Author Archives: Dr. Paul Nussbaum

Dental Floss and My Memory

I had read reports from the past about the role of dental health and a relationship to cognition and brain health. The primary mechanism seemed to involve inflammation. Inflammation can occur throughout the body and if one area of the body incurs inflammation that tends to indicate a similar response in other areas of the body.

Inflammation of the gums is a relatively common sign that many of us have been educated about by our dentists. It is probably fair to say that we never considered our brain when our dentists talked to us about our dental health and gum inflammation.

A recent study by researchers at the University of California found that persons who brushed their teeth less than once daily were 65% more likely to develop dementia than those who brushed daily. It may be that your oral health habits influence your brain health. The study that followed nearly 5,500 elderly over an 18 year-period was published in the Journal of the American Geriatrics Society.

The authors of the study pointed to inflammation from gum disease-related bacteria as a factor in a host of conditions including heart disease, stroke, and diabetes. It appears dementia can be added to the list. Some studies have found people with Alzheimer’s disease have more gum disease-related bacteria in their brains than those without Alzheimer’s.

It is thought that gum disease bacteria may infiltrate the human brain causing inflammation and brain damage. The authors are quick to point out that the results of their study are correlational and not causal. The findings do raise important questions regarding the role of inflammation on our general health and how one area of the body can certainly affect another area.

One thing is for sure, it certainly does not hurt to brush our teeth daily and maintain good oral health.

Caregiver Guilt

Over 20 years of clinical practice has taught me that caregivers experience a full range of emotions in their new role. We really do not have a manual or guide on how “how to be a great caregiver” growing up so the role of caregiver is often learned as we go. This can be difficult and challenging for many of us.

One of the primary emotions experienced by most caregivers is a sense of guilt. Guilt probably stems from the feeling that “I should be doing more and I should be able to take care of mom or dad in my home.” The emotion is typically confronted by the reality that a caregiver may also have a full time job, several kids, a family, and no room at home to provide such care.

Simultaneously, and particularly in the case of parents, the caregiver realizes that the parent cared for him or her and deserves the same in return. These really represent the core issues and thoughts the breed guilt. The feeling of guilt is universal and quite normal. It reflects love and compassion for a family member. It can also cause the caregiver many sleepless nights, depression, anger, etc.

In my practice, I try to provide the caregiver a chance to talk about what he or she is experiencing. I always let the caregiver know how normal guilt is and that the most important decision for care of an older person is safety. So often, a parent may be in need of 24-7 supervision, increased structure, socialization opportunities, and clinical attention. Most children cannot meet these needs, particularly on a 24-7 basis.

Time is helpful to the caregiver guilt, as children will see that most settings provide excellent and compassionate care within a safe environment. It is important for the caregiver to find time for him or herself and to not let guilt drive their decisions such as how often to visit. I will make recommendations to caregivers to not visit so often when I believe the behavior is causing more problems.

A decision to place a loved one such as a parent into assisted living or long-term care is very difficult. All caregivers can know that guilt is a primary and normal emotion with such decisions. Safety needs to be the most important factor in the decision-making process and time will help to heal the feelings of guilt. Caregivers need to create their own time for respite and to monitor their emotional health throughout.

Words Sculpt the Brain

Neuroscience has underscored the importance of neural plasticity and this has unleashed an entire new way of thinking about the human brain. Indeed, we now know more about the brain than ever in our civilization, and most of the knowledge has been accrued in the past twenty years.

Plasticity enables a brain to be shaped by environmental input and it presumes a constantly reorganizing and malleable system. The brain is constantly being shaped, some for the positive and some for the negative. The good news is we have plenty of opportunity to make good decisions regarding how we want our brains to be shaped.

My brain health lifestyle ® promotes five major components to shaping the brain. These include physical activity, mental stimulation, nutrition, socialization, and spirituality. I have promoted an enriched environment filled with novel and complex stimuli as one that can shape the brain for the health.

I believe another major source of shaping or sculpting our brains is language. The spoken language and words themselves. Words are processed by the brain and interpreted for meaning. Such processing creates or leads to thought, emotion, and movement. I have written and spoken about the long-term effects words can have on a human brain and human being.

Consider for a moment some of the most important and wise statements or pieces of advice you have been given or you have read in your life. The very words made a lasting impression, perhaps emotional or cognitive, and literally sculpted your brain in a positive way. This is all neurophysiological and structural in nature, but it results in a behavioral or functional outcome. You might also recall an insult or a negative piece of feedback that affected you in a negative manner. The sculpting here is no less significant and carries with it the same potential for long-term effects.

Grandmother was correct and wise when she instructed to “not open our mouths unless we had something good to say”!

The messages we deliver in the form of words can carry a significant and long lasting effect. We can start and stop wars, start and stop relationships, help others succeed in life, and make others feel good about themselves.

Words, a pretty cool medicine indeed!

Our Future is in Good Hands!

I had the distinct pleasure of being invited to the 2012 Destination Imagination (DI) Global Finals (www.globalfinals.org) event in Knoxville Tennessee. I provided the keynote address for opening ceremonies and learned about DI during my time spent over the four days at the event.

DI is a not-for-profit that brings young students together from across the planet to engage in critical thinking and creative challenges within an environment of competition. I can tell everyone that I saw tremendously talented young people from across the globe and I am happy to pronounce that our future is in good hands!

Chuck Cadle, CEO of DI has done a terrific job of leading DI with hundreds of volunteers committed to the mission of inspiring young brains to create and innovate. In a world where we talk about the need to apply our knowledge, DI is setting the pace.

