Lifestyle

Alcohol's damage to the brain

While moderate drinking seems to have a protective effect against age-related cognitive decline and dementia, cognitive impairment produced by excess alcohol is only too evident. Here are a few less obvious cognitive effects:

Simulated laparoscopic surgery was impaired in both novices and experts on the day following an evening during which excessive alcohol was consumed, although experts were less impaired than novices. Performance had returned to baseline levels by 4:00 p.m.

When people drank before viewing a video of serious road traffic accidents, those given a smaller amount of alcohol experienced more flashbacks during the next week than those given a larger amount of alcohol, and those given no alcohol. Those who had large amounts of alcohol had poorer memories of the event. It’s suggested that alcohol impairs contextual memory first.

Another study found that recognition of different-race faces was unaffected by alcohol, but recognition of own-race faces was — meaning recognition of same-race faces was at about the same level of accuracy as different-race faces.

Cognitive impairment produced by excess alcohol is of course only too evident. Here are a few less obvious cognitive effects:

Simulated laparoscopic surgery was impaired in both novices and experts on the day following an evening during which excessive alcohol was consumed, although experts were less impaired than novices. Performance had returned to baseline levels by 4:00 p.m.

When people drank before viewing a video of serious road traffic accidents, those given a smaller amount of alcohol experienced more flashbacks during the next week than those given a larger amount of alcohol, and those given no alcohol. Those who had large amounts of alcohol had poorer memories of the event. It’s suggested that alcohol impairs contextual memory first.

Another study found that recognition of different-race faces was unaffected by alcohol, but recognition of own-race faces was — meaning recognition of same-race faces was at about the same level of accuracy as different-race faces.

Heavy drinking

Heavy drinking can be chronic, or occasional. Both have their price.

A rat study suggests that it doesn’t take all that long before heavy drinking produces long-lasting cognitive deficits. Rats drinking for eight weeks (but not four) developed deficits that lasted at least 12 weeks after drinking stopped — “equivalent to a human that drank six to eight beers or one bottle of wine a day every day for six years experiencing learning and memory deficits up to nine years after they stopped drinking alcohol."

Brain scans of heavy social drinkers have revealed damage to white matter that was associated with lower executive and working memory functions. This is consistent with a self-report study that found that heavy users of alcohol were more likely to miss appointments, forget birthdays and pay bills on time, and to forget whether they had done something or where they had put something.

One study suggests that heavy drinking is particularly a problem for those infected with HIV. The mediotemporal lobe is affected early in both these conditions, so it is not surprising that those positive for HIV with a history of chronic heavy drinking were found to have trouble encoding new information for long-term memory.

Smoking and alcohol

Smoking has a particularly negative effect in conjunction with alcohol (and unfortunately they are often found in tandem). While moderate drinking can in some circumstances have positive effects on the brain, this is probably not the case for those who smoke. Moreover, smoking makes it much harder for the brain to recover from the effects of alcohol abuse, the damage done to the brain by heavy alcohol consumption is likely to be much worse if the individual is a smoker.

Alcoholism

One of the characteristics of alcoholics is that they don’t recognize the extent of their problem. So perhaps it’s no surprise that a study found that alcoholics were relatively unaware of their memory deficits and believed that their memory was much better than it was. Moreover, the greater their deficits, the less they were aware of them!

Years of heavy alcohol consumption impair executive functions, including judgment, problem solving, decision making, planning, and social conduct.

Imaging studies indicate that the brains of alcoholics develop compensatory mechanisms to maintain cognitive skills despite alcohol's damages. It seems likely that this wider activity comes at the expense of other tasks, thus reducing their ability to multitask.

Excessive chronic drinking is also associated with deficits in comprehending emotional information, such as recognizing different facial expressions, and visuospatial deficits, characterized by difficulties completing tasks such as putting pieces of a puzzle together or map reading. While long-term abstinence can recover most of the cognitive function lost, spatial processing abilities seem much harder to recover.

In line with these problems of executive function, episodic and spatial memory, the prefrontal cortex and the hippocampus are especially vulnerable to the effects of chronic alcoholism.

Alcoholics have also been found to have an impaired cortisol response to stress, and this is associated with lower scores on measures of problem-solving ability and memory. Another exacerbating factor may come from poorer sleep — recovering alcoholics have been found to have significantly poorer sleep quality.

There is some evidence that women are more vulnerable to the effects of binge drinking and chronic heavy drinking.

Alcohol and the adolescent brain

Binge drinking is particularly evident among young people. Several studies point to effects on executive functions, including attention and working memory. This has consequences for planning and decision-making, as well as memory tasks.

Memory impairment following too much alcohol is particularly common among adolescent drinkers, possibly because of disruption in the hippocampus, which is still developing during adolescence.

Other physiological consequences of teenage binge drinking may be damaged white matter connectivity, and reduced activity of many neurotransmitter genes. There is some indication that some of these effects may persist into adulthood.

Prenatal exposure

Studies suggest that there is no safe dose, nor safe time to drink, for pregnant women, although the timing does affect the nature of the damage. It seems that alcohol is especially damaging for the development of the dopamine system.

Children prenatally exposed to alcohol are not consistently impaired however. A monkey study suggests why — it seems a gene variant makes the carrier more susceptible to the effects of fetal alcohol exposure. The gene has previously been implicated in increased depression risk.

Other research has suggested that children whose mothers are older than 30 years, those whose mothers have alcohol dependence, those whose parents provide a less stimulating environment, and those whose mothers reported drinking during the time of conception, are at greater risk from prenatal alcohol exposure.

It’s also the case that cognitive deficits are not always evident. One study found that children prenatally exposed to moderate-to-heavy levels of alcohol were perfectly competent at simple tasks, but failed when asked to multi-task. Such working memory deficits may partly be a result of slower processing speed.

Hope comes from a finding that two factors can considerably mitigate the negative effects of prenatal alcohol exposure: being diagnosed early in life and being raised in a stable and nurturing environment.

Children with fetal alcohol spectrum disorder are particularly impaired in mathematical ability, possibly due to specific deficits in memory for numbers and sequences.

Distinguishing Fetal Alcohol Spectrum Disorder from other developmental disorders may have got easier, with a simple test that measures eye movement.

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

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

Alcoholics show abnormal brain activity when processing facial expressions

Excessive chronic drinking is known to be associated with deficits in comprehending emotional information, such as recognizing different facial expressions. Now an imaging study of abstinent long-term alcoholics has found that they show decreased and abnormal activity in the amygdala and hippocampus when looking at facial expressions. They also show increased activity in the lateral prefrontal cortex, perhaps in an attempt to compensate for the failure of the limbic areas. The finding is consistent with other studies showing alcoholics invoking additional and sometimes higher-order brain systems to accomplish a relatively simple task at normal levels. The study compared 15 abstinent long-term alcoholics and 15 healthy, nonalcoholic controls, matched on socioeconomic backgrounds, age, education, and IQ.

[1044] Marinkovic, K., Oscar-Berman M., Urban T., O'Reilly C. E., Howard J. A., Sawyer K., et al. (2009).  Alcoholism and dampened temporal limbic activation to emotional faces. Alcoholism, Clinical and Experimental Research. 33(11), 1880 - 1892.

http://www.eurekalert.org/pub_releases/2009-08/ace-edc080509.php
http://www.eurekalert.org/pub_releases/2009-08/bumc-rfa081109.php

Binge drinking affects attention and working memory in young university students

A Spanish study of 95 first-year university students, 42 of them binge drinkers, has found that those who engaged in binge drinking required greater attentional processing during a visual working memory task in order to carry it out correctly. They also had difficulties differentiating between relevant and irrelevant stimuli. Binge drinkers are defined as males who drink five or more standard alcohol drinks, and females who drink four or more, on one occasion and within a two-hour interval. Some 40% of university students in the U.S. are considered binge drinkers.

[231] Crego, A., Holguín S R., Parada M., Mota N., Corral M., & Cadaveira F.
(2009).  Binge drinking affects attentional and visual working memory processing in young university students.
Alcoholism, Clinical and Experimental Research. 33(11), 1870 - 1879.

http://www.eurekalert.org/pub_releases/2009-08/ace-bda080509.php

HIV infection and chronic drinking together impair encoding of new experiences

A study involving 40 individuals with HIV, 38 with chronic alcoholism, 47 with both HIV and chronic alcoholism, and 39 controls, has found that although those with only one of these disorders mostly performed at levels comparable to controls on episodic and working memory tasks, those who were both positive for HIV and had a history of chronic heavy drinking were impaired on tests of immediate episodic memory (but not working memory) — meaning that they have trouble encoding new information for long-term memory. The finding is consistent with the fact that the mediotemporal lobe is affected early by both these conditions. Heavy drinking is very common among those infected with HIV.

[440] Fama, R., Rosenbloom M. J., Nichols N. B., Pfefferbaum A., & Sullivan E. V.
(2009).  Working and episodic memory in HIV infection, alcoholism, and their comorbidity: baseline and 1-year follow-up examinations.
Alcoholism, Clinical and Experimental Research. 33(10), 1815 - 1824.

http://www.eurekalert.org/pub_releases/2009-07/ace-hia072009.php

Adolescent binge drinking may compromise white matter

An imaging study of 28 teens, of whom half had a history of binge drinking (but did not meet the criteria for alcohol abuse), has found that those who had engaged in binge drinking episodes had lower coherence of white matter fibers in 18 different areas across the brain. The findings add to a growing literature indicating that adolescent alcohol involvement is associated with specific brain characteristics. White matter integrity is essential to the efficient relay of information in the brain.

[1426] McQueeny, T., Schweinsburg B. C., Schweinsburg A. D., Jacobus J., Bava S., Frank L. R., et al.
(2009).  Altered white matter integrity in adolescent binge drinkers.
Alcoholism, Clinical and Experimental Research. 33(7), 1278 - 1285.

http://www.physorg.com/news159646086.html
http://www.eurekalert.org/pub_releases/2009-04/ace-abd041509.php

Alcoholics’ brains maintain language skills at a cost

Despite the damage done by alcoholism to the frontal lobes and cerebellum, areas involved in language processing, alcoholics' language skills appear to be relatively spared from alcohol's damaging effects. A new study of 12 alcoholic males and 12 healthy controls suggests that alcoholics develop compensatory mechanisms to maintain their language skills despite alcohol's damages. The comparable performance on an auditory language task between the two groups was underlain by different neural activity (specifically, the alcoholic group showed greater activity in the left middle frontal gyrus, the right superior frontal gyrus, and the cerebellar vermis). It seems likely that this wider activity comes at the expense of other tasks, thus reducing their ability to multitask.

[926] Chanraud-Guillermo, S., Andoh J., Martelli C., Artiges E., Pallier C., Aubin H. - J., et al. (2009).  Imaging of language-related brain regions in detoxified alcoholics. Alcoholism, Clinical and Experimental Research. 33(6), 977 - 984.

http://www.eurekalert.org/pub_releases/2009-03/ace-tbm031209.php

Drinking alcohol associated with smaller brain volume

It is estimated that brain volume decreases by 1.9% per decade, accompanied by an increase in white matter lesions. Because moderate alcohol consumption has been associated with a lower risk of cardiovascular disease, it’s been thought that small amounts of alcohol might also reduce age-related declines in brain volume, although it’s known that large amounts of alcohol will reduce brain volume. However, a large, long-running study, has now found that, even at low levels of alcohol consumption, brain volume was negatively affected. Moreover, although men were more likely to be heavier drinkers, the association between drinking and brain volume was stronger in women.

[1191] Paul, C A., Au R., Fredman L., Massaro J. M., Seshadri S., DeCarli C., et al.
(2008).  Association of Alcohol Consumption With Brain Volume in the Framingham Study.
Arch Neurol. 65(10), 1363 - 1367.

http://www.eurekalert.org/pub_releases/2008-10/jaaj-daa100908.php

Heavy, chronic drinking can cause significant hippocampal tissue loss

An imaging study of 8 heavy-drinking alcoholics and 8 age and ethnicity matched non-alcoholics (all male) found that total hippocampus volume was significantly reduced among the alcoholics.

