Lifestyle

One cause of damage in older brains, and how exercise can help

September, 2011

Two mice studies indicate that an increase in a protein involved in immune response may be behind the reduced ability of older brains to create new neurons, and that exercise produces a protein that helps protect against damage caused by illness, injury, surgery and pollutants.

In the first mouse study, when young and old mice were conjoined, allowing blood to flow between the two, the young mice showed a decrease in neurogenesis while the old mice showed an increase. When blood plasma was then taken from old mice and injected into young mice, there was a similar decrease in neurogenesis, and impairments in memory and learning.

Analysis of the concentrations of blood proteins in the conjoined animals revealed the chemokine (a type of cytokine) whose level in the blood showed the biggest change — CCL11, or eotaxin. When this was injected into young mice, they indeed showed a decrease in neurogenesis, and this was reversed once an antibody for the chemokine was injected. Blood levels of CCL11 were found to increase with age in both mice and humans.

The chemokine was a surprise, because to date the only known role of CCL11 is that of attracting immune cells involved in allergy and asthma. It is thought that most likely it doesn’t have a direct effect on neurogenesis, but has its effect through, perhaps, triggering immune cells to produce inflammation.

Exercise is known to at least partially reverse loss of neurogenesis. Exercise has also been shown to produce chemicals that prevent inflammation. Following research showing that exercise after brain injury can help the brain repair itself, another mouse study has found that mice who exercised regularly produced interleukin-6 (a cytokine involved in immune response) in the hippocampus. When the mice were then exposed to a chemical that destroys the hippocampus, the interleukin-6 dampened the harmful inflammatory response, and prevented the loss of function that is usually observed.

One of the actions of interleukin-6 that brings about a reduction in inflammation is to inhibit tumor necrosis factor. Interestingly, I previously reported on a finding that inhibiting tumor necrosis factor in mice decreased cognitive decline that often follows surgery.

This suggests not only that exercise helps protect the brain from the damage caused by inflammation, but also that it might help protect against other damage, such as that caused by environmental toxins, injury, or post-surgical cognitive decline. The curry spice cucurmin, and green tea, are also thought to inhibit tumor necrosis factor.

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More evidence of the benefits of B vitamins in fighting cognitive decline

September, 2011
  • High daily doses of B-vitamins significantly slowed cognitive decline and brain atrophy in those with MCI, especially if they had high levels of homocysteine.

In a small study, 266 older adults with mild cognitive impairment (aged 70+) received a daily dose of 0.8 mg folic acid, 0.5 mg vitamin B12 and 20 mg vitamin B6 or a placebo for two years. Those treated with B vitamins had significantly lower levels of homocysteine at the end of the trial (high homocysteine is a known risk factor for age-related cognitive decline and dementia). Moreover, this was associated with a significantly slower rate of brain shrinkage.

However, while there were significant effects on homocysteine level, brain atrophy, and executive function, it wasn’t until results were separated on the basis of baseline homocysteine levels that we get really dramatic results.

It was the group with high homocysteine levels at the start of the study who really benefited from the high doses of B vitamins. For them, brain atrophy was cut by half, and there were clear benefits in episodic memory, semantic memory, and global cognitive function, not just executive function. Among those with high baseline homocysteine who received the placebo, significant cognitive decline occurred.

The level of B vitamins in the supplements was considerably greater than the recommended standard. However, caution must be taken in dosing yourself with supplements, because folic acid can have negative effects. Better to try and get your diet right first.

A longer and larger follow-up study is now planned, and hopefully that will tell us if such treatment can keep MCI developing into Alzheimer’s.

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More ways exercise can help seniors fight memory loss

September, 2011

A recent study finds that cognitive decline is greater in older adults who have a high salt intake —but only if they’re not physically active. Another finds that older rats who exercise are protected from memory loss caused by bacterial infection.

A three-year study following 1,262 healthy older Canadians (aged 67-84) has found that, among those who exercised little, those who had high-salt diets showed significantly greater cognitive decline. On the bright side, sedentary older adults who had low-salt consumption did not show cognitive decline over the three years. And those who had higher levels of physical activity did not show any association between salt and cognition.

Low sodium intake is associated with reduced blood pressure and risk of heart disease, adding even more weight to the mantra: what’s good for the heart is good for the brain.

The analysis controlled for age, sex, education, waist circumference, diabetes, and dietary intakes. Salt intake was based on a food frequency questionnaire. Low sodium intake was defined as not exceeding 2,263 mg/day; mid sodium intake 3,090 mg/day; and high sodium intake 3,091 and greater mg/day. A third of the participants fell into each group. Physical activity was also measured by a self-reported questionnaire (Physical Activity Scale for the Elderly). Cognitive function was measured by the Modified MMSE.

And adding to the evidence that exercise is good for you (not that we really need any more!), a rat study has found that aging rats that ran just over half a kilometer each week were protected against long-term memory loss that can happen suddenly following bacterial infection.

Previous research found that older rats experienced memory loss following E. coli infection, but young adult rats did not. In the older animals, microglia (the brain’s immune cells) were more sensitive to infection, releasing greater quantities of inflammatory molecules called cytokines in the hippocampus. This exaggerated response brought about impairments in synaptic plasticity (the neural changes that underlie learning) and reductions in BDNF.

In this study, the rats were given unlimited access to running wheels. Although the old rats only ran an average of 0.43 miles per week (50 times less distance than the young rats), they performed better on a memory test than rats who only had access to a locked exercise wheel. Moreover, the runners performed as well on the memory test as rats that were not exposed to E. coli.

The researchers are now planning to examine the role that stress hormones may play in sensitizing microglia, and whether physical exercise slows these hormones in older rats.

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Gingko biloba & Ginseng

  • The most convincing study has found no benefit of gingko biloba on cognition in older adults.
  • Previous evidence that gingko biloba can improve memory has been decidedly mixed.
  • The most promising results have occurred with multiple sclerosis patients; there is also some reason to think those with cardiovascular problems may benefit.
  • Gingko biloba is not without side-effects.
  • The quality of the supplements is also probably a factor in determining whether it will be of value.

Most studies supporting the use of gingko have been looking at its use in people suffering from dementia, Alzheimer's, multiple sclerosis etc. That is, not in healthy seniors. There is some evidence that gingko may be helpful with cardiovascular problems and, given recent research that suggests "what's good for the heart is good for the brain", perhaps this is the source of any effects gingko may have on memory and cognitive function.

Gingko can have serious side-effects - those taking other medications, or about to undergo surgery, are advised to tell their doctor if they are taking gingko. There is also some evidence that it may be a danger to unborn children. Nor is it yet clear what the correct dose might be (one study found a beneficial effect at a low dose, but no effect when a higher dose was used!) The quality of the various gingko preparations for sale is also quite variable.

Given these caveats however, some individuals may find gingko helpful - chiefly, it would appear, in terms of a slightly increased alertness. I would speculate that those who do find it helpful are those people whose memory problems are caused by certain cardiovascular risk factors, such as high cholesterol.

Older news items (pre-2010) brought over from the old website

Ginkgo biloba does not slow rate of cognitive decline

Findings from the large, long-running Ginkgo Evaluation of Memory study have sadly found no evidence for an effect of Ginkgo biloba on global cognitive change and no evidence of effect on specific cognitive domains of memory, language, attention, visuospatial abilities and executive functions. There was also no evidence for treatment effects for any particular group (i.e. by age, sex, race, education, ApoE4 status, or baseline cognitive status). The randomized, double-blind, placebo-controlled clinical trial involved 3069 seniors aged 72 to 96 years, with a median follow-up of 6.1 years. Those taking the herb took a twice-daily dose of 120-mg. Earlier results from the study found Ginkgo biloba did not reduce the incidence of dementia.

[1457] Snitz, B. E., O'Meara E. S., Carlson M. C., Arnold A. M., Ives D. G., Rapp S. R., et al.
(2009).  Ginkgo biloba for Preventing Cognitive Decline in Older Adults: A Randomized Trial.
JAMA. 302(24), 2663 - 2670.

http://www.eurekalert.org/pub_releases/2009-12/jaaj-gbd122309.php

Gingko biloba does not prevent dementia

A six-year study involving over 3000 older adults has found no reduction in the rate of dementia for those taking twice-daily 120 mg doses of Ginkgo biloba.

DeKosky, S.T. et al. 2008. Ginkgo biloba for prevention of dementia: A randomized controlled trial. JAMA, 300 (19), 2253-62.

http://www.eurekalert.org/pub_releases/2008-11/jaaj-gbd111308.php
http://www.eurekalert.org/pub_releases/2008-11/wfub-gpi111808.php

Daily dose of ginkgo may prevent brain cell damage after a stroke

A study using genetically engineered mice has found that daily doses of ginkgo biloba can prevent or reduce brain damage after an induced stroke. More research is needed before its use in humans can be recommended, but the finding does lend support to other evidence that ginkgo biloba triggers a cascade of events that neutralizes free radicals known to cause cell death.

[1081] Saleem, S., Zhuang H., Biswal S., Christen Y., & Doré S.
(2008).  Ginkgo biloba extract neuroprotective action is dependent on heme oxygenase 1 in ischemic reperfusion brain injury.
Stroke; a Journal of Cerebral Circulation. 39(12), 3389 - 3396.

http://www.eurekalert.org/pub_releases/2008-10/jhmi-mss100708.php

More study needed to determine if gingko biloba helps memory

A three-year study involving 118 people age 85 and older with no memory problems found no significant difference in the development of memory problems during the study between those who took ginkgo biloba extract three times a day and those who took a placebo. However, when adherence was taken into account, it was found that those who reliably took the supplement had a 68% lower risk of developing mild memory problems than those who took the placebo. But those taking ginkgo biloba were more likely to have a stroke or transient ischemic attack. Further studies are needed.

[1100] Dodge, H. H., Zitzelberger T., Oken B. S., Howieson D., & Kaye J.
(2008).  A randomized placebo-controlled trial of ginkgo biloba for the prevention of cognitive decline.
Neurology. 01.wnl.0000303814.13509.db - 01.wnl.0000303814.13509.db.

http://www.eurekalert.org/pub_releases/2008-02/aaon-dgb022208.php

Ginkgo may improve executive function in MS patients

A study of 39 MS patients found that those receiving ginkgo biloba were about 13% faster on a Stroop test (measures a person's ability to pay attention and to sort conflicting information). Such a difference would be comparable to differences in scores between healthy people ages 30 to 39 and those ages 50 to 59. The benefit appeared to be greatest for those who had certain problems with the Stroop test.

The study was presented at the American Academy of Neurology's 57th Annual Meeting in Miami Beach, Fla.

http://www.eurekalert.org/pub_releases/2005-04/ohs-osf042705.php

Helping memory with "natural" supplements

Do caffeine and glucose help concentration? A recent study found that volunteers who drank a mixture containing caffeine and glucose (as well as trace levels of guarana, ginkgo and ginseng) showed clear improvements in memory and attention. Those who consumed the individual ingredients, or a placebo, did not show such improvements.
Another study by the same researchers found that high doses of lemon balm improved memory and led to greater feelings of calmness in 20 volunteers. The lemon balm was found to increase the activity of acetylcholine – an important chemical messenger which is reduced in people with Alzheimer’s disease.

Scholey, A. & Kennedy, D. 2003. Report at the British Psychological Society Annual Conference in Bournemouth 13-15 March.

Support for gingko biloba

A study of seniors with age-associated memory impairment found significant improvement in verbal recall among those who took gingko biloba for six months. PET scans revealed a correlation with better brain function in key brain memory centers, although there was no detectable changes in brain metabolism. Studies of gingko biloba have had conflicting results, and it is suggested that both length of time (most studies have looked at the effect over 3 months or less) and quality of supplement, may be important.

