Elderly people with untreated poor vision are significantly more likely to suffer from Alzheimer’s disease and other forms of dementia than their clear-sighted counterparts, according to a study published online February 18 by the American Journal of Epidemiology. What’s more, the study suggests that vision problems may be a contributing factor in the development of dementia, rather than a symptom of it.

When elderly people with poor vision went to an ophthalmologist even once, their risk of dementia was reduced by 64 percent, the study found. People who had undergone eye procedures to treat glaucoma and correct cataracts were also less likely to develop dementia.

“Visual problems can have serious consequences and are very common among the elderly, but many of them are not seeking treatment,” said University of Michigan researcher Mary Rogers, the study’s lead author, in a prepared statement.

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A new study shows that drinking a daily dose of wild blueberry juice improved the memory of older adults with age-related memory problems. It’s the first study to show this potential benefit of blueberries in those at risk for dementia.
“The findings of this preliminary study suggest that moderate term blueberry supplementation can confer neurocognitive benefit,” write researcher Robert Krikorian, of the University of Cincinnati Academic Health Center, and colleagues in the Journal of Agricultural and Food Chemistry. Researchers say blueberries contain a wealth of phytochemicals that have antioxidant and anti-inflammatory effects.

(WebMD, 1/21/10)

Use it or lose it!

Pilot study by Alzheimers Australia (WA) finds regular brain exercises are the key to healthy ageing

Just two hours of brain exercises a week can markedly improve a person’s mental capacity and help fight age-related memory loss according to a recent study by Alzheimer’s Australia WA.

· Participants found improvements in their memory and were able to follow conversations better.
· Brain has the ability to change in response to new learning.
· Exercising the brain reduces the risk of developing dementia in later years.

The “Brain Fitness Pilot Project” involved people aged in their 60s, 70s and 80s from retirement villages and seniors fitness centres, taking part in a structured brain fitness program two hours per week over an eight-week period.

The program consisted of a series of computer-based hearing exercises aimed at sharpening a person’s ability to take in speech so that the brain can hear and remember more details.

While a majority of participants reported an improvement in their train of thought and could remember names and shopping lists better, another 70 percent found an improvement in their hearing and their ability to follow and remember conversations.

Alzheimer’s Australia WA Chief Executive Officer Frank Schaper said the study demonstrated that a regular program of brain exercises will reduce the impact of cognitive decline as a person grows older and can lead to healthy ageing.

See original article here.

Persons with higher levels of leptin, a protein hormone produced by fat cells and involved in the regulation of appetite, may have an associated reduced incidence of Alzheimer disease and dementia, according to a study in the December 16 issue of JAMA.

Previous studies have shown that overweight and obesity in mid-life are associated with poorer cognitive function in the general population and an increased risk of dementia. There has been evidence that leptin exerts additional functions on the brain outside the hypothalamus (a region of the brain that controls body temperature, hunger, and thirst), according to background information in the article.

The researchers found that higher leptin levels were associated with a lower incidence of  dementia and AD. The incidence of dementia decreased gradually across increasing levels of leptin: a person with a baseline leptin level in the lowest quartile group had a 25 percent risk of developing AD after 12 years of follow-up, whereas the corresponding risk for a person in the top quartile group was only 6 percent.

“These findings are consistent with recent experimental data indicating that leptin improves memory function in animals through direct effects on the hippocampus and strengthens the evidence that leptin is a hormone with a broad set of actions in the central nervous system. Due to the exploratory character of the present analyses, we did not adjust for multiple comparisons and acknowledge that our findings require confirmation in independent samples,” the authors write.

“If our findings are confirmed by others, leptin levels in older adults may serve as one of several possible biomarkers for healthy brain aging and, more importantly, may open new pathways for possible preventive and therapeutic intervention. Further exploration of the molecular and cellular basis for the observed association may expand our understanding of the pathophysiology underlying brain aging and the development of AD.”
(JAMA 2009;302[23]:2565-2572. )

Scientists in Germany found that increased physical activity was associated with a lower incidence of dementia. In this study, researchers recruited 3,485 elderly residents in Bavaria and asked them about their physical activity. None of the participants had dementia at the start of the analysis, but after two years of follow-up, researchers found that those who exercised at least three times a week were half as likely to have developed dementia compared with people who reported no physical activity. Based on his results, says lead author Dr. Thorleif Etgen, a professor of psychiatry and psychotherapy at München University, “It doesn’t make a big difference if you have moderate or high physical activity. The important message is that you do any activity. And even if you start late in life, at 60 or 70, there is a benefit, for it’s never too late to start exercising.”

