Tag Archives: dementia

Poor sleep habits related to dementia

I have written about the value of sleep for some years here. It along with walking are two of the most unappreciated aspects of living a healthy life. You can check out my Page – How important is a good night’s sleep? for more details.

I wanted to share the following video with you as it highlights another aspect of the value of a good night’s sleep.

Dr. Breus is a clinical psychologist, and is known for his expertise on sleep and health. He’s a fellow of the American Academy of Sleep Medicine,.

Poor sleep literally causes dementia. It’s one of the causes, and fixing it is one of the ways you can reverse dementia.

Dr. Breus explains exactly how lack of sleep affects your body and brain, and how disturbances in your sleep cycles can “turn on” the progression of dementia, and cause many other serious health problems too.

The good news is that you can avoid mental and physical disorders that poor sleep causes by following easy, at-home recommendations Dr. Breus will give you to cure sleep disorders and sleep peacefully all through the night.

Tony

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Some possibly good news on Alzheimer’s Disease – TED talk

Regular readers know that I have lost three family members to Alzheimer’s Disease and/or dementia. So, anything having to do with those afflictions I find relevant.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community.

Brain scientist Owen Carmichael is preparing for his Alzheimer’s diagnosis. And for his children’s Alzheimer’s diagnosis. And he’s asking an important question: Can we use basic health tools to train our brain to resist the effects of the disease?

DR. OWEN CARMICHAEL has a Ph.D. in robotics and a passion for brain science. Owen is an associate professor and the Director of Biomedical Imaging at the Pennington Biomedical Research Center. He uses technology not only to better understand how the wiring of your brain affects your ability to think, but also how your actions and your environment can affect the wiring of the brain. In other words: are we able to set ourselves up to be mentally healthy throughout our lives, or are we destined for our brains to turn our lives one way or another? Owen has been studying these questions for years.

Tony

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What about football and the athlete’s brain?

Regular readers know that I have lost three family members to dementia and/or Alzheimer’s disease, so I am totally interested in any new information on the subject. I am also a passionate fan of the National Football League.

The following is from the Alzheimer’s Prevention Bulletin.

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Most fans will track first downs and touchdowns on Sept. 7, the opening game of the National Football League’s (NFL’s) 2017 season. If he tunes in, Robert Stern, PhD, no doubt will focus on any traumatic brain injuries (TBI) that occur during the game. These can range from mild TBI – as in a concussion – to severe TBI.

Dr. Stern also will watch for those more common head impacts that do not result in symptoms of concussion or draw the attention of the television cameras.  Called “subconcussive” trauma, those hits are associated with a brain disease that is the focus of Dr. Stern’s research.

Dr. Stern is the Director of Clinical Research for the Chronic Traumatic Encephalopathy (CTE) Center and Director of the Alzheimer’s Disease Center Clinical Core, both at Boston University.

“Alzheimer’s disease is my primary focus professionally,” Dr. Stern said. “But some years ago, I started to learn more about another neurodegenerative disease called CTE. I soon realized that CTE had the potential to become a major public health issue. That’s when CTE research became a passion.”

CTE is a progressive, degenerative brain disease, similar to Alzheimer’s disease, found in people with a history of repetitive brain trauma. That brain trauma could include concussions as well as those subconcussive hits to the head that do not have symptoms. The trauma can trigger a series of events in the brain that progressively destroy its tissue, resulting in CTE. The symptoms that accompany CTE are similar to Alzheimer’s disease: changes in memory and cognition as well as changes in mood and behavior. Eventually, it can lead to dementia.

TBI, CTE & Alzheimer’s: Are they Connected? 

Is there a connection between TBI, CTE and Alzheimer’s?

“I used to refer to TBI as a risk factor for Alzheimer’s disease, because early research suggested that,” said Dr. Stern. “However, more recent research suggests that the relationship between the two is not very clear.”

That means people who experience TBI at any age – a hit on the football field as a youth or a fall on the stairs as an older adult – do not appear to increase their chance of developing Alzheimer’s disease.

Concussion Controversies in Sports

Now let’s head back to the football field.

A 2016 Harris Poll showed pro football is continuing its reign as America’s favorite sport. Its popularity persists in spite of concern about the sport’s long-term impact on players’ brain health that began in the early 2000s. At that time, autopsies of deceased American football players revealed evidence of CTE. Years later, research from the BU center published recently in the Journal of the American Medical Association found that 110 out of 111 deceased former NFL players had CTE.

