dr. Peter V. Rabins is an acclaimed author and geriatric psychiatrist at Johns Hopkins - and one of the nation's leading experts on the care and management of patients with Alzheimer's disease and other forms of dementia.

If someone told you there were eight straightforward steps you could take to dramatically enhance your quality of life and reduce or delay your chances for memory deterioration, what would you do?

Many experts believe that once you understand your various risk factors for cognitive decline, take control of them, and follow through with the evidence-based strategies detailed in How To Protect Your Memory and Brain Health, you'll be in a better position to keep your memory strong well into later life.

For example, do you know?

What's the best way to guard your memory and prevent dementia?

If you answered, stay heart healthy, you'd be right. And Dr. Rabins explains why with evidence from recent studies in the Archives of Internal Medicine. Controlling high blood pressure and cardiovascular disease are absolutely critical to cognitive function. Dr. Rabins explains how to take charge.

What are the effects of too little sleep on keeping your memory sharp?

Many of us have trouble sleeping at night. No big deal -- right? Now new studies show that getting adequate sleep plays an essential role in learning new information, relating to names, dates, faces, facts, specific events - in short forming memory.

What's so special about the Mediterranean diet?

For years the marketing and promotion of dietary supplements that claim to enhance memory have left many people confused and wary. Now recent evidence-based research reported in the Annals of Neurology suggests that people who closely follow the Mediterranean diet have a 40 percent lower risk of Alzheimer's disease. The take-away: The food you eat, not the pills, can prevent or slow the rate of cognitive decline.

How does regular physical activity protect memory and reduce the risk of Alzheimer's?

Studies investigating the exercise/memory/dementia link have shown positive outcomes in recent years. Dr. Rabins provides an in-depth look at a number of key studies to show you the benefits of regular exercise... and how to incorporate exercise into your schedule.

How does stress affect memory?

We all know that living a stress-filled life is unhealthy. Turns out stress is worse for us than we thought. Johns Hopkins researchers have linked high levels of the stress hormone cortisol with poor cognitive performance in older adults. And another study, reported in the journal Neurology, found that depressed and anxious people are 40 percent more likely to develop mild cognitive impairment. In this fascinating section, Dr. Rabins provides key "stress erasers" - proactive steps you can take to reduce the stress in your life.

Every day, scientists are proving that diminished memory and mental capacity are NOT inevitable - and can be slowed, halted or even reversed through good nutrition, lifestyle habits and more. Even Alzheimer's disease is not something that suddenly occurs in old age. Rather, it's a continuum of illnesses that gets its start decades earlier without any symptoms.

So it makes sense that if we could find a way to keep our brains healthier and better able to counter the damage that occurs with age, we could better the odds of preserving memory and preventing or forestalling Alzheimer's and other dementias.

A recent report from the National Institutes of Health supports this view. It provides evidence that vascular disease risk factors - including mid-life hypertension, high cholesterol and diabetes - can all predispose someone to developing memory problems-even Alzheimer's.

While this may not sound like good news - it is.

Because it points the way to the importance of effective prevention strategies - strategies you can begin today to keep your brain healthier, longer.

Johns Hopkins Health Alerts

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Scientists are reporting that fasting one or two days a week can boost your brain health and increase longevity.

The study comes from the National Institute on Aging, where researchers looked at whether intermittent fasting—eating no more than 500 calories per day, one or two days per week—could help protect the brain against Alzheimer’s, Parkinson’s and other degenerative diseases. The results in both animals and humans so far have been promising.

That’s not surprising. Earlier this month, Mayo Clinic researchers reported that overeating can double the risk of memory loss in older adults. There’s increasing evidence of links between obesity, diabetes and dementia, and that things like trans fats can cause brain shrinkage.

Conversely, the effects of a low-calorie diet on longevity and brain health are well known. Rats and mice on calorie-restricted diets have increased their lifespan by up to 40%.
 
But consistently keeping caloric intake low is something not a lot of people have the desire or willpower to do—which is why NIA researchers want to see whether regular, short-term bursts of Calorie Reduction could have the same effect. Or maybe it could work even better. Mark Mattson, head of the NIA’s neuroscience laboratory, thinks overall calorie restriction “is not likely to be the best method of triggering” brain protection.

