During the last Alzheimers disease support meeting I attended at my mothers assisted living center, I sheepishly asked if anyone else was worried about their own risk for the disease.
A lot of hands went up.
At age 65, your risk of being diagnosed with Alzheimers is 2% a year. If you have a parent with Alzheimers disease, thatrisk goes up by 30%, to 2.6% a year, according to the Harvard Mens Health Watch.
However, thats still a relatively small increase. A recent Centers for Disease Control and Prevention report found92% of us fear developing a degenerative brain diseaselike dementia or Alzheimers and 28% arent sure we can do anything about it.
Everyone, as they age, faces changes in brain function just like any other part of the body, our brains age, says Dr. Marc Agronin, senior vice president of Behavioral Health and chief medical officer for the MIND Institute at Miami Jewish Health and author of The Dementia Caregiver: A Guide to Caring for Someone with Alzheimers Disease and Other Neurocognitive Disorders.
We know living a healthy lifestyle is key to preventing chronic illness and conditions like diabetes and heart disease. But now, research finds that living a brain-healthy lifestyle may reduce your risk for Alzheimers disease, dementia and other cognitive decline.
The research on cognitive health and disease has homed in on seven pillars for living a brain-healthy lifestyle, which may in combination, slash your risk for brain-degenerative diseases.
Just keep in mind, however, that even if you performed all these pillars perfectly, it doesnt mean you wont get Alzheimers disease. Other factors, such as genetics, additional medical conditions that affect the brain and accidents, cant always be controlled.
The mind-blowing research on exercise alone should get you moving.
A 44-year Swedish study that separated midlife women exercisers into low, moderate and high fitness levels found that women at the lowest fitness level were45% less likely to develop dementia, while women in the top fitness level were 88% less likely.
It seems exercise reduces chronic inflammation and increases the release of a protein thats good for brain cells. Plus, it improves your overall health, so youre reducing cardiovascular dysfunction, your risk for diabetes, high blood pressure and high cholesterol, which are all bad for your brain, explains Dr. Yuko Hara, who leads the Aging and Alzheimers Prevention team at theAlzheimers Drug Discovery Foundation.
Researchers recommend 30 minutes of moderate exercise walking, riding a stationary bicycle or whatever you love to do so youll stick with it three to five times a week to gain the benefit.
The only diet that really has robust evidence showing risk reduction for dementia is whats called the MIND diet, Agronin says. It is a combination of theMediterranean dietand whats called theDASH diet, which is a low salt, healthy diet (MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay).
The MIND diet includes loads of fruits and vegetables, fish, legumes, poultry, olive oil and one glass of wine (if you drink alcohol), while reducing processed foods, sugar, whole-fat dairy and red meat.
See: The No. 1 best diet for 2020, according to a panel of 25 health professionals
A healthy dietproduces more brain tissue volume, more gray matter, a larger hippocampus (which controls memory) and lessens your risk of developing dementia, according to a study published in 2018 and conducted by researchers at the Erasmus University Medical Center in Rotterdam, Netherlands.
We may not know all the mechanisms of why a healthy diet is protective for brain health, Hara says. But the MIND diet is filled with antioxidants and polyphenols from fruits and veggies, anti-inflammatory properties like omega 3 fatty acids from fish, and reduces your risk for Type 2 diabetes, high blood pressure and high cholesterol all associated with dementia.
Learning builds cognitive reserves, which is thecapacity of your brain to function optimallydespite the changes that occur as we age. Learning also helps the brain resist cognitive decline.
Research suggests mid- and late-life cognitive activity, especially, is linked to delayed onset of cognitive decline, Hara says. Lifelong learning is fundamental to improved brain health, higher levels of cognitive activity and staving off Alzheimers disease and dementia.
Read: The scary reason you shouldnt put off getting a hearing aid
So, sign up. Pick anything that interests you. Learn an instrument, take up a language or join some kind of class. If youre working, try to learn something new every week on the job. Read, take an online course, teach yourself the Latin names for the plants in your garden or anything else you want to know. Then, keep learning.
Scientists have found people with few social contacts and who feel lonely or isolated have a26% increase in dementia and mild cognitive decline. Some studies also suggest lonely people have higher amyloid and tau in the brain, biological telltale markers for Alzheimers disease. The connection between loneliness and dementia is still unclear, but it may have to do with depression or lack of stimulation.
If you are geographically apart from family, have lost a spouse or tend to isolate with fewer social contacts as you age,step up your social game. Phone or video-message with faraway family and friends regularly or participate in groups like walking and museumgoers. Establish or maintain strong connections with a neighbor, friend or childhood bestie. Talk, visit and interact with others. Your brain depends on it.
Poor sleep is also connected to Alzheimers disease and an increase in the presence of amyloid and tau. However, we dont really know if poor sleep causes Alzheimers disease or Alzheimers disease causes poor sleep, Hara says.
Despite this chicken-or-egg riddle, experts recommend seven to eight hours of sleep a night.Practice good sleep hygiene,like avoiding caffeine and alcohol before bed. If you have a sleep disorder such as sleep apnea or insomnia, talk to your doctor and get it treated. Disorders like sleep apnea deprive the brain of oxygen during sleep, which impairs its function over time.
Dont just resort to taking sleeping pills, since they also have beenassociated with dementia, Agronin says.
High levels of stress are linked tomemory problems and smaller brain volume. Whats more, the hormone cortisol, produced when youre stressed out, may damage cells needed for learning and memory, Agronin says.
When youre under stress, you need to learn ways to cope. Practice whatever works best for you, which could be: yoga, meditation, taking a walk, playing with a pet, listening to music, knitting, reading a novel, tinkering in the garage or anything else you find enjoyable and relaxing.
The illnesses most related to brain health include Type 2 diabetes and hypertension. For example, people with diabetes have a twofold higher risk of developing a type of dementia called vascular dementia, and a 73% increase risk of any dementia, including Alzheimers disease, Hara says.
Depression is another risk factor for dementia and Alzheimers disease.
Also read: 5 things you probably didnt know about Medicare
Taking care of your overall medical andmental healthplays a critical role in living a brain-healthy lifestyle. You should see your doctor regularly, get annual screenings and manage any chronic illnesses you have.
Agronin also recommends keeping a positive attitude toward aging and fostering a strong sense of purpose. Volunteering, focusing on relationships and having an interest in civic, religious or spiritual associations can have a powerful impact on living a brain-healthy lifestyle.
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7 rules to reduce your risk of Alzheimer's and keep your brain healthy - MarketWatch
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