The research was presented at the annual meeting of the Society for Neuroscience.

http://www.eurekalert.org/pub_releases/2003-11/uoc--urf111003.php

Pilot study finds ginseng may improve memory in stroke dementia patients

Following mouse studies showing that ginseng increased the activities of the brain chemicals acetylcholine and choline acetyltransferase, a pilot study of 40 patients (average age 67) with mild to moderate vascular dementia was undertaken by Chinese researchers. 25 patients were randomly selected to receive ginseng extract, while 15 received the drug Duxil® (used to improve memory in elderly dementia patients). Overall, researchers found that patients who took the ginseng compound significantly improved their average memory function after 12 weeks. More research (larger samples, placebo-controls) is needed before this finding can be confirmed.

The study was reported at the American Stroke Association's 28th International Stroke Conference on February 14 in Phoenix.

http://www.eurekalert.org/pub_releases/2003-02/aha-gmi020403.php

No support for ginkgo as a memory enhancer

In a double-blind study of 230 healthy seniors, half of whom were given gingko biloba and half a placebo, ginkgo biloba was found to have no beneficial effect on memory and related mental functions after six weeks (the manufacturer claims beneficial effects can be noticed after four weeks).

[494] Solomon, P. R., Adams F., Silver A., Zimmer J., & DeVeaux R.
(2002).  Ginkgo for Memory Enhancement: A Randomized Controlled Trial.
JAMA. 288(7), 835 - 840.

http://www.eurekalert.org/pub_releases/2002-08/wc-gfi081602.php

Ginkgo biloba may slow cognitive decline in patients with mild multiple sclerosis

A six-month double-blind, placebo-controlled pilot study of 23 individuals with mild multiple sclerosis found that patients who took the herb Ginkgo biloba performed better on neuropsychological tests compared to those who took the inactive placebo.

Corey-Bloom, J., Kenney, C. & Norman, M. 2002. Paper presented at the annual meeting of the American Academy of Neurology on April 18 in Denver, Colorado.

http://www.eurekalert.org/pub_releases/2002-04/uoc--gbs041202.php

 

tags lifestyle: 

Sleep deprivation

Older news items (pre-2010) brought over from the old website

Sleep apnea therapy improves golf game

A study involving 24 golfers with diagnosed moderate to severe obstructive sleep apnea (OSA) has found that the 12 who received nasal positive airway pressure (NPAP) for their disorder not only improved their daytime sleepiness scores, but lowered their golf handicap by as much as three strokes. It is assumed this is because of improvements in cognitive function. The effect was greatest for the best golfers (those with a handicap lower than 12), even though these were often older. The findings may help improve compliance — a big issue in NPAP therapy — in golfers.

The study was presented at CHEST 2009, the 75th annual international scientific assembly of the American College of Chest Physicians (ACCP).

http://www.eurekalert.org/pub_releases/2009-11/acoc-sat102709.php

Alcoholism's effect on sleep persists

A study involving 42 long-term alcoholics who had not had a drink for up to 719 days (mean age 49 years, 27 men) has found that, compared to controls, alcoholics had significantly poorer sleep quality, measured by a significantly lower percentage of slow wave sleep and significantly more stage 1 non-rapid eye movement (NREM) sleep. Moreover, estimated lifetime alcohol consumption was significantly related to the scores on the Pittsburgh Sleep Quality Index, with higher lifetime consumption predicting less sleep satisfaction. The reduction in slow wave activity was specific to NREM sleep. This could act as an exacerbating factor in alcoholics' cognitive decline.

[792] Colrain, I. M., Turlington S., & Baker F. C.
(2009).  Impact of alcoholism on sleep architecture and EEG power spectra in men and women.
Sleep. 32(10), 1341 - 1352.

http://www.eurekalert.org/pub_releases/2009-10/aaos-aeo092309.php

Why sleep deprivation causes cognitive impairment, and how to fix it

A mouse study has found a molecular pathway in the brain that is the cause of cognitive impairment due to sleep deprivation, and points to a way of preventing the cognitive deficits caused by sleep deprivation. The study showed that mice deprived of sleep had increased levels of the enzyme phosphodiesterase 4 (PDE4) and reduced levels of cAMP, crucial in forming new synaptic connections in the hippocampus. Treatment with phosphodiesterase inhibitors rescued the sleep deprivation-induced deficits in cAMP signaling, synaptic plasticity and hippocampus-dependent memory, counteracting some of the memory consequences of sleep deprivation.

[1485] Vecsey, C. G., Baillie G. S., Jaganath D., Havekes R., Daniels A., Wimmer M., et al.
(2009).  Sleep deprivation impairs cAMP signalling in the hippocampus.
Nature. 461(7267), 1122 - 1125.

http://www.eurekalert.org/pub_releases/2009-10/uop-fsp102609.php

Poor sleep linked to later development of Alzheimer's

A mouse study has found that amyloid-beta significantly increases during periods of sleep deprivation. The discovery follows observation that peptide levels in both mice and humans increase significantly during the day and drop at night. When mice were only allowed to sleep four hours a day for 21 days, they had higher amyloid-beta plaque build-up in their brain than similar-aged mice with regular sleeping habits. The circadian fluctuation was found to reflect the activity of orexin, a hormone that regulates wakefulness. The findings suggest insomnia, late-night habits, and irregular sleep schedules during mid-life may be linked to the later development of Alzheimer's disease.

Kang, J-E. et al. 2009. Amyloid- Dynamics Are Regulated by Orexin and the Sleep-Wake Cycle. Science, Published Online September 24

http://www.the-scientist.com/blog/display/55996/

Insomniacs have to work harder

A study of 12 people with chronic primary insomnia (average age 39.4 years), and nine good sleepers, has found that the insomniacs increased brain activation relative to good sleepers during the working memory task, particularly in areas responsible for visual-spatial attention and coordination of cognitive processes. This activation may explain how PIs maintain performance on the task despite their sleep difficulties. PIs also were found to have decreased activation in visual and motor areas, which may suggest that PIs have higher baseline activation in these regions relative to good sleepers.
By the way, insomniacs might like to know that a recent study found 81% of 118 chronic insomniacs reported improved sleep after completing a five-week online cognitive behavioural therapy program, including 35% who rated themselves as much or very much improved (see http://www.eurekalert.org/pub_releases/2009-06/aaos-ocb052209.php).

Orff, H.J. et al. 2009. Insomnia Patients Show Increased Cerebral Activation when Compared to Good Sleepers during an NBack Working Memory Task. Presented on June 9 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies; Abstract ID: 0779.

http://www.eurekalert.org/pub_releases/2009-06/aaos-is060209.php

Older adults less affected by sleep deprivation than younger adults

A study involving 33 older adults (59-82) and 27 younger adults (19-38) has found that while the younger adults all showed significance deterioration on three different cognitive tasks after 36 hours of sleep deprivation, the older adults did not. The finding may be due to only the healthiest older adults being chosen, suggesting that older adults who remain the healthiest late in life may be less vulnerable to a variety of stressors, not just sleep loss.
It’s worth noting that sleep deprivation affects some people more than others. A recent study has found that those with the short variant of the PERIOD3 (PER3) gene compensate for sleep loss by "recruiting" extra brain structures to help with cognitive tasks. Those with the long variant however, showed reduced activity in brain structures normally activated by the task. These participants also showed reduced brain activity in the right posterior inferior frontal gyrus after a normal waking day, a finding consistent with previous research suggesting that people with the long gene variant perform better on executive tasks earlier, but not later, in the day (see http://www.eurekalert.org/pub_releases/2009-06/sfn-gph062409.php).

Wang, R.L. et al. 2009. Older Adults are Less Vulnerable to Sleep Deprivation than Younger Adults during Cognitive Performance. Presented on June 10 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies; Abstract ID: 0420.

http://www.eurekalert.org/pub_releases/2009-06/aaos-oal060209.php

Childhood sleep problems persisting through adolescence may affect cognitive abilities

A longitudinal study involving 916 twins whose parents reported their children's sleep problems from age 4 until 16, of whom 568 completed tests of executive functioning at 17, indicates that those whose sleep problems persisted through adolescence had poorer executive functioning at age 17 than children whose problems decreased to a greater extent. Sleep problems as early as age 9, but particularly around age 13, showed significant associations with later executive functions. Some problems appear to be more important than others: changes in levels of 'sleeping more than other children' and 'being overtired' were most important, and nightmares and 'trouble sleeping' the least. However, a child's level of sleep problems early in life don’t appear to be an important factor.

[930] Friedman, N. P., Corley R. P., Hewitt J. K., & Wright K. P.
(2009).  Individual Differences in Childhood Sleep Problems Predict Later Cognitive Executive Control.
Sleep. 32(3), 323 - 333.

http://www.eurekalert.org/pub_releases/2009-03/aaos-csp022709.php

Treating sleep apnea in Alzheimer's patients helps cognition

A study of 52 men and women with mild to moderate Alzheimer's disease and obstructive sleep apnea (OSA) has found significant improvement in patients' neurological test scores after continuous positive airway pressure (CPAP) treatment. CPAP also reduced daytime sleepiness, a common complaint of Alzheimer's patients and their caregivers. The prevalence of OSA in patients with dementia has been estimated to be as high as 70 to 80%.

Ancoli-Israel, S. et al. 2008. Cognitive Effects of Treating Obstructive Sleep Apnea in Alzheimer's Disease: A Randomized Controlled Study. Journal of the American Geriatrics Society, 56 (11), 2076-2081.

http://www.eurekalert.org/pub_releases/2008-12/uoc--tsa120308.php

Landmark study links sleep, memory problems in elderly African-Americans

A study of older African-Americans (aged 65-90) has found that those who have trouble falling asleep are at higher risk of having memory problems, most particularly in short-term and working memory.

[242] Gamaldo, A. A., Allaire J. C., & Whitfield K. E.
(2008).  The Relationship Between Reported Problems Falling Asleep and Cognition Among African American Elderly.
Research on Aging. 30(6), 752 - 767.

http://www.eurekalert.org/pub_releases/2008-10/ncsu-lsl101308.php

One sleepless night increases dopamine

A study has found that sleep deprivation increases the level of the hormone dopamine in two brain structures: the striatum, which is involved in motivation and reward, and the thalamus, which is involved in alertness. The rise in dopamine following sleep deprivation may promote wakefulness to compensate for sleep loss. However, since the amount of dopamine correlated with feelings of fatigue and impaired performance on cognitive tasks, it appears that the adaptation is not sufficient to overcome the cognitive deterioration induced by sleep deprivation and may even contribute to it. Amphetamines increase dopamine levels.

[483] Thanos, P. K., Ferre S., Jayne M., Volkow N. D., Wang G-J., Telang F., et al.
(2008).  Sleep Deprivation Decreases Binding of [11C]Raclopride to Dopamine D2/D3 Receptors in the Human Brain.
J. Neurosci.. 28(34), 8454 - 8461.

http://www.eurekalert.org/pub_releases/2008-08/sfn-osn081808.php

Memory loss linked to sleep apnea

Sleep apnea occurs when a blocked airway repeatedly halts the sleeper's breathing, resulting in loud bursts of snoring and chronic daytime fatigue. Memory loss and difficulty focusing are also common complaints. While sleep loss is a common cause for such impairment, memory problems continue despite treatment for the sleep disorder, implying a long-lasting brain injury. Now a new imaging study has found significant tissue loss in brain regions that help store memory (mammillary bodies). It’s hypothesized that repeated drops in oxygen might be the cause, but further research is needed.

[958] Kumar, R., Birrer B. V. X., Macey P. M., Woo M. A., Gupta R. K., Yan-Go F. L., et al.
(2008).  Reduced mammillary body volume in patients with obstructive sleep apnea.
Neuroscience Letters. 438(3), 330 - 334.

http://www.eurekalert.org/pub_releases/2008-06/uoc--mll060608.php

More sleep improves cognition in Alzheimer patients with OSA

A study involving 52 participants with an average age of 77.8 years who had Alzheimer disease and obstructive sleep apnea (OSA) has found that it was increases in total sleep time in those given continuous positive airway pressure treatment that was associated with improvements in cognition, rather than improvement in oxygen levels. This suggests that the cognitive dysfunction associated with OSA in patients with dementia may be in part an effect of short sleep time.

