middle-aged

A long-running study following 387 Australian women found that regular exercise in middle age was the best lifestyle change they could make to prevent cognitive decline in their later years.

The women were aged 45-55 when the study began in 1992. Health and lifestyle factors were assessed at intervals over the next 20 years.

Memory was assessed using a Verbal Episodic Memory test in which they were asked to learn a list of 10 unrelated words and attempt to recall them 30 minutes later.

A large, long-running Finnish study looking at the dietary habits of 2,497 men aged 42-60 has found that a high intake of dietary cholesterol was not associated with the risk of dementia or Alzheimer's disease, even among carriers of the ‘Alzheimer’s gene’ APOE4.

Previous research has found that the effect of dietary cholesterol on serum cholesterol levels is more visible in carriers of APOE4. In Finland, the prevalence of the APOE4 gene variant is exceptionally high and approximately a third of the population are carriers.

Data from the Canadian Longitudinal Study on Aging, involving 8,574 middle-aged and older adults (aged 45-85), has found that those who ate more vegetables and fruits and more nuts and pulses (such as lentils and beans) scored higher on tests of verbal fluency. Every increase in average daily fruit and vegetable intake was linked to higher verbal fluency scores, but the best outcomes were found among those who consumed at least 6 servings a day.

Additionally, those with stage 2 hypertension had lower verbal fluency scores, as did those with higher levels of body fat.

A 10-year study involving 19,887 middle-aged and older Americans, who completed surveys every two years about their health and lifestyle, has found that those who had a drink or two a day tended to show less cognitive decline, compared to non-drinkers.

Cognitive function was measured in a series of tests looking at their overall mental status, word recall and vocabulary. Their test results were combined to form a total cognitive score.

Age, smoking and education level were controlled for.

Large study shows level of beneficial alcohol consumption much lower than thought

A UK study using data from 13,342 middle-aged and older adults (40-73) has found that having up to one standard unit of alcohol a day improved reaction time, but more than that amount harmed cognitive performance. The effect was more pronounced in older adults.

A long-running study involving 8225 adults found that self-reported diet during midlife (mean age 50) was not significantly associated with subsequent risk for dementia.

Dietary intake was assessed in 1991-1993, 1997-1999, and 2002-2004, with follow-up for incident dementia until March 31, 2017. Diet quality was assessed using the Alternate Healthy Eating Index (AHEI), an 11-component diet quality score (score range, 0-110), with higher scores indicating a healthier diet.

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.

Data from more than 17,000 healthy people aged 50 and over has revealed that the more regularly participants engaged with word puzzles, the better they performed on tasks assessing attention, reasoning and memory.

Study participants took part in online cognitive tests, as well as being asked how frequently they did word puzzles such as crosswords. There was a direct relationship between the frequency of word puzzle use and the speed and accuracy of performance on nine cognitive tasks.

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.