Prevention of Alzheimer's Disease: Activity & education
This section is offshoot of my gathering of news items about memory. I am not a medical expert. My background is in psychology. The information I have gathered here should not be taken as providing any advice.
You can check out words you don't know in the glossary of terms used in Alzheimer's research
Activity & education
Exercise may slow brain shrinkage in early Alzheimer's
Low childhood IQ linked to vascular dementia
Size of hippocampus affects dementia-related memory loss
Mental and physical exercise delays dementia
Walking and moderate exercise help prevent dementia
Effect of cognitive reserve on dementia confirmed
Not finishing high school may lead to memory problems
Brain network associated with cognitive reserve identified
Mental stimulation in old age reduces Alzheimer's risk
Enhanced environment restores memory in mice with neurodegeneration
Bilingualism has protective effect in delaying onset of dementia
Learning slows physical progression of Alzheimer's disease
How mental and physical stimulation slows Alzheimer's
Good physical function linked to Alzheimer's delay
Social networks protect against Alzheimer's
Alzheimer's progresses more rapidly in highly educated people
Use your brain, halve your risk of dementia
Exercise protects against Alzheimer's
Study links adolescent IQ/activity levels with risk of dementia
Exercise slows development of Alzheimer's-like brain changes in mice
Enriched environment delays onset of Alzheimer's in mice
More support for role of mental stimulation in protecting against Alzheimer's
Why diet, hormones, exercise might delay Alzheimer’s
Higher education or larger brain size may protect against dementia
More evidence that mental exercise helps prevent or postpone dementia
Effects of Alzheimer's disease may be influenced by education
Mentally stimulating activities may reduce Alzheimer's risk
July 2008
Exercise may slow brain shrinkage in early Alzheimer's
A study of 121 people age 60 and older, of whom 57 were in
the early stages of Alzheimer's disease, has found that those with early
Alzheimer's disease who were less physically fit (measured by cardiorespiratory
fitness) had four times more brain shrinkage when compared to normal older
adults than those who were more physically fit. The findings suggest the value
of physical fitness in slowing down the progression of Alzheimer's disease. The
association existed even after age, gender, severity of dementia, physical
activity and frailty were accounted for. There was no relationship between
higher fitness levels and brain changes in the group of people without dementia.
The study was published in the July 15 issue of
Neurology. Full
reference
http://www.eurekalert.org/pub_releases/2008-07/aaon-emp070808.php
June 2008
Low childhood IQ linked to vascular dementia
A study of 173 people from the
Scottish Mental Survey of
1932 who have developed dementia has found that, compared to matched controls,
those with vascular dementia were 40% more likely to have low IQ scores when
they were children than the people who did not develop dementia. This difference
was not true for those with Alzheimer's disease. The findings suggest that low
childhood IQ may act as a risk factor for vascular dementia through vascular
risks rather than the "cognitive reserve" theory.
The results were published online June 25 in Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2008-06/aaon-lci061708.php
April 2008
Size of hippocampus affects dementia-related memory loss
Autopsies have found that those who had sharp memories and
thinking skills at the time of death, despite a high amount of Alzheimer’s
plaques, had a significantly bigger
hippocampus than those with the same amount
of plaques, and a diagnosis of Alzheimer’s disease before death.
The research was presented at the American Academy of
Neurology Annual Meeting in Chicago, April 12 – April 19.
http://www.eurekalert.org/pub_releases/2008-04/aaon-hbi040208.php
January 2008
Mental and physical exercise delays dementia
A study using genetically engineered mice has found
providing the mice with an enriched environment that enhanced their mental and
physical stimulation improved performance on memory tests at an early stage of
Huntington's disease, when memory impairment has begun. Specific molecular changes were
also observed at the synapses in the
hippocampus. Those without increased mental
and physical activity showed decreased levels of specific
proteins that are
expressed at the synapse, but those exposed to stimulation didn’t. The finding
offers hope for slowing the progression of the disease, as well as other
dementias.
The report appeared online November 24 in the Neurobiology
of Disease. Full reference
http://www.eurekalert.org/pub_releases/2008-01/ra-map012308.php
December 2007
Walking and moderate exercise help prevent dementia
A four-year study involving 749 older adults has found
that the top one-third of participants who exerted the most energy in moderate
activities such as walking were significantly less likely to develop vascular
dementia than those people in the bottom one-third of the group. Contrary to
some reports, no such association was found with Alzheimer’s disease.