[677] Beresford, T. P., Arciniegas D. B., Alfers J., Clapp L., Martin B., Du Y., et al. (2006).  Hippocampus Volume Loss Due to Chronic Heavy Drinking. Alcoholism: Clinical and Experimental Research. 30(11), 1866 - 1870.

http://www.eurekalert.org/pub_releases/2006-10/ace-hcd101606.php

Most of the cognitive deficits associated with alcoholism recoverable

Results of a study involving middle-aged alcoholics who have been sober for six months to 13 years, suggest that long-term abstinent alcoholics can recover most of their neurocognitive deficits. However, deficits in spatial-processing abilities continued. Visuospatial processes are important for many daily activities, including driving, reading a map, assembling things, and performing tasks that require spatial orientation. The study doesn’t however know how much damage had been done when the alcoholics ceased drinking; further studies are exploring the recovery of older abstinent alcoholics who ceased drinking at different ages.

[856] Fein, G., Torres J., Price L. J., & Sclafani V. D. (2006).  Cognitive Performance in Long-Term Abstinent Alcoholic Individuals. Alcoholism: Clinical and Experimental Research. 30(9), 1538 - 1544.

http://www.eurekalert.org/pub_releases/2006-08/ace-lam082106.php

Brain atrophy occurs faster in women alcoholics

A study of 34 male and 42 female alcoholics has found that, although the women had been alcoholics for just 5.5 years on average, compared to the average 10.4 years for the men, the women had lost as much proportionate brain volume as the men. The findings are consistent with other studies suggesting that women suffer from the effects of alcohol abuse faster.

[1258] Mann, K., Ackermann K., Croissant B., Mundle G., Nakovics H., & Diehl A. (2005).  Neuroimaging of Gender Differences in Alcohol Dependence: Are Women More Vulnerable?. Alcoholism: Clinical and Experimental Research. 29(5), 896 - 901.

http://www.nature.com/news/2005/050509/full/050509-15.html

Drinking for just eight weeks impairs learning and memory in mice

It’s well established that chronic alcohol consumption can produce deficits in learning and memory. A new rodent study, however, is the first to show that continuous drinking for as little as eight weeks can produce deficits in learning and memory that last at least 12 weeks after drinking stopped — “equivalent to a human that drank six to eight beers or one bottle of wine a day every day for six years experiencing learning and memory deficits up to nine years after they stopped drinking alcohol." These deficits were global — that is, they affected long-term memory for every type of task tested. Short-term memory was not affected. Rats who drank for only four weeks did not experience the same effects.

[522] Farr, S. A., Scherrer J. F., Banks W. A., Flood J. F., & Morley J. E.
(2005).  Chronic Ethanol Consumption Impairs Learning and Memory After Cessation of Ethanol.
Alcoholism: Clinical and Experimental Research. 29(6), 971 - 982.

http://www.eurekalert.org/pub_releases/2005-06/ace-dfj060605.php

Cognitive effects of binge drinking worse for women

A new study looked at the cognitive effects of binge drinking, which apparently is on the rise in several countries, including Britain and the US. The study involved 100 healthy moderate-to-heavy social drinkers aged between 18 and 30. There were equal numbers of males and females. The study found that female binge drinkers performed worse on the working-memory and vigilance tasks than did the female non-binge drinkers.

[1311] Townshend, J. M., & Duka T.
(2005).  Binge Drinking, Cognitive Performance and Mood in a Population of Young Social Drinkers.
Alcoholism: Clinical and Experimental Research. 29(3), 317 - 325.

http://www.eurekalert.org/pub_releases/2005-03/ace-bdc030705.php

Alcohol's damaging effects on adolescent brain function

A number of speakers at Symposium speakers at the June 2004 Research Society on Alcoholism meeting in Vancouver, reported on research concerning the vulnerability of the adolescent brain to the damaging effects of alcohol. Some of the findings presented were:

  • The adolescent brain is more vulnerable than the adult brain to disruption from activities such as binge drinking. Adolescent rats that were exposed to binge drinking appear to have permanent damage in their adult brains.
  • Subtle but important brain changes occur among adolescents with Alcohol Use Disorder, resulting in a decreased ability in problem solving, verbal and non-verbal retrieval, visuospatial skills, and working memory.
  • The association between antisocial behavior during adolescence and alcoholism may be explained by abnormalities in the frontal limbic system, which appears to cause "blunted emotional reactivity".
  • Alcohol-induced memory impairments, such as "blackouts", are particularly common among young drinkers and may be at least in part due to disrupted neural plasticity in the hippocampus, which is centrally involved in the formation of autobiographical memories.

[1238] Monti, P. M., Miranda, Jr R., Nixon K., Sher K. J., Swartzwelder S. H., Tapert S. F., et al.
(2005).  Adolescence: Booze, Brains, and Behavior.
Alcoholism: Clinical and Experimental Research. 29(2), 207 - 220.

http://www.eurekalert.org/pub_releases/2005-02/ace-ade020705.php

Alcoholics can have deficits in visuoperception and frontal executive function despite sobriety

Detoxified alcoholics often have visuospatial and visuoperceptual deficits, characterized by difficulties completing tasks such as putting pieces of a puzzle together or map reading. A new study has found that, even with prolonged sobriety, alcoholics show deficits in visuoperception and frontal executive functioning of the brain. Furthermore, alcoholics utilize a more complex higher-order cognitive system (frontal executive functions) to perform the same tasks as individuals without a history of alcoholism. The potential problem with this is that if that same system is needed for a competing task, alcoholics may be at a disadvantage because that system would otherwise be engaged. The study involved 51 recently detoxified nonamnesic alcoholic men (ages 29 to 66 years) compared with 63 "normal," control men (ages 21 to 70 years).

Fama, R., Pfefferbaum, A. & Sullivan, E. V. 2004. Perceptual Learning in Detoxified Alcoholic Men: Contributions From Explicit Memory, Executive Function, and Age. Alcoholism: Clinical & Experimental Research, 28(11), 1657-1665.

http://www.eurekalert.org/pub_releases/2004-11/ace-ach110804.php

New brain cells develop during alcohol abstinence

A rat study has found that the detrimental effect of alcohol on the formation of new neurons in the adult rat hippocampus is followed by a pronounced increase in new neuron formation in the hippocampus within four-to-five weeks of abstinence. This included a twofold burst in brain cell proliferation at day seven of abstinence. The findings may have significant implications for treatment of alcoholism during recovery. The discovery of regeneration of neurons in recovery opens up new avenues of therapies aimed at regeneration of brain cells.

[393] Nixon, K., & Crews F. T. (2004).  Temporally Specific Burst in Cell Proliferation Increases Hippocampal Neurogenesis in Protracted Abstinence from Alcohol. J. Neurosci.. 24(43), 9714 - 9722.

http://www.eurekalert.org/pub_releases/2004-11/uonc-nbc110504.php

Cognitive function of alcohol abuse patients may influence treatment outcome

Years of heavy alcohol consumption are known to impair many abilities generally referred to as “executive functions.” Such functions include judgment, problem solving, decision making, planning, and social conduct. But alcohol affects executive functioning both chronically and acutely. New research has found that alcohol abuse patients show significant deficits in executive functioning (specifically, abstract reasoning, memory discrimination, and effectiveness on timed tasks) during the critical first weeks of abstinence. The finding has implications for treatment programs, as the early phases of most treatment programs for alcohol abusers commonly require working in groups, making plans for the future, inhibiting behaviors related to their addiction, and remembering specific things. It is suggested that clinicians should scale down their expectations of what patients can do until more of their executive functioning comes back. The researchers are now intending to explore how long it takes the majority of people to regain most of their executive functioning.

[194] Zinn, S., Stein R., & Swartzwelder S. H. (2004).  Executive Functioning Early in Abstinence From Alcohol. Alcoholism: Clinical and Experimental Research. 28(9), 1338 - 1346.

http://www.eurekalert.org/pub_releases/2004-09/ace-cco090504.php
http://www.eurekalert.org/pub_releases/2004-09/dumc-cfo091004.php

Brain damage found among heavy social drinkers

Almost all knowledge about brain damage due to chronic alcohol consumption has been gathered from alcoholics, generally toward the end of an institutionalized treatment program or many months into abstinence. A new study however, uses magnetic resonance technology to examine brain damage in heavy drinkers who are not in treatment and function relatively well in the community. The study found that frontal white matter NAA – generally considered to be a marker of neuronal damage – was lower in heavy drinkers than light drinkers, and was associated with lower executive and working memory functions. Some of the behaviors that could be associated with the metabolite changes include the inability to apply consequences from past actions, difficulties with abstract concepts of time and money, difficulties with storing and retrieving information, and frequently needing external motivators.

[220] Weiner, M. W., Meyerhoff D. J., Blumenfeld R., Truran D., Lindgren J., Flenniken D., et al.
(2004).  Effects of Heavy Drinking, Binge Drinking, and Family History of Alcoholism on Regional Brain Metabolites.
Alcoholism: Clinical and Experimental Research. 28(4), 650 - 661.

http://www.eurekalert.org/pub_releases/2004-04/ace-sab040704.php

Even small amounts of alcohol or anesthetics may damage the developing brain

Mouse studies suggest that even small amounts of alcohol or anesthetic drugs can trigger nerve cell death in the developing brain. The brain appears most sensitive to this effect during the development stage known as the brain growth spurt. In humans this lasts from about the sixth month of pregnancy to a child's third birthday. Nerve cells are genetically programmed to commit suicide if they fail to make synaptic connections on time. Alcohol and anesthetic drugs interfere with the brain's neurotransmitter systems and with the formation of those synaptic connections, automatically activating a signal within the neuron that directs it to commit suicide.

Olney, J.W. 2004. Perinatal Drug/Alcohol Exposure and Neuronal Suicide – Public Health Implications. Paper presented February 14 at the annual meeting of the American Association for the Advancement of Science in Seattle.

http://www.eurekalert.org/pub_releases/2004-02/wuso-sao021104.php

Hippocampal damage seen in those with alcoholic memory disorder and those with Alzheimer's

A comparison between the brains of five men with alcoholic Korsakoff's syndrome and the brains of men with Alzheimer's disease as well as the brains of healthy men, found that the brains of all Korsakoff's patients and Alzheimer's patients were comparable in significant volume loss in the hippocampus. Greater hippocampal damage (for Korsakoff's patients) and smaller hippocampal size (for Alzheimer’s) was correlated with poorer memory performance. It is suggested that, although there are of course a number of differences between these disorders, the nature of the memory impairment may be the same. Awareness of the similarities may help detection of both disorders.

[262] Sullivan, E. V., & Marsh L. (2003).  Hippocampal volume deficits in alcoholic Korsakoff's syndrome. Neurology. 61(12), 1716 - 1719.

http://www.eurekalert.org/pub_releases/2003-12/aaon-seu121503.php

Alcohol damages day-to-day memory function

A new study involving 763 participants (465 female, 298 males) used self-report questionnaires: the Prospective Memory Questionnaire (PMQ), the Everyday Memory Questionnaire (EMQ), and the UEL (University of East London) Recreational Drug Use Questionnaire, and found that heavy users of alcohol reported making consistently more errors than those who said that they consumed little or no alcohol. More specifically, those who reported higher levels of alcohol consumption were more likely to miss appointments, forget birthdays and pay bills on time (prospective memory), as well as more problems remembering whether they had done something, like locking the door or switching off the lights or oven, or where they had put items like house keys. The study also found a significant increase in reported memory problems by people who claimed to drink between 10 and 25 units each week in comparison to non-drinkers – this is within the ’safe drinking’ limits suggested by U.K. government guidelines.

