Category Archives: cognitive decline

10 Warning signs of dementia – Infographic

You don’t have to be a senior to suffer from cognitive impairment. Here are some hopefully helpful hints for self-assessment from the Alzheimer’s Association.

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Older People Less Apt to Recognize Their Mistakes – Study

The older you get, the less apt you may be to recognize that you’ve made an error. As a senior citizen I find that statement slightly annoying and also probably to a large extent true.

In a new study, University of Iowa researchers devised a simple, computerized test to gauge how readily young adults and older adults realize when they’ve made a mistake.

Older adults performed just as well as younger adults in tests involving looking away from an object appearing on the screen. But younger adults acknowledged more often than older adults when they failed to look away from the object. And, older adults were more likely to be adamant that they did not made a mistake.

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The research offers new insight how older people perceive their decisions, and especially how they view their performance–whether judging their own ability to drive or how regularly they believe they’ve taken medications.

“The good news is older adults perform the tasks we assigned them just as well as younger adults, albeit more slowly,” says Jan Wessel, assistant professor in the UI Department of Psychological and Brain Sciences and the study’s corresponding author. “But we find there is this impaired ability in older adults to recognize an error when they’ve made one.” Continue reading

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Cognitive and motor training combined may slow progress of dementia or even reverse it – Study

I have written repeatedly about the benefits of exercise on the brain’s health. Now, it seems that you can combine exercise with cognitive training for positive results.

Researchers at York University’s Faculty of Health found that just 30 minutes of visually-guided movements per week can slow and even reverse the progress of dementia. Those in the early stages of dementia who were exposed to 30 minutes a week to a game which used rules to make visually-guided movements, were able to slow down the progress of dementia and for some, even reverse their cognitive function to healthy status.

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Previous approaches have used cognitive training alone or aerobic exercise training alone. This study published in Dementia and Geriatric Disorders, is the first to investigate the impact of combining both types of approaches on cognitive function in elderly people with various degrees of cognitive defects.

“We found cognitive-motor integration training slows down the progress of dementia, and for those just showing symptoms of dementia, this training can actually revert them back to healthy status, stabilizing them functionally,” says lead researcher, Lauren Sergio, professor in the School of Kinesiology and Health Science and Centre for Vision Research at York University. Continue reading

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Diet, Gut Microbes and Cognitive Decline Connected – Study

Researchers from Rush University Medical believe their new study will provide a mechanistic understanding of how our microbiome and diets can impact the development of Alzheimer’s disease. The study will aim to provide evidence of possible diet induced effects on gut bacteria, which could influence age associated cognitive decline.

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The study will recruit 300 volunteers from another study, the Chicago MIND cohort, which aims to show whether a dietary intervention can prevent cognitive decline and age-associated changes in the brain. NeuroscienceNews.com image is in the public domain.

Are abnormal intestinal microorganisms a risk factor for developing cognitive impairment? Researchers at Rush University Medical Center are trying to answer that question with a new study that will explore how the intestinal microbiota – the bacteria in the intestine –influence the progression of cognitive decline and the development of Alzheimer’s disease.

Health care providers and researchers increasing are recognizing that the intestinal microbiota – also known as the microbiome – affects health. The human intestine contains tens of trillions of microorganisms, and humans have developed a symbiotic relationship with these bacteria in. Continue reading

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Healthy eating and exercise help to slow down cognitive decline – Study

It’s good to see that exercise is being considered as one of the tools in dealing with cognitive decline in seniors. Eat less; move more; live longer. You don’t have to wait till you are in your senior years to practice them.

A comprehensive program providing older people at risk of dementia with healthy eating guidance, exercise, brain training, and management of metabolic and vascular risk factors appears to slow down cognitive decline, according to the first ever randomized controlled trial of its kind, published in The Lancet.

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In the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) study, researchers led by Professor Miia Kivipelto from the Karolinska Institutet in Stockholm, Sweden, National Institute for Health and Welfare in Helsinki, and University of Eastern Finland, assessed the effects on brain function of a comprehensive intervention aimed at addressing some of the most important risk factors for age-related dementia, such as high body-mass index and heart health. Continue reading

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Olfactory dysfunction tied to cognitive dysfunction in some seniors – Study

The expression the nose knows appears to have more relevance as we age according to this study of German seniors.

