Previous research has found that unexplained weight loss is an early sign of Alzheimer's. Now a study involving 140 older adults (60+), of whom half had early-stage Alzheimer's disease, has revealed that it is not the overall weight or fat levels that are important, but the loss of lean mass (weight of an individual's bones, muscles and organs without body fat). This directly correlated with reductions in the volume of the whole brain and of white matter only, along with declines in cognitive performance. The finding is consistent with research suggesting that brain pathology contributes to a decline in body composition, perhaps by disrupting the regulation of energy metabolism and food intake, perhaps through behavioral changes (there is a strong association between loss of muscle mass and reductions in physical activity), or perhaps through a common underlying mechanism, such as inflammation.
Losing muscle mass early sign of Alzheimer’s
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Smell tests provide early evidence of dementia
In the past few months, several studies have come out showing the value of three different tests of people's sense of smell for improving the accuracy of MCI and Alzheimer's diagnosis, or pointing to increased risk. The studies also add to growing evidence that a decline in sense of smell is an early marker for mild cognitive impairment and Alzheimer’s. Indeed, it appears that this sensory loss is a very early symptom, preceding even the shrinking of the entorhinal cortex (the first brain region to show signs of atrophy).
Alzheimer's produces early brain atrophy
Brain scans from over 4,000 people, across the age range (9 months to 94 years) and including 1,385 Alzheimer's patients, has revealed an early divergence between those who go on to develop Alzheimer’s and those who age normally. This divergence is seen in early atrophy of the hippocampus before age 40, and in the amygdala around age 40.
https://www.eurekalert.org/pub_releases/2019-03/c-ahd030819.php
Is soda bad for your brain, especially diet soda?
Data from the large and very long-running Framingham Heart Study has revealed that people who drink sugary drinks frequently are more likely to have poorer memory, smaller overall brain volume, and a significantly smaller hippocampus. Moreover, a second study found that those who drank diet soda daily were almost three times as likely to develop stroke and dementia over a 10-year period, compared to those who didn’t – suggesting that substituting artificial sweeteners for the sugar doesn’t make matters better.
Brain atrophy predicts Parkinson's disease dementia
People with Parkinson’s disease have a six times greater risk of developing dementia than the general population. A new study points to a way of picking out those who are at risk of dementia.
Diabetes & cognitive impairment
A review and a large study have recently added to the growing evidence that type 2 diabetes is not only a risk factor for Alzheimer's, but is also linked to poorer cognitive function and faster age-related cognitive decline. The amount of this also seems to be related to glucose control in a dose-dependent manner.
Alzheimer's disease consists of 3 distinct subtypes
A two-year study which involved metabolic testing of 50 people, suggests that Alzheimer's disease consists of three distinct subtypes, each one of which may need to be treated differently. The finding may help explain why it has been so hard to find effective treatments for the disease.
The subtypes are:
Smoking, hypertension, diabetes & obesity each linked to poor brain health
Brain scans of 9,772 people aged 44 to 79, who were enrolled in the UK Biobank study, have revealed that smoking, high blood pressure, high pulse pressure, diabetes, and high BMI — but not high cholesterol — were all linked to greater brain shrinkage, less grey matter and less healthy white matter.
Stress in midlife affects cognitive decline later in life
Stressors in middle age linked to cognitive decline in older women
Data from some 900 older adults has linked stressful life experiences among middle-aged women, but not men, to greater memory decline in later life.
Previous research has found that the effect of age on the stress response is three times greater in women than in men.
Improving fitness may counteract brain atrophy in older adults, including those with MCI
A study involving 30 previously physically inactive older adults (aged 61-88) found that a three-month exercise program reversed some brain atrophy.
Participants included 14 with MCI. The exercise program included moderate intensity walking on a treadmill four times a week over a twelve-week period. On average, cardiorespiratory fitness improved by about 8% as a result of the training in both the healthy and MCI participants. Fitness was assessed using peak oxygen capacity rates.
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