The study was published in the December 19 issue of
Neurology. Full
reference
http://www.eurekalert.org/pub_releases/2007-12/aaon-wam121107.php
October 2007
Effect of cognitive reserve on dementia confirmed
Another study has
come out confirming that people with more years of education begin to lose their
memory later than those with less education, but decline faster once it begins.
Researchers note that since the participants were born between 1894 and 1908,
their life experiences and education may not represent that of people entering
the study age range today.
The findings were
published in the October 23 issue of Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2007-10/aeco-mep101707.php
Not finishing high school may lead to memory problems
A long-running
Finnish study has found that compared with people with five or less years of
education, those with six to eight years had a 40% lower risk of developing
dementia and those with nine or more years had an 80% lower risk. Generally
speaking, people with low education levels seemed to lead unhealthier
lifestyles, but the association remained after lifestyle choices and
characteristics such as income, occupation, physical activity and smoking had
been taken into account.
The study was published in the October 2 issue of Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2007-10/aaon-nfh092507.php
August 2007
Brain network associated with cognitive reserve identified
An imaging study
involving young (18-30) and older (65-80) adults has identified a brain network
within the frontal lobe that is associated with cognitive reserve, the process
that allows individuals to resist cognitive decline due to aging or Alzheimer’s
disease. Those with higher levels of cognitive reserve were able to activate
this network in the brain while working on more difficult tasks, while
participants with lower levels of reserve were not able to tap into this
particular network. The network was found more often in younger participants,
suggesting the network may degrade during aging.
The findings were published online ahead of print August 3 in Cerebral Cortex.
Full reference
http://www.eurekalert.org/pub_releases/2007-08/cumc-cri082007.php
June 2007
Mental stimulation in old age reduces Alzheimer's risk
Post-mortem analysis of participants in a large, long-running study
has provided more support for the idea that mental stimulation protects
against Alzheimer’s. The study found a cognitively active person in old
age was 2.6 times less likely to develop dementia and Alzheimer’s
disease than a cognitively inactive person in old age. This association
remained after controlling for past cognitive activity, lifetime
socioeconomic status, and current social and physical activity. Frequent
cognitive activity during old age was also associated with reduced risk
of mild cognitive impairment.
The study was published online ahead of print June 27 in
Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2007-06/aaon-fbs061907.htm
April 2007
Enhanced environment restores memory in mice with neurodegeneration
Research involving genetically engineered mice has found that mice whose
brains had lost a large number of neurons due to neurodegeneration regained
long-term memories and the ability to learn after their surroundings were
enriched with toys and other sensory stimuli. The same effect was also
achieved through the use of a drug that encourages neuronal growth. The
findings suggest not only new approaches to treatment for those with
Alzheimer's or other neurodegenerative diseases, but also supports recent
suggestions that "memory loss" may be an inaccurate description of the kinds
of mental deficits associated with neurodegenerative diseases. The memories
are still there; they are simply inaccessible.
The findings were published online ahead of print April 29 in
Nature.
Full reference
http://www.eurekalert.org/pub_releases/2007-04/hhmi-eer042507.htm
January 2007
Bilingualism has protective effect in delaying onset of dementia
An analysis of 184 people with dementia (132 were diagnosed with
Alzheimer’s; the remaining 52 with other dementias) found that the
mean age of onset of dementia symptoms in the 91 monolingual
patients was 71.4 years, while for the 93 bilingual patients it was
75.5 years — a very significant difference. This difference remained
even after considering the possible effect of cultural differences,
immigration, formal education, employment and even gender as
influencers in the results.
The study was published in the February issue of
Neuropsychologia.
Full reference
http://www.eurekalert.org/pub_releases/2007-01/bcfg-css011107.htm
Learning slows physical progression of Alzheimer's disease
A mouse study has found that short but repeated learning sessions can
slow the development of two brain lesions that are the hallmarks of
Alzheimer's disease —beta amyloid plaques, and tau tangles. The researchers
are now investigating whether more frequent and vigorous learning will have
bigger and longer benefits.
The study appears in the January 24 issue of the
Journal of Neuroscience.