In a large population-based study of randomly selected participants in Germany, researchers found that participants aged 65-74 years with olfactory dysfunction showed impaired cognitive performance. Interestingly, this strong association was not present in younger (55-64 years) or older (75-86 years) participants. Additionally, the effect was more present in women than men.

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In neurodegenerative diseases like Parkinson’s and Alzheimer’s disease (AD), olfactory function is diminished. Further, olfactory dysfunction precedes the onset of cognitive impairment within AD, which highlights its potential as biomarker for early, preclinical diagnosis. Several studies suggest that olfactory dysfunction predicts progression from normal cognitive functioning to mild cognitive impairment and AD. There is little evidence for this association concerning different age stages and gender differences. Continue reading

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Common Class of Drugs Linked to Dementia, Even When Taken 20 Years Before Diagnosis

Well, this is certainly a bit unnerving. The opposite side of the coin of exercising to remain healthy and prevent illness is taking medication once you become ill. Here are two widely used drugs that may have dire consequences on the patient years later.

Summary: Researchers have identified a link between anticholinergic medications, including antidepressants and incontinence drugs, and an increased risk of developing dementia later in life. Source: Regenstrief Institute.

The largest and most detailed study of the long-term impact of anticholinergic drugs, a class of drugs commonly prescribed in the United States and United Kingdom as antidepressants and incontinence medications, has found that their use is associated with increased risk of dementia, even when taken 20 years before diagnosis of cognitive impairment.

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An international research team from the US, UK and Ireland analyzed more than 27 million prescriptions as recorded in the medical records of 40,770 patients over age 65 diagnosed with dementia compared to the records of 283,933 older adults without dementia.

The researchers found greater incidence of dementia among patients prescribed anticholinergic antidepressants, anticholinergic bladder medications and anticholinergic Parkinson’s disease medications than among older adults who were not prescribed these drugs.

Dementia increased with greater exposure to anticholinergic medications.

“Anticholinergic Medication and Risk of Dementia: Case-control Study” is published in BMJ (formerly the British Medical Journal) an international peer-reviewed medical journal.

“Anticholinergics, medications that block acetylcholine, a nervous system neurotransmitter, have previously been implicated as a potential cause of cognitive impairment,” said Regenstrief Institute and Indiana University Center for Aging Research investigator Noll Campbell, PharmD, MS, a co-author of the new BMJ study. “This study is large enough to evaluate the long-term effect and determine that harm may be experienced years before a diagnosis of dementia is made.” Dr. Campbell is also an assistant professor of pharmacy practice at Purdue University College of Pharmacy.

“These findings make it clear that clinicians need to carefully consider the anticholinergic burden of their patients and weigh other options,” said study co-author Malaz Boustani, M.D., MPH, a Regenstrief Institute and IU Center for Aging Research investigator. Dr. Boustani is the founder of the Indiana Clinical and Translational Science Institute’s IU Center for Health Innovation and Implementation Science and the Richard M. Fairbanks Professor of Aging Research at IU School of Medicine.

“Physicians should review all the anticholinergic medications – including over-the-counter drugs – that patients of all ages are taking and determine safe ways to take individuals off anticholinergic medications in the interest of preserving brain health,” Dr. Boustani said.

The study, which was led by the University of East Anglia and funded by the Alzheimer’s Society, both in the UK, utilized data from the Clinical Practice Research Datalink which includes anonymized diagnosis, referral and prescription records for more than 11 million patients from 674 primary care practices across the UK. The data is broadly representative of the UK population in terms of age, sex and ethnicity.

“This research is really important because there are an estimated 350 million people affected globally by depression. Bladder conditions requiring treatment are estimated to affect over 13 percent of men and 30 percent of women in the UK and US,” said study lead researcher George Savva, PhD, visiting researcher at University of East Anglia’s School of Health Sciences.

“We don’t know exactly how anticholinergics might cause dementia,” said study co-author Chris Fox, MD, professor of clinical psychiatry at UEA’s Norwich Medical School and a consultant psychiatrist. “Further research is needed to understand possible reasons for this link. In the meantime, I strongly advise patients with any concerns to continue taking their medicines until they have consulted their doctor or pharmacist.”

