As we all know, people are living longer and obesity is at appalling levels. For both these (completely separate!) reasons, we expect to see growing rates of dementia. A new analysis using data from the long-running Framingham Heart Study offers some hope to individuals, however.
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Data from over 11,500 participants in the Atherosclerosis Risk in Communities (ARIC) cohort has found evidence that orthostatic hypotension in middle age may increase the risk of cognitive impairment and dementia 20 years later.
Orthostatic hypotension is the name for the experience of dizziness or light-headedness on standing up. Previous research has suggested an association between orthostatic hypotension and cognitive decline in older adults.
Key points that are new in the 5th International Consensus statement on concussion in sport:
Increases in brain activity are matched by increases in blood flow. Neurons require a huge amount of energy, but can’t store it themselves, so must rely on blood to deliver the nutrients they need.
Two new studies help explain how blood flow is controlled.
The first study found blood appears to be stored in the blood vessels in the space between the brain and skull.
Data from more than 14,265 people older adults (51+) multiple times over a decade or more through the University of Michigan Health and Retirement Study has found that people with higher “multimorbidity scores” showed much faster cognitive decline than those with lower scores, even though most of the chronic conditions included in the index had no direct relationship with brain health. The higher the score, the faster the decline.
Data from 915 older adults (mean age 81.4) participating in the very long-running Rush Memory and Aging Project, has found that those who reported eating seafood less than once a week showed greater cognitive decline compared to those who ate at least one seafood meal per week.
Previous research has indicated that about a quarter of older adults who become mildly depressed will go on to become seriously depressed within a year or two. A study comparing problem-solving therapy for primary care — a seven-step approach delivered by non-mental-health professionals to help patients resolve difficulties and thus improve coping skills and confidence — with a program of dietary coaching (same number of sessions and hours), has found that elderly adults with mild symptoms of depression responded equally well to both treatments.
A study involving 39 young adult men and women of normal weight, who ate 750 extra calories in the form of muffins every day for seven weeks, found that those whose muffins were made with palm oil built significantly more fat and less muscle than those whose muffins were made with sunflower oil. Moreover, the palm oil group developed the fat in more dangerous places — in the liver and abdomen. The groups gained the same amount of weight.
The hippocampus is damaged early in Alzheimer’s, while the thalamus is generally unaffected until the late stages. Brain imaging of the hippocampus and the thalamus in 31 patients with Alzheimer's and 68 healthy controls has revealed increased levels of iron in the hippocampus of those with Alzheimer’s, but not in the thalamus. Moreover, this increased iron was associated with tissue damage in patients with Alzheimer's but not in the healthy older individuals.
Analysis of data from more than 8,000 people, most of them older than 60, has revealed that, among the 5,000 people initially tested cognitively normal, carrying one copy of the “Alzheimer’s gene” (ApoE4) only slightly increased men’s risk of developing MCI or Alzheimer’s — but nearly doubled women’s risk (healthy men with APOE4 were 27% more likely to develop MCI or Alzheimer’s compared to those without the gene, while female carriers had an 81% greater risk).