The findings were presented at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS).

http://www.eurekalert.org/pub_releases/2008-06/aaos-iit050708.php

Green tea compounds beat OSA-related brain deficits

A study has found that rats intermittently deprived of oxygen during 12-hour “night” cycles, mimicking the experience of humans with obstructive sleep apnea, performed significantly better on a spatial memory task if they’d been treated with the polyphenols in green tea (administered through drinking water) than if they didn’t receive such chemicals. Their brains also showed less oxidative stress.

[464] Burckhardt, I. C., Gozal D., Dayyat E., Cheng Y., Li R. C., Goldbart A. D., et al.
(2008).  Green tea catechin polyphenols attenuate behavioral and oxidative responses to intermittent hypoxia.
American Journal of Respiratory and Critical Care Medicine. 177(10), 1135 - 1141.

http://www.eurekalert.org/pub_releases/2008-05/ats-gtc051308.php

REM sleep deprivation reduces neurogenesis

And in another sleep study, rats deprived of REM sleep for four days showed reduced cell proliferation in the dentate gyrus of the hippocampus, where most adult neurogenesis takes place. The finding indicates that REM sleep is important for brain plasticity.

[507] Guzman-Marin, R., Suntsova N., Bashir T., Nienhuis R., Szymusiak R., & McGinty D.
(2008).  Rapid eye movement sleep deprivation contributes to reduction of neurogenesis in the hippocampal dentate gyrus of the adult rat.
Sleep. 31(2), 167 - 175.

http://www.eurekalert.org/pub_releases/2008-02/aaos-fdo012808.php

Insufficient sleep in early childhood associated with developmental delay

A long-term study of nearly 1500 young children (from 5 months to six years) found four sleep duration patterns; 6% slept less than 10 hours per night throughout early childhood, and 4.8% did so until around 41 months, when it increased. Short sleep duration was found to significantly increase the risk of low performance on the Peabody Picture Vocabulary Test–Revised (given at 5 years), suggesting that language acquisition and the consolidation of new words into memory could be significantly impeded by chronically shortened sleep duration throughout childhood. An increased risk of poorer performance on the Block Design subtest (given at 6 years) was also evident even among those who had increased their sleep duration, suggesting that there is a critical period in early childhood where the lack of sleep is particularly detrimental on various aspects of development even if the sleep duration normalizes later on.

[244] Touchette, É., Petit D., Séguin J. R., Boivin M., Tremblay R. E., & Montplaisir J. Y.
(2007).  Associations Between Sleep Duration Patterns and Behavioral/Cognitive Functioning at School Entry.
Sleep. 30(9), 1213 - 1219.

http://www.eurekalert.org/pub_releases/2007-09/aaos-jsl082407.php

Memory problems and sleep disturbance linked in older women

A large long-running study, involving older women (average age 69) found that the nearly 25% of women who experienced cognitive decline over the 15 year period were twice as likely as women without memory problems to experience sleep disturbances, specifically problems staying asleep, and also problems falling asleep and being awake for more than 90 minutes during their sleep cycle. Women who declined on one of the two cognitive tests were also nearly twice as likely to nap more than two hours a day. However, cognitive decline was not associated with total sleep time. The association between sleep disturbances and poor cognitive function is of course well-known, but these findings raise the possibility that cognitive decline may increase the risk of sleep problems, rather than vice versa.

[679] Yaffe, K., Blackwell T., Barnes D. E., Ancoli-Israel S., Stone K. L., & For the Study of Osteoporotic Fractures Group
(2007).  Preclinical cognitive decline and subsequent sleep disturbance in older women.
Neurology. 69(3), 237 - 242.

http://www.eurekalert.org/pub_releases/2007-07/aaon-oww071007.php

African-American and poor children more affected by sleep problems

A study involving 166 8- and 9-year-old African-American and European-American children from varying socioeconomic backgrounds has found that sleep disruption has greater effects on cognitive performance for children from lower-income homes and African-American children. When socioeconomic status was taken into consideration, African-American and European-American children's performance on cognitive tests was similar when they slept well. But when sleep was disrupted, African-American children's performance was worse. Similarly, children from lower and higher socioeconomic backgrounds performed similarly on tests when they slept well and their sleep schedules were consistent. But when their sleep was disrupted, children from higher-income homes did better than children from lower-income homes.

[1061] Buckhalt, J. A., El-Sheikh M., & Keller P.
(2007).  Children's sleep and cognitive functioning: race and socioeconomic status as moderators of effects.
Child Development. 78(1), 213 - 231.

http://www.eurekalert.org/pub_releases/2007-02/sfri-csp013107.php

Sleep deprivation affects neurogenesis

A rat study has found that rats deprived of sleep for 72 hours had higher levels of the stress hormone corticosterone, and produced significantly fewer new brain cells in a particular region of the hippocampus. Preventing corticosterone levels from rising also prevented the reduction in neurogenesis.

[642] Mirescu, C., Peters J. D., Noiman L., & Gould E.
(2006).  Sleep deprivation inhibits adult neurogenesis in the hippocampus by elevating glucocorticoids.
Proceedings of the National Academy of Sciences. 103(50), 19170 - 19175.

http://news.bbc.co.uk/2/hi/health/6347043.stm

Memory improves after sleep apnea therapy

Patients with obstructive sleep apnea (OSA) often complain of forgetfulness. A study of 58 memory-impaired patients with clinically diagnosed OSA has found that 68% of those who used continuous positive airway pressure (CPAP) machines for an average of more than 6 hours a night regained normal memory after three months. Memory improvement varied based on CPAP adherence: 21% of poor users (fewer than 2 hours/night of CPAP use), 44% of moderate users (2 to 6 hours/night) demonstrated normal memory performance after three months. However, evidence suggests this optimal level of CPAP adherence is uncommon following 3 months of treatment.

[151] Zimmerman, M. E., Arnedt T. J., Stanchina M., Millman R. P., & Aloia M. S.
(2006).  Normalization of Memory Performance and Positive Airway Pressure Adherence in Memory-Impaired Patients With Obstructive Sleep Apnea*.
Chest. 130(6), 1772 - 1778.

http://www.eurekalert.org/pub_releases/2006-12/acoc-mia120606.php

Childhood sleep apnea linked to brain damage, lower IQ

It’s long been known that sleep apnea, characterized by fragmented sleep, interrupted breathing and oxygen deprivation, harms children's learning ability and school performance. Now a new study involving 19 children with severe obstructive sleep apnea has identified damage in the hippocampus and the right frontal cortex, and linked that to observable deficits in performance on cognitive tests. Children with OSA had an average IQ of 85 compared to 101 in matched controls. They also performed worse on standardized tests measuring executive functions, such as verbal working memory (8 versus 15) and word fluency (9.7 versus 12). Obstructive sleep apnea affects 2% of children in the United States, but it is unclear how many of these suffer from severe apnea.

[1442] Halbower, A. C., Degaonkar M., Barker P. B., Earley C. J., Marcus C. L., Smith P. L., et al.
(2006).  Childhood Obstructive Sleep Apnea Associates with Neuropsychological Deficits and Neuronal Brain Injury.
PLoS Med. 3(8), e301 - e301.

Full text available at http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0030301

http://www.eurekalert.org/pub_releases/2006-08/jhmi-csa081506.php

Morning grogginess worse for cognition than sleep deprivation

People who awaken after eight hours of sound sleep have more impaired thinking and memory skills than they do after being deprived of sleep for more than 24 hours. The impairment is worst in the first three minutes, and the most severe effects have generally dissipated by ten minutes, but measurable effects can last up to two hours. This is consistent with reports indicating that cortical areas like the prefrontal cortex take longer to come “online” after sleep than other parts of the brain. The findings have implications for medical, safety and transportation workers who are often called upon to perform critical tasks immediately after waking, as well as for anyone abruptly woken to face an emergency situation.

Wertz, A.T., Ronda, J.M., Czeisler, C.A. & Wright, K.P.Jr. 2006. Effects of Sleep Inertia on Cognition. Journal of the American Medical Association, 295,163-164.

http://www.eurekalert.org/pub_releases/2006-01/uoca-mgm121905.php

Losing sleep inhibits neurogenesis

A new sleep study using rats restricted rather than deprived them of sleep, to mimic more closely the normal human experience. The study found that the sleep-restricted rats had a harder time remembering a path through a maze compared to their rested counterparts. The sleep-restricted rats showed reduced survival rate of new hippocampus cells — learning spatial tasks increases the production of new cells in the hippocampus. This study shows that sleep plays a part in helping those new brain cells survive. However, the sleep-restricted rats that were forced to use visual and odor cues to remember their way through the maze did better on the task than their rested counterparts, implying that some types of learning don’t require sleep.

[994] Hairston, I. S., Little M. T. M., Scanlon M. D., Barakat M. T., Palmer T. D., Sapolsky R. M., et al.
(2005).  Sleep Restriction Suppresses Neurogenesis Induced by Hippocampus-Dependent Learning.
J Neurophysiol. 94(6), 4224 - 4233.

http://www.eurekalert.org/pub_releases/2006-01/aps-lsu010506.php

Breathing problems during sleep may affect mental development in infants and young children

Two new studies have found evidence that children who have problems breathing during sleep tend to score lower on tests of mental development and intelligence than do other children their age. The first study found that at one year of age, infants who have multiple, brief breathing pauses (apnea) or slow heart rates during sleep scored lower on mental development tests than did other infants of the same age. The second study found that 5-year-old children who had frequent snoring, loud or noisy breathing during sleep, or sleep apneas observed by parents scored lower standard tests measuring executive function (attention and planning), memory, and general intelligence. More than 10 percent of young children have habitual snoring, the mildest form of sleep-disordered breathing (SDB). The effects of poor sleep are often overlooked or misinterpreted in children -- rather than appearing sleepy, children may in fact seem to be more active or even hyperactive.

[1245] Gottlieb, D. J., Chase C., Vezina R. M., Heeren T. C., Corwin M. J., Auerbach S. H., et al.
(2004).  Sleep-disordered breathing symptoms are associated with poorer cognitive function in 5-year-old children☆.
The Journal of Pediatrics. 145(4), 458 - 464.

[470] Hufford, D., Hunt C. E., Corwin M. J., Baird T., Tinsley L. R., Palmer P., et al.
(2004).  Cardiorespiratory events detected by home memory monitoring and one-year neurodevelopmental outcome∗.
The Journal of Pediatrics. 145(4), 465 - 471.

http://www.eurekalert.org/pub_releases/2004-10/nhla-bpd100604.php

More on effects of sleep loss and fatigue on memory and learning

Just to confirm what we all know (I hope): a study of medical residents from five U.S. academic health centers has found that sleep loss and fatigue affect learning, job performance and personal relationships. Specifically, residents reported adverse effects on their abilities to learn, either in short-term or long-term memory of material; on their motivation to learn; and on their higher-order thinking skills (cognitive abilities and complex thinking).

[1165] Papp, K. K., Stoller E. P., Sage P., Aikens J. E., Owens J., Avidan A., et al.
(2004).  The effects of sleep loss and fatigue on resident-physicians: a multi-institutional, mixed-method study.
Academic Medicine: Journal of the Association of American Medical Colleges. 79(5), 394 - 406.

http://www.eurekalert.org/pub_releases/2004-05/cwru-mrr050404.php

Sleep deprivation affects working memory

A recent study investigated the working memory capacities of individuals who were sleep-deprived. For nine days, 7 of the 12 participants slept four hours each night, and 5 slept for eight hours. Each morning, participants completed a computer task to measure how quickly they could access a list of numbers they had been asked to memorize. The list could be one, three, or five items long. Then participants were presented with a series of single digits and asked to answer "yes" or "no" to indicate whether each digit was one they had memorized. Those who slept eight hours a night steadily increased their working memory efficiency on this task, but those who slept only four hours a night failed to show any improvement in memory efficiency. Motor skill did not change across days for either group of participants.