Dr. Stern estimates that in some contact sports like football, there can be 1,000 or more subconcussive hits per season of play. And these impacts can leave their mark on an athlete and eventually lead to CTE.

“There’s research that indicates even after one season of youth football, children ages 8-10 years old,  had structural changes to their brains that were directly associated with the number of hits to the head they received,” Dr. Stern said. “Research from my team at BU has shown a dose-response relationship between the total estimated number of those repetitive head impacts a football player receives through youth, high school, and college football, and later life cognitive impairments and problems with depression and behavior. We have to take these repetitive head impacts seriously.”

And thanks to Dr. Stern, that message is getting out.

Want to learn more about head injury and CTE? Join Dr. Robert A. Stern, PhD, Clinical Core Director of the BU Alzheimer’s Disease Center online as he discusses the role of head injury in developing dementia later in life. 

  • Thursday, August 24th, 2-3 PM Eastern (11 AM-12 PM Pacific / Arizona, 12-1 PM Mountain, 1-2 PM Central)
  • Can’t make it to the live webinar? Don’t worry! Just register as if you will attend and we will send you a recording that you can view at your convenience,
  • Sign up now.

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Blocking a key enzyme may reverse Alzheimer’s memory loss – MIT study

In the brains of Alzheimer’s patients, many of the genes required to form new memories are shut down by a genetic blockade, contributing to the cognitive decline seen in those patients.

MIT researchers have now shown that they can reverse that memory loss in mice by interfering with the enzyme that forms the blockade. The enzyme, known as HDAC2, turns genes off by condensing them so tightly that they can’t be expressed.

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For several years, scientists and pharmaceutical companies have been trying to develop drugs that block this enzyme, but most of these drugs also block other members of the HDAC family, which can lead to toxic side effects. The MIT team has now found a way to precisely target HDAC2, by blocking its interaction with a binding partner called Sp3.

“This is exciting because for the first time we have found a specific mechanism by which HDAC2 regulates synaptic gene expression,” says Li-Huei Tsai, director of MIT’s Picower Institute for Learning and Memory and the study’s senior author.

Blocking that mechanism could offer a new way to treat memory loss in Alzheimer’s patients. In this study, the researchers used a large protein fragment to interfere with HDAC-2, but they plan to seek smaller molecules that would be easier to deploy as drugs. Continue reading

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To what extent is dementia preventable?

Regular readers know that my family has a history of Alzheimer’s Disease and/or dementia. This is true on both my mother’s and father’s side. So, at 77, I am totally focused on anything that relates to these mental conditions. The following is from the Keck School of Medicine at USC by Erica Rheinschild.

Experts say that one-third of the world’s dementia cases could be prevented by managing lifestyle factors such as hearing loss, hypertension and depression.

 

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This remarkable fact was part of a report by the first Lancet Commission on Dementia Prevention and Care that was presented at the Alzheimer’s Association International Conference (AAIC) 2017 and published in The Lancet. The report also highlighted the beneficial effects of nonpharmacologic interventions such as social contact and exercise for people with dementia. Continue reading

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Older brains benefit from all types of exercise

At the risk of being repetitious, I have had three family members suffer from Alzheimer’s Disease and/or dementia. At the age of 77 I am really concerned about living a long life, but WITH my brain fully functional. That is only one of the reasons I ride my bike every day here in Chicago. I promote exercise in all its forms here and subscribe to the mantra: eat less; move more; live longer.

Brain

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Many studies have told us exercise is good for the brain. But does it depend on the type of exercise? New research suggests not – at least for seniors. A study of older people found the brain benefits from many types of physical activities – and you don’t have to go to the gym to do them, according to Medical News Today.

The team, from the Institut universitaire de gériatrie de Montréal, an institution affiliated with the University of Montreal in Canada, reports the findings in the journal AGE. Continue reading

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Could changes in thinking skills be reversible dementia? – Harvard

Regular readers know that I have had a number of Alzheimer’s and dementia occurrences in my immediate family. So, I am especially sensitive to anything related to dementia. The following is from Heidi Godman, Exetutive Editor, Harvard Health Letter.