However, the Alzheimer’s association and many studies have proved that: ”The best way to cut down your chances of developing dementia is to combine a balanced diet with regular exercise, not smoking, and getting your blood pressure and cholesterol regularly checked.”

The research on the interplay of diet, brain health and longevity is fascinating and important. Eating for health requires an overall commitment. The upside is that cutting back on processed foods and eating a diet high in Omega-3′s, fruits, vegetables and whole grains can also boost or extend your brain’s health.

Blisstree

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Even moderate exercise can increase the size of your brain. The best thing you can do to keep your brain healthy is to get off the couch go for a brisk walk. Just one year of walking three times a week can increase the size of the hippocampus, a part of the brain that's key to memory.

Scientists know that the hippocampus begins to shrink as we age, leading to impaired memory and an increased risk of dementia. Researchers have shown that aerobic exercise can reverse the shrinkage and improve memory, a finding that builds on past evidence pointing to a relationship between fitness and brain function.

"This important study goes well beyond saying that exercise is good for older people, a statement that often leads people to roll their eyes and say, 'Of course,' " says Columbia University neurologist Scott Small, M.D. "It links exercise specifically to a way in which aging affects the brain and clearly establishes a means to slow the onset of age-related memory loss."

For the study, researchers from the University of Pittsburgh, the University of Illinois, Rice University and Ohio State University recruited 120 sedentary older people without dementia.

The men and women, 55 to 80 years old who in the previous six months had participated in less than one weekly session of physical activity lasting at least 30 minutes.

The participants were randomly assigned to one of two supervised groups, either an aerobic exercise program of walking around a track for 40 minutes a day, three days a week, or a program of yoga and toning with resistance bands. They provided blood samples, had MRI brain scans and took memory tests at the beginning of the one-year study, after six months and at the end.

After the study ended, brain scans showed that the hippocampus had increased in size by about 2% among the walking group, which effectively reversed age-related loss by one to two years, while it shrank by about 1.4% in the stretching group. The exercise group also showed improved performance on a memory test and increased levels of BDNF, a protein involved in learning and memory.

This is an inexpensive and painless way to improve memory and brain health. All you need is a good pair of shoes.

AARP

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In the last 15 years, the number of men caring for loved ones with Alzheimer's or dementia has more than doubled, from 19 to 40%, according to the Alzheimer's Association. The trend mirrors the higher number of women over the age of 65 in the U.S. with the disease - 3.4 million compared to 1.8 million men. Those demographics have changed the tone of local support group meetings by adding a chorus of male perspectives.

It has also prompted an outpouring of new books, organizations and online resources for men learning how to be nurturers.

Experts attribute the increase in male caregivers to several societal changes, including evolving gender expectations as well as new life expectancy rates.

“Men say, 'this is hard. It's challenging, I didn't realize we would ever be at this point, but I'm not giving up,'" said Edrena Harrison, a social worker and specialist for the National Caregiving Center.

The sentiment is shared by some husbands, who find themselves making dinner, doing laundry and coordinating doctor's appointments for the first time as senior citizens.

In 2010, doctors diagnosed Patti with frontotemporal dementia. She is now unable to drive, perform simple household tasks or follow and participate in conversations.

Since then, her husband has sharpened his cooking skills. He took over the household duties and has grown used to guiding Patti through conversations with friends and family. He also joined a support group for caregivers of those with dementia to learn how to cope with and handle the new lifestyle.

He fears the day when she needs more help than he can provide, and he wants to find an assisted living facility for memory care that he can trust.

But for now, he said, he does what he can for his wife.

Philly.com

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For the first time in almost 30 years there is a new definition for what it means to have Alzheiimer’s Disease. New guidelines were issued to diagnose the disease. It is the only leading disease that has no cure and no treatment. These new Guidelines will hopefully allow doctors to intervene faster and earlier.

for the first time, using the new guidelines, Doctors can diagnose MCI which is forgetfulness beyond natural aging. Without intervention, 80% of these patients will develop Alzheimer's disease within seven years. These people are candidates for clinical trials. Being diagnosed earlier, means intervention earlier as well as preparedness for memory care. Early detection and intervention also helps those family members that would eventually end up as care givers.
 