Casement, M.D., Mullington, J.M., Broussard, J.L., & Press, D.Z. 2003. The effects of prolonged sleep restriction on working memory performance. Paper presented at the annual meeting of the Society for Neuroscience, New Orleans, LA.

http://www.eurekalert.org/pub_releases/2003-11/sfn-sfb_1111003.php

Strategies for sleep improvement

Learning to shape your brain activity for improved sleep & learning

We know that sleep quality affects cognitive performance. Now an exciting new study has showed that people can learn to control certain aspects of their brainwave rhythm in a way that increased relaxation, reduced the time taken to fall asleep, and, after doing it for two weeks, increased memory performance. The training involved ten sessions of neurofeedback training.

[433] Hoedlmoser, K., Pecherstorfer T., Gruber G., Anderer P., Doppelmayr M., Klimesch W., et al.
(2008).  Instrumental Conditioning of Human Sensorimotor Rhythm (12–15 Hz) and Its Impact on Sleep as Well as Declarative Learning.
Sleep. 31(10), 1401 - 1408.

http://www.eurekalert.org/pub_releases/2008-10/aaos-lts092908.php

tags lifestyle: 

Sleep's role in cognition

Older news items (pre-2010) brought over from the old website

A midday nap markedly boosts the brain's learning capacity

Following on from research showing that pulling an all-nighter decreases the ability to cram in new facts by nearly 40%, a study involving 39 young adults has found that those given a 90-minute nap in the early afternoon, after being subjected to a rigorous learning task, did markedly better at later round of learning exercises, compared to those who remained awake throughout the day. The former group actually improved in their capacity to learn, while the latter became worse at learning. The findings reinforce the hypothesis that sleep is needed to clear the brain's short-term memory storage and make room for new information. Moreover, this refreshing of memory capacity was related to Stage 2 non-REM sleep (an intermediate stage between deep sleep and the REM dream stage).

The preliminary findings were presented February 21, at the annual meeting of the American Association of the Advancement of Science (AAAS) in San Diego, Calif.

http://www.eurekalert.org/pub_releases/2010-02/uoc--amn021110.php

Helping memory consolidation while you sleep

The role of sleep in consolidating new learning is now well-established, but now a study intriguingly reveals that you can improve that learning by playing sounds associated with the learning while you are asleep. The study involved 12 volunteers learning to associate each of 50 images with a random location on a computer screen. Each object was paired with its associated sound. Some 45 minutes after they had successfully mastered this task, each participant lay down in a quiet, darkened room. Once deeply asleep, 25 of these sounds were played. Although none of the participants noticed these sounds, performance was subsequently more accurate for those objects whose sounds had been played during sleep. The findings reveal that memory consolidation can be directed to specific memories through use of such cues. Another recent study found smells could also be used in this way.

[1056] Rudoy, J. D., Voss J. L., Westerberg C. E., & Paller K. A.
(2009).  Strengthening Individual Memories by Reactivating Them During Sleep.
Science. 326(5956), 1079 - 1079.

http://www.eurekalert.org/pub_releases/2009-11/nu-wum111209.php

Sleep helps reduce errors in memory

A study in which college students were shown lists of words and then, 12 hours later, asked to identify which words they had seen or heard earlier, found that those who trained at night and tested the following morning were less prone to falsely recognizing semantically similar words than those who trained in the morning and tested in the evening. It’s suspected that sleep may help strengthen the source of the memory, thus helping protect against false memories.

[254] Fenn, K. M., Gallo D. A., Margoliash D., Roediger H. L., & Nusbaum H. C.
(2009).  Reduced false memory after sleep.
Learning & Memory. 16(9), 509 - 513.

http://www.eurekalert.org/pub_releases/2009-09/msu-shr_1091009.php

How sleep consolidates memory

A rat study provides clear evidence that "sharp wave ripples", brainwaves that occur in the hippocampus when it is "off-line", most often during stage four sleep, are responsible for consolidating memory and transferring the learned information from the hippocampus to the neocortex, where long-term memories are stored. The study found that when these waves were eliminated during sleep, the rats were less able to remember a spatial navigation task.

[1083] Girardeau, G., Benchenane K., Wiener S. I., Buzsaki G., & Zugaro M. B.
(2009).  Selective suppression of hippocampal ripples impairs spatial memory.
Nat Neurosci. 12(10), 1222 - 1223.

http://www.eurekalert.org/pub_releases/2009-09/ru-deo091509.php

Memories practiced throughout the day, not just while sleeping

It is known that a certain amount of replaying of experiences occurs in the hippocampus immediately afterwards, but it has been thought that this is confined to the immediate past, while the replaying that occurs during sleep and is thought to be part of the memory consolidation process, ranges far more widely. Now a new rat study indicates that the replaying that occurs while the animal is awake is more extensive than thought, and more accurate than that which occurs during sleep. Data from the neurons indicated that the events being replayed (repeatedly) were from 20 to 30 minutes earlier, and involved different settings, indicating the replay wasn’t dependent on incoming sensory cues. It’s suggested that the less-accurate replays seen during sleep are more aimed at making connections, rather than consolidating the actual experience. The waking replays occurred during pauses in activity, perhaps suggesting the importance of making pauses for reflection during your day!

[933] Karlsson, M. P., & Frank L. M.
(2009).  Awake replay of remote experiences in the hippocampus.
Nature Neuroscience. 12(7), 913 - 918.

http://www.eurekalert.org/pub_releases/2009-06/uoc--mmb061109.php

Creative problem solving enhanced by REM sleep

A study investigating the role of sleep in creative problem-solving has found that those who experienced REM sleep between two tests performed significantly better on the later test compared to those who simply had a quiet rest, or those who napped but had no REM sleep. The findings support the idea that REM sleep (when dreams occur) has a role in forming new associations. It’s suggested that the process may be facilitated by changes to neurotransmitter systems (cholinergic and noradrenergic) during REM sleep.

[1326] Cai, D. J., Mednick S. A., Harrison E. M., Kanady J. C., & Mednick S. C.
(2009).  REM, not incubation, improves creativity by priming associative networks.
Proceedings of the National Academy of Sciences. 106(25), 10130 - 10134.

http://www.eurekalert.org/pub_releases/2009-06/uoc--lms060309.php

Sleep may be important in regulating emotional responses

A study involving 44 college students who were asked to remember scenes with neutral or negative objects on a neutral background has found that those who trained and tested on the scenes in the evening remembered the negative scenes better than those who were trained and tested in the morning. However, neutral objects were not better remembered, and the backgrounds associated with negative objects were more poorly remembered by this group. The pattern persisted when the students were tested four months later. The findings suggest that the sleeping brain calculates what is most important about an experience and selects only what is adaptive for consolidation and long term storage.

Payne, J.D., Kensinger, E., Wamsley, E. & Stickgold, R. 2009. Sleep Promotes Lasting Changes in Memory for Emotional Scenes. Presented on June 11 at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies; Abstract ID: 1244.

http://www.eurekalert.org/pub_releases/2009-06/aaos-smb060209.php

Sleep may help clear the brain for new learning

Although fruit flies may seem little like us, their response to sleep deprivation is similar, and so they are useful models for sleep effects on the human brain. In a recent study, flies genetically altered to make it easier to track individual synapses have revealed that during sleep the number of new synapses formed during earlier learning decreased. This decline didn’t happen if the flies were deprived of sleep. It’s theorized that this activity during sleep is a way of pruning the less relevant and important synapses (clearing away the junk, as it has been conceptualized). The study follows earlier fruit fly research showing that more learning resulted in longer sleep. It also supports recent rat research that found synaptic strength increases during the day, then weakens during sleep. The study also identified three genes essential to the links between learning and increased need for sleep, one of which is equivalent to a human gene known as serum response factor (SRF) and previously linked to brain plasticity.

[360] Donlea, J. M., Ramanan N., & Shaw P. J.
(2009).  Use-Dependent Plasticity in Clock Neurons Regulates Sleep Need in Drosophila.
Science. 324(5923), 105 - 108.

http://www.eurekalert.org/pub_releases/2009-04/wuso-smh033109.php
http://www.eurekalert.org/pub_releases/2009-04/uow-ssc033009.php

Sleep helps you learn complicated tasks & recover forgotten skills

A study involving 200 mostly female college students, who had little experience of video games. The students were taught to play a complicated, multisensory video game in which players must use both hands to deal with continually changing visual and auditory signals. Half were tested 12 hours after the training session, and the others 24 hours later. Some were given a night’s sleep before testing, others were tested the same day. Performance in the former dropped by half at testing, but when tested again the following morning, they showed a 10 percentage point improvement over their pre-test performance. For those given evening training, scores improved by about 7 percentage points, then went to 10 percentage points the next morning – which was maintained over the day. The findings indicate that although people may appear to forget much of their learning over the course of a day, a night’s sleep will restore it; moreover, sleep protected the memory from loss over the course of the next day. The findings confirm the role of sleep in consolidating memory for skills, and extends the research to complicated tasks.

[486] Brawn, T. P., Fenn K. M., Nusbaum H. C., & Margoliash D.
(2008).  Consolidation of sensorimotor learning during sleep.
Learning & Memory. 15(11), 815 - 819.

http://www.eurekalert.org/pub_releases/2008-11/uoc-shp111708.php

Sleep selectively preserves emotional memories

It’s now generally accepted that sleep plays an important role in consolidating procedural (skill) memories, but the position regarding other types of memory has been less clear.  A new study has found that sleep had an effect on emotional aspects of a memory. The study involved showing 88 students neutral scenes (such as a car parked on a street in front of shops) or negative scenes (a badly crashed car parked on a similar street). They were then tested for their memories of both the central objects in the pictures and the backgrounds in the scenes, either after 12 daytime hours, or 12 night-time hours, or 30 minutes after viewing the images, in either the morning or evening.  Those tested after 12 daytime hours largely forgot the entire negative scene, forgetting both the central objects and the backgrounds equally. But those tested after a night’s sleep remembered the emotional item (e.g., the smashed car) as well as those who were tested only 30 minutes later. Their memory of the neutral background was however, as bad as the daytime group. The findings are consistent with the view that the individual components of emotional memory become 'unbound' during sleep, enabling the brain to selectively preserve only that information it considers important.

[875] Payne, J. D., Stickgold R., Swanberg K., & Kensinger E. A.
(2008).  Sleep preferentially enhances memory for emotional components of scenes.
Psychological Science: A Journal of the American Psychological Society / APS. 19(8), 781 - 788.

http://www.physorg.com/news137908693.html
http://www.eurekalert.org/pub_releases/2008-08/bidm-sft081308.php

Aging impairs the 'replay' of memories during sleep

During sleep, the hippocampus repeatedly "replays" brain activity from recent experiences, in a process believed to be important for memory consolidation. A new rat study has found reduced replay activity during sleep in old compared to young rats, and rats with the least replay activity performed the worst in tests of spatial memory. The best old rats were also the ones that showed the best sleep replay. Indeed, the animals who more faithfully replayed the sequence of neural activity recorded during their earlier learning experience were the ones who performed better on the spatial memory task, regardless of age. The replay activity occurs during slow-wave sleep.

[1319] Gerrard, J. L., Burke S. N., McNaughton B. L., & Barnes C. A.
(2008).  Sequence Reactivation in the Hippocampus Is Impaired in Aged Rats.
J. Neurosci.. 28(31), 7883 - 7890.

http://www.eurekalert.org/pub_releases/2008-07/sfn-ait072408.php

A nap can help you learn

A study of 33 younger adults (average are 23) has found that a 45 minute afternoon nap (containing only non-REM sleep) improved performance on 3 different declarative memory tasks, but only when the subjects had reached a certain level of performance during training.