We use the term “dementia” to describe a number of conditions that cause permanent thinking skills changes, such as memory loss and confusion. The most common kind of dementia is Alzheimer’s disease, which is characterized by clumping proteins that get tangled in and around brain cells, eventually causing them to die. The second most common type of dementia is vascular dementia, caused by decreased blood flow to the brain from atherosclerosis—the accumulation of fatty deposits on artery walls.

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Once dementia strikes, the damage is permanent, and we don’t have many treatment options. So, before a diagnosis is made, it’s crucial to rule out whether the causes for dementia are actually reversible conditions. Continue reading

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What about Alzheimer’s in the family? Harvard

Regular readers know that my family has suffered at least one case of Alzheimer’s and one or two of general dementia. I think it is fair to say that mental illness damages the entire family either directly or indirectly. It also has implications on individuals’ future mental health.

Harvard Medical School offers some fine counseling on the subject.

Alzheimer’s disease represents a personal health crisis, but it’s also a family concern. What does it mean for your children or siblings if you are diagnosed with Alzheimer’s? What does it mean for you if a close relative develops the condition?

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“People think that if their dad or aunt or uncle had Alzheimer’s disease, they are doomed. But, no, that’s not true,” says Dr. Gad Marshall, assistant professor of neurology at Harvard Medical School. “Even though family history adds to the overall risk, age still usually trumps it quite a bit. It means your risk is higher, but it’s not that much higher, if you consider the absolute numbers.”

Family history by the numbers

Studies of family history say that if you have a close relative who has been diagnosed with Alzheimer’s disease—the most common form of dementia in older adults—your risk increases by about 30%. This is a relative risk increase, meaning a 30% hike in your existing risk.

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Cholesterol may affect brain functions – Study

Having lost three family members to Alzheimer’s Disease and dementia, I was fascinated by this information from researchers in Berlin.

A study led by researchers at the Hospital del Mar Medical Research Institute (IMIM) and the Institute of Medical Physics and Biophysics at the Faculty of Medicine in Charité Hospital, Berlin, published in the journal Nature Communications, demonstrates that the cholesterol present in cell membranes can interfere with the function of an important brain membrane protein, through a previously unknown mode of interaction. Specifically, cholesterol is capable of regulating the activity of the adenosine receptor, by invading it and accessing the active site. This will allow new ways of interacting with these proteins to be devised that in the future could lead to drugs for treating diseases like Alzheimer’s.

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The adenosine receptor belongs to the GPCR family (G Protein-Coupled Receptors), a large group of proteins located in cell membranes, which are key in the transmission of signals and communication between cells. GPCRs are therefore involved in the majority of important physiological processes, including the interpretation of sensory stimuli such as vision, smell, and taste, the regulation of the immune and inflammatory system, and behavior modulation. Continue reading

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Tea drinking may help prevent dementia – Harvard

Good news for tea drinkers or all stripes. A study in the December 2016 Journal of Nutrition, Health & Aging showed that drinking tea frequently is associated with a lower risk of dementia, especially for people who are genetically predisposed to the disease, Harvard Men’s Health Watch reported.

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Researchers followed 957 older adults, average age 65, who were part of the Singapore Longitudinal Aging Study. Of these, 69% drank tea on a frequent basis. After a five-year period, the researchers found that the tea drinkers had a 50% lower risk of dementia. This is consistent with earlier findings that showed tea consumers scored higher on various cognitive tests.

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Genes Associated With Resilience Against Brain Pathology Identified

Having had three family members who suffered from some form of dementia I am highly motivated to find out all I can about this scourge that devastates mostly seniors. The following is from the Rush Alzheimer’s Disease Center.
Genes help cognition withstand damage in brain from Alzheimer’s, Parkinson’s

The pathologies (damage) in the brain that stroke, Alzheimer’s disease and other neurological conditions cause in older adults only partially explain the memory loss, reduced reasoning ability and other cognitive impairments that result from these conditions. Little is known about why the effects of brain pathology vary between people who develop it.

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Now researchers have discovered two genes, known as UNC5C and ENC1, that are associated with aging individuals having better memory and brain function than would be expected, given the amount of pathologies that accumulated in their brains. They reported their findings in an article published today in the journal PLOS Medicine. 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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Can exercise help people at risk for Alzheimer’s – Study

One of the main goals in living longer is having one’s brain fully functional. Since I have both Alzheimer’s and dementia in my family tree, I am totally focused on keeping my brain working. There is no question that exercise can help one defend against dementia, but with Alzheimer’s the jury is still out.