The key words are “moderate or high,” according to another study published Monday in the Archives. Dr. Qi Sun, a researcher at Harvard School of Public Health, analyzed 13,000 women participating in the Nurses’ Health Study and found that when it came to exercise, more was better. Compared with women who jogged for 20 minutes a week, those who jogged three hours a week or walked briskly for five hours a week were 76% more likely to age successfully, free of chronic illnesses such as cancer and heart disease, as well as mental and physical impairment.

Sun’s group found that this benefit occurred across all weight divisions, meaning that even among those who were overweight or obese, women who exercised improved their odds of aging without chronic disease. The effects may apply across different age groups as well; the women were at least 60 years old by the time they enrolled in the study, and while Sun was not able to determine how long they had been exercising prior to that, the results suggest that the health benefits are not limited to the young.

That was the same message of the final exercise paper in the journal, by researchers at University of Erlangen-Nuremberg in Germany. In this trial, a group of 246 elderly women were randomly assigned to an 18-month exercise regimen or a wellness program. The women participating in the four times weekly exercise sessions, which involved aerobics and balance and muscle training, improved their bone mineral density by nearly 2%. The women in the wellness group, which focused on walking, muscle relaxation and breathing skills, had a 0.33% increase in bone density over the same time period. Perhaps more important, participants in the exercise group saw no increase in their risk of experiencing a fracture-causing fall, compared with a 66% higher risk in the control group.

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When inflammation arises in the body as a result of infection or injury, the immune response also appears to accelerate memory loss in people with Alzheimer’s, according to a recent study published in the journal Neurology. In this study of changes in patients’ cognitive abilities over a span of six months, Alzheimer’s patients who had chronic (ongoing) inflammation as a result of, for instance, obesity or arthritis experienced four times the amount of memory loss as compared with patients without such inflammation. And those with chronic inflammation who also experienced an acute immune response (short-term, such as from an infection) were even worse off: their memory loss accelerated 10 times faster than patients without any inflammation.

“When we started the study, we thought short-lived events would be impor­tant,” says lead author Clive Holmes, a professor of biological psychiatry at the University of Southampton in England. “We hadn’t realized how important chronic inflammation was going to be.”

So how does inflammation, whether from an infection or from chronic dis­ease, damage the brain? The answer lies in the body’s immune response, which launches an attack on invading pathogens, releasing inflaming proteins such as tumor necrosis factor, or TNF. This molecule causes the vagus nerve, which extends from the brain to the abdomen and controls vital functions such as heartbeat, to send an electrical im­pulse to the brain, thereby directing the brain to secrete its own immune messengers.

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Cell phone exposure may be helpful in the fight against Alzheimer’s disease, a new study shows.

The study, involving mice, provides evidence that long-term exposure to electromagnetic waves associated with cell phone use may protect against, and even reverse, Alzheimer’s disease.

The study is published in the Journal of Alzheimer’s Disease.

“It surprised us to find that cell phone exposure, begun in early adulthood, protects the memory of mice otherwise destined to develop Alzheimer’s symptoms,” study researcher Gary Arendash, PhD, of the University of South Florida, says in a news release. “It was even more astonishing that the electromagnetic waves generated by cell phones actually reversed memory impairment in old Alzheimer’s mice.”

The researchers say they found that exposing old mice with Alzheimer’s disease to electromagnetic waves generated by cell phones reduced brain deposits of beta-amyloid. Brain plaques formed by the abnormal accumulation of beta-amyloid are hallmarks of Alzheimer’s disease, which is why most treatments try to target the protein.

The study involved 96 mice, including mice genetically engineered to develop Alzheimer’s disease and normal mice. Both the Alzheimer’s mice and the normal rodents were exposed to the electromagnetic field generated by standard cell use for two one-hour periods daily for seven to nine months.

The researchers say that if cell phone exposure was begun when the Alzheimer’s mice were young adults, and before signs of memory loss became apparent, their cognitive ability was protected. And if older mice with Alzheimer’s were exposed, their memory impairment improved. What’s more, months of cell phone exposure even boosted the memories of normal mice, the researchers write.

The researchers say the memory benefits in normal mice of cell phone exposure took months to show up, suggesting a similar effect in humans might take years. However, they also caution that “care should be taken in extrapolating our results to cell phone use and [electromagnetic wave] exposure in humans.”

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