[672] Tucker, M. A., & Fishbein W.
(2008).  Enhancement of declarative memory performance following a daytime nap is contingent on strength of initial task acquisition.
Sleep. 31(2), 197 - 203.

http://www.eurekalert.org/pub_releases/2008-02/aaos-jss012808.php

Brain connections strengthen during waking hours, weaken during sleep

New research provides support for a much-debated theory that we need sleep to give our synapses time to rest and recover. The human brain is said to expend up to 80% of its energy on synaptic activity, constantly adding and strengthening connections in response to stimulation. The researchers have theorized that we need an ‘off-line period’, when we are not exposed to the environment, to take synapses down. The rodent study has revealed by several measures that synapses — the all-important points of connection between neurons — are very active when the animal is awake and very quiet during sleep. The researchers feel that these findings support the idea that our brain circuits get progressively stronger during wakefulness and that sleep helps to recalibrate them to a sustainable baseline. This theory is of course opposite to the currently dominant hypothesis, that during sleep synapses are hard at work replaying the information acquired during the previous waking hours, consolidating that information by becoming even stronger.

[631] Vyazovskiy, V. V., Cirelli C., Pfister-Genskow M., Faraguna U., & Tononi G.
(2008).  Molecular and electrophysiological evidence for net synaptic potentiation in wake and depression in sleep.
Nat Neurosci. 11(2), 200 - 208.

http://www.physorg.com/news120059987.html

Sleep reinforces the temporal sequence in memory

Following on from research showing long-term memory is consolidated during sleep through the replaying of recently encoded experiences, a study has found that the particular order in which they were experienced is also strengthened, probably by a replay of the experiences in "forward" direction. The study involved students being asked to learn triplets of words presented one after the other. Those whose recall of the order of the words was tested after sleep showed better recall, but only when they were asked to reproduce the learned words in forward direction.

[368] Drosopoulos, S., Windau E., Wagner U., & Born J.
(2007).  Sleep Enforces the Temporal Order in Memory.
PLoS ONE. 2(4), e376 - e376.

http://www.eurekalert.org/pub_releases/2007-04/plos-set041707.php

Sleep protects against interference

A study involving 48 people (aged 18—30) found that those who learned 20 pairs of words at 9pm and were tested at 9am the following morning, after a night’s sleep, performed better than those who learned them at 9am and were tested at 9pm of the same day. Moreover, for those who were given a second list of word pairs to remember just before testing, where the first word in each pair was the same as on the earlier list, the advantage of sleep was dramatically better. For those who experienced the interference manipulation, those in the sleep group recalled 12% more word pairs than the wake group, but with interference, the recall rate was 44% higher for the sleep group.

The findings were presented by Dr Jeffrey Ellenbogen at the American Academy of Neurology’s 59th Annual Meeting in Boston, April 28 – May 5, 2007.

http://www.eurekalert.org/pub_releases/2007-04/aaon-ssy040307.php

Sleeping helps us put facts together

And in yet another sleep study, researchers found evidence that sleep also helps us see the big picture. The study involved 56 students who were shown oval images of colorful abstract patterns nicknamed "Fabergé eggs." Participants were first shown a combination of five pairs of the eggs, all of which were given ratings. The students were given 30 minutes to learn which shape rated higher and so should be chosen over another shape. They were not told the hidden connection that linked all five pairs together. They were then tested either after 20 minutes, after 12 hours, or after 24 hours. Half of those in the 12-hour group slept before the test, the other half did not. The 20-minute group performed the worst, showing no evidence of seeing the pattern. Those who had longer before being tested were much more likely to show signs of inferential judgment (75% vs 52%), and for the most distant (and difficult) inferential judgment, the students who had had periods of sleep in between learning and testing significantly outperformed those who hadn’t slept (93% vs 69%). The researchers are interested in exploring whether meditation can provide a similar benefit.

[749] Ellenbogen, J. M., Hu P. T., Payne J. D., Titone D., & Walker M. P.
(2007).  Human relational memory requires time and sleep.
Proceedings of the National Academy of Sciences. 104(18), 7723 - 7728.

http://www.physorg.com/news98376198.html
http://www.eurekalert.org/pub_releases/2007-04/bidm-tut042007.php

More on how memories are consolidated during sleep

A new study sheds more light on how memory is consolidated during sleep. Using a new technique, the research confirms that new information is transferred between the hippocampus and the cerebral cortex, and, unexpectedly, provides evidence suggesting that the cerebral cortex actively controls this transfer.

[834] Hahn, T. T. G., Sakmann B., & Mehta M. R.
(2006).  Phase-locking of hippocampal interneurons' membrane potential to neocortical up-down states.
Nat Neurosci. 9(11), 1359 - 1361.

http://www.eurekalert.org/pub_releases/2006-12/m-lds120506.php

Still more on how memories are consolidated during sleep

In research following up an earlier study in which rats were shown to form complex memories for sequences of events experienced while they were awake, and that these memories were replayed while they slept, it has been shown that these replayed memories do contain the visual images that were present during the running experience. By showing that the brain is replaying memory events in the visual cortex and in the hippocampus at the same time, the finding suggests that this process may contribute to or reflect the result of the memory consolidation process.

[317] Ji, D., & Wilson M. A.
(2007).  Coordinated memory replay in the visual cortex and hippocampus during sleep.
Nat Neurosci. 10(1), 100 - 107.

http://www.eurekalert.org/pub_releases/2006-12/miot-mtr121806.php

Brainwave oscillations responsible for memory benefits of sleep?

Passing a mild electrical current through the brain while students were asleep improved their ability to remember words on waking up. 13 medical students were given 46 pairs of words to learn. Before sleeping, they remembered an average 37.42 words; after sleep, those not given the stimulation remembered an average of 39.5, while those given the stimulation remembered an average of 41.27. The memory enhancement only occurred at a certain frequency and during a particular part of the sleep cycle, confirming the idea that slow oscillations of electrical activity are responsible for the memory consolidation effects of sleep. The benefit also only applied to fact learning; skill learning was not affected.

[238] Marshall, L., Helgadottir H., Molle M., & Born J.
(2006).  Boosting slow oscillations during sleep potentiates memory.
Nature. 444(7119), 610 - 613.

http://www.guardian.co.uk/science/story/0,,1940475,00.html
http://www.sciam.com/article.cfm?chanID=sa003&articleID=BEC346B2-E7F2-99DF-350CC33BA6757700
http://www.nature.com/news/2006/061030/full/444133a.html

More support that sleep helps consolidate learning

An experiment involving fruitflies has found that those in a social environment with at least 30 other flies slept four times as long during their daytime naps as flies in isolation. There was no difference in night-time sleep. The length of the nap increased with the size of the group they socialized with. Confirming that this effect was due to an increase in social interactions, rather than, for example, physical exhaustion from flying around more, flies deprived of their sight and sense of smell (meaning they could still fly around but could not socialize) showed no difference in daytime sleep patterns. Of 49 genes known to be involved in learning and memory, switching off seventeen (all related to long-term memory) made the flies sleep equally long regardless of whether they were social or not.

[894] Ganguly-Fitzgerald, I., Donlea J., & Shaw P. J.
(2006).  Waking Experience Affects Sleep Need in Drosophila.
Science. 313(5794), 1775 - 1781.

http://www.nature.com/news/2006/060918/full/060918-9.html
http://www.livescience.com/humanbiology/060921_flies_sleep.html

Human study supports value of daytime napping for learning

REM sleep, when most dreaming occurs, has been shown in a number of studies to be important in consolidating procedural (skill) learning, while non-REM (slow-wave) sleep seems to be more important for declarative (knowledge-based) learning. However, because normal sleep contains both REM and non-REM cycles, research hasn’t been able to clearly distinguish the effects. Now a new study using brief daytime napping confirms the role of non-REM sleep for declarative learning. Volunteers who memorized pairs of words and practiced tracing images in a mirror test scored 15% better in the word test if they had been allowed a nap in the six hour period before being tested. However, they did no better at the action test.

[414] Tucker, M. A., Hirota Y., Wamsley E. J., Lau H., Chaklader A., & Fishbein W.
(2006).  A daytime nap containing solely non-REM sleep enhances declarative but not procedural memory.
Neurobiology of Learning and Memory. 86(2), 241 - 247.

Sleep makes memories resistant to interference

It’s pretty clear now that sleep consolidates procedural (skill) learning, but the question of whether or not it helps other types of memory is still very much a matter of debate. However, a new study has found a marked effect of sleep on our ability to remember information. The study involved 60 healthy college-aged adults, who were asked them to memorize 20 pairs of random words. Half were given the words at 9am and tested at 9pm, and the other half were given the words at 9pm and tested at 9am. While the sleepers did perform better (94% recall compared to 82%), it was the introduction of another factor that made the benefits of sleep undeniable. Participants who were given a new set of words to learn just 12 minutes before testing revealed a dramatic difference — sleepers recalled 76% of the original words compared to 32% of the sleepless.

[974] Ellenbogen, J. M., Hulbert J. C., Stickgold R., Dinges D. F., & Thompson-Schill S. L.
(2006).  Interfering with Theories of Sleep and Memory: Sleep, Declarative Memory, and Associative Interference.
Current Biology. 16(13), 1290 - 1294.

http://www.sciencedaily.com/releases/2006/07/060711095912.htm
http://www.sciam.com/article.cfm?chanID=sa003&articleID=0006A257-BBB4-14B2-B8B983414B7F4945

Asleep or awake we retain memory

We’ve learned that skill memory is reinforced during sleep, but now new imaging technology reveals that this kind of reinforcement occurs while we’re awake too — even while we’re learning something new.

[475] Peigneux, P., Orban P., Balteau E., Degueldre C., Luxen A., Laureys S., et al.
(2006).  Offline Persistence of Memory-Related Cerebral Activity during Active Wakefulness.
PLoS Biol. 4(4), e100 - e100.

http://www.eurekalert.org/pub_releases/2006-03/plos-aoa032206.php
http://www.sciencedaily.com/releases/2006/03/060329085308.htm

How sleep improves memory

While previous research has been conflicting, it does now seem clear that sleep consolidates learning of motor skills in particular. A new imaging study involving 12 young adults taught a sequence of skilled finger movements has found a dramatic shift in activity pattern when doing the task in those who were allowed to sleep during the 12 hour period before testing. Increased activity was found in the right primary motor cortex, medial prefrontal lobe, hippocampus and left cerebellum — this is assumed to support faster and more accurate motor output. Decreased activity was found in the parietal cortices, the left insular cortex, temporal pole and fronto-polar region — these are assumed to reflect less anxiety and a reduced need for conscious spatial monitoring. It’s suggested that this is one reason why infants need so much sleep — motor skill learning is a high priority at this age. The findings may also have implications for stroke patients and others who have suffered brain injuries.

[670] Walker, M. P., Stickgold R., Alsop D., Gaab N., & Schlaug G.
(2005).  Sleep-dependent motor memory plasticity in the human brain.
Neuroscience. 133(4), 911 - 917.

http://www.eurekalert.org/pub_releases/2005-06/bidm-ssh062805.php

More evidence that learning is consolidated during sleep

A new study provides more evidence for the role of sleep in the consolidation of long-term memories. In the study, volunteers learned the layout of a virtual town, and were then tested by having to quickly find routes to various locations in the town. Those so trained showed greater activity in their hippocampus and an adjacent learning-related region (compared to those not trained) as they took the route tests, with greater activity correlated with better performance. They also showed greater hippocampal brain activity during sleep. Most importantly, the higher the gain in post-sleep performance on the tests, the higher had been their NREM brain activity during sleep. No such correlation was found in REM brain activity. The findings support the view that spatial memory traces are processed during NREM sleep in humans.

