Lifestyle

Reviewing alcohol's effects on normal sleep

February, 2013

A review on the immediate effects of alcohol on sleep has found that alcohol shortens the time it takes to fall asleep, increases deep sleep, and reduces REM sleep.

Because sleep is so important for memory and learning (and gathering evidence suggests sleep problems may play a significant role in age-related cognitive impairment), I thought I’d make quick note of a recent review bringing together all research on the immediate effects of alcohol on the sleep of healthy individuals.

The review found that alcohol in any amount reduces the time it takes to fall asleep, while greater amounts produce increasing amounts of deep sleep in the first half of the night. However, sleep is more disrupted in the second half. While increased deep sleep is generally good, there are two down sides here: first, it’s paired with sleep disruption in the second half of the night; second, those predisposed to problems such as sleepwalking or sleep apnea may be more vulnerable to them. (A comment from the researchers that makes me wonder if the relationship between deep sleep and slow-wave activity is more complicated than I realized.)

Additionally, at high doses of alcohol, REM sleep is significantly reduced in the first half, and overall. This may impair attention, memory, and motor skills. Moreover, at all doses, the first REM period is significantly delayed, producing less restful sleep.

The researchers conclude that, while alcohol may give the illusion of improving sleep, it is not in fact doing so.

Reference: 

[3269] Ebrahim, I. O., Shapiro C. M., Williams A. J., & Fenwick P. B.
(2013).  Alcohol and Sleep I: Effects on Normal Sleep.
Alcoholism: Clinical and Experimental Research. n/a - n/a.

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How urban living affects attention

February, 2013

A comparison of traditional African villagers and those who have moved to town indicates that urban living improves working memory capacity even as it makes us more vulnerable to distraction.

Another study looking into the urban-nature effect issue takes a different tack than those I’ve previously reported on, that look at the attention-refreshing benefits of natural environments.

In this study, a rural African people living in a traditional village were compared with those who had moved to town. Participants in the first experiment included 35 adult traditional Himba, 38 adolescent traditional Himba (mean age 12), 56 adult urbanized Himba, and 37 adolescent urbanized Himba. All traditional Himba had had little contact with the Western world and only spoke their native language; all adult urbanized Himba had grown up in traditional villages and only moved to town later in life (average length of time in town was 6 years); all adolescent urbanized Himba had grown up in town the town and usually attended school regularly.

The first experiments assessed the ability to ignore peripheral distracting arrows while focusing on the right or left direction of a central arrow.

There was a significant effect of urbanization, with attention being more focused (less distracted) among the traditional Himba. Traditional Himba were also slower than urbanized Himba — but note that there was substantial overlap in response times between the two groups. There was no significant effect of age (that is, adolescents were faster than adults in their responses, but the effect of the distracters was the same across age groups), or a significant interaction between age and urbanization.

The really noteworthy part of this, was that the urbanization effect on task performance was the same for the adults who had moved to town only a few years earlier as for the adolescents who had grown up and been educated in the town. In other words, this does not appear to be an educational effect.

The second experiment looked at whether traditional Himba would perform more like urbanized Himba if there were other demands on working memory. This was done by requiring them to remember three numbers (the number words in participants’ language are around twice as long as the same numbers in English, hence their digit span is shorter).

While traditional Himba were again more focused than the urbanized in the no-load condition, when there was this extra load on working memory, there was no significant difference between the two groups. Indeed, attention was de-focused in the traditional Himba under high load to the same degree as it was for urbanized Himba under no-load conditions. Note that increasing the cognitive load made no difference for the urbanized group.

There was also a significant (though not dramatic) difference between the traditional and urbanized Himba in terms of performance on the working memory task, with traditional Himba remembering an average of 2.46/3 digits and urbanized Himba 2.64.

Experiment 3 tested the two groups on a working memory task, a standard digit span test (although, of course, in their native language). Random sequences of 2-5 digits were read out, with the participant being required to say them aloud immediately after. Once again, the urbanized Himba performed better than the traditional Himba (4.32 vs 3.05).

In other words, the problem does not seem to be that urbanization depletes working memory, rather, that urbanization encourages disengagement (i.e., we have the capacity, we just don’t use it).

In the fourth experiment, this idea was tested more directly. Rather than the arrows used in the earlier experiments, black and white faces were used, with participants required to determine the color of the central face. Additionally, inverted faces were sometimes used (faces are stimuli we pay a lot of attention to, but inverting them reduces their ‘faceness’, thus making them less interesting).

An additional group of Londoners was also included in this experiment.

While urbanized Himba and Londoners were, again, more de-focused than traditional Himba when the faces were inverted, for the ‘normal’ faces, all three groups were equally focused.

Note that the traditional Himba were not affected by the changes in the faces, being equally focused regardless of the stimulus. It was the urbanized groups that became more alert when the stimuli became more interesting.