What is forgetfulness beyond normal aging? If you are concerned, or those around  you are concerned, consult your physician. Watch the below video for more information on the new guidelines for diagnosing Alzheimer's Disease.

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While no one can promise a sure-fire treatment to prevent memory loss, there are strategies that can significantly improve your chances of keeping Alzheimer's at bay.

How to Protect Your Memory and Brain Health

8 Key Strategies Focused on Saving Your Memory

Dr. Peter V. Rabins, acclaimed author and geriatric psychiatrist at Johns Hopkins - and one of the nation's leading experts on the care and management of patients with Alzheimer's disease and other forms of dementia and memory care.

If someone told you there were eight straightforward steps you could take to dramatically enhance your quality of life and reduce or delay your chances for memory deterioration, what would you do?

Many experts believe that once you understand your various risk factors for cognitive decline, take control of them, and follow through with the evidence-based strategies detailed in How To Protect Your Memory and Brain Health, you'll be in a better position to keep your memory strong well into later life.

For example, do you know:

What's the best way to guard your memory and prevent dementia?

If you answered, stay heart healthy, you'd be right. And Dr. Rabins explains why with evidence from recent studies in the Archives of Internal Medicine. Controlling high blood pressure and cardiovascular disease are absolutely critical to cognitive function. Dr. Rabins explains how to take charge.

What are the effects of too little sleep on keeping your memory sharp?

Many of us have trouble sleeping at night. No big deal -- right? Now new studies show that getting adequate sleep plays an essential role in learning new information, relating to names, dates, faces, facts, specific events - in short forming memory.

What's so special about the Mediterranean diet?

For years the marketing and promotion of dietary supplements that claim to enhance memory have left many people confused and wary. Now recent evidence-based research reported in the Annals of Neurology suggests that people who closely follow the Mediterranean diet have a 40 percent lower risk of Alzheimer's disease. The take-away: The food you eat, not the pills, can prevent or slow the rate of cognitive decline.

How does regular physical activity protect memory and reduce the risk of Alzheimer's?

Studies investigating the exercise/memory/dementia link have shown positive outcomes in recent years. Dr. Rabins provides an in-depth look at a number of key studies to show you the benefits of regular exercise... and how to incorporate exercise into your schedule.

How does stress affect memory?

We all know that living a stress-filled life is unhealthy. It turns out that stress is worse for us than we thought. Johns Hopkins researchers have linked high levels of the stress hormone cortisol with poor cognitive performance in older adults. And another study, reported in the journal Neurology, found that depressed and anxious people are 40% more likely to develop mild cognitive impairment. In this fascinating section, Dr. Rabins provides key "stress erasers" - proactive steps you can take to reduce the stress in your life.

Every day, scientists are proving that diminished memory and mental capacity are NOT inevitable - and can be slowed, halted or even reversed through good nutrition, lifestyle habits and more. Even Alzheimer's disease is not something that suddenly occurs in old age. Rather, it's a continuum of illnesses that gets its start decades earlier without any symptoms.

So it makes sense that if we could find a way to keep our brains healthier and better able to counter the damage that occurs with age, we could better the odds of preserving memory and preventing or forestalling Alzheimer's and other dementias.

A recent report from the National Institutes of Health supports this view. It provides evidence that vascular disease risk factors - including mid-life hypertension, high cholesterol and diabetes - can all predispose someone to developing memory problems-even Alzheimer's.

While this may not sound like good news - it is.

Because it points the way to the importance of effective prevention strategies - strategies you can begin TODAY to keep your brain healthier, longer.

Original article – Johns Hopkins Health Alerts

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Alzheimer's Disease isn't inevitable. Many experts now believe you can prevent or delay dementia — even if you have a genetic predisposition. Reducing Alzheimer's risk factors like obesity, diabetes, smoking and low physical activity by just 25% percent could prevent up to half a million cases of the disease in the United States.

Regular exercise can keep your brain young, reducing your need for memory care.

Here are 10 new ways you can boost your brain health now.

1) Get moving
"If you do only one thing to keep your brain young, exercise," says Art Kramer, professor of psychology and neuroscience at the University of Illinois. Higher exercise levels can reduce dementia risk by 30 to 40% compared with low activity levels, and physically active people tend to maintain better cognition and memory than inactive people. "They also have substantially lower rates of different forms of dementia, including Alzheimer's disease," Kramer says.