[1042] Ling, J., Heffernan T. M., Buchanan T., Rodgers J., Scholey A. B., & Parrott A. C.
(2003).  Effects of Alcohol on Subjective Ratings of Prospective and Everyday Memory Deficits.
Alcoholism: Clinical and Experimental Research. 27(6), 970 - 974.

http://www.eurekalert.org/pub_releases/2003-06/ace-add060903.php

Study of alcoholics reveals connection between cerebellum and prefrontal cortex

Two functions commonly compromised by chronic alcoholism are executive functions (such as problem solving, putting things in order, working memory, doing multiple tasks at once) and balance (the ability to walk a straight line or stand on one foot, especially with eyes closed or in the dark). Executive functions are primarily processed in the prefrontal cortex, while balance and postural stability are functions of the cerebellum. Previous studies have shown that the prefrontal cortex and regions of the cerebellum are especially vulnerable to the effects of chronic alcoholism. Although these areas are spatially far apart (the former in the frontal lobes, the latter in the hindbrain), they are connected in a variety of ways, most particularly through the pons and the thalamus. An imaging study of 25 nonamnesic alcoholic men suggests that these connections may compound the damaging effects of alcohol on these brain regions, and that the cerebellum, through these connections, can exert a significant effect on functions of the prefrontal cortex.

[356] Sullivan, E. V. (2003).  Compromised Pontocerebellar and Cerebellothalamocortical Systems: Speculations on Their Contributions to Cognitive and Motor Impairment in Nonamnesic Alcoholism. Alcoholism: Clinical and Experimental Research. 27(9), 1409 - 1419.

http://www.eurekalert.org/pub_releases/2003-09/ace-amc090803.php

Alcoholics' cognitive impairment associated with impaired reaction to stress

The body secretes a hormone called cortisol in response to stress. Areas of the brain involved in memory and problem-solving are responsive to cortisol. A new study has found impaired release of cortisol in recently detoxified alcoholics when performing two tasks known to induce stress: mental arithmetic problems and a "cold pressor" task, which requires submerging one hand in ice water for 90 seconds. This was associated with lower scores on measures of problem-solving ability and memory. The study also found that, among alcoholics, the number of withdrawals from alcohol was the strongest predictor of memory impairments, but not of problem-solving ability. The greater the alcoholics' relative cortisol levels were during alcohol withdrawal, the more likely they were to have low scores on one of the problem-solving tests. Nonalcoholic participants showed a connection between higher post-stress cortisol levels and impaired memory, a finding supported by earlier research.

[340] Errico, A. L., King A. C., Lovallo W. R., & Parsons O. A. (2002).  Cortisol Dysregulation and Cognitive Impairment in Abstinent Male Alcoholics. Alcoholism: Clinical and Experimental Research. 26(8), 1198 - 1204.

http://www.eurekalert.org/pub_releases/2002-08/cfta-air080902.php

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Dietary supplements

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

Evidence mounts against DHEA use in treating cognitive decline

DHEA is a naturally-occurring hormone in the human body that declines with age. Previous research looking at the effect of DHEA supplementation on cognitive function and quality-of-life has produced inconsistent results. In the first long-term study (12 months) of healthy older adults, 110 men and 115 women aged 55-85 received either daily 50 mg doses of DHEA or a similar looking placebo pill for 1 year. It was found that, although youthful levels of DHEA were restored in the treatment group, the supplements had no benefits for cognitive function or quality-of-life in this representative sample.

[1222] Kritz-Silverstein, D., von Mühlen D., Laughlin G. A., & Bettencourt R.
(2008).  Effects of Dehydroepiandrosterone Supplementation on Cognitive Function and Quality of Life: The DHEA and Well-Ness (DAWN) Trial.
Journal of the American Geriatrics Society. 56(7), 1292 - 1298.

http://www.eurekalert.org/pub_releases/2008-05/w-ema052108.php

French maritime pine bark improves memory in elderly

A double-blind, placebo controlled, matched pairs study examined the effects of Pycnogenol (an antioxidant plant extract from the bark of the French maritime pine tree) on a range of cognitive and biochemical measures in 101 senior individuals aged 60-85 years old. Participants had a daily dose of 150mg for three months. Pycnogenol improved both numerical working memory as well as spatial working memory. Blood samples revealed that F2-isoprostanes significantly decreased with Pycnogenol, a sign of reduced oxidation of nerve membranes, suggesting that the antioxidant activity of Pycnogenol plays a major role for the clinical effects. Several recent research studies have found Pycnogenol reduced ADHD symptoms such as hyperactivity and improved attention, concentration and motor-visual coordination in children with ADHD. Pycnogenol extract has been studied for 35 years and is available in more than 600 dietary supplements.

[2425] Ryan, J., Croft K., Mori T., Wesnes K., Spong J., Downey L., et al.
(2008).  An examination of the effects of the antioxidant Pycnogenol(R) on cognitive performance, serum lipid profile, endocrinological and oxidative stress biomarkers in an elderly population.
J Psychopharmacol. 22(5), 553 - 562.

http://www.eurekalert.org/pub_releases/2008-03/mg-nsp031708.php

Long-term beta carotene supplementation may help prevent cognitive decline

A large, long-running study has found that men who took beta carotene supplements for 15 years or longer had significantly higher scores on several cognitive tests compared with men who took placebo. There was no such effect in those men who took the supplements for a year. The researchers suggest that although the benefits were modest in themselves, they may predict substantial differences in eventual risk of dementia. However, it should be noted that beta carotene is not without risks—for example, it may increase the risk of lung cancer in smokers — and that it would be premature to advise use of such supplements.

[710] Grodstein, F., Kang J H., Glynn R. J., Cook N. R., & Gaziano M. J.
(2007).  A Randomized Trial of Beta Carotene Supplementation and Cognitive Function in Men: The Physicians' Health Study II.
Arch Intern Med. 167(20), 2184 - 2190.

http://www.eurekalert.org/pub_releases/2007-11/jaaj-lbc110807.php

Dietary supplements improve old rats' memory and energy levels

After only a month, older rats fed two chemicals normally found in the body's cells and available as dietary supplements — acetyl-L-carnitine and an antioxidant, alpha-lipoic acid — performed better on memory tests, and had noticeably more energy (on a par with a “middle-aged” rat). It is thought that these chemicals act on the mitochondria, the “power-houses” of the cells. Mitochondria are increasingly being implicated as especially vulnerable to the aging process. Carnitine is a natural compound produced in the cell and obtained in the diet through meats and vegetables. It has been shown to improve balance and short-term memory in human. Lipoic acid is found in green, leafy vegetables.
The University of California has patented use of the combination of the two supplements to rejuvenate cells. Human clinical trials are currently underway.

[1215] Hagen, T. M., Liu J., Lykkesfeldt J., Wehr C. M., Ingersoll R. T., Vinarsky V., et al.
(2002).  Feeding acetyl-l-carnitine and lipoic acid to old rats significantly improves metabolic function while decreasing oxidative stress.
Proceedings of the National Academy of Sciences of the United States of America. 99(4), 1870 - 1875.

[618] Liu, J., Head E., Gharib A. M., Yuan W., Ingersoll R. T., Hagen T. M., et al.
(2002).  Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxidation: Partial reversal by feeding acetyl-l-carnitine and/or R-α-lipoic acid.
Proceedings of the National Academy of Sciences of the United States of America. 99(4), 2356 - 2361.

[1232] Liu, J., Killilea D. W., & Ames B. N.
(2002).  Age-associated mitochondrial oxidative decay: Improvement of carnitine acetyltransferase substrate-binding affinity and activity in brain by feeding old rats acetyl-l- carnitine and/or R-α-lipoic acid.
Proceedings of the National Academy of Sciences of the United States of America. 99(4), 1876 - 1881.

http://www.eurekalert.org/pub_releases/2002-02/uoc--dsm021502.php
http://www.eurekalert.org/pub_releases/2002-02/osu-crr021902.htm

tags lifestyle: 

tags problems: 

Caffeine

  • Caffeine has both good and bad effects, both of which may impact on cognitive performance.
  • Coffee contains active ingredients other than caffeine which may, directly or indirectly, impact on cognitive performance.
  • Caffeine appears to be of greater potential significance to older adults.
  • However, those with hypertension, diabetes, impaired glucose tolerance, or high homocysteine levels, would be wiser to avoid coffee, even if decaffeinated.
  • Caffeine's main impact is on attention.

It seems clear that caffeine improves alertness and reaction time, but evidence is inconclusive for its effect on higher memory and reasoning processes. It is possible that caffeine may in fact impede memory, where the information is complex or ambiguous.

Caffeine can be helpful in ameliorating the effects of time of day and sleep deprivation on cognitive performance. In normal circumstances (i.e., not prolonged sleep deprivation, or extreme stress), caffeine seems to be more helpful to older adults, in helping them overcome time-of-day effects.

Recent research has demonstrated that caffeine affects blood flow in the brain. It is not yet clear what the implications of this may be.

Caffeine has been implicated in raising blood pressure. High blood pressure is undoubtedly a risk factor for cognitive decline and dementia for those over 60. However, recent studies suggest that, while it is clear that coffee raises blood pressure, it is not clear that caffeine is the culprit.

Brewed coffee raises homocysteine levels. High homocysteine levels in older adults increase the risk of cognitive decline and dementia. Recent research suggests however that caffeine is not the sole ingredient in coffee responsible for the homocysteine-raising effect.

Evidence for the effect of caffeine on glucose regulation is inconclusive as yet, but there is some suggestion that caffeine may be a risk factor for impaired glucose tolerance. Impaired glucose tolerance is a risk factor for cardiovascular disease (and thus, by implication, cognitive decline, since research now indicates that “what is good for the heart is good for the brain”). More direct evidence also suggests that impaired glucose tolerance in older adults is associated with memory problems.

While people clearly build up a tolerance to some of the effects of caffeine, it is not yet clear what the long-term effects of regular caffeine use are. Nor can we say, as yet, what factors are important in determining those long-term effects, although we can speculate that gender, metabolic factors, cardiovascular health, alcohol and tobacco use are all possible influences.

Conclusion: Clearly, caffeine has both good and bad effects, both of which may impact on cognitive performance. Moreover, the main vehicle for caffeine — coffee — contains active ingredients other than caffeine which may, directly or indirectly, impact on cognitive performance. Caffeine does appear to be of greater potential significance to older adults. Overall, the evidence suggests that, while caffeine may help older adults in the later part of the day, those with hypertension, diabetes, impaired glucose tolerance, or high homocysteine levels, would be wiser to avoid coffee, even if decaffeinated. In general, while caffeine may help you overcome factors that lower your cognitive performance, it does not seem that caffeine has any significant direct effect on memory, although it may well help you pay attention.

This is a summary of research into the effects of caffeine on memory. You can download the full report (in pdf format).

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

Caffeine reverses memory impairment in Alzheimer's mice

Consistent with earlier indications that moderate caffeine consumption may protect against memory decline, a study of genetically engineered mice has found that when the old mice began to show memory impairment, those given caffeine for 2 months performed as well as normal aged mice on cognitive tests, while those given plain drinking water continued to do poorly. The Alzheimer's mice received the equivalent of five 8-oz. cups of regular coffee a day (or two cups of Starbucks coffee, or 14 cups of tea). Moreover, the brains of the caffeinated mice showed nearly a 50% reduction in levels of beta amyloid. The effect appears to be through suppression of both β-secretase and presenilin 1 /g-secretase expression. Caffeine had this effect only on those with Alzheimer’s; normal mice given caffeine through adulthood showed no cognitive benefit.

Arendash, G.W. et al. 2009. Caffeine Reverses Cognitive Impairment and Decreases Brain Amyloid-β Levels in Aged Alzheimer's Disease Mice. Journal of Alzheimer's Disease, 17 (3), 661-680.