Because it may have been a race-discrimination mechanism coming into play, the final experiment returned to the direction judgment, with faces either facing left or right. This time the usual results occurred – the urbanized groups were more de-focused than the traditional group.

In other words, just having faces was not enough; it was indeed the racial discrimination that engaged the urbanized participants (note that both these urban groups come from societies where racial judgments are very salient – multicultural London, and post-apartheid Namibia).

All of this indicates that the attention difficulties that appear so common nowadays are less because our complex environments are ‘sapping’ our attentional capacities, and more because we are in a different attentional ‘mode’. It makes sense that in environments that contain so many more competing stimuli, we should employ a different pattern of engagement, keeping a wider, more spread, awareness on the environment, and only truly focusing when something triggers our interest.

Reference: 

[3273] Linnell, K. J., Caparos S., de Fockert J. W., & Davidoff J.
(2013).  Urbanization Decreases Attentional Engagement.
Journal of experimental psychology. Human perception and performance.

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Alcohol and marijuana use in adolescence linked to impaired white-matter integrity

A brain-imaging study shows adolescents who abuse alcohol and marijuana show poorer white-matter integrity, with alcohol associated with continuing damage to wiring in prefrontal regions.

Chronic use of alcohol and marijuana during youth has been associated with poorer neural and cognitive function, which appears to continue into adulthood. A new study looking specifically at white-matter changes provides more support for the idea that adolescent brains may be at particular risk from the damage that substance abuse can bring.

The brain-imaging study compared 41 adolescents (aged 16-20) with extensive marijuana- and alcohol-use histories by mid-adolescence with 51 adolescents with no such history. The study found that substance users showed poorer white matter integrity in seven tracts (right and left superior longitudinal fasciculus, right posterior thalamic radiations, right prefrontal thalamic fibers, right superior temporal gyrus white matter, right inferior longitudinal fasciculus, left posterior corona radiata).

Two brain scans were taken, at baseline and at 18 months. Substance use interviews were given every six months.

More alcohol use during the interval was associated with worse integrity in both the right and left superior longitudinal fasciculi, above and beyond baseline values in these bundles. Marijuana use didn’t predict change over time. Those who had a history of more risk-taking behaviors showed poorer integrity of the right prefrontal thalamic fibers.

The findings add to previous research showing white matter problems in youth with substance-use histories. The study points to alcohol use during adolescence being particularly problematic. It also suggests that youth who engage in risk-taking behaviors may tend to have poorly developed fronto-thalamic tracts.

All of this is particularly worrying because it is thought that maturation of the brain during adolescence is the foundation for self-control, suggesting that substance abuse during this period may have long-lasting effects on the individual’s ability to plan, organize, and self-regulate.

Reference: 

[3210] Bava, S., Jacobus J., Thayer R. E., & Tapert S. F.
(2012).  Longitudinal Changes in White Matter Integrity Among Adolescent Substance Users.
Alcoholism: Clinical and Experimental Research. n/a - n/a.

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Cognition impaired by low-level exposure to organophosphate pesticides

January, 2013

A meta-analysis has concluded that low-level exposure to organophosphates has a small-to-moderate negative effect on cognitive function.

Organophosphate pesticides are the most widely used insecticides in the world; they are also (according to WHO), one of the most hazardous pesticides to vertebrate animals. While the toxic effects of high levels of organophosphates are well established, the effects of long-term low-level exposure are still controversial.

A meta-analysis involving 14 studies and more than 1,600 participants, reveals that the majority of well-designed studies undertaken over the last 20 years have found a significant association between low-level exposure to organophosphates and impaired cognitive function. Impairment was small to moderate, and mainly concerned psychomotor speed, executive function, visuospatial ability, working memory, and visual memory.

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Social isolation decreases myelin

December, 2012

A mouse study demonstrates that prolonged social isolation can lead to a decrease in myelin, an effect implicated in a number of disorders, including age-related cognitive decline.

Problems with myelin — demyelination (seen most dramatically in MS, but also in other forms of neurodegeneration, including normal aging and depression); failure to develop sufficient myelin (in children and adolescents) — are increasingly being implicated in a wide range of disorders. A new animal study adds to that evidence by showing that social isolation brings about both depression and loss of myelin.

In the study, adult mice were isolated for eight weeks (which is of course longer for a mouse than it is to us) to induce a depressive-like state. They were then introduced to a mouse they hadn’t seen before. Although typically very social animals, those who had been socially isolated didn’t show any interest in interacting with the new mouse — a common pattern in human behavior as well.

Analysis of their brains revealed significantly lower levels of gene transcription for oligodendrocyte cells (the components of myelin) in the prefrontal cortex. This appeared to be caused by a lower production of heterochromatin (tightly packed DNA) in the cell nuclei, producing less mature oligodendrocytes.