Study co-author Ian Maidment, PhD, senior lecturer in clinical pharmacy at Aston University in the UK, said: “With many medicines having some anticholinergic activity, one key focus should be de-prescribing. Clinical staff, patients and carers need to work together collaboratively to limit the potential harm associated with anticholinergics.”

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Diet, exercise and brain training counter cognitive decline

This is wonderful news. I love everything about it. My blog is based on exactly these principles. Eat intelligently and get your exercise and your brain will benefit in your declining years. Well done!

A comprehensive program providing older people at risk of dementia with healthy eating guidance, exercise, brain training, and management of metabolic and vascular risk factors appears to slow down cognitive decline, according to the first ever randomized controlled trial of its kind, published in The Lancet.

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In the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) study, researchers led by Professor Miia Kivipelto from the Karolinska Institutet in Stockholm, Sweden, National Institute for Health and Welfare in Helsinki, and University of Eastern Finland, assessed the effects on brain function of a comprehensive intervention aimed at addressing some of the most important risk factors for age-related dementia, such as high body-mass index and heart health. Continue reading

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Cognitive Training Helps Regain a Younger-Working Brain

Relentless cognitive decline as we age is worrisome, and it is widely thought to be an unavoidable negative aspect of normal aging. Researchers at the Center for Brain Health at The University of Texas at Dallas, however, say their research could provide new hope for extending our brain function as we age.

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In a randomized clinical study involving adults age 56 to 71 that recently published in Neurobiology of Aging, researchers found that after cognitive training, participants’ brains were more energy efficient, meaning their brain did not have to work as hard to perform a task.

Dr. Michael Motes, senior research scientist at the Center for BrainHealth and one of the lead authors of the study, said, “Finding a nonpharmacological intervention that can help the aging brain to perform like a younger brain is a welcome finding that potentially advances understanding of ways to enhance brain health and longevity. It is thrilling for me as a cognitive neuroscientist, who has previously studied age-related cognitive decline, to find that cognitive training has the potential to strengthen the aging brain to function more like a younger brain.” Continue reading

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6 Ways to a better memory – Infographic

When I was in the working world, my memory was constantly being tested. Now that I am retired my memory concerns have morphed. Being a senior citizen, I feel more aware of and am more concerned about my memory for non-professional, but very personal, reasons. I have suffered from senior moments ever since I was in my fifties. I hope that is all they are and not a prelude to any serious cognitive situations. I thought this little infographic on building up your memory might be useful to you no matter what your age is.

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A salad a day may keep memory problems away – Study

If an apple a day keeps the doctor away, perhaps we finally have a follow up for seniors worried about slippage in cognition.

Eating about one serving per day of green, leafy vegetables may be linked to a slower rate of brain aging, according to a study published in the December 20, 2017, online issue of Neurology®, the medical journal of the American Academy of Neurology.

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The study found that people who ate at least one serving of green, leafy vegetables a day had a slower rate of decline on tests of memory and thinking skills than people who never or rarely ate these vegetables. The difference between the two groups was the equivalent of being 11 years younger in age, according to study author Martha Clare Morris, ScD, of Rush University Medical Center in Chicago. (my emphasis)

“Adding a daily serving of green, leafy vegetables to your diet may be a simple way to foster your brain health,” said Morris. “Projections show sharp increases in the percentage of people with dementia as the oldest age groups continue to grow in number, so effective strategies to prevent dementia are critical.” Continue reading

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Can you get Alzheimer’s when you are young?

I used to attend regularly a program at Northwestern Memorial Hospital called ‘Healthy Transions.’ It was for folks over 55 years old and dealt with the situations they would encounter as they aged. The most popular talks by far were the ones on MCI – mild cognitive impairment, and Alzheimer’s Disease. It’s not surprising that as we age we get serious concerns about our brains functioning fully.

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Here is what Sharecare had to say on the subject: We rightly associate Alzheimer’s disease with an older population. Most people who develop this progressive brain disorder are age 65 and older. Currently some 5.5 million Americans—two-thirds of them women—live with the disease. But hidden within that estimate, a smaller number—approximately 200,000 adults—develop the condition under the age of 65. When this happens, it’s called younger-onset, or early-onset Alzheimer’s. “Alzheimer’s is just one type of dementia, and given the frequency of early-onset it’s somewhat uncommon,” says H. Rai Kakkar, MD, a neurologist at Presbyterian/St. Luke’s Medical Centerin Denver, Colorado.