Cao, C. et al. 2009. Caffeine Suppresses Amyloid-β Levels in Plasma and Brain of Alzheimer's Disease Transgenic Mice. Journal of Alzheimer's Disease, 17 (3), 681-697.

http://www.eurekalert.org/pub_releases/2009-07/uosf-crm070109.php

Midlife coffee drinking reduces risk of dementia

A large, long-running Finnish study has found that those who were coffee drinkers at midlife had lower risk for dementia and Alzheimer’s later in life compared to those drinking no or only little coffee midlife. The lowest risk was found among moderate coffee drinkers (drinking 3-5 cups of coffee/day). Tea drinking was relatively uncommon and was not associated with dementia.

Eskelinen, M.H. et al. 2009. Midlife Coffee and Tea Drinking and the Risk of Late-Life Dementia: A Population-based CAIDE Study. Journal of Alzheimer's Disease, 16(1).

http://www.physorg.com/news151225794.html

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

Coffee helps you retain mental sharpness later in the day

A recent study of 40 older adults (over 65) confirmed the popular belief in the value of caffeine in helping overcome a decline in mental sharpness later in the afternoon. All the participants (like three-quarters of all people in that age group, studies suggest) described themselves as "morning people". Testing confirmed that they were less alert later in the day. Given coffee, but not told whether it was "real" coffee or decaffeinated, those who drank the regular coffee did not experience mental declines in the afternoon tests. Note that participants were already regular coffee drinkers (and were asked to abstain before arriving for the test).

[1166] Ryan, L., Hatfield C., & Hofstetter M.
(2002).  Caffeine reduces time-of-day effects on memory performance in older adults.
Psychological Science: A Journal of the American Psychological Society / APS. 13(1), 68 - 71.

http://www.nytimes.com/2002/01/01/health/psychology/01AGIN.html?rd=hcmcp?p=041sRh041sTt436WO012000mo9$ho9mk

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.

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

tags lifestyle: 

Circadian rhythm

See also:

Time of day effects in immediate and delayed memory

Sleep loss and temporal memory

Circadian clock may be critical for remembering what you learn

We know circadian rhythm affects learning and memory in that we find it easier to learn at certain times of day than others, but now a study involving Siberian hamsters has revealed that having a functioning circadian system is in itself critical to being able to remember. The finding has implications for disorders such as Down syndrome and Alzheimer's disease. The critical factor appears to be the amount of the neurotransmitter GABA, which acts to inhibit brain activity. The circadian clock controls the daily cycle of sleep and wakefulness by inhibiting different parts of the brain by releasing GABA. It seems that if it’s not working right, if the hippocampus is overly inhibited by too much GABA, then the circuits responsible for memory storage don't function properly. The effect could be fixed by giving a GABA antagonist, which blocks GABA from binding to synapses. Recent mouse studies have also demonstrated that mice with symptoms of Down syndrome and Alzheimer's also show improved learning and memory when given the same GABA antagonist. The findings may also have implications for general age-related cognitive decline, because age brings about a degradation in the circadian system. It’s also worth noting that the hamsters' circadian systems were put out of commission by manipulating the hamsters' exposure to light, in a technique that was compared to "sending them west three time zones." The effect was independent of sleep duration.

Ruby, N.F. et al 2008. Hippocampal-dependent learning requires a functional circadian system. Proceedings of the National Academy of Sciences, 105 (40), 15593-15598.

http://www.eurekalert.org/pub_releases/2008-10/su-ccm100808.php

Morningness a predictor of better grades in college

A survey of 824 undergraduate students has found that those who were evening types had lower average grades than those who were morning types.

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

http://www.eurekalert.org/pub_releases/2008-06/aaos-map050708.php

Mice brains shrink during winter, impairing spatial memory

A study involving adult male white-footed mice may help us understand seasonal dysfunctions such as seasonal affective disorder. The study found that those mice kept in artificial light conditions mimicking winter (8 hours of light per day) had impaired spatial memory compared to mice kept in “summer” conditions (16 hours per day). They also had, on average, smaller brains, with a proportionally smaller hippocampus, as well as changes in dendritic spine density in that region. Other types of memory did not appear to be affected.

Pyter, L.M., Reader, B,F. & Nelson, R.J. 2005. Short Photoperiods Impair Spatial Learning and Alter Hippocampal Dendritic Morphology in Adult Male White-Footed Mice (Peromyscus leucopus). Journal of Neuroscience, 25, 4521-4526.

http://www.eurekalert.org/pub_releases/2005-05/osu-mbs051205.php

Repeated, frequent episodes of jet lag without sufficient recovery time may reduce cognitive function

A study of 20 flight attendants suggests that people who undergo repeated, frequent episodes of jet lag without sufficient recovery time between trips may develop actual tissue changes in the brain in an area that's involved in spatial orientation and related aspects of cognitive function. The extent to which this is due to sleep deprivation rather than time shifts per se is unknown. These findings may also be relevant to shift workers, medical trainees and others who work long hours.

Cho, K. 2001. Chronic 'jet lag' produces temporal lobe atrophy and spatial cognitive deficits. Nature Neuroscience, 4 (6), 567-568.

tags lifestyle: 

High-fat Diet

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

High-fat diet affects physical and memory abilities of rats after 9 days

A rat study has found that after a mere 9 days of eating a high-fat diet (55% of calories as fat, compared to their normal very low-fat diet of 7.5% of calories as fat)), rats were dramatically slower to run a maze and made more mistakes. The reductions in performance were correlated with increased levels of a protein that is involved in the process of burning food stuffs for energy in the cells, reducing the efficiency of the heart and muscles, and with an increase in heart size, probably because it had to pump more blood around the body to get the necessary oxygen to the muscles (and brain). The increase in fat is of course extremely high for the rats, given that their normal diet is very low in fat; however, the level is not out of keeping with a human unhealthy diet.

[1160] Murray, A. J., Knight N. S., Cochlin L. E., McAleese S., Deacon R. M. J., Rawlins N. J. P., et al.
(2009).  Deterioration of physical performance and cognitive function in rats with short-term high-fat feeding.
FASEB J.. 23(12), 4353 - 4360.

Full text available at: http://www.fasebj.org/cgi/rapidpdf/fj.09-139691v1.pdf
http://www.eurekalert.org/pub_releases/2009-08/uoc-hda081109.php

Diabetic seniors may experience memory declines after eating high-fat food

Growing evidence links diabetes to cognitive impairment. Now a small study of 16 adults (aged 50 years and older) with type 2 diabetes compared their cognitive performance on three separate occasions, fifteen minutes after consuming different meals. One meal consisted of high fat products – a danish pastry, cheddar cheese and yogurt with added whipped cream; the second meal was only water; and the third was the high-fat meal plus high doses of vitamins C (1000 mg) and E (800 IU) tablets. Researchers found that vitamin supplementation consistently improved recall scores relative to the meal alone, while those who ate the high fat meal without vitamin supplements showed significantly more forgetfulness of words and paragraph information in immediate and time delay recall tests. Those on water meal and meal with vitamins showed similar levels in cognitive performance. The finding indicates not only that diabetics can temporarily further worsen already underlying memory problems associated with the disease by consuming unhealthy meals, but also that this can be remedied by taking high doses of antioxidant vitamins C and E with the meal, suggesting that the effect of high-fat foods si to cause oxidative stress. However, this is hardly a recommended course of action, and the real importance of this finding is that it emphasizes the need for diabetics to consume healthy foods high in antioxidants, like fruits and vegetables. Of course, this is a very small study, and further replication is needed.

[1094] Chui, M., & Greenwood C.
(2008).  Antioxidant vitamins reduce acute meal-induced memory deficits in adults with type 2 diabetes.
Nutrition Research. 28(7), 423 - 429.

http://www.eurekalert.org/pub_releases/2008-06/bcfg-swt062408.php

Copper increases cognitive decline in older adults on high-fat diet

A six-year study involving 3,718 Chicago residents age 65 years and older has found that among the 16% who had high levels of saturated and trans fats in their diets, cognitive function deteriorated more rapidly the more copper they had in their diets. Copper intake wasn’t a factor for the rest of the group. Previous studies have found higher levels of copper in the blood of patients with Alzheimer's disease. The finding will need to be confirmed by further research. The dietary recommended allowance of copper for adults is .9 milligrams per day. Organ meats, such as liver, and shellfish are the foods with the highest copper levels, followed by nuts, seeds, legumes, whole grains, potatoes, chocolate and some fruits.

[1129] Morris, M C., Evans D. A., Tangney C. C., Bienias J. L., Schneider J. A., Wilson R. S., et al.
(2006).  Dietary Copper and High Saturated and trans Fat Intakes Associated With Cognitive Decline.
Arch Neurol. 63(8), 1085 - 1088.

http://www.sciencedaily.com/releases/2006/08/060816013125.htm
http://www.eurekalert.org/pub_releases/2006-08/jaaj-hcd081006.php

Exercise may counteract bad effect of high-fat diet on memory

An animal study has investigated the interaction of diet and exercise on synaptic plasticity (an important factor in learning performance). A diet high in fat reduced levels of brain-derived neurotrophic factor (BDNF) in the hippocampus, and impaired performance on spatial learning tasks, but both of these consequences were prevented in those animals with access to voluntary wheel-running. Exercise appeared to interact with the same molecular systems disrupted by the high-fat diet.

[883] Molteni, R., Wu A., Vaynman S., Ying Z., Barnard R. J., & Gómez-Pinilla F.
(2004).  Exercise reverses the harmful effects of consumption of a high-fat diet on synaptic and behavioral plasticity associated to the action of brain-derived neurotrophic factor.
Neuroscience. 123(2), 429 - 440.

http://journals.bmn.com/jsearch/search/record?uid=NSC.bmn09190_03064522_v0123i02_03007425&rendertype=abstract

Rats on a high-fat diet showed severe impairment on a wide range of learning and memory tasks

Rats on a high-fat diet for three months showed severe impairment on a wide range of learning and memory tasks relative to those animals that consumed the lower fat die. On the basis that the brain needs glucose in order to function, and that saturated fatty acids impede glucose metabolism, the high-fat rats were given high doses of glucose. Glucose significantly improved memory in the high-fat rats, especially long-term memory.

[2402] Greenwood, C. E., & Winocur G.
(2001).  Glucose Treatment Reduces Memory Deficits in Young Adult Rats Fed High-Fat Diets.
Neurobiology of Learning and Memory. 75(2), 179 - 189.

http://www.eurekalert.org/pub_releases/2001-02/BCfG-Rssh-1802101.php

High-fat diets impair memory

Several rodent studies have found evidence that a diet high in fat and empty calories may impair memory.
In one study, young adult male mice were divided into four groups by diet: normal (control) diet, high-saturated-fat diet, high-sugar diet, and diet high in saturated fats and sugar. They were kept on the diet for four months, during which mice on the high-fat and high-fat-&-sugar diets gained significantly more weight than those on the control and high sugar diets. At the end of that time, the mice were tested on a maze task. Mice on the high-fat and high-fat-&-sugar diets performed worse than the other mice. The mice were then exposed to a neurotoxin called kainic acid, which is known to damage nerve cells in the hippocampus. Mice on the high-fat and high-fat-&-sugar diets were significantly more impaired by the neurotoxin.
In another mouse study, obese mice were fed a diet containing about 10% fat for seven months, while control mice were fed standard lab chow containing only 5% fat. On testing, it was found that the obese mice took significantly more trials than the normal-weight mice to both acquire and retain a memory of a foot shock. They also required significantly more trials than control mice to learn to press a lever for milk reinforcement.
A rat study explored whether a diet high in cholesterol and hydrogenated fats affected working memory in middle-aged rats (corresponding to 60 and older for humans). The high-fat, high-cholesterol diet produced significantly higher plasma triglycerides, total cholesterol, high density lipoprotein cholesterol, and low density lipoprotein cholesterol compared with controls. Weight increase and food consumption were similar between the groups. Animals on the high-fat regimen made more errors than animals fed the control diet, especially during the trial that placed the highest demand on their working memory.
Another rat study found that a diet high in fats and carbohydrates worsened cognitive deficits in rats exposed to repeated brief periods of low oxygen during sleep (as experienced by people with sleep apnea).