Interestingly, even short periods of isolation were sufficient to produce changes in chromatin and myelin, although behavior wasn’t affected.

Happily, however, regardless of length of isolation, myelin production went back to normal after a period of social integration.

The findings add to the evidence that environmental factors can have significant effects on brain development and function, and support the idea that socializing is good for the brain.

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Diet affects your chance of cognitive impairment in old age

November, 2012

A large study reveals that a diet with high levels of carbohydrate and sugar greatly increases the chance of developing MCI or dementia, while high levels of fat and protein reduce the risk.

In a large Mayo Clinic study, self-reported diet was found to be significantly associated with the risk of seniors developing mild cognitive impairment or dementia over a four-year period.

The study involved 1,230 older adults (70-89) who completed a 128-item food-frequency questionnaire about their diet during the previous year. Of these, around three-quarters (937) showed no signs of cognitive impairment at the beginning of the study period, and were asked to return for follow-up cognitive assessments. These assessments took place every 15 months. After about four years, 200 (21%) had developed mild cognitive impairment (MCI) or dementia.

The likelihood of cognitive deterioration was significantly affected by the type of diet. Those with the highest carbohydrate intake were nearly twice as likely to develop cognitive impairment compared to those with the lowest carbohydrate consumption, and when total fat and protein intake were taken into account, they were 3.6 times likelier to develop impairment.

Those with the highest sugar intake were 1.5 times more likely to develop cognitive impairment.

But — a finding that will no doubt surprise many — those with the highest fat consumption were 42% less likely to develop cognitive impairment, compared to those with the lowest level of fats.

Less surprisingly, those with highest intake of protein had a reduced risk of 21%.

In other words, the worst diet you can have, if you want to keep your brain healthy, is one that receives most of its calories from carbohydrates and sugar, and relatively little from fats and protein.

The findings about carbs, sugar, and protein are consistent with other research. The finding regarding fats is somewhat more surprising. The inconsistency may lie in the type of fat. Research implicating high-fat diets as a risk factor in Alzheimer’s have used saturated fats. Diets high in olive oil, on the other hand, have been found to be beneficial.

It seems likely that the danger of carbs and too much sugar lies in the effects on glucose and insulin metabolism. Saturated fats also interfere with glucose metabolism. Alzheimer’s has sometimes been called Type 3 diabetes, because of its association with insulin problems.

Reference: 

Roberts RO, Roberts LA, Geda YE, Cha RH, Pankratz VS, O'Connor HM, Knopman DS, Petersen RC. 2012. Relative intake of macronutrients impacts risk of mild cognitive impairment or dementia. Journal of Alzheimers Disease, 32(2), 329-39.

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Exercise may be best way to protect against brain shrinkage

November, 2012
  • A large study of older adults shows that physical exercise is associated with less brain atrophy and fewer white matter lesions. A small study shows that frail seniors benefit equally from exercise.

A study using data from the Lothian Birth Cohort (people born in Scotland in 1936) has analyzed brain scans of 638 participants when they were 73 years old. Comparing this data with participants’ earlier reports of their exercise and leisure activities at age 70, it was found that those who reported higher levels of regular physical activity showed significantly less brain atrophy than those who did minimal exercise. Participation in social and mentally stimulating activities, on the other hand, wasn’t associated with differences in brain atrophy.

Regular physical exercise was also associated with fewer white matter lesions. While leisure activity was also associated with healthier white matter, this was not significant after factors such as age, social class, and health status were taken into account.

Unfortunately, this study is reported in a journal to which I don’t have access. I would love to have more details about the leisure activities data and the brain scans. However, although the failure to find a positive effect of stimulating activities is disappointing, it’s worth noting another recent study, that produced two relevant findings. First, men with high levels of cognitive activity showed a significant reduction in white matter lesions, while women did not. Women with high levels of cognitive activity, on the other hand, showed less overall brain atrophy — but men did not.

Secondly, both genders showed less atrophy in a particular region of the prefrontal cortex, but there was no effect on the hippocampus — the natural place to look for effects (and the region where physical exercise is known to have positive effects).

In other words, the positive effects of cognitive activity on the brain might be quite different from the positive effects of physical exercise.

The findings do, of course, add to the now-compelling evidence for the benefits of regular physical activity in fighting cognitive decline.

It’s good news, then, that a small study has found that even frail seniors can derive significant benefits from exercise.

The study involved 83 older adults (61-89), some of whom were considered frail. Forty-three took part in group exercises (3 times a week for 12 weeks), while 40 were wait-listed controls. Participants were assessed for physical capacity, quality of life and cognitive health a week before the program began, and at the end.

Those who took part in the exercise program significantly improved their physical capacity, cognitive performance, and quality of life. These benefits were equivalent among frail and non-frail participants.