[1182] Aerts, J., Luxen A., Maquet P., Peigneux P., Laureys S., Fuchs S., et al.
(2004).  Are spatial memories strengthened in the human hippocampus during slow wave sleep?.
Neuron. 44(3), 535 - 545.

http://www.eurekalert.org/pub_releases/2004-10/cp-etl102204.php

Mentally, sleep may be as active a state as waking state

Why do we sleep? A question we keep asking. Recent research leads us another step in the road. The study has identified a number of genes upregulated specifically during sleep – at least as many as are turned on while we are awake. These "sleep genes" largely fall into four categories: genes involved in synaptic plasticity (supporting the view that sleep aids memory consolidation); genes underlying translation (supporting observations that protein synthesis increases during sleep); genes regulating membrane and vesicle trafficking; and genes for synthesizing cholesterol (which may be crucial for synapse formation and maintenance, which could, in turn, enhance neural plasticity (the brain's ability to change and learn)). The study also found, to the researchers’ surprise, that the cerebellum showed largely the same pattern of gene-expression during sleep as the cortex.

[1021] Cirelli, C., Gutierrez C. M., & Tononi G.
(2004).  Extensive and divergent effects of sleep and wakefulness on brain gene expression.
Neuron. 41(1), 35 - 43.

More on what goes on during sleep

Brain activity patterns vary during sleep, with particular distinction being made between “REM” sleep and “deep” sleep. Both these phases of sleep have been associated with memory processing. The chemical composition of the brain also varies a great deal in the sleep and wakefulness cycle. New research from Germany now report that some of these differences are crucial in memory formation during sleep. In particular, the level of acetylcholine (a neurotransmitter) is high during wakefulness and REM sleep but drops to the minimum in deep sleep. In an experiment that involved subjects performing two memory tasks – learning 40 pairs of semantically related words, and learning to trace figures seen in a mirror – before sleeping for four hours, it was found that those who were given a cholinesterase inhibitor, (cholinesterase being an enzyme that breaks down acetylcholine), performed significantly less well in the wordlist task on wakening. The mirror-tracing task didn't seem to be affected. This supports the idea that a low level of acetylcholine is necessary for strengthening explicit memory during deep sleep, and fits in with a proposed two-stage model of long-term memory formation, in which the cortex transfers newly acquired experiential data to the hippocampus for processing and temporary storage (a process requiring high levels of acetylcholine), and then, during sleep, the processed memory traces in the hippocampus are relayed back to the cortex for long-term storage. This feedback process is blocked by acetylcholine and, thus, only happens in sleep when the acetylcholine level drops to the minimum.
The research may also have important implications for treating memory loss associated with Alzheimer's disease, as cholinesterase inhibitors are widely used in such treatment. Because of common side-effects of the drug, patients are usually told to take it at night, which may well weaken the drug’s effectiveness.

[999] Gais, S., & Born J.
(2004).  Low acetylcholine during slow-wave sleep is critical for declarative memory consolidation.
Proceedings of the National Academy of Sciences of the United States of America. 101(7), 2140 - 2144.

Now definite? Memories are consolidated during sleep

Researchers of a new study claim that their research finally settles the question of whether or not sleep consolidates new memories. The study involved detailed recording of specific learning- and memory- related areas (hippocampus and forebrain) in the brains of rats. The rats were exposed to four kinds of novel objects. Analysis of brain signals before, during, and after this experience, revealed "reverberations" of distinctive brain wave patterns across all the areas being monitored for up to 48 hours after the novel experience. This pattern was much more prevalent in slow-wave sleep than in REM sleep. Previous studies by the same researchers have found that the activation of genes that affect memory consolidation occurs during REM sleep, not slow-wave sleep. It is proposed that both stages of sleep are important for memory consolidation. Previous studies have tended to focus solely on the hippocampus, and have observed brain activity for a much shorter period.

[793] Ribeiro, S., Gervasoni D., Soares E. S., Zhou Y., Lin S-C., Pantoja J., et al.
(2004).  Long-lasting novelty-induced neuronal reverberation during slow-wave sleep in multiple forebrain areas.
PLoS Biology. 2(1), E24 - E24.

http://www.eurekalert.org/pub_releases/2004-01/dumc-etm011304.php
http://www.eurekalert.org/pub_releases/2004-01/plos-brd011204.php
Full text available at http://www.plosbiology.org/article/info:doi/10.1371/journal.pbio.0020037

Sleep helps insight

A new German study provides evidence for what we all suspected — “sleeping on” a problem can really work. In the study, participants were given a mathematical puzzle to solve; a puzzle which could be solved by trial-by-trial learning, or almost immediately if participants grasped the hidden rule. After training in the trial-by-trial learning, some of the participants were allowed to sleep through the night, while others were prevented from sleeping. When they returned to the problem eight hours later, those that had slept were twice as likely to realize the rule. Another group that trained in the morning, and were then tested later that day, were also slower at finding the rule, suggesting that the slowness was not solely due to fatigue. Sleep did not, however, help participants who had not had the initial training. It is suggested that sleep can act to restructure new memory representations.

[1382] Wagner, U., Gais S., Haider H., Verleger R., & Born J.
(2004).  Sleep inspires insight.
Nature. 427(6972), 352 - 355.

http://www.sciam.com/article.cfm?chanID=sa003&articleID=000088CE-E9DC-100E-A9DC83414B7F0000
http://www.nature.com/nsu/040119/040119-10.html
http://www.nature.com/cgi-taf/DynaPage.taf?file=/nature/journal/v427/n6972/abs/nature02223_fs.html

Stages of memory clarified in sleep studies

Two new studies add to our understanding of the effects of sleep on memory. Both studies involved young adults and procedural (skill) learning, and found temporary declines in performance in particular contexts (a brief description of these studies is given here). On the basis of these studies, researchers identified three stages of memory processing: the first stage of memory — its stabilization — seems to take around six hours. During this period, the memory appears particularly vulnerable to being “lost”. The second stage of memory processing — consolidation — occurs during sleep. The third and final stage is the recall phase, when the memory is once again ready to be accessed and re-edited. (see my article on consolidation for more explanation of the processes of consolidation and re-consolidation). The surprising aspect to this is the time it appears to take for memories to initially stabilize. The studies also confirm the role of sleep in the consolidation process.

[1027] Fenn, K. M., Nusbaum H. C., & Margoliash D.
(2003).  Consolidation during sleep of perceptual learning of spoken language.
Nature. 425(6958), 614 - 616.

[518] Walker, M. P., Brakefield T., Allan Hobson J., & Stickgold R.
(2003).  Dissociable stages of human memory consolidation and reconsolidation.
Nature. 425(6958), 616 - 620.

http://www.eurekalert.org/pub_releases/2003-10/bidm-som100703.php
http://www.sciencenews.org/20031011/fob4.asp
http://education.guardian.co.uk/higher/research/story/0,9865,1059138,00.html

More support for the theory that sleep is necessary to consolidate memories

A study used fear conditioning in mice to investigate the effect of sleep deprivation on memory. The mice were given a mild electric shock either in a distinctive setting, or subsequent to a tone. Those who experienced the tone continued to freeze when they heard the tone on the following day, whether or not they had been deprived of sleep. Those who associated the environment with the shock, however, were less likely to freeze after sleep deprivation. Mice who had been deprived of sleep during the five hours following training, spent just 4% of their time frozen when returned to the ‘shock environment’ the following day, compared to 15% among mice who were allowed to sleep during this period. The five hours following training was a critical period – those who were deprived of sleep in the 5-10 hours after training showed no sign of memory impairment. The fact that the context association was affected but not the tone cue, suggests that sleep is affecting processes in the hippocampus (important in context memory but not memory for specific facts or events).

[625] Graves, L. A.
(2003).  Sleep Deprivation Selectively Impairs Memory Consolidation for Contextual Fear Conditioning.
Learning & Memory. 10(3), 168 - 176.

http://www.eurekalert.org/pub_releases/2003-07/uop-sdw070803.php

Another step in understanding how sleep affects memory

The value of sleep for memory takes a further step in being understood in new rodent research, which found that, as the rodents slept, the thalamus at the base of their brains originated bursts of electrical activity (“sleep spindles”), which were then detected in the somatosensory neocortex. Some 50 msec later, the hippocampus responded with a pulse of electricity (a “ripple”). "This neocortical-hippocampal dialogue may provide a selection mechanism for the time-compressed replay of information learned during the day." It’s suggested that the ripple is the hippocampus sending back neat, compact waves of memory to the neocortex where they are filed away for future reference. Most of this activity took place during slow wave sleep, the stage which makes up the majority of the sleep cycle.

[907] Wirth, S., Yanike M., Frank L. M., Smith A. C., Brown E. N., & Suzuki W. A.
(2003).  Single Neurons in the Monkey Hippocampus and Learning of New Associations.
Science. 300(5625), 1578 - 1581.

http://www.eurekalert.org/pub_releases/2003-06/nyu-fir060503.php

Napping reverses information overload

Evidence is mounting that sleep helps information processing and learning. A new study has showed that subjects performing a visual task (reporting the horizontal or vertical orientation of three diagonal bars against a background of horizontal bars in the corner of a computer screen) got worse over the course of four daily practice sessions. However, allowing subjects a 30-minute nap after the second session prevented any further deterioration, and a 1-hour nap actually boosted performance in the third and fourth sessions back to morning levels. It appears that the fatigue is limited to the brain visual system circuits involved in the task. When the image was switched to a different right corner of the computer screen on the fourth practice session, subjects performed about as well as they did in the first session -- or after a short nap. Recordings of brain activity reveal that the 1-hour naps contained more than four times as much deep, or slow wave sleep and rapid eye movement (REM) sleep than the half-hour naps.

[758] Mednick, S. C., Nakayama K., Cantero J. L., Atienza M., Levin A. A., Pathak N., et al.
(2002).  The restorative effect of naps on perceptual deterioration.
Nat Neurosci. 5(7), 677 - 681.

http://www.eurekalert.org/pub_releases/2002-07/niom-np070102.php

Improving motor skills through sleep

People taught a simple motor sequence (to type a sequence of keys on a computer keyboard as quickly and accurately as possible) practised it for 12 minutes and were then re-tested 12 hours later. Those who practised in the morning and tested later that same day improved their performance by about 2%. Those trained in the evening and re-tested after a good night's sleep, however, improved by about 20%. The amount of improvement was directly correlated with the amount of Stage 2 (a stage of non-rapid eye movement or NREM) sleep experienced, particularly late in the night. "This is the part of a good night's sleep that many people will cut short by getting up early in the morning."

[767] Laureys, S., Peigneux P., Perrin F., & Maquet P.
(2002).  Sleep and motor skill learning.
Neuron. 35(1), 5 - 7.

http://www.eurekalert.org/pub_releases/2002-07/hms-pmp070102.php

Controversy over sleep's role in memory

Does sleep play a role in memory or not? Two new research papers reach opposite conclusions. One is from Robert Stickgold, who has published several papers supporting the role of sleep in memory consolidation. But the other is a new review of REM sleep studies concluding that REM (rapid eye movement) sleep, or dreaming, plays little role in memory formation, chiefly on the basis that depriving animals and humans of REM sleep by awakening them or by drug treatments does not impair their ability to form long-term memories. In addition, the time spent in REM sleep does not correlate with learning ability across humans, nor is there a positive relation between amount or intensity of REM sleep and learning ability across species.

[987] Stickgold, R., Hobson J. A., Fosse R., & Fosse M.
(2001).  Sleep, Learning, and Dreams: Off-line Memory Reprocessing.
Science. 294(5544), 1052 - 1057.

[1388] Siegel, J. M.
(2001).  The REM sleep-memory consolidation hypothesis.
Science (New York, N.Y.). 294(5544), 1058 - 1063.

http://www.sciencemag.org/cgi/content/abstract/294/5544/1052
http://www.sciencemag.org/cgi/content/abstract/294/5544/1058

New motor skills consolidated during sleep

An imaging study that sheds light on the gain in performance observed during the day after learning a new task. Following training in a motor skill, certain brain areas appear to be reactived during REM sleep, resulting in an optimization of the network that subtends the subject's visuo–motor response.