These studies were reported at the  34th Society for Neuroscience annual meeting in San Diego in October 2004.

http://www.eurekalert.org/pub_releases/2004-10/sfn-hdh102604.php

tags lifestyle: 

tags problems: 

Fish & omega-3 oils

There have been quite a few studies looking into the possible benefits of omega-3 fatty acids and fish (a good source of the oils), particularly for older adults. Several large studies have found that regular intake of oily fish is associated with lower rates of dementia — perhaps because, as one study found, it was associated with a much lower risk of silent brain infarcts. There is also some evidence that eating fish regularly slows the rate of 'normal' age-related cognitive decline.

One large Swedish study also found regular fish eating was associated with higher IQs in adolescent males.

Omega-3 fatty acids seem to help cognition by improving synaptic plasticity and the expression of several important proteins for learning and memory.

Although it's not yet clear which fatty acids are most important, one is definitely docosahexaenoic acid, or DHA. However, although this is available as dietary supplements, the evidence of its benefit in this form is much less clear. As usual, receiving them in food is much better. Salmon, mackerel, herring, sardines, and anchovies are all good sources (not, I am sorry to say, your standard fried fish from the chippie). Other sources include almonds, walnuts, soy, flaxseed oil, and eggs laid by chickens that eat DHA-supplemented feed.

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

Mixed results from trials of DHA

A large 18-month trial of the effects of DHA, an omega 3 fatty acid, on 402 people with mild to moderate Alzheimer's found no evidence of benefit. However, there were indications that those without the “Alzheimer’s gene” ApoE-e4 showed slower cognitive decline. A 6-month trial involving 485 healthy seniors with mild memory complaint also found a benefit on a test of memory and learning.

Quinn, J.F. et al. 2009. A clinical trial of docosahexaenoic acid (DHA) for the treatment of Alzheimer's disease. Presented at the Alzheimer's Association International Conference on Alzheimer's Disease July 11-16 in Vienna.

Yurko-Mauro, K. et al. 2009. Results of the MIDAS Trial: Effects of Docosahexaenoic Acid on Physiological and Safety Parameters in Age-Related Cognitive Decline. 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/aa-rft070709.php

Fish eating associated with higher IQ scores in teenage boys.

IQ records from some 4000 Swedish males at 18 who had also taken part in a survey of fish consumption at age 15 has revealed that those who ate fish once a week at 15 had IQ scores 7% higher (on average) than those who didn’t eat fish that often. Those who ate fish more than once a week showed an improvement of 12%. The effect was independent of education.

[1018] Åberg, M AI., Åberg N., Brisman J., Sundberg R., Winkvist A., & Torén K.
(2009).  Fish intake of Swedish male adolescents is a predictor of cognitive performance.
Acta Pædiatrica. 98(3), 555 - 560.

http://www.physorg.com/news155810958.html

Intake of certain fatty acid appears to improve neurodevelopment for preterm girls, but not boys

A large randomized trial of infants born at less than 33 weeks' gestation from five Australian hospitals has found that girls who received a high supplementary daily dose of DHA (an omega-3 fatty acid) in either their breast milk or infant formula until their expected delivery date performed significantly better on a mental development test when they were 18 months old than girls who received a low dose. However, bafflingly, boys showed no effect.

[402] Smithers, L. G., Willson K., Ryan P., Makrides M., Gibson R. A., McPhee A. J., et al.
(2009).  Neurodevelopmental Outcomes of Preterm Infants Fed High-Dose Docosahexaenoic Acid: A Randomized Controlled Trial.
JAMA. 301(2), 175 - 182.

http://www.eurekalert.org/pub_releases/2009-01/jaaj-ioc010809.php

Eating fish may prevent memory loss and stroke in old age

A large study involving 3,660 people age 65 and older over five years, has found that those who ate broiled or baked tuna and other fish high in omega-3 fatty acids three times or more per week had a nearly 26% lower risk of having silent brain infarcts that can cause dementia and stroke, compared to people who did not eat fish regularly. One serving a week reduced risk by 13%. Regular fish consumption was also associated with fewer changes in white matter. Types of fish that contain high levels of DHA and EPA nutrients include salmon, mackerel, herring, sardines, and anchovies. Eating fried fish was not protective. Silent brain infarcts are only detected by brain scans, and are found in about 20% of otherwise healthy elderly people.

However, in the same journal, another study reports findings that in a double-blind, placebo-controlled, study of 302 healthy older adults, 26 weeks of EPA-DHA supplements had no effect on cognitive performance. Of course, if the effect of fish oil is primarily on preserving brain health, it may well be (indeed is likely) that the study was too short to impact cognitive performance. It is also possible that supplements are not as effective as whole foods — many studies have found that it is much more effective to receive needed vitamins and minerals through nutrition rather than supplementation.; Reference

[265] van de Rest, O., Geleijnse J. M., Kok F. J., van Staveren W. A., Dullemeijer C., OldeRikkert M. G. M., et al.
(2008).  Effect of fish oil on cognitive performance in older subjects: A randomized, controlled trial.
Neurology. 71(6), 430 - 438.

[308] Virtanen, J. K., Siscovick D. S., Longstreth W. T., Kuller L. H., & Mozaffarian D.
(2008).  Fish consumption and risk of subclinical brain abnormalities on MRI in older adults.
Neurology. 71(6), 439 - 446.

http://www.eurekalert.org/pub_releases/2008-08/aaon-efm072908.php

How food affects the brain

I’ve reported on quite a lot of studies finding beneficial effects of one food or another on the brain. Now a researcher has analyzed more than 160 studies about food's affect on the brain, and here’s the bottom line. He comes out for omega-3 fatty acids, as both improving synaptic plasticity and the expression of several molecules proteins to learning and memory, as well as protecting against attention-deficit disorder, dyslexia, dementia, depression, bipolar disorder and schizophrenia. He suggests it’s better to get it from food than supplements (which is always recommended). Salmon, walnuts and kiwi fruit are all good sources. They’re still working out which fatty acids are most important, but one is definitely docosahexaenoic acid, or DHA — which like vitamin C we’re not good at making for ourselves; we have to ingest it. He also concludes that diets high in trans fats and saturated fats are bad for cognition.
Studies also support the need for folic acid (found in spinach, orange juice and yeast), which is essential for brain function, and appears to reduce age-related cognitive decline and dementia. And BDNF, important for learning and memory as well as metabolic regulation (so there’s a connection there with obesity), is helped by omega-3 fatty acids and the curry spice curcumin, and also, it seems, smaller food portions.

[1293] Gómez-Pinilla, F.
(2008).  Brain foods: the effects of nutrients on brain function.
Nat Rev Neurosci. 9(7), 568 - 578.

Full text is available online at www.nature.com/nrn/journal/v9/n7/abs/nrn2421.html
http://www.eurekalert.org/pub_releases/2008-07/uoc--slh070908.php

Omega-3 boosts grey matter

A study of 55 healthy adults has found that those who had high levels of long-chain omega-3 fatty acids had more grey matter in areas of the brain associated with emotional arousal and regulation — the bilateral anterior cingulate cortex, the right amygdala and the right hippocampus. Although this doesn’t mean omega-3 necessarily causes such changes, the finding does support a recent study that found higher levels of omega-3 were associated with a more positive outlook, and animal studies showing that increasing omega-3 intake leads to structural changes in the brain. Good sources of omega-3 fatty acids are walnuts, flax, and fatty fish such as salmon and sardines.

The findings were presented March 7 at the American Psychosomatic Society's 2003 Meeting, in Budapest, Hungary.

http://www.sciencedaily.com/releases/2007/03/070307080827.htm
http://www.webmd.com/diet/news/20070307/omega-3-fatty-acids-may-boost-brain

Higher level of certain fatty acid associated with lower dementia risk

A nine year study of 899 participants in the Framingham Heart Study (average age 76 years) has found that those with the highest levels of an omega-3 polyunsaturated fatty acid known as docosahexaenoic acid (DHA) had a 47% lower risk of developing dementia and 39% lower risk of developing Alzheimer's. Among the participants who completed the dietary questionnaire, those in this top quartile of blood DHA levels reported that they ate an average of .18 grams of DHA a day and an average of three fish servings a week. Those in the other quartiles ate substantially less fish.

[2408] Schaefer, E. J., Bongard V., Beiser A. S., Lamon-Fava S., Robins S. J., Au R., et al.
(2006).  Plasma Phosphatidylcholine Docosahexaenoic Acid Content and Risk of Dementia and Alzheimer Disease: The Framingham Heart Study.
Arch Neurol. 63(11), 1545 - 1550.

http://www.eurekalert.org/pub_releases/2006-11/jaaj-hlo110906.php

Omega-3 fatty acids may slow cognitive decline in some patients with very mild Alzheimer's disease

Several studies have shown that eating fish, which is high in omega-3 fatty acids, may protect against Alzheimer's disease. A Swedish study has now tested whether supplements could have similar effects. Patients with mild-to-moderate Alzheimer’s who took 1.7 grams of DHA and .6g of EPA showed the same rate of cognitive decline as those taking a placebo, however, among a subgroup of 32 patients with very mild cognitive impairment, those who took the fatty acids experienced less decline in six months compared with those who took placebo. It may be that anti-inflammatory effects are an important reason for the benefit, potentially explaining why effects were seen only in those with very early-stage disease, when levels of inflammation seem to be higher.

[2401] Freund-Levi, Y., Eriksdotter-Jonhagen M., Cederholm T., Basun H., Faxen-Irving G., Garlind A., et al.
(2006).  {omega}-3 Fatty Acid Treatment in 174 Patients With Mild to Moderate Alzheimer Disease: OmegAD Study: A Randomized Double-blind Trial.
Arch Neurol. 63(10), 1402 - 1408.

http://www.eurekalert.org/pub_releases/2006-10/jaaj-ofa100506.php

Eating fish associated with slower cognitive decline

Analysis of data from an ongoing longitudinal study of older adults has found that the rate of cognitive decline over a six-year period was reduced by 10-13% in those who ate fish at least once a week.

[534] Morris, M C., Evans D. A., Tangney C. C., Bienias J. L., & Wilson R. S.
(2005).  Fish Consumption and Cognitive Decline With Age in a Large Community Study.
Arch Neurol. 62(12), 1849 - 1853.

http://www.eurekalert.org/pub_releases/2005-10/jaaj-efa100605.php

Fish oil may help prevent Alzheimer's

A study involving genetically engineered mice has found that a diet high in docosahexenoic acid, or DHA — an omega-3 fatty acid found in relatively high concentrations in cold-water fish — dramatically slowed the progression of Alzheimer's, by cutting the harmful brain plaques that mark the disease. An earlier study showed that DHA protected against damage to the "synaptic" areas where brain cells communicate and enabled mice to perform better on memory tests. Food sources of omega-3 fatty acids include fish such as salmon, halibut, mackerel and sardines, as well as almonds, walnuts, soy, and DHA-enriched eggs.

Lim, G.P., Calon, F., Morihara, T., Yang, F., Teter, B., Ubeda, O., Salem, N.Jr, Frautschy, S.A. & Cole, G.M. 2005. A Diet Enriched with the Omega-3 Fatty Acid Docosahexaenoic Acid Reduces Amyloid Burden in an Aged Alzheimer Mouse Model. Journal of Neuroscience, 25(12), 3032-3040.

http://www.eurekalert.org/pub_releases/2005-03/vrcs-foh032405.php

Omega-3 fatty acid may prevent Alzheimer's disease and slow its progression

A study using genetically engineered mice has shown that a diet high in the omega-3 fatty acid DHA helps protect the brain against the memory loss and cell damage caused by Alzheimer's disease. Cheap sources of DHA include coldwater fish, like salmon, halibut, mackerel, sardines and herring. These fish consume algae, which is high in DHA. Because these fishes' oiliness makes them absorb more mercury, dioxin, PCP and other metals, however, a less risky yet more costly strategy is to consume fish oil or purified DHA supplements made from algae. Other options include DHA-rich eggs laid by chickens that eat DHA-supplemented feed.