Full reference
http://www.eurekalert.org/pub_releases/2007-01/uoc--lsp011807.htm
July 2006
How mental and physical stimulation slows Alzheimer's
A new study reveals how mental and physical activity slows the cognitive
decline seen in Alzheimer’s. In the study, genetically engineered mice
were housed in either standard cages or ones with access to an enriched
environment. After five months, the mice housed in the enriched
environment had fewer Ab plaques, smaller plaque size, and reduced
amyloid angiopathy compared to mice housed in standard cages. However
there were no differences in the levels of soluble Ab peptide or the
expression levels of its precursor protein (APP). Further investigation
revealed differences suggesting that an enriched environment elicits
protection via pathways that prevent Ab accumulation and enhance its
clearance. The data confirm that an environment rich in mental and
physical stimulation slows the progression of Alzheimer-like brain
pathology.
The paper appeared in the August issue of the
American Journal of Pathology.
Full reference
http://www.sciencedaily.com/releases/2006/07/060724002331.htm
May 2006
Good physical function linked to Alzheimer's delay
A study following 2,288 older adults for six years found that those whose
physical function was higher at the start of the study were three times less
likely to develop dementia than were those whose physical function was
lower.
The report appeared in the May 22 issue of Archives of
Internal Medicine.
Full reference
http://www.eurekalert.org/pub_releases/2006-05/ghcc-gpf051806.htm
April 2006
Social networks protect against Alzheimer's
Previous studies have found that older people with more extensive social
networks are less likely to suffer cognitive impairment. Now a new study
provides evidence that social networks, like education, offers a 'protective
reserve' capacity that spares them the clinical manifestations of
Alzheimer's disease. 89 elderly people without known dementia participating
in the Rush Memory and Aging Project underwent annual clinical evaluation
and cognitive tests. To determine social network, participants were asked
about the number of children they have and see monthly; about the number of
relatives, excluding spouse and children, and friends to whom they feel
close and with whom they felt at ease and could talk to about private
matters and could call upon for help, and how many of these people they see
monthly. Their social network was the number of these individuals seen at
least once per month. Brain autopsy was done at the time of death. It was
found that, as the size of the social network increased, the same amount of
Alzheimer’s pathology in the brain (i.e., extent of plaques and tangles) had
less effect on cognitive test scores. In other words, for persons without
much pathology, social network size had little effect on cognition. However,
as the amount of pathology increased, the apparent protective effect on
cognition also increased.
The study will be published in the May issue of The
Lancet Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2006-04/rumc-snp042106.htm
February 2006
Alzheimer's progresses more rapidly in highly educated people
A study of 312 New Yorkers aged 65 and older, who were diagnosed with
Alzheimer's disease and monitored for over 5 years, found that overall
mental agility declined faster for each additional year of education,
particularly in the speed of thought processes and memory, and was
independent of age, mental ability at diagnosis, or other factors likely to
affect brain function, such as depression and vascular disease. It’s
suggested this may reflect the greater ability of brains with a higher
cognitive reserve to tolerate damage, meaning the damage is greater by the
time it becomes observable in behavior. The finding confirms earlier
findings from some epidemiological studies.
The research appeared in the Journal of Neurology
Neurosurgery and Psychiatry.
Full reference
http://www.eurekalert.org/pub_releases/2006-02/bsj-adp021506.htm
January 2006
Use your brain, halve your risk of dementia
In the first comprehensive review of the research into 'cognitive
reserve', which looks at the role of education, occupational complexity and
mentally stimulating activities in preventing cognitive decline, researchers
concluded that complex mental activity across people’s lives almost halves
the risk of dementia. All the studies also agreed that it was never too late
to build cognitive reserve. The review covered 29,000 individuals across 22
studies.
The paper was published online October 6 and will appear in a forthcoming
issue of Psychological Medicine.
Full reference
http://www.eurekalert.org/pub_releases/2006-01/uons-uyb012406.htm
Exercise protects against Alzheimer's
A study following 1,740 seniors (aged 65 and older) over a six-year
period, found that those who exercised three or more times a week had a 30 —
40% lower risk for developing dementia compared with those who exercised
fewer than three times per week. Even modest amounts, such as walking 15
minutes a day, appear beneficial, and the more frail the person was, the
more they benefited from regular exercise.