How is early-onset different?
Early-onset Alzheimer’s disease (EOAD) is the same as Alzheimer’s disease in terms of progressive deterioration of cognitive function, but there are differences in causes. Some cases are the result of familial Alzheimer’s disease (FAD), caused by an inherited change in one of several specific genes. Continue reading

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Music, meditation may improve early cognitive decline – MNT

Meditation and music listening programs have shown promise in improving measures of cognitive and memory in adults with subjective cognitive decline, according to a recent study published in the Journal of Alzheimer’s Disease.

Emerging evidence indicates that subjective cognitive decline (SCD) could represent a pre-clinical stage of Alzheimer’s disease, or unhealthy brain aging. Alzheimer’s disease affects more than 5 million people in the United States.

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Dr. Kim Innes, associate professor of epidemiology at West Virginia University in Morgantown, and colleagues aimed to assess the effects of two mind-body practices – Kirtan Kriya meditation and music listening – on cognitive outcomes in people with SCD.

Kirtan Kriya is a form of yoga meditation that combines focused breathing practices, singing or chanting, finger movements, and visualization. Practitioners of yoga claim that this type of meditation stimulates all of a person’s senses and the associated brain areas.

Meditation and music listening programs have shown promise in improving measures of cognitive and memory in adults with subjective cognitive decline, according to a recent study published in the Journal of Alzheimer’s Disease.

Listening to music or taking part in meditation could improve memory and cognitive function among people with SCD.

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Can Exercise Slow Cognitive Decline?

Experts in aging and Alzheimer’s disease are conducting a national clinical study to determine if exercise may be an effective non-drug intervention for maintaining cognitive fitness.

The Rush Alzheimer’s Disease Center at Rush University Medical Center is the only site in Illinois, and one of only 15 sites across the United States leading the Exercise in Adults With Mild Memory Problems (EXERT) study, which is trying to determine if exercise can slow the progress of memory loss and cognitive impairment in older adults.

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Neuroscientists are collaborating with the YMCA to provide individualized, one-on-one exercise programs and personal training to study participants. Rush will be working with the McGaw YMCA in Evanston, Illinois, to provide 45-minute personal training sessions for one year.

Adults with memory issues may avoid being active when they need it most

“We want to see if a personalized program implemented in the community and prescribed by health care providers can be an effective therapy for people with memory issues,” said Dr. Neelum Aggarwal, associate professor of neurology and principal investigator of the EXERT study at Rush. Continue reading

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Rapid middle age blood pressure drops linked to dementia in old age – Study

Regular readers know how much I follow developments in the study of the brain. Here is some fresh fascinating info from Johns Hopkins.

Summary: Researchers report orthostatic hypotension could cause lasting damage to the brain because it can reduce blood flow to the brain.

Middle-aged people who experience temporary blood pressure drops that often cause dizziness upon standing up may be at an increased risk of developing cognitive decline and dementia 20 years later, new Johns Hopkins Bloomberg School of Public Health research suggests.

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The findings, being presented March 10 at the American Heart Association’s EPI|LIFESTYLE 2017 Scientific Sessions in Portland, Ore., suggest that these temporary episodes – known as orthostatic hypotension – may cause lasting damage, possibly because they reduce needed blood flow to the brain. Previous research has suggested a connection between orthostatic hypotension and cognitive decline in older people, but this appears to be the first to look at long-term associations. (my emphasis)

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High Blood Pressure May Impair Cognitive Function and Pose Risk for Alzheimer’s

My family history of Alzheimer’s Disease and dementia popped this news item up onto my radar screen.

Before considering problems with high blood pressure, let’s understand what it is. Blood pressure is the force of the blood pushed against the the wall of the arteries. It depends on the strength of the heartbeat, thickness and volume of the blood, the elasticity of the artery walls and general health. It is the arterial pressure of the circulation, a dynamic process that fluctuates all day.

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Normal BP is 120/80, systolic/diastolic. Prehypertensive is 120-139 over 80-89. Stage one hypertension is 140-159 over 90 – 99. Stage two hypertension reads 160 -179 over 100 – 109.

Some of the causes of high blood pressure include smoking, overweight, lack of physical activity, too much salt, too much alcohol, stress, older age, genetics. Continue reading

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