Frailty is associated with a higher risk of falls, hospitalizations, cognitive decline and psychological distress, and, of course, increases with age. In the U.S, it’s estimated that 7% of seniors aged 65 to 74, 18% of those aged 75 to 84, and 37% of seniors over the age of 85 are frail.

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How green tea helps fight cognitive decline & dementia

November, 2012

A mouse study adds to evidence that green tea may help protect against age-related cognitive impairment, by showing how one of its components improves neurogenesis.

Green tea is thought to have wide-ranging health benefits, especially in the prevention of cardiovascular disease, inflammatory diseases, and diabetes. These are all implicated in the development of age-related cognitive impairment, so it’s no surprise that regular drinking of green tea has been suggested as one way to help protect against age-related cognitive decline and dementia. A new mouse study adds to that evidence by showing how a particular compound in green tea promotes neurogenesis.

The chemical EGCG, (epigallocatechin-3 gallate) is a known anti-oxidant, but this study shows that it also has a specific benefit in increasing the production of neural progenitor cells. Like stem cells, these progenitor cells can become different types of cell.

Mice treated with EGCG displayed better object recognition and spatial memory than control mice, and this improved performance was associated with the number of progenitor cells in the dentate gyrus and increased activity in the sonic hedgehog signaling pathway (confirming the importance of this pathway in adult neurogenesis in the hippocampus).

The findings add to evidence that green tea may help protect against cognitive impairment and dementia.

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Why metabolic syndrome is linked to cognitive decline?

October, 2012

Preliminary results for a small study indicate metabolic syndrome is linked to significantly reduced blood flow in the brain, perhaps explaining its link to cognitive impairment.

I’ve reported before on the growing evidence that metabolic syndrome in middle and old age is linked to greater risk of cognitive impairment in old age and faster decline. A new study shows at least part of the reason.

The study involved 71 middle-aged people recruited from the Wisconsin Registry for Alzheimer's Prevention (WRAP), of whom 29 met the criteria for metabolic syndrome (multiple cardiovascular and diabetes risk factors including abdominal obesity, high blood pressure, high blood sugar and high cholesterol).

Those with metabolic syndrome averaged 15% less blood flow to the brain than those without the syndrome.

One tried and true method of increasing blood flow to the brain is of course through exercise.

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The study was presented at the Alzheimer's Association International Conference in Vancouver, Canada by Barbara Bendlin.

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Large drop in IQ in those who smoked marijuana regularly as teens

September, 2012

Persistent marijuana use beginning before age 18 (but not after) is associated with a significant drop in IQ in a large, long-running study.

A large long-running New Zealand study has found that people who started using cannabis in adolescence and continued to use it for years afterward showed a significant decline in IQ from age 13 to 38. This was true even in those who hadn’t smoked marijuana for some years.

The study has followed a group of 1,037 children born in 1972-73. At age 38, 96% of the 1004 living study members participated in the latest assessment. Around 5% were regularly smoking marijuana more than once a week before age 18 (cannabis use was ascertained in interviews at ages 18, 21, 26, 32, and 38 years, and this group was not more or less likely to have dropped out of the study).

This group showed an average decline in IQ of 8 points on cognitive tests at age 38 compared to scores at age 13. Such a decline was not found in those who began using cannabis after the age of 18. In comparison, those who had never used cannabis showed a slight increase in IQ. The effect was dose-dependent, with those diagnosed as cannabis dependent on three or more occasions showing the greatest decline.

While executive function and processing speed appeared to be the most seriously affected areas, impairment was seen across most cognitive domains and did not appear to be statistically significantly different across them.

The size of the effect is shown by a further measure: informants (nominated by participants as knowing them well) also reported significantly more attention and memory problems among those with persistent cannabis dependence. (Note that a decline of 8 IQ points in a group whose mean is 100 brings it down to 92.)

The researchers ruled out recent cannabis use, persistent dependence on other drugs (tobacco, alcohol, hard drugs), and schizophrenia, as alternative explanations for the effect. The effect also remained after years of education were taken into account.

The finding supports the view that the adolescent brain is vulnerable to the effects of marijuana, and that these effects are long-lasting and significant.

Some numbers for those interested: Of the 874 participants included in the analysis (those who had missed at least 3 interviews in the 25 years were excluded), 242 (28%) never used cannabis, 479 (55%) used it but were never diagnosed as cannabis-dependent, and 153 (17%) were diagnosed on at least one of the interviews as cannabis-dependent. Of these, 80 had been so diagnosed on only one occasion, 35 on two occasions, and 38 on three or more occasions. I note that the proportion of males was significantly higher in the cannabis-dependent groups (39% in never used; 49% in used but never diagnosed; 70%, 63%, 82% respectively for the cannabis-dependent).

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