The report appeared in the January 17 issue of Annals
of Internal Medicine.
Full reference
http://www.eurekalert.org/pub_releases/2006-01/ghcc-eil011006.htm
July 2005
Study links adolescent IQ/activity levels with risk of dementia
An analysis of high school records and yearbooks from
the mid-1940s, and interviews with some 400 of these graduates, now in their
70s, and their family members, has found that those who were more active in high
school and who had higher IQ scores, were less likely to have mild memory and
thinking problems and dementia as older adults.
The results were published in the July 2005 issue of the
Journal of the American Geriatrics Society.Full
reference
http://www.eurekalert.org/pub_releases/2005-07/cwru-sla070105.htm
April 2005
Exercise slows development of Alzheimer's-like brain changes in mice
Population-based studies have provided evidence that various
lifestyle interventions might help slow the onset and progression of
Alzheimer’s. A mouse study now provides a clue how that might work.
Physical activity enhanced the learning ability of mice genetically
engineered to develop amyloid plaques and decreased the level of
plaque-forming beta-amyloid protein fragments in their brains. The
mice were divided into mice with access to running wheels or no
access. The findings are supported by another recent study that
found that beta-amyloid levels decreased in the brains of another
kind of transgenic mice when they were housed in groups and in
environments that were enriched with running wheels, colored
tunnels, and toys.
The study appeared in the April 27 issue of
The Journal of Neuroscience.
Full reference
http://www.eurekalert.org/pub_releases/2005-04/nioa-esd042605.htm
March 2005
Enriched environment delays onset of Alzheimer's in mice
A study of genetically engineered mice has found that an enriched
environment, with more opportunities to exercise, explore and
interact with others, can dramatically reduce levels of beta-amyloid
peptides, hallmarks of Alzheimer's disease. The mice also showed
greater activity for several genes involved in memory and learning,
the growth of new nerve cells, cell survival, and the growth of new
blood vessels within the brain. As with humans, mice in the enriched
environment showed varying levels of activity. The most active were
found to have the least beta-amyloid. Researchers suggested the
reason may simply be a matter of blood flow; physical and mental
activity can stimulate growth of new blood vessels and keep existing
vessels open and functional.
The report appeared In the 11 March 2005 issue of
Cell. Full
reference
http://www.eurekalert.org/pub_releases/2005-03/uocm-eed030705.htm
August 2004
More support for role of mental stimulation in protecting against Alzheimer's
A study of 122 people with Alzheimer's and 235 people without the
disease found that people with Alzheimer's are more likely to have
had less mentally stimulating careers than their peers who do not
have Alzheimer's. Jobs were classified as mentally stimulating based
on complexity, variety of tasks, whether it involved creative
thinking or manipulation of data. Less mentally demanding jobs
included more routine and monotonous tasks. The association did not
apply to occupations during a person’s 20s. The study did not
control for socioeconomic status, and environmental demands and
exposures of occupations, but did control for educational levels.
The study is published in the August 10th issue of
Neurology.
http://www.eurekalert.org/pub_releases/2004-08/uhoc-tmj080904.htm
http://www.nature.com/news/2004/040809/full/040809-3.html
February 2004
Why diet, hormones, exercise might delay Alzheimer’s
A theory that changes in fat metabolism in the membranes of nerve
cells play a role in Alzheimer's has been supported in a recent
study. The study found significantly higher levels of ceramide and
cholesterol in the middle frontal gyrus of Alzheimer's patients. The
researchers suggest that alterations in fats (especially cholesterol
and ceramide) may contribute to a "neurodegenerative cascade" that
destroys neurons in Alzheimer's, and that the accumulation of
ceramide and cholesterol is triggered by the oxidative stress
brought on by the presence of the toxic beta amyloid peptide. The
study also suggests a reason for why antioxidants such as vitamin E
might delay the onset of Alzheimer's: treatment with Vitamin E
reduced the levels of ceramide and cholesterol, resulting in "a
significant decrease in the number of neurons killed by the beta
amyloid and oxidative stress.
The study was published in the February 17 issue of
Proceedings of the National Academy of Sciences.