[2397] Calon, F., Lim G. P., Yang F., Morihara T., Teter B., Ubeda O., et al.
(2004).  Docosahexaenoic Acid Protects from Dendritic Pathology in an Alzheimer's Disease Mouse Model.
Neuron. 43(5), 633 - 645.

http://www.eurekalert.org/pub_releases/2004-09/uoc--ddp082604.php

Eating fish cuts risk of dementia

Using data from a French epidemiological study of cognitive and functional aging, researchers found that those who ate fish or seafood at least once a week had a significantly lower risk of being diagnosed as having dementia (including Alzheimer’s) over the seven years follow-up. This confirms earlier findings from the Rotterdam Study, which had a much shorter follow-up (a mean of 2.1 years). There was an association between level of education and diet which partly, but not completely, explains this. It does appear that this is a benefit from eating fish / seafood, possibly from the fatty acids found in fish oils. There was no significant association between meat consumption and risk of dementia.

Barberger-Gateau, P., Letenneur, L., Deschamps, V., Pérès, K., Dartigues, J. & Renaud, S. 2002. Fish, meat, and risk of dementia: cohort study. BMJ, 325, 932-933.

http://www.eurekalert.org/pub_releases/2002-10/bmj-efc102302.php

What about mercury?

No strong evidence linking mercury levels with worse cognitive performance in older adults

We are encouraged to eat fish for its health benefits, but there has been some concern about mercury levels. Now the first study of mercury and cognitive function in 1140 urban U.S. adults between the ages of 50 and 70 years has found that blood mercury levels were not consistently associated with adverse performance on a broad range of tests of cognitive function. Most of the large number of tests showed no correlation with mercury and there was a lack of consistency of mercury effects in different aspects of brain function.

[1313] Weil, M., Bressler J., Parsons P., Bolla K., Glass T., & Schwartz B.
(2005).  Blood Mercury Levels and Neurobehavioral Function.
JAMA. 293(15), 1875 - 1882.

http://www.eurekalert.org/pub_releases/2005-04/jhub-mla041505.php
http://www.eurekalert.org/pub_releases/2005-04/jaaj-nse041405.php

Eating methylmercury contaminated fish causes problems in adults

Pregnant women and children have been warned about eating methylmercury contaminated fish. New research now suggests that all adults should be wary. The study involved 129 men and women living in fishing communities of the Pantanal region of Brazil. About one out of four were found to have mercury levels that exceeded the 'safe' level set by the World Health Organization for women and children. Those individuals fared worse on tests for motor skills, memory and concentration.
The major source of methylmercury is diet, particularly large fish like shark and swordfish.

[1423] Yokoo, E. M., Valente J. G., Grattan L., Schmidt S L., Platt I., & Silbergeld E. K.
(Submitted).  Low level methylmercury exposure affects neuropsychological function in adults.
Environmental Health. 2, 8 - 8.

http://www.eurekalert.org/pub_releases/2003-06/bc-fin060403.php
The article is available at http://www.ehjournal.net/content/2/1/8

tags lifestyle: 

Cocaine & amphetamines

Rat studies have indicated that high doses of amphetamines in adolescence produced significant declines in working memory as adults, and that amphetamines and cocaine can damage the brain’s ability to learn from new experiences. A human twin study also found long-term cocaine or amphetamine abuse affected attention and motor skills. Another human study suggests that cocaine use particularly affects prospective memory — which of course is heavily dependent on executive function.

One important mechanism for these effects involves the neurotransmitter dopamine. Methamphetamine abuse damages neurons that respond to dopamine. And a small imaging study found that people with different variants of the COMT gene (which affects dopamine responsiveness) were differently affected by amphetamine in regards to their performance on tasks involving working memory and executive functioning (this may explain why some people respond better to ADHD drugs).

Prenatal exposure to methamphetamine or cocaine has been found to produce structural abnormalities in the brain. For cocaine, the damage seems to lie mainly in regions regulating attention and memory. Mental retardation, according to one study, is dramatically (nearly five times) higher in cocaine-exposed children. Nevertheless, a review of 32 major studies of school-age children concludes that, with the exception of attention problems, the low IQ and poor academic and language achievement often found in those whose mothers used cocaine during pregnancy is more related to home environment than to the drug exposure.

Among those exposed to methamphetamine, the damage appears to be primarily to the striatum (significantly smaller) and the limbic system (significantly bigger). The striatum is involved in skill learning and habit formation, and motor coordination is likely to be affected.

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

 

 

Amphetamine use in adolescence may impair adult working memory

Rats exposed to high doses of amphetamines at an age that corresponds to the later years of human adolescence showed significant declines in working memory as adults, long after the exposure. The researchers tested two types of amphetamine exposure: intermittent (a steady dose every other day) and "binge-escalation," in which increasing amounts of the drug were given over a period of four days, followed by a simulated binge – a high dose every two hours for eight hours on the fifth day. The type of exposure did not make a significant difference.

Stanis, J.J. et al. 2009. Amphetamine-induced deficits in a working memory task are more significant in drug-exposed adolescent rats than drug-exposed adults. Presented October 21 at the annual meeting of the Society for Neuroscience in Chicago.

http://www.eurekalert.org/pub_releases/2009-10/uoia-aui101909.php

Amphetamines and cocaine can damage the brain’s ability to learn from new experiences

A rat study suggests that amphetamines and cocaine can damage the brain’s ability to learn from new experiences. Rats were given either amphetamine, cocaine, or saline for 20 days, and then half were moved to new cages containing multiple levels with ramps, bridges, and a climbing chain; tunnels; and toys that were rearranged once a week to encourage continued exploration of the environment. After three and a half months, the rats who received saline solutions and had lived in a stimulating environment had a greater number of neuronal connections than those who remained in their usual environment. Rats given either amphetamines or cocaine, however, did not respond to the complex environment with a similar growth in neuronal connection.

[2385] Kolb, B., Gorny G., Li Y., Samaha A-N., & Robinson T. E.
(2003).  Amphetamine or cocaine limits the ability of later experience to promote structural plasticity in the neocortex and nucleus accumbens.
Proceedings of the National Academy of Sciences. 100(18), 10523 - 10528.

http://www.eurekalert.org/pub_releases/2003-08/niod-aoc082503.php

Amphetamine helps or hinders cognitive function depending on your genes

Everyone inherits two copies of the catecho-O-methyltransferase (COMT) gene, that codes for the enzyme that metabolizes neurotransmitters like dopamine and norepinephrine. It comes in two common versions. One version, met, contains the amino acid methionine at a point in its chemical sequence where the other version, val, contains a valine. Depending on the mix of variants inherited, a person's COMT genes can be typed met/met, val/val, or val/met. People with the val/val variant appear to have reduced prefrontal dopamine activity and less efficient prefrontal information processing, along with slightly increased risk for schizophrenia. People with val/met have more efficient prefrontal function, and people with met/met the most efficient.
In a recent imaging study, 27 volunteers (10 val/val, 11 val/met, and 6 met/met) performed a variety of cognitive tasks that involved working memory and executive functioning, after taking either amphetamine or a placebo. Since amphetamine boosts dopamine activity in the prefrontal cortex, the researchers predicted that the drug would enable val/val types to boost their low level of dopamine and perform better on cognitive tasks that depend on the prefrontal cortex. On the other hand, those with met/met should be hindered by amphetamine. The study confirmed these predictions - val/val subjects on amphetamine performed comparably to met/met types in normal conditions, while met/met subjects on amphetamine performed worse than subjects with val/val types in normal conditions.
Amphetamines and other drugs that affect prefrontal dopamine systems are used to treat Attention Deficit Hyperactivity Disorder (ADHD), and other psychiatric illnesses, and some people respond better than others to these medications. About 15-20% of individuals in populations of European ancestry have the met/met COMT gene type.

[1292] Mattay, V. S., Goldberg T. E., Fera F., Hariri A. R., Tessitore A., Egan M. F., et al.
(2003).  Catechol O-methyltransferase val158-met genotype and individual variation in the brain response to amphetamine.
Proceedings of the National Academy of Sciences of the United States of America. 100(10), 6186 - 6191.

http://www.eurekalert.org/pub_releases/2003-05/niom-gep050703.php

Long-lasting changes in attention and motor skills after heavy stimulant abuse

A study of 50 pairs of twins, in which one of each pair had a history of cocaine or methamphetamine abuse, and the other had no history of drug abuse, found that the twin with a history of stimulant abuse performed significantly worse on several tests of attention and motor skills than did the one who had never used drugs, even after at least a year had passed since any drugs had been taken. Abusers did, however, outperform their twin on visual vigilance, a test measuring the ability to pay attention over time.

[1163] Toomey, R., Lyons M. J., Eisen S. A., Xian H., Chantarujikapong S., Seidman L. J., et al.
(2003).  A Twin Study of the Neuropsychological Consequences of Stimulant Abuse.
Arch Gen Psychiatry. 60(3), 303 - 310.

http://www.eurekalert.org/pub_releases/2003-04/niod-sot040903.php

Methamphetamine abuse may permanently impair cognitive function

Methamphetamine abuse damages the nerve endings of human brain cells containing the chemical messenger dopamine. A recent study has found that methamphetamine-damaged brain cells may recover after prolonged abstinence from the drug. However, the extent of recovery may not be sufficient to restore full cognitive function, particularly in those who are did long-time, heavy users of the drug.

[1223] Ding, Y-S., Logan J., Volkow N. D., Chang L., Wang G-J., Fowler J. S., et al.
(2001).  Loss of Dopamine Transporters in Methamphetamine Abusers Recovers with Protracted Abstinence.
J. Neurosci.. 21(23), 9414 - 9418.

http://www.eurekalert.org/pub_releases/2001-12/niod-ise112801.php
http://www.eurekalert.org/pub_releases/2001-12/bnl-bsa112901.php

Prenatal exposure

One hit of crystal meth can cause birth defects

A mouse study has found that a single prenatal dose of methamphetamine (speed) can cause long-term neurodevelopmental problems in babies, especially reduced motor coordination.

[1003] Jeng, W., Wong A. W., Ting-A-Kee R., & Wells P. G.
(2005).  Methamphetamine-enhanced embryonic oxidative DNA damage and neurodevelopmental deficits.
Free Radical Biology & Medicine. 39(3), 317 - 326.

http://www.eurekalert.org/pub_releases/2005-07/uot-oho072605.php

Cognitive development affected in babies exposed prenatally to cocaine

In the first study to use measures of both the mothers’ self report of their prenatal drug use, and infant meconium, which provided a physical measure of the amount of drug exposure, 415 cocaine-exposed infants born in Cleveland were compared to non-exposed infants on cognitive and motor development until age 2. Infants were tested at 6.5, 12 and 24 months. Mental retardation in the cocaine-exposed children at age 2 was 4.89 times higher than would be expected in the general population. The percentage of children with mild delays requiring intervention was almost double the rate of the high risk, non-cocaine group. The study also found that tobacco exposure had significant negative effects on infant development.

[390] Singer, L. T., Arendt R., Minnes S., Farkas K., Salvator A., Kirchner L. H., et al.
(2002).  Cognitive and Motor Outcomes of Cocaine-Exposed Infants.
JAMA. 287(15), 1952 - 1960.

http://www.eurekalert.org/pub_releases/2002-04/cwru-a2y041602.php

Cocaine may permanently damage learning abilities in developing fetuses

Two recent studies investigating the effect of pre-natal exposure to cocaine in rats suggest that children exposed to cocaine while in the womb may have permanent changes to the part of the brain that helps control attention and memory, leading to learning deficits and symptoms that are very much like attention deficit hyperactivity disorder.