 2) Pump some iron
Older women who participated in a yearlong weight-training program at the University of British Columbia at Vancouver did 13% better on tests of cognitive function than a group of women who did balance and toning exercises.
 
 3) Learn new skills
Learning spurs the growth of new brain cells. "When you challenge the brain, you increase the number of brain cells and the number of connections between those cells. But it's not enough to do the things you routinely do "says Keith L. Black, M.D., chair of neurosurgery at Cedars-Sinai Medical Center in Los Angeles.

4) Reduce Stress
Chronic stress floods your brain with cortisol, which leads to impaired memory. Mindfulness-based stress reduction (MBSR), which involves focusing one's attention on sensations, feelings and state of mind,  has been shown to reduce harmful stress hormones.
 
5) Eat like a Greek
A heart-friendly Mediterranean diet, fish, vegetables, fruit, nuts and beans, reduced Alzheimer's risk by 34 to 48% in studies conducted by Columbia University.

These fats may be equally important for maintaining a healthy brain and memory care.

6) Spice it up
Your brain enjoys spices as much as your taste buds do. Herbs and spices such as black pepper, cinnamon, oregano, basil, parsley, ginger and vanilla are high in antioxidants, which may help build brainpower. Scientists are particularly intrigued by curcumin. Indians have lower incidence of Alzheimer's, and one theory is it's the curcumin.

7) Find your purpose
Discovering your mission in life can help you stay sharp. Participants who approached life with clear intentions and goals at the start of the study were less likely to develop Alzheimer's disease over the following seven years.

8) Get a social life
Having multiple social networks helps lower dementia risk and your need for memory care. A rich social life may protect against dementia by providing emotional and mental stimulation. Other studies yield similar conclusions: Subjects in a University of Michigan study did better on tests of short-term memory after just 10 minutes of conversation with another person.

9) Reduce your risks
Chronic health conditions like diabetes, obesity and hypertension are often associated with dementia. Diabetes, for example, roughly doubles the risk for Alzheimer's and other forms of dementia. Controlling these risk factors can slow the tide.

10) Check vitamin deficiencies
Older adults don't always get all the nutrients they need from foods, because of declines in digestive acids or because their medications interfere with absorption. That vitamin deficit — particularly vitamin B12 — can also affect brain vitality.

AARP

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Reading, playing a variety of games, and doing other intellectual pursuits on a daily basis over the course of a lifetime could help prevent the formation of amyloid plaques that cause Alzheimer’s disease. But for the most benefit we may need to get our brains engaged early in life - years or decades before we need memory care.

In the first study of its kind, researchers examined the amount of beta amyloid deposits in the brains of healthy seniors with no signs of dementia and found that those who reported doing daily brainy activities from the age of 6 onward had very low levels of amyloid plaque - on par with of an average person in their early 20s. Those who do not engage in intellectual activities had higher plaque levels, according to the study.

This could mean that by the time people need memory care, it may be too late to prevent further progression of Alzheimer’s.

“It was fascinating to see that those who do not have high levels of cognitive activity had high levels of these plaques,’’ said study leader Susan Landau, a research scientist at the University of California-Berkeley’s Neuroscience Institute. “We assume many of the healthy people with amyloid plaques will go on to develop Alzheimer’s later on, though the imaging technology hasn’t been around long enough to confirm this.’’

Previous research indicates that the plaque forms in areas of the brain associated with default behaviors that we do automatically, such as brushing our teeth or driving a car while we’re daydreaming.

“I think it’s a little too early to say that there is a cause and effect relationship, but the finding is intriguing,’’ Sperling said, and “I definitely think there’s enough data now to encourage’’ people to make lifestyle changes - the earlier, the better.

Researchers discovered some time ago that the kinds of learning activities most beneficial for reducing the need of memory care as we age combines physical activity, social networking, and learning a new skill.

It is also clear that there’s a genetic component involved in the need for memory care as we age. Sperling said,  “But [genes] could play a much stronger role in those who develop Alzheimer’s before age 65’’ compared with those who develop it a decade or two later.

Original article – BostonGlobe.com

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