Full reference
http://www.eurekalert.org/pub_releases/2004-02/aaft-nsm021004.htm
July 2003
Higher education or larger brain size may protect against dementia
More findings from the Nun Study, a longitudinal study of
aging and Alzheimer's disease. It was found that nuns who
completed 16 or more years of formal education or whose head
circumference was in the upper two-thirds were four times less
likely to be demented than those with both smaller head
circumferences and lower education. (Head circumference is a
good indicator of the volume or size of the brain.) It was not
that these nuns were less likely to have the brain abnormalities
characteristic of Alzheimer's disease, but that the larger brain
size and more education provided extra reserve, allowing them to
function normally in the presence of such brain abnormalities.
The study was published in the June issue of the
Journal of Clinical and Experimental Neuropsychology.
Full reference
http://www.eurekalert.org/pub_releases/2003-07/uosf-heo071003.htm
June 2003
More evidence that mental exercise helps prevent or postpone dementia
Another study provides support for
the idea that mentally demanding activities can help stave off dementia. The
study involved 469 people aged 75 and older. Over the course of the study,
dementia developed in 124 of the participants (Alzheimer's disease in 61,
vascular dementia in 30, mixed dementia in 25, and other types of dementia in
8). Those who participated at least twice weekly in reading, playing games
(chess, checkers, backgammon or cards), playing musical instruments, and dancing
were significantly less likely to develop dementia. Although the evidence on
crossword puzzles was not quite statistically significant, those who did
crossword puzzles four days a week had a much lower risk of dementia than those
who did one puzzle a week. Most physical activities, like group exercise or team
games, had no significant impact. The only exception - ballroom dancing -
possibly occurred because of the mental demands of remembering dance steps,
responding to music and coordinating with a partner. Although the study was
careful to include only those who showed no signs of dementia at the start, it
cannot be ruled out that people in very early, pre-clinical stages of dementia
may be less likely to participate in mentally demanding activities.
The study was published in the June 19 issue of the New
England Journal of Medicine.
Full reference
http://www.nytimes.com/2003/06/24/opinion/24TUE4.html?th
Effects of Alzheimer's disease may be influenced by education
New findings from the Religious Orders Study (ROS), a
long-running prospective study of aging and cognitive function in Catholic
clergy, provides evidence that formal education may provide a cognitive reserve
or a "neuroplasticity" that can reduce the effect of AD brain abnormalities on
cognitive function in later life. A post-mortem study of the brains of 130
participants who had all undergone cognitive testing some months before death,
found that the relationship between cognitive performance and the number of
amyloid plaques in the brain (characteristic of Alzheimer’s) changed with level
of formal education. The more years education you had, the less effect the same
number of plaques had on actual cognitive performance. For example, an
84-year-old woman in the most highly educated group (postgraduate work after
college) might score 98.1 (on a scale where the average participant scores 100)
in the absence of any plaques. The same age woman with the least education (some
college attendance) would score 96.8. In the presence of about 18 plaques (more
than the number required for a diagnosis of Alzheimer’s), the more highly
educated woman's score would drop about two points, to 96.2, while the score of
the woman with less formal education would drop more than 14 points, to 82. It’s
worth noting that this considerable difference was observed in a population
where even the least educated had some college attendance; presumably the
difference would be even more marked in the general population.
The research was published in the June 24 issue of
Neurology.
Full reference
http://www.eurekalert.org/pub_releases/2003-06/rpsl-rrf062303.htm
February 2002
Mentally stimulating activities may reduce Alzheimer's risk
A
study of 700 seniors over several
years found that more frequent participation in cognitively
stimulating activities, such as reading books, newspapers or
magazines, engaging in crosswords or card games, was significantly
associated with a reduced risk of Alzheimer’s disease (AD). Over the
period, 111 participants developed AD. In comparing levels of
cognitive activity with the risk of developing AD, it was found that
a one-point increase in cognitive activity (on a 5-point scale)
corresponded with a 33% reduction in the risk of AD. On average,
compared with someone with the lowest activity level, the risk of
disease was 47% lower for those whose frequency of activity was
highest. General cognitive decline was also less among people who
did more cognitively stimulating activities.
The study appeared in the February 13 issue of the
Journal of the American Medical Association.
Full reference
http://www.eurekalert.org/pub_releases/2002-02/nioa-io020802.htm