[1270] Morrow, B. A., Elsworth J. D., & Roth R. H.
(2002).  Male rats exposed to cocaine in utero demonstrate elevated expression of Fos in the prefrontal cortex in response to environment.
Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology. 26(3), 275 - 285.

[264] Morrow, B. A., Elsworth J. D., & Roth R. H.
(2002).  Prenatal cocaine exposure disrupts non-spatial, short-term memory in adolescent and adult male rats.
Behavioural Brain Research. 129(1-2), 217 - 223.

http://www.eurekalert.org/pub_releases/2002-02/yu-ucd021802.php

tags lifestyle: 

Cannabis

Those who use cannabis (as opposed to having used it in the past) may be more likely to have short-term memory problems.

Long-term use of marijuana has been found to affect verbal fluency, verbal memory, attention, and psychomotor speed, with longer use correlating with greater impairment. However, although there have been a number of studies into the long-term effects of cannabis of memory and learning, most are small or not sufficiently rigorous. We cannot, therefore, make any clear conclusions on this topic. Verbal memory appears to be the specific type of memory that is particularly vulnerable, but there is no clear evidence of long-term damage.

It may be that the effects of cannabis on cognition depends on various factors. For example, there is some evidence that starting in adolescence may be more likely to produce impairment, some suggestion that it depends on the strain of cannabis (there’s some evidence that cannabidiol can counteract the memory-impairing effects of the psychoactive component THC), a possibility that certain conditions could interact (one study found that MS sufferers who used marijuana for pain relief performed significantly worse on tests of attention, speed of thinking, executive function and visual perception of spatial relationships between objects).

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

Long-term cannabis users may have structural brain abnormalities

An imaging study of 15 men who smoked more than five cannabis joints daily for more than 10 years has found that, compared with individuals who were not cannabis users, the heavy cannabis users tended to have a smaller hippocampus and amygdala. They also performed significantly worse on verbal learning, but this didn’t correlate with regional brain volumes.

[908] Yucel, M., Solowij N., Respondek C., Whittle S., Fornito A., Pantelis C., et al.
(2008).  Regional Brain Abnormalities Associated With Long-term Heavy Cannabis Use.
Arch Gen Psychiatry. 65(6), 694 - 701.

http://www.eurekalert.org/pub_releases/2008-06/usmc-usr061208.php

New imaging technique finds no damage to adolescent brains of moderate cannabis users

A preliminary study using a new imaging technique to compare the brain tissue of young people who had used cannabis moderately as teenagers and young people who had not, has failed to find any indication that damage to the developing adolescent brain occurred.

[721] DeLisi, L., Bertisch H., Szulc K., Majcher M., Brown K., Bappal A., et al.
(2006).  A preliminary DTI study showing no brain structural change associated with adolescent cannabis use.
Harm Reduction Journal. 3(1), 17 - 17.

http://www.sciencedaily.com/releases/2006/05/060510092242.htm

Memory and speed of thinking get worse over time with marijuana use

A study of 20 long-term marijuana users, 20 shorter-term users and 24 control subjects who had used marijuana at least once in their lives but not more than 20 times and not in the past two years, found that the longer people used marijuana, the more deterioration they had in verbal fluency, verbal memory, attention, and psychomotor speed. For example, in a test where participants needed to remember a list of words that had been read to them earlier, the non-users remembered an average of 12 out of 15 words, the shorter-term users remembered an average of nine words and the long-term users remembered an average of seven words.

[1322] Messinis, L., Kyprianidou A., Malefaki S., & Papathanasopoulos P.
(2006).  Neuropsychological deficits in long-term frequent cannabis users.
Neurology. 66(5), 737 - 739.

http://www.eurekalert.org/pub_releases/2006-03/aaon-mso030706.php

Minimal long-term effects of marijuana use on learning and memory

An analysis of 15 previously published research studies on the non-acute (residual) effects of cannabis on the neurocognitive performance of adult long-term, recreational users of marijuana has failed to reveal a substantial, systematic effect on the neurocognitive functioning of users, although there was a very small effect in learning new information. The researchers noted however, that many of the research studies examined had significant limitations, either with small numbers of subjects or insufficient information about potential confounding factors, such as exposure to other drugs or presence of neuropsychiatric factors such as depression or personality disorders.

[2384] Grant, I., Gonzalez R., Carey C. L., Natarajan L., & Wolfson T.
(2003).  Non-Acute (residual) Neurocognitive Effects of Cannabis Use: A Meta-Analytic Study.
Journal of the International Neuropsychological Society. 9(05), 679 - 689.

http://www.eurekalert.org/pub_releases/2003-06/uoc--mle062603.php

Cognitive impairment seen in heavy marijuana users who started using before 18

A study of 122 long-term heavy users of marijuana and 87 subjects who had used marijuana only a few times (control subjects), all of whom had refrained from any drug use 28 days prior to testing, found that those who had started using marijuana at age 17 or younger performed significantly worse on the tests assessing verbal functions such as verbal IQ and memory of word lists than did those who started using marijuana later in life or who had used the drug sparingly. There were virtually no differences in test results among the individuals who started marijuana use after age 17 and the control subjects. The subjects were all between 30 and 55 years of age.

[510] Pope, H. G., Gruber A. J., Hudson J. I., Cohane G., Huestis M. A., & Yurgelun-Todd D.
(2003).  Early-onset cannabis use and cognitive deficits: what is the nature of the association?.
Drug and Alcohol Dependence. 69(3), 303 - 310.

http://www.eurekalert.org/pub_releases/2003-05/niod-smu050203.php

Ecstasy's effects on the brain

Some research suggests that regular use of Ecstasy (MDMA) may result in long-term memory problems, particularly in the area of prospective memory (remembering things you plan to do). It also appears that even a single dose can affect verbal memory.

Ecstasy damages mechanisms associated with serotonin, which is why long-term or heavy use can cause depression, anxiety, confusion, and difficulty sleeping.

There is also some evidence that long-term use may reduce the number of brain cells, especially in the hippocampus. Use of Ecstasy during pregnancy may damage the developing fetus, but only if taken during a particular critical period of pregnancy.

Having said that, a recent study designed to overcome the potential confounding factors in previous studies found little evidence of decreased cognitive performance in ecstasy users, with the exception of poorer strategic self-regulation (which may be a precursor rather than a consequence).

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

Ecstasy can harm the brains of first-time users

Ecstasy targets neurons in the brain that use serotonin to communicate. Previous studies have found that long-term or heavy ecstasy use can damage these neurons and cause depression, anxiety, confusion, difficulty sleeping and decrease in memory. Now research into the effects of low doses on first-time users has revealed a decrease in blood circulation in some areas of the brain, along with a relative decrease in verbal memory performance in ecstasy users compared to non-users.

De Win, M. et al. 2006. Ecstasy: Is It Safe for the Brain? First Prospective Study on Effects of Low Doses of Ecstasy on the Brain in New Ecstasy Users, Using a Combination of Advanced MR Imaging Techniques and [123I]ß-CIT SPECT. Presented on November 27 at the annual meeting of the Radiological Society of North America (RSNA).

http://www.eurekalert.org/pub_releases/2006-11/rson-ech112106.php

International survey finds Ecstasy use affects long-term memory

An international web-based survey of Ecstasy users and non-drug users found that those who regularly took ecstasy suffered from mainly long-term memory difficulties, and that they were 23% more likely to report problems with remembering things than non-users (14% more likely compared to those who had never taken Ecstasy, but had taken other drugs). Those who regularly used cannabis reported up to 20% more memory problems than non-users, and their memory problems mainly involved short-term memory. The Ecstasy users also made 21% more errors on the questionnaire form than non-ecstasy users and 29% more mistakes than people who did not take drugs at all. The study involved 763 people, from which 81 'typical' ecstasy users who had taken the drug at least ten times were selected for closer investigation. There were no significant differences between genders.

[367] Rodgers, J., Buchanan T., Scholey A. B., Heffernan T. M., Ling J., & Parrott A. C.
(2003).  Patterns of Drug Use and the Influence of Gender on Self-Reports of Memory Ability in Ecstasy Users: A Web-Based Study.
J Psychopharmacol. 17(4), 389 - 396.

http://www.eurekalert.org/pub_releases/2004-01/uonu-eam011304.php

Ecstasy may cause permanent memory damage

A comparison of memory performance in recent users of the drug Ecstasy, ex-users, and those who have never taken the drug, indicates Ecstasy may cause permanent damage to cognitive function. It appears that ecstasy damages mechanisms associated with serotonin, particularly in an area of the brain linked to memory.

[1022] Reneman, L., Lavalaye J., Schmand B., de Wolff F. A., van den Brink W., den Heeten G. J., et al.
(2001).  Cortical Serotonin Transporter Density and Verbal Memory in Individuals Who Stopped Using 3,4-Methylenedioxymethamphetamine (MDMA or "Ecstasy"): Preliminary Findings.
Arch Gen Psychiatry. 58(10), 901 - 906.

http://tinyurl.com/ix9f

Researchers have isolated Ecstasy by-product believed to cause some of the brain damage associated with the drug

Researchers in Spain have isolated for the first time a by-product of the illicit drug Ecstasy that is believed to cause some of the brain damage associated with the drug. They believe their finding will help them measure, with greater precision, the long-term neurotoxicity of Ecstasy in human users.

[780] Segura, J., de La Torre R., Segura M., Ortuño J., Farré M., McLure J. A., et al.
(2001).  3,4-Dihydroxymethamphetamine (HHMA). A major in vivo 3,4-methylenedioxymethamphetamine (MDMA) metabolite in humans.
Chemical Research in Toxicology. 14(9), 1203 - 1208.

http://www.eurekalert.org/pub_releases/2001-08/acs-ecm081301.php

Use of ecstasy during pregnancy may produce learning and memory impairments in child

Researchers today reported the first evidence that a mother’s use of MDMA (ecstasy) during pregnancy may result in specific types of long-term learning and memory impairments in her offspring.
The research was conducted by scientists from Children’s Hospital Research Foundation and the University of Cincinnati College of Medicine, on rats. It appears the damage to offspring occurs only if the drug is taken during a particular critical period of pregnancy.

[1418] Broening, H. W., Morford LR. L., Inman-Wood S. L., Fukumura M., & Vorhees C. V.
(2001).  3,4-Methylenedioxymethamphetamine (Ecstasy)-Induced Learning and Memory Impairments Depend on the Age of Exposure during Early Development.
J. Neurosci.. 21(9), 3228 - 3235.

http://www.eurekalert.org/pub_releases/2001-04/NIoD-Rfet-2904101.php

Long-term use of ecstasy may result in memory impairment in specific areas

A year-long study of 15 ecstasy users, ranging in age from 17 to 31, suggests that long-term use of ecstasy may result in memory impairment in specific areas, such as the ability to recall a short passage of prose being read out immediately and after a delay (this ability declined by approximately 50% between the first and second assessments).

[2386] Zakzanis, K. K., & Young D. A.
(2001).  Memory impairment in abstinent MDMA (“Ecstasy”) users: A longitudinal investigation.
Neurology. 56(7), 966 - 969.

http://www.eurekalert.org/pub_releases/2001-04/AAoN-Sfle-0904101.php

 

tags lifestyle: 

Smoking

Several large, long-running studies have found that smoking significantly increases your risk of Alzheimer's, as does high exposure to secondhand smoke. Smoking, both in old age and in adolescence, is also associated with lower IQs and lower cognitive performance. It appears, however, that this is largely recoverable if you give up smoking.

Smoking has a particularly negative effect in conjunction with alcohol (and unfortunately they are often found in tandem). While moderate drinking can in some circumstances have positive effects on the brain, this is probably not the case for those who smoke. Moreover, smoking makes it much harder for the brain to recover from the effects of alcohol abuse and the damage done to the brain by heavy alcohol consumption is likely to be much worse if the individual is a smoker.