[775] van der Linden, M., Cleeremans A., Smith C., Maquet P., Laureys S., Peigneux P., et al.
(2001).  Experience-dependent changes in cerebral functional connectivity during human rapid eye movement sleep.
Neuroscience. 105(3), 521 - 525.

Deep "slow wave" sleep necessary to consolidate memories

Sleep is necessary to consolidate memories. Remembering a new task is more difficult if you don't sleep within 30 hours of learning the task. "Catch-up" sleep on subsequent nights doesn't make up for losing that first night's sleep. Moreover, it appears that the deep "slow wave" sleep that occurs in the first half of the night is the type of sleep necessary to consolidate memories. Other types of memory however, may require "REM" sleep (that occurs while you are dreaming).

Stickgold, R., James, L. & Hobson, J.A. 2000. Visual discrimination learning requires sleep after training. Nature Neuroscience,3, 1237-1238.

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Coffee and a healthy diet reduce the risk of Alzheimer’s

August, 2011

Recent studies show why a low-fat, low-carb diet, and caffeinated coffee, help protect against developing Alzheimer’s disease.

Dietary changes affect levels of biomarkers associated with Alzheimer's

In a study involving 20 healthy older adults (mean age 69.3) and 29 older adults who had amnestic mild cognitive impairment (mean age 67.6), half the participants were randomly assigned to a high–saturated fat/high–simple carbohydrate diet (HIGH) and half to a low–saturated fat/low–simple carbohydrate diet (LOW) for four weeks, in order to investigate the effects on biomarkers associated with Alzheimer’s.

For the healthy participants, the LOW diet decreased the level of amyloid-beta 42 in the cerebrospinal fluid, while the HIGH diet increased its level. The HIGH diet also lowered the CSF insulin concentration. For those with aMCI, the LOW diet increased the levels of amyloid-beta 42 and increased the CSF insulin concentration. For both groups, the level of apolipoprotein E in the CSF increased in the LOW diet and decreased in the HIGH diet.

For both groups, the LOW diet improved performance on delayed visual recall tests, but didn’t affect scores on other cognitive measures (bear in mind that the diet was only followed for a month).

The researchers suggest that the different results of the unhealthy diet in participants with aMCI may be due to the diet’s short duration. The fact that diet was bringing about measurable changes in CSF biomarkers so quickly, and that the HIGH diet moved healthy brains in the direction of Alzheimer’s, speaks to the potential of dietary intervention.

Why coffee helps protect against Alzheimer's disease

Support for the value of coffee in decreasing the risk of Alzheimer’s comes from a mouse study, which found that an as yet unidentified ingredient in coffee interacts with caffeine in such a way that blood levels of a growth factor called GCSF (granulocyte colony stimulating factor) increases. GCSF is a substance greatly decreased in patients with Alzheimer's disease and demonstrated to improve memory in Alzheimer's mice.

The finding points to the value of caffeinated coffee, as opposed to decaffeinated coffee or to other sources of caffeine. Moreover, only "drip" coffee was used; the researchers caution that they don’t know whether instant caffeinated coffee would provide the same GCSF response.

There are three ways that GCSF seems to improve memory performance in the Alzheimer's mice: by recruiting stem cells from bone marrow to enter the brain and remove beta-amyloid protein; by increasing the growth of new synapses; by increasing neurogenesis.

The amount of coffee needed to provide this protection, however, is estimated to be about 4 to 5 cups a day. The researchers also believe that this daily coffee intake is best begun at least by middle age (30s – 50s), although starting even in older age does seem to have some protective effect.

Weirdly (I thought), the researchers remarked that "The average American gets most of their daily antioxidants intake through coffee". Perhaps this points more to the defects in their diet than to the wonders of coffee! But the finding is consistent with other research showing an association between moderate consumption of coffee and decreased risk of Parkinson's disease, Type II diabetes and stroke.

A just-completed clinical trial has investigated GCSF treatment to prevent Alzheimer's in patients with mild cognitive impairment, and the results should be known soon.

Reference: 

[2442] Bayer-Carter, J. L., Green P. S., Montine T. J., VanFossen B., Baker L. D., Watson S. G., et al.
(2011).  Diet Intervention and Cerebrospinal Fluid Biomarkers in Amnestic Mild Cognitive Impairment.
Arch Neurol. 68(6), 743 - 752.

Cao, C., Wang, L., Lin, X., Mamcarz, M., Zhang, C., Bai, G., Nong, J., Sussman, S. & Arendash, G.  2011.Caffeine Synergizes with Another Coffee Component to Increase Plasma GCSF: Linkage to Cognitive Benefits in Alzheimer's Mice. Journal of Alzheimer's Disease, 25(2), 323-335.

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Adolescent binge drinking can damage spatial working memory

August, 2011
  • This study finds that adolescent females are particularly vulnerable to the effects of binge drinking, and points to specific changes in brain activation patterns seen in binge drinkers.

Binge drinking occurs most frequently among young people, and there has been concern that consequences will be especially severe if the brain is still developing, as it is in adolescence. Because of the fact that it is only some parts of the brain — most crucially the prefrontal cortex and the hippocampus — that are still developing, it makes sense that only some functions will be affected.

I recently reported on a finding that binge drinking university students, performed more poorly on tests of verbal memory, but not on a test of visual memory. A new study looks at another function: spatial working memory. This task involves the hippocampus, and animal research has indicated that this region may be especially vulnerable to binge drinking. Spatial working memory is involved in such activities as driving, figural reasoning, sports, and navigation.

The study involved 95 adolescents (aged 16-19) from San Diego-area public schools: 40 binge drinking (27 males, 13 females) and 55 control (31 males, 24 females). Brain scans while performing a spatial working memory task revealed that there were significant gender differences in brain activation patterns for those who engaged in binge drinking. Specifically, in eight regions spanning the frontal cortex, anterior cingulate, temporal cortex, and cerebellum, female binge drinkers showed less activation than female controls, while male bingers exhibited greater activation than male controls. For female binge drinkers, less activation was associated with poorer sustained attention and working memory performances, while for male binge drinkers, greater activation was linked to better spatial performance.

The differences between male binge drinkers and controls were smaller than that seen in the female groups, suggesting that female teens may be particularly vulnerable. This is not the first study to find a gender difference in the brains’ response to excess alcohol. In this case it may have to do, at least partly, with differences in maturity — female brains mature earlier than males’.

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Folic acid tied to better grades in Swedish teens

August, 2011

More evidence of the importance of adequate folate consumption for cognitive functioning at all ages.

Most research into the importance of folate and B12 levels has centered on seniors, and it does seem clear now that having adequate levels of these vitamins is important for maintaining cognitive functioning as you get older. Folic acid levels are of course also regarded as crucial when the brain is developing, which is why pregnant women are urged to take supplements, and why some countries fortify their bread with it. There is less research in the extensive ground between these two end-points.

A Swedish study involving 386 15-year-olds has now found that those in the top third of folic acid intake (more than 253 micrograms per day for girls and 335 for boys) performed significantly better on their school grades compared to those in the bottom third (less than 173 micrograms folic acid per day for girls and 227 for boys).

Interestingly, while homocysteine levels in the blood were initially significant, this association disappeared after other significant predictors (gender, smoking, and SES) were controlled for. Neither was a genotype linked to higher homocysteine levels (MTHFR 677 TT homozygosity) significantly related to academic achievement. Low folate and B12 levels are associated with higher homocysteine levels in the blood, and there is evidence that it is this increase in homocysteine that is the reason for the cognitive impairment seen in age-related cognitive decline. This finding, then, suggests that this is only one part of the story.

Sweden does not fortify flour with folic acid as the United States, Canada and Australia do. Folate is a B vitamin found particularly in citrus fruit, green leafy vegetables, whole-wheat bread, and dried beans and peas; however, they are often destroyed by cooking or processing.

The sum of school grades in 10 core subjects obtained in the final semester of compulsory 9 years of schooling was used as the measure of academic achievement

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Alcohol's possible benefits for the brain

There seems to be quite a lot of evidence now, that a moderate amount of alcohol consumption (around 1-2 drinks a day) can help protect against Alzheimer’s — though not, a review concluded, vascular dementia or age-related cognitive decline (but the jury’s still out on that one, I think). Moderate alcohol consumption is significantly associated with other factors that help protect against dementia, such as better education, not living alone, and absence of depression, but seems to have an effect on its own account as well.

It must be emphasized that this positive effect is restricted to the ‘right’ level of alcohol consumption. The damage alcohol can do to the brain is only too well established.

The effect doesn’t appear to be restricted to a particular type of alcohol. Having said that, there are components in wine, especially red wine, that have also been associated with lower dementia risk. These components include polyphenols such as epicatechin, catechin and resveratrol.

Benefits may not apply to everyone however. One study found that carriers of the Alzheimer’s gene, APOe4, were more likely to develop dementia if they drank any alcohol — it was only non-carriers that showed a benefit of moderate drinking. Another large study found that the benefits of moderate drinking only applied to those who had no cognitive impairment. For those with mild cognitive impairment, drinking speeded up the rate of decline. Another, large long-running, study found that, although non-smokers who consumed moderate amounts of alcohol were less likely to have a stroke than non-drinkers, this didn’t apply to smokers.

These individual variations may explain the inconsistency in previous studies regarding the relationship between light to moderate drinking and age-related cognitive impairment.

The story of alcohol and the brain is clearly a complex one, not easily disentangled. One large, long-running study, for example, found an association between alcohol and brain atrophy even at moderate levels of consumption.

Older news items (pre-2010) brought over from the old website

Regular moderate alcohol intake has cognitive benefits in older adults

A six-year study involving over 3,000 seniors (75+) has found that for those who had no cognitive impairment at the start of the study, moderate drinking (1-2 drinks a day) was associated with a 37% reduction in risk of developing dementia compared to individuals who did not drink at all. The type of alcohol didn’t matter. However, for those who started the study with mild cognitive impairment, any consumption of alcohol was associated with faster rates of cognitive decline. Moreover, heavy drinkers were almost twice as likely to develop dementia during the study. The results are consistent with previous studies of middle-aged adults that suggest mild to moderate alcohol intake may reduce the risk of dementia, except in the case of individuals who already have mild to moderate cognitive impairment.

Sink, K.M. et al. 2009. Moderate alcohol intake is associated with lower dementia incidence: results from the Ginkgo Evaluation of Memory Study (GEMS). Presented at the Alzheimer's Association International Conference on Alzheimer's Disease July 11-16 in Vienna.

http://www.eurekalert.org/pub_releases/2009-07/wfub-rma071309.php

Moderate drinking can reduce risks of Alzheimer's dementia and cognitive decline

A review of 44 studies has concluded that moderate drinkers often have lower risks of Alzheimer's disease and other cognitive loss. Moderate alcohol consumption generally is defined as 1 drink or less per day for women and 1-2 drinks or less per day for men.

[2374] Collins, M. A., Neafsey E. J., Mukamal K. J., Gray M. O., Parks D. A., Das D. K., et al.
(2009).  Alcohol in Moderation, Cardioprotection, and Neuroprotection: Epidemiological Considerations and Mechanistic Studies.
Alcoholism: Clinical and Experimental Research. 33(2), 206 - 219.

http://www.eurekalert.org/pub_releases/2008-12/luhs-mdc122908.php

Chocolate, wine and tea improve brain performance

A study of over 2000 older Norwegians (aged 70-74) has found that those who consumed chocolate, wine, or tea had significantly better cognitive performance and lower risk of poor cognitive performance than those who did not. Those who consumed all 3 studied items had the best performance and the lowest risks for poor test performance. The associations between intake of these foodstuffs and cognition were dose dependent, with maximum effect at intakes of around 10 grams a day for chocolate and around 75–100 ml a day for wine, but approximately linear for tea. The effect was most pronounced for wine and modestly weaker for chocolate intake. The finding is consistent with research indicating that those who consume lots of flavonoids have a lower incidence of dementia.