I was given the opportunity to provide a five-minute keynote address to the 17,000 gathered at opening ceremonies in the basketball arena at the University of Tennessee. While I have spoken to many audiences across North America, this was truly a unique and awesome experience. There was some concern that young children might not be interested in hearing about the human brain and the importance that learning and lifestyle can have on the brain. I had no doubt, and many quickly learned how capable and interested these young people are in the brain.

I was so impressed with watching the student groups perform their competitive challenges and with the fun that was generated by all. I was also humbled by the genuine interest of so many students, teachers, and parents from many nations who introduced themselves to me and said they enjoyed my keynote.  I met many new friends and I congratulate the families who participated in 2012 Global Finals at DI.

Great job to Chuck and the entire DI staff. Thanks for letting be a small part.

Lifestyle and Brain Health

There was a conference held in Washington DC recently that dealt with prevention of dementia. This was an important event, as our society tends to approach health quite reactively. Indeed, the first Alzheimer’s Association International Conference on the Prevention of Dementia was held in mid April and lifestyle was highlighted as an important factor in both the etiology and potential protection against dementia.

As my work over the past decade or more has been focused on a proactive and comprehensive brain health lifestyle ® to build brain resiliency, it is easy to understand how pleased I am to see such conferences and discussion. I have been working to promote a comprehensive lifestyle approach that includes nutrition, socialization, mental stimulation, physical activity, and spirituality to build brain health across the lifespan (see www.paulnussbaum.com).

I was pleased to serve as guest editor of Generations, the official journal of the American Society on Aging (www.asaging.org) that published a special issue on the latest clinical research on brain health and lifestyle (Generations, 35, 2011). The information was then presented at the recent Annual Conference of the American Society of Aging-Brain Health Forum. Interestingly, the event was also held in Washington DC. Perhaps the one-two punch on brain health and lifestyle will generate some interest in the legislative world where it can help to prioritize a national proactive and lifelong effort for brain health.

A brain health lifestyle ® needs to begin in the womb and to be prioritized across the entire lifespan. Delaying or withstanding the effects of the neuropathological markers of the disease can have an enormous benefit for both quality of life and the economics of Alzheimer’s disease. There is nothing wrong with ongoing study for an intervention that will halt or cure the disease. However, it is simply foolish to ignore the robust literature on the relationship between lifestyle and brain resiliency. It is the resiliency of the human brain that is at present perhaps our best approach to confront and combat potential dementia.

Most important, the proactive brain health lifestyle ® (see Nussbaum-Save Your Brain at Amazon.com) needs to be started at the earliest of ages, prioritized in our lives, and understood from a deeply personal level.

Love and the Brain

A recent study published in the Proceedings of the National Academy of Sciences found a strong relationship between maternal support and nurturing in early childhood and the size of the hippocampus by school age. This is particularly interesting since so much recent study has focused on the power of the environment in shaping the structure and the function of the brain.

Children who obtain loving and nurturing care from their parents and particularly their mother (per this study) demonstrate larger hippocampal volume years later. The hippocampus is a structure in our brains critical for new learning and for processing stressful input. Chronic stress has been shown to negatively impact the structure and function of the hippocampus. This is why persons with chronic anxiety have memory problems.

On the positive side, a larger hippocampus not only helps us cope more effectively with daily stress, it also relates to reduced risk of mental illness and even to reduced risk of neurodegenerative diseases such as Alzheimer’s disease. Once again, early life interventions, in this case understanding the importance of loving our children, can have lifelong health benefits.

We need to continue to appreciate and respect the enormous import that factors such as attitude, positive spirit, faith, and love have on our health and wellbeing. These things do not come in a pill or liquid, but they represent the best medicine we have and we should all prescribe ourselves a daily dose.

Natural Light: Positive Effects on the Brain and Health

I have been studying research in the area of natural light and its interaction on the human brain. An important point to make is that appropriate exposure to natural light has positive effects on our circadian rhythm and in turn promotes many aspects of health.

We evolved from exposure to natural day lighting. The sun provides a specific wavelength (blue range) in the early morning that lasts until early afternoon. At that point a different light wavelength is produced (red to orange range). We recently discovered that the retina has a specific photoreceptor that detects light and sends it to a special part of the brain known as the suprachiasm, located near the hypothalamus. Once the suprachiasm is triggered, it sets off the hypothalamus, the master gland that in turn triggers the pituitary, thyroid, and adrenal glands of the brain and body. The hormonal reaction to light is what causes and promotes the diverse actions of the body and health.

The blue range of light helps our bodies become aroused, alert, attentive and focused. As the day proceeds and we enter the afternoon when the blue range of light shifts to the red/orange range our bodies begin the process of slowing and ultimately sleeping. Our body slows in blood pressure and we enter the four stages of sleep including deep sleep. Melatonin is produced and growth hormones are triggered.

The circadian rhythm (means approximately a day) is critically important to our health as it has effects on our immune system, ability to fight off disease, hunger and obesity, blood pressure, and cognition. It controls our sleep wake cycle so important for brain function and body regulation.

I have learned that there are design lighting systems that help to promote exposure to natural light, to help set the circadian rhythm, and to promote human performance in the workplace and school. Natural lighting via design lighting systems can also help older adults residing in assisted living or long-term care facilities. Older adults experience changes in their sleep wake cycles and this gets exacerbated with dementia and Alzheimer’s disease. Studies support increased school performance by students, and reduced agitation and increased sleep for older adults who reside or study in environments with the natural day lighting systems.

Email or call me if you work in a school district, an assisted living facility, or other building and have interest in enhancing human behavior and saving money from the energy efficiencies of natural day lighting systems.