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

Second-hand smoke linked to cognitive impairment

Smoking is known to be a risk factor for cognitive impairment and dementia. Now a large study of some 4800 non-smoking adults over the age of 50 has revealed that exposure to second-hand smoke (measured by levels of a nicotine by-product in their saliva) is associated with an increased chance of developing cognitive impairment, including dementia.

[641] Llewellyn, D. J., Lang I. A., Langa K. M., Naughton F., & Matthews F. E.
(2009).  Exposure to secondhand smoke and cognitive impairment in non-smokers: national cross sectional study with cotinine measurement.
BMJ. 338(feb12_2), b462 - b462.

The open-access article is available here.
http://www.eurekalert.org/pub_releases/2009-02/uoc-ssl021209.php

Midlife smokers may have worse memory than non-smokers

Data from the very large Whitehall II study has found that those who smoked were more likely to be in the lowest 20% for cognitive performance compared with those who had never smoked. Those who reported being ex-smokers at the beginning of the study were 30% less likely than smokers to have poor vocabulary and low verbal frequency scores, showing that recovery is likely if smoking is stopped. The study also found a higher risk of death as well as non-participation in cognitive tests among smokers, suggesting the association between smoking and cognition may have been under-estimated.

[476] Sabia, S., Marmot M., Dufouil C., & Singh-Manoux A.
(2008).  Smoking History and Cognitive Function in Middle Age From the Whitehall II Study.
Arch Intern Med. 168(11), 1165 - 1173.

http://www.eurekalert.org/pub_releases/2008-06/jaaj-msm060508.php

Smokers are more likely to develop dementia

A seven-year study of some 7,000 people age 55 and older found that those who were current smokers at the time of the study were 50% more likely to develop dementia than people who had never smoked or past smokers. Smoking did not increase the risk for those with the Alzheimer’s gene apolipoprotein E4. Current smokers without the gene were nearly 70% more likely to develop Alzheimer’s than nonsmokers or past smokers without the gene.

[2381] Reitz, C., den Heijer T., van Duijn C., Hofman A., & Breteler M. M. B.
(2007).  Relation between smoking and risk of dementia and Alzheimer disease.
Neurology. 69(10), 998 - 1005.

http://www.eurekalert.org/pub_releases/2007-09/aaon-sam082807.php

Secondhand smoke increases risk of dementia

Preliminary findings from the Cardiovascular Health Study indicates that elderly people with high lifetime exposure to secondhand smoke (more than 30 years) were approximately 30% more likely to develop dementia than those with no lifetime secondhand smoke exposure. People with abnormalities of their carotid arteries and high lifetime exposure to secondhand smoke were nearly two-and-a-half times as likely to develop dementia as those with no secondhand smoke exposure and no indications of carotid artery disease.

Haight presented the findings at the American Academy of Neurology’s 59th Annual Meeting in Boston, April 28 – May 5, 2007.

http://www.eurekalert.org/pub_releases/2007-05/aaon-ssi041007.php

Smoking now found detrimental for Alzheimer’s

Previous animal studies had suggested that nicotine reduces the number of amyloid plaques; a new study, however, has found that chronic nicotine exposure increases neurofibrillary tangles.

[2380] Oddo, S., Caccamo A., Green K. N., Liang K., Tran L., Chen Y., et al.
(2005).  Chronic nicotine administration exacerbates tau pathology in a transgenic model of Alzheimer's disease.
Proceedings of the National Academy of Sciences of the United States of America. 102(8), 3046 - 3051.

http://www.eurekalert.org/pub_releases/2005-02/uoc--ctp020805.php

Smoking associated with working memory impairment in adolescents

A study of 41 adolescent daily smokers and 32 nonsmokers has revealed that adolescent smokers had impairments in accuracy of working memory performance. Male adolescents as a group begin smoking at an earlier age than female smokers and were significantly more impaired during tests of selective and divided attention. All of the adolescent smokers also showed further disruption of working memory when they stopped smoking.

[1252] Jacobsen, L. K., Krystal J. H., Mencl E. W., Westerveld M., Frost S. J., & Pugh K. R.
(2005).  Effects of smoking and smoking abstinence on cognition in adolescent tobacco smokers.
Biological Psychiatry. 57(1), 56 - 66.

http://www.eurekalert.org/pub_releases/2005-02/yu-scc020105.php

Smoking is bad for the brain

465 participants in the Scottish Mental Survey (11 year olds tested in 1947), approximately half of whom were smokers, were tested again when they were 64. Smokers performed significantly worse in five different cognitive tests than did both former smokers and those who had never smoked. This drop in cognitive function held when factors such as education, occupation and alcohol consumption were taken into account. A link between impaired lung function and cognitive ageing has long been suspected, though the mechanism is unclear.

[2382] Whalley, L. J., Fox H. C., Deary I. J., & Starr J. M.
(2005).  Childhood IQ, smoking, and cognitive change from age 11 to 64 years.
Addictive Behaviors. 30(1), 77 - 88.

http://www.newscientist.com/news/news.jsp?id=ns99996765

Smoking and alcohol

Smoking may counteract benefit of moderate drinking on stroke risk

A 12-year study following the drinking and smoking habits of 22,524 people aged 39-79 has found that in non-smokers, people who consumed moderate amounts of alcohol were 37% less likely to develop stroke than non-drinkers. This association was not found among smokers. The finding may explain the inconsistency in previous studies into the relationship between light to moderate drinking and stroke.

The findings were presented at the American Academy of Neurology's 62nd Annual Meeting in Toronto, April 10 - 17, 2010.

www.physorg.com/news190375547.html

Smoking interferes with recovery from alcohol-related brain damage

Another study has come out with more evidence that smoking makes it a lot harder for the brain to recover from the effects of long-term heavy drinking. The study looked specifically at changes in blood flow in the brain — blood flow is affected by alcohol use disorders. The study found that after 5 weeks of abstinence, alcohol-dependent individuals who didn’t smoke showed significantly improved blood flow, but those who smoked showed essentially no change. Moreover, the number of cigarettes smoked daily was correlated with how poorly the blood was flowing in the frontal lobe.

[1045] Mon, A., Durazzo T. C., Gazdzinski S., & Meyerhoff D. J.
(2009).  The impact of chronic cigarette smoking on recovery from cortical gray matter perfusion deficits in alcohol dependence: longitudinal arterial spin labeling MRI.
Alcoholism, Clinical and Experimental Research. 33(8), 1314 - 1321.

http://www.eurekalert.org/pub_releases/2009-05/ace-siw050509.php

Alzheimer's starts earlier for heavy drinkers, smokers

A study of nearly 1000 people diagnosed with possible or probable Alzheimer’s disease has found that those who were heavy drinkers developed Alzheimer’s 4.8 years earlier than those who were not, while heavy smokers developed the disease 2.3 years sooner than people who were not heavy smokers. Those with the APOE å4 gene developed the disease three years sooner than those without the gene variant. The risk factors are additive — those with all three risk factors developed the disease 8.5 years earlier than those with none of the risk factors.

The research was presented at the American Academy of Neurology Annual Meeting in Chicago, April 12 – April 19.

http://www.eurekalert.org/pub_releases/2008-04/aaon-ase040208.php

Nicotine may enhance attention and working memory in recovering alcoholics

New findings show that nicotine patches may enhance cognitive functioning among newly recovering alcoholics with a history of smoking. Nicotine (but not tobacco) has been shown to have a cognitive benefit, particularly on attention processes. The study also found that alcoholics who smoked were more sensitive to the drug dose of nicotine than were community controls who also smoked.

[1006] Nixon, S J., Lawton-Craddock A., Tivis R., & Ceballos N.
(2007).  Nicotine's Effects on Attentional Efficiency in Alcoholics.
Alcoholism: Clinical and Experimental Research. 31(12), 2083 - 2091.

http://www.eurekalert.org/pub_releases/2007-11/ace-nme111907.php

Smoking interferes with brain's recovery from alcoholism

In another study indicating smoking worsens the effect of alcoholism on the brain, smoking was found to apparently interfere with the brain's ability to recover from the effects of chronic alcohol abuse.

[2371] Durazzo, T. C., Gazdzinski S., Rothlind J. C., Banys P., & Meyerhoff D. J.
(2006).  Brain Metabolite Concentrations and Neurocognition During Short‐term Recovery from Alcohol Dependence: Preliminary Evidence of the Effects of Concurrent Chronic Cigarette Smoking.
Alcoholism: Clinical and Experimental Research. 30(3), 539 - 551.

http://www.eurekalert.org/pub_releases/2006-03/uoc--siw031506.php

Long-term smoking associated with dulled thinking and lower IQ

A long-term study involving 172 alcoholic and non-alcoholic men has found that long-term smoking impaired memory and reasoning skills and reduced IQ. The effect was most pronounced among those who had smoked for years. The effects of smoking were found among the non-alcoholics as well as the alcoholics, and among the alcoholics, the cognitive impact of long-term heavy smoking appeared to be greater than the impact of drinking.

[1116] Glass, J. M., Adams K. M., Nigg J. T., Wong M. M., Puttler L. I., Buu A., et al.
(2006).  Smoking is associated with neurocognitive deficits in alcoholism.
Drug and Alcohol Dependence. 82(2), 119 - 126.

http://www.eurekalert.org/pub_releases/2005-10/uomh-dsc101005.php

Smoking seems to increase brain damage in alcoholics

Another study has come out indicating that alcoholics who smoke are at greater risk of brain damage. The imaging study compared brain volume in recovered alcoholics and light drinkers. The study found no difference between smokers and non-smokers among the light drinkers, but among the alcoholics, the more severe the tobacco habit, the more brain volume had been lost.

[1049] Gazdzinski, S., Durazzo T. C., Studholme C., Song E., Banys P., & Meyerhoff D. J.
(2005).  Quantitative Brain MRI in Alcohol Dependence: Preliminary Evidence for Effects of Concurrent Chronic Cigarette Smoking on Regional Brain Volumes.
Alcoholism: Clinical and Experimental Research. 29(8), 1484 - 1495.

http://www.eurekalert.org/pub_releases/2005-09/uoc--sst092805.php

Cigarette smoking exacerbates alcohol-induced brain damage

Heavy alcohol consumption is known to cause brain damage. A new imaging study has compared 24, one-week-abstinent alcoholics (14 smokers, 10 nonsmokers) in treatment with 26 light-drinking "controls" (7 smokers, 19 nonsmokers), and found that cigarette smoking can both exacerbate alcohol-induced damage as well as independently cause brain damage. The damage is most prominent in the frontal lobes (important in planning, decision-making, and multi-tasking among other functions). Independent of alcohol consumption, cigarette smoking also had adverse effects on brain regions involved in fine and gross motor functions and balance and coordination. Roughly 80% of alcohol-dependent individuals report smoking regularly.

[2370] Durazzo, T. C., Gazdzinski S., Banys P., & Meyerhoff D. J.
(2004).  Cigarette Smoking Exacerbates Chronic Alcohol‐Induced Brain Damage: A Preliminary Metabolite Imaging Study.
Alcoholism: Clinical and Experimental Research. 28(12), 1849 - 1860.

http://www.eurekalert.org/pub_releases/2004-12/ace-cse120504.php

Benefits of nicotine

Nicotine patch may alleviate 'senior moments'

A small preliminary clinical trial has found that four weeks of nicotine skin patches helped decision-making and attention in people with age-associated memory impairment (the mildest form of cognitive impairment in seniors). Given the health risks of smoking, and health risks associated with nicotine patches, it is too early to recommend the use of nicotine to improve memory, however. Nicotine mimics the brain chemical acetylcholine, a nerve signal that plays a role in learning and memory.

[2383] White, H. K., & Levin E. D.
(2004).  Chronic transdermal nicotine patch treatment effects on cognitive performance in age-associated memory impairment.
Psychopharmacology. 171(4), 465 - 471.

http://www.eurekalert.org/pub_releases/2003-12/dumc-npm120303.php

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