Can exercise slow or prevent cognitive decline in older people who are at increased risk for Alzheimer’s disease? A new clinical trial led by National Institute on Aging (NIA) -supported scientists in collaboration with the YMCA aims to find out whether exercise may be an effective nondrug treatment for staying cognitively fit.

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The trial, called EXERT, will enroll 300 people, age 65 to 89, with mild cognitive impairment (MCI), a condition of mild memory problems that often leads to Alzheimer’s dementia. Based on the trial’s results, the researchers hope to develop an evidence-based “prescription” that will tell people the type and frequency of exercise needed to support memory and thinking skills.

“We want to design a real-life program that can be implemented in the community and prescribed by healthcare providers,” said Laura D. Baker, Ph.D., of Wake Forest Baptist Medical Center in Winston-Salem, N.C., who is leading the study with Carl W. Cotman, Ph.D., of the University of California, Irvine.

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Women perform better than men on memory tests for Alzheimer’s

Since I have at least three cases of Alzheimer’s or dementia in my family, this kind of information always resonates with me.

Women do better on verbal memory tests commonly used to diagnose Alzheimer’s disease compared to men with the same amount of neurotoxic protein in their brains, a new study has found.

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It is well known that females have an advantage on verbal memory tests, in which subjects are challenged to recite back a list of heard words. Because women are better at the tests, which are often used to help detect and diagnose Alzheimer’s disease, the severity of their disease may be missed, says Dr. Pauline Maki, professor of psychiatry and psychology at the University of Illinois at Chicago and an author on the study, published in the Journal of Alzheimer’s Disease.

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Delirium could accelerate dementia-related mental decline

It ain’t easy being green, according to Kermit. Turns out it ain’t so easy being old either.

New research by UCL and University of Cambridge shows delirium may have long-lasting consequences, including accelerating the dementia process

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When hospitalized, people can become acutely confused and disorientated. This condition, known as delirium, affects a quarter of older patients and new research by UCL and University of Cambridge shows it may have long-lasting consequences, including accelerating the dementia process.

The study, published today in the journal JAMA Psychiatry, is the first to show the multiplying effects of delirium and dementia in these patients.

Episodes of delirium in people who are not known to have dementia, might also reveal dementia at its earliest stages, the research found.

While both delirium and dementia are important factors in cognitive decline among the elderly, delirium is preventable and treatable through dedicated geriatric care.

Further research is needed to understand exactly how delirium interacts with dementia, and how this could be blocked.

“If delirium is causing brain injury in the short and long-term, then we must increase our efforts to diagnose, prevent and treat delirium. Ultimately, targeting delirium could be a chance to delay or reduce dementia” said Dr. Daniel Davis (MRC Unit for Lifelong Health and Ageing at UCL), who led the research while at the University of Cambridge.

Scientists looked at three European populations – in Finland, Cambridge and UK-wide – and examined brain specimens in 987 people aged 65 and older. Each person’s memory, thinking and experience of delirium had been recorded over 10 years towards the end of their life.

When these were linked with pathology abnormalities due to Alzheimer’s and other dementias, those with both delirium and dementia-changes had the most severe change in memory.

Dr Davis added: “Unfortunately, most delirium goes unrecognized. In busy hospitals, a sudden change in confusion not be noticed by hospital staff. Patients can be transferred several times and staff often switch over – it requires everyone to ‘think delirium’ and identify that a patient’s brain function has changed.”

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High cholesterol intake and eggs do not increase risk of memory disorders

I am now and  have been for years a big fan of eggs. A hundred years ago, it seems, I worked on the Chicago Mercantile Exchange trading floor where I covered the egg futures market along with pork bellies, live cattle and live hog futures. In that capacity, I learned a great deal about eggs from their production to our consumption. I have posted on them numerous times. Here are a few: Eating eggs is good for you. I wrote that in the first month of this blog’s existence. Feel free to type e-g-g-s in the search box at the right to read more posts on eggs.

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A new study from the University of Eastern Finland shows that a relatively high intake of dietary cholesterol, or eating one egg every day, is not associated with an elevated risk of dementia or Alzheimer’s disease. Furthermore, no association was found in persons carrying the APOE4 gene variant that affects cholesterol metabolism and increases the risk of memory disorders. APOE4 is common in Finland. The findings were published in the American Journal of Clinical Nutrition. Continue reading

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