[623] Nurk, E., Refsum H., Drevon C. A., Tell G. S., Nygaard H. A., Engedal K., et al.
(2009).  Intake of flavonoid-rich wine, tea, and chocolate by elderly men and women is associated with better cognitive test performance.
The Journal of Nutrition. 139(1), 120 - 127.

http://www.physorg.com/news149185135.html

Red grape seeds may help prevent Alzheimer's disease

Research into the nearly 5000 compounds contained in red wine to reveal the source of the health benefits seen from red wine has revealed that polyphenols derived from red grape seeds may be useful agents to prevent or treat Alzheimer's disease. Red grape seeds currently being developed with the name of Meganatural AZ were found to significantly reduce cognitive deterioration in genetically engineered mice, by preventing the formation of amyloid beta. The mice were given the extract before the age at which they normally develop signs of disease, suggesting the extract may help prevent or postpone the development of Alzheimer’s. The major polyphenol components in the grape seed extract product are catechin and epicatechin, which are also abundant in tea and cocoa. Unlike the polyphenol resveratrol, which has been shown to have similar effects, but requires extremely high doses, the catechins appear to be effective at much lower doses. Further research will of course be needed before human recommendations can be made.

[2377] Wang, J., Ho L., Zhao W., Ono K., Rosensweig C., Chen L., et al.
(2008).  Grape-Derived Polyphenolics Prevent Aβ Oligomerization and Attenuate Cognitive Deterioration in a Mouse Model of Alzheimer's Disease.
The Journal of Neuroscience. 28(25), 6388 - 6392.

http://www.eurekalert.org/pub_releases/2008-06/tmsh-pnr061708.php
http://www.eurekalert.org/pub_releases/2008-06/sfn-sig061708.php

Why moderate drinking may boost memory

Another study has come out suggesting moderate amounts of alcohol are good for the brain, and explaining why. The rat study found that low levels of alcohol increased the expression of a particular receptor, NR1, on the surface of neurons in the hippocampus. Increasing the number of NR1 receptors in a different group of rats resulted in a memory boost similar to that seen in the rats given low doses of alcohol. There were no toxic effects of low-level alcohol consumption (1—2 drinks a day) on the brain, but a higher dose of alcohol did damage neurons.

The findings were presented at the Society for Neuroscience's annual meeting on October 14-18 in Atlanta, Georgia.

http://www.sciencedaily.com/releases/2006/10/061025171322.htm
http://www.eurekalert.org/pub_releases/2006-10/osu-mdm102506.php

Cabernet sauvignon red wine reduces the risk of Alzheimer's disease

A mouse study has found moderate consumption of the red wine Cabernet Sauvignon significantly reduced Alzheimer’s-type deterioration of spatial memory function. The Cabernet Sauvignon used contained a very low content of resveratrol, 10-fold lower than the minimal effective concentration shown to promote Aß clearance in vitro. It is suggested that, instead, the benefit occurred through promoting non-amyloidogenic processing of amyloid precursor protein. The finding supports epidemiological evidence indicating that moderate wine consumption (one drink per day for women and two for men) may help reduce the relative risk for Alzheimer’s.

[2378] Wang, J., Ho L., Zhao Z., Seror I., Humala N., Dickstein D. L., et al.
(2006).  Moderate consumption of Cabernet Sauvignon attenuates Aß neuropathology in a mouse model of Alzheimer’s disease.
The FASEB Journal. 20(13), 2313 - 2320.

http://www.eurekalert.org/pub_releases/2006-09/tmsh-csr091806.php

Moderate alcohol intake associated with better mental function in older women

A study of over 7,000 older women (65-80) found that those who drink a moderate amount of alcohol have slightly higher levels of mental function than non-drinkers, particularly in verbal abilities. The researcher warned that "Until we better understand the reasons why alcohol consumption is associated with better cognitive functioning, these results on their own are not a reason for people who don't drink to start or for those who drink to increase their intake."

[455] Espeland, M. A., Coker L. H., Wallace R., Rapp S. R., Resnick S. M., Limacher M., et al.
(2006).  Association between alcohol intake and domain-specific cognitive function in older women.
Neuroepidemiology. 27(1), 1 - 12.

http://www.eurekalert.org/pub_releases/2006-05/wfub-mai053106.php

More support for benefits of some alcohol

A longitudinal study of an elderly community sample found that, over an average of 7 years, mild-to-moderate drinking was associated with less average decline in cognitive function compared to not drinking.

[1203] Ganguli, M., Bilt V. J., Saxton J. A., Shen C., & Dodge H. H.
(2005).  Alcohol consumption and cognitive function in late life: A longitudinal community study.
Neurology. 65(8), 1210 - 1217.

http://www.neurology.org/cgi/content/abstract/65/8/1210

Moderate alcohol intake may reduce cognitive decline in older women

Two recent large-scale epidemiological studies have come out recently with similar findings. Data from the Women's Health Initiative Memory Study (involving 4,461 women aged 65 to 79 years) has revealed that women who reported having one or more alcohol drinks daily had a 40% lower risk of significant declines in cognitive function over time, compared to women who reported no alcohol intake. It is possible that moderate alcohol intake may reduce the risk for narrowed vessels in the brain. In addition, alcohol may decrease the formation of plaque that is associated with Alzheimer's disease.
Data from the Nurses' Health Study, begun in 1976 and involving 12,480 women, now aged between 70 and 81 years old, has found that women who had the equivalent of one drink a day had a 23% lower risk of becoming mentally impaired during a two-year period, compared with non-drinkers. It made no significant difference whether they drank beer or wine.

[1108] Espeland, M. A., Gu L., Masaki K. H., Langer R. D., Coker L. H., Stefanick M. L., et al.
(2005).  Association between Reported Alcohol Intake and Cognition: Results from the Women's Health Initiative Memory Study.
Am. J. Epidemiol.. 161(3), 228 - 238.

[1115] Stampfer, M. J., Kang J H., Chen J., Cherry R., & Grodstein F.
(2005).  Effects of Moderate Alcohol Consumption on Cognitive Function in Women.
N Engl J Med. 352(3), 245 - 253.

http://www.eurekalert.org/pub_releases/2005-01/wfub-mai012105.php (1st study)
http://www.nature.com/news/2005/050117/full/050117-10.html (2nd study)

Drinking too much alcohol, and not enough, increases risk of cognitive impairment

In Finland, researchers re-examined 1018 participants from a study of 1464 men and women aged 65-79 studied in 1972 or 1977. They found that participants who drank no alcohol in midlife as well as those who drank alcohol frequently were twice as likely to have mild cognitive impairment in old age compared to those who drank alcohol infrequently. The effect of alcohol was however modified by the presence of the apolipoprotein e4 allele (implicated in dementia risk). People who were carriers of the apolipoprotein e4 allele had an increased risk of dementia with increasing alcohol consumption, with carriers of the gene significantly reducing their risk by never drinking.

[731] Kivipelto, M., Anttila T., Helkala E-L., Viitanen M., Kareholt I., Fratiglioni L., et al.
(2004).  Alcohol drinking in middle age and subsequent risk of mild cognitive impairment and dementia in old age: a prospective population based study.
BMJ. 329(7465), 539 - 539.

Possible benefits of alcohol in reducing cognitive decline

Another report from the Whitehall Study database. This one adds to the, still controversial, research linking moderate wine consumption with health and longevity. Of those who reported drinking alcohol in the past year, those who consumed at least one drink in the past week were significantly less likely to have poor cognitive function than those who did not. These benefits appeared even at levels of alcohol consumption that most sensible observers would consider excessive, and emphasizes once again that correlation is not causation. It seems likely that this association at least partly reflects other factors, and indeed, the correlation was reduced when social position was taken account of. It may also reflect the possible effect of alcohol in reducing risk of cardiovascular disease.

http://www.telegraph.co.uk/news/uknews/4193134/Alcohol-sharpens-your-brain-say-researchers.html

Alcohol's benefits for cognition may be overstated

Some studies (that receive a lot of media attention) have suggested that moderate alcohol drinking may have beneficial effects on the heart or the brain. Other studies have found no effect, or a negative one. Now a new study may provide an answer to the conflicting results. Using data from the Wisconsin Longitudinal Study, which has followed more than 10,000 men and women who graduated from Wisconsin high schools in 1957, researchers in 1992 asked the participants about their drinking habits. It was found that men who consumed low levels of alcohol in 1992 had higher scores on the abstract reasoning test than those who drank either more or less. However, when earlier cognitive ability (measured in high school) was taken into account, the difference between non-drinkers and those who had one drink a day disappeared. With the women, both non-drinkers and heavy drinkers had lower scores at age 53 than moderate drinkers. But when adolescent cognitive ability was taken into account, these differences disappeared. Participants will be re-examined next year, when they’re about 65.

[2375] Krahn, D., Freese J., Hauser R., Barry K., & Goodman B.
(2003).  Alcohol Use and Cognition at Mid‐Life: The Importance of Adjusting for Baseline Cognitive Ability and Educational Attainment.
Alcoholism: Clinical and Experimental Research. 27(7), 1162 - 1166.

http://www.eurekalert.org/pub_releases/2003-08/cfta-abo082103.htm

Drinking wine may lower risk of dementia

Researchers in Copenhagen have followed up an analysis of drinking patterns for wine, beer and liquor of 1,709 people in the 1970s with an assessment of dementia in the 1990s, when participants were age 65 or older. 83 of the participants had developed dementia. Their alcohol intake was compared to that of those who did not develop dementia. It was found that those who drank wine occasionally had a lower risk of developing dementia, including Alzheimer's disease. Those who drank wine every day were no more or less likely to develop dementia than those who drank it less often. The study also found that occasional beer drinking was associated with an increased risk of developing dementia. It is important to note that eating habits were not investigated, and research suggests that wine drinkers may have better dietary habits than beer and liquor drinkers.

[2376] Truelsen, T., Thudium D., & Grønbæk M.
(2002).  Amount and type of alcohol and risk of dementia.
Neurology. 59(9), 1313 - 1319.

http://www.eurekalert.org/pub_releases/2002-11/aaon-dwm110702.php

Moderate alcohol consumption may help prevent dementia

Recent research has suggested that moderate alcohol consumption may have positive health benefits for cardiovascular and cerebrovascular functioning. Given the connection between dementia in old age and cerebrovascular disease, a recent Italian study analyzed data from 15,807 patients (65 years of age or older) to assess whether there is any link between alcohol consumption and cognitive function. Signs of cognitive derangement were found in 19% of the participants who reported regular alcohol consumption, and in 29% of those who abstained from alcohol. The quantity of daily alcohol consumption was an important factor. The risk of cognitive impairment was reduced among women whose daily alcohol consumption was less than 40 grams and among men who drank less than 80 grams. Higher levels of alcohol consumption showed an increased risk of cognitive impairment when compared with both abstainers and moderate drinkers.

[954] Zuccalà, G., Onder G., Pedone C., Cesari M., Landi F., Bernabei R., et al.
(2001).  Dose-Related Impact of Alcohol Consumption on Cognitive Function in Advanced Age: Results of a Multicenter Survey.
Alcoholism: Clinical and Experimental Research. 25(12), 1743 - 1748.

http://www.eurekalert.org/pub_releases/2001-12/ace-aad121001.php

A Dutch study suggests that light-to-moderate alcohol consumption could reduce the risk of dementia among older people. Light-to-moderate alcohol consumption (1 to 3 drinks per day) was associated with a 42% risk reduction of all dementia, and around a 70% reduction in risk of vascular dementia.

[794] Ruitenberg, A., van Swieten J. C., Witteman J CM., Mehta K. M., van Duijn C. M., Hofman A., et al.
(2002).  Alcohol consumption and risk of dementia: the Rotterdam Study.
The Lancet. 359(9303), 281 - 286.

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