Tag Archives: General

Heavy Smoking in Midlife

A new study published in Archives of Internal Medicine indicates a relationship between heavy smoking in midlife and increased risk for dementia. This includes both vascular dementia (VaD) and Alzheimer’s disease (AD).

Prospective data from a multiethnic population-based cohort of 21,123 members of a health care system who participated in a survey between 1978 and 1985 was analyzed. Of that group, 25% were diagnosed as having dementia during a follow-up period of 23 years. Compared to nonsmokers, those smoking more than two packs a day evinced an elevated risk of dementia.

The authors concluded that heavy smoking in midlife was associated with a greater than 100% increase in the risk of dementia, AD and VaD more than two decades later. Results suggest the brain is vulnerable to long term consequences of heavy smoking.

Retirement and Brain Health

My brain health lifestyle ® advocates remaining integrated and involved with personally relevant roles across your lifespan. Retirement, defined from a traditional sense, suggests the opposite and seems to advocate a withdrawal from society, a tendency towards isolation and passive existence. Surveys indicate baby boomers (those born between 1946 and 1964) will not rely on the traditional form of retirement and instead will redefine their roles several times as they get older. This is most likely a very positive sign from a brain health perspective.

My thought is that an active and stimulated brain is healthy. Studies in animals have shown the relationship between socialization and mental stimulation and structural and functional brain health. There have also been plenty of studies to show a similar relationship in humans. While there is not a cause and effect, we should not underestimate the value of the relationship.

A recent study published in the Journal of Economic Perspectives suggests that the earlier people retire, the more quickly their memory ability erodes. Data was gathered from the United States and 11 European countries as part of an NIA study that began 20 years ago. 22,000 or more Americans 50 years of age and older were surveyed every two years and administered memory tests. This led Europeans to do their own surveys using similar questions so the data could be compared.

The memory test measured free recall of a list of 10 nouns immediately after presentation and then again 10 minutes after they were first presented. Respondents in the United States scored an average of 11/20 while those in Europe recalled less. The authors of the study noticed large differences in the years people retired. In the U.S., England, and Denmark, retirement 65 to 70% of men were still working in their 60s. In France and Italy, the figure is 10 to 20% and 38% in Spain.

Researchers found a direct relationship between percentage of persons in a nation who are working at age 60-64 and their performance on memory tests. The longer people in a country keep working, the better, as a group, they do on tests when they are in their early 60s.

More work is needed to better understand the multiple factors that can play a role in this significant relationship. However, it appears clear that work remains a positive aspect or function to health as we get older and fits with the idea that remaining integrated and involved with personal meaningful roles is beneficial to brain health

Brain Reserve is Worth Building!

Interest in the human brain is at an all time high with both scientists and the general public reading, learning, and writing more about this great system. There is much discussion and even tension about what the brain can and cannot do, whether it has certain capacities or not, and what can be stated with some confidence and what cannot.

While it is true we need to conduct more, well designed, controlled studies, certain things are true of the brain today:

1.    The human brain is the most complicated and brilliant system known.
2.    The human brain has plasticity which means it can be shaped, is dynamic, and constantly reorganizing.
3.    The human brain generates brain cells in the hippocampus and most likely the olfactory system.
4.    Cognition changes as we get older, but there remains great variability particularly at the oldest of age.
5.    Proactive lifestyle factors relate to improved brain health.
6.    Brain reserve continues to gain support as a mechanism to delay onset of dementia.

The latter point was reinforced yesterday in a major article in the USA Today (9-2-10) that described a study that will be published in Neurology. A research team at Rush Presbyterian conducted a 12 year study that evaluated the mental activities of 1,157 people 65 years of age and older who did not demonstrate dementia at the start of the study. Study participants were assessed at the beginning of the study and again for Alzheimer’s at the six-year period. After that, each participated was evaluated every three years to measure how often they participated in activities such as reading, listening to the radio, playing games and going to the museum. A five point scale was used with more points earned for more frequent participation in mentally stimulating activities.

Results indicated the rate of cognitive decline for persons without dementia was reduced by 52% for each point on the cognitive activity scale. For persons with Alzheimer’s the average rate of decline per year increased by 42% for each point on the same scale. The research team described their findings using the cognitive construct of “cognitive or brain reserve” which suggests that an active and stimulated brain creates new neural pathways which over time can help to delay onset of neurodegenerative diseases such as Alzheimer’s. This is not a cure.

Researchers were less clear why persons who are mentally active demonstrate a rapid decline once Alzheimer’s manifests. One idea might be that reserve helps to delay onset of Alzheimer’s, but once the disease manifests clinically it is already in an advanced stage with an accelerated rate of decline. The good news for this study is that there is benefit to the brain from remaining mentally stimulated across the lifespan. Brain reserve is something worth building.

Back to School Brain Health Tips

Summer vacation for the millions of children around the world is coming to an end and soon school will begin. For some children this is exciting news while others do not want to hear it!

As families get closer to the big first day of school consideration may be given to the following tips to create a home environment that not only stimulates learning, but promotes brain health:

1.    Get a good night sleep and develop a routine for sleep.

Sleep is critical to the developing brain, to consolidation of new information, and     to the brain getting the deep sleep it needs to be prepared to learn.

2.    Eat a good breakfast.

Try to get to be early so you can get up early and have time to eat. Eating a good     breakfast relates to better learning and to energy production for the child.

3.    Exercise.

Encourage your child to be physically active in sports, walking, exercise, and dance.     Movement and exercise relates to brain health and to better learning.

4.    Have Quiet Time.

Provide 20-30 minutes of down time for the child to simply reflect on the day’s     event without any task to complete. The brain does well without constant stress or     activity. Relaxation and breathing techniques can help.

5.    Structure Screen Time.

Many youth are drawn to the cell phone, television, computer, etc as means of     socialization. During the school year it is important to control the amount of time     the child’s brain is involved with a screen as this will prevent time studying,     recreating, or relaxing. Consider providing your child with one hour a day of     screen time and let the child decide how to use his or her 60 minutes. This will     give them a sense of control and obligation to focus on school work, chores, etc     the other time.

6.    Recreate and have Fun.

After a hard day of school or work it is important to let the brain escape and have     some fun. The child will likely benefit from a little fun after school and prior to     re-engagement with studies later in the evening. This may not be the best     approach for some children who need to complete their studies immediately after     school and then go recreate. It is important to monitor your child’s behavior to     know which is best. Regardless, the brain needs relief for some period of time     regardless of age.

7.    Eat more Brain Healthy Foods.

Try to encourage your child to eat fish more often, to consume more fruits and     vegetables, and to eat less fast food, and processed foods.

8.    Promote Family Time.

Try to create a nightly time to have the family talk about their day as this will     promote communication skills, family relations, and problem solving as the entire     family     can celebrate good news and help those who may have had a difficult day.

9.    Organize and Plan

Help to teach your child how to organize their “stuff” and get prepared for the     school day the night before. This can help to save valuable minutes that will     prevent racing to the school bus while not eating. Also, help the child organize     their studies so he or she develops a strategic approach to their class demands and     homework. This is not easy, but getting started early can only help.

10.    Celebrate and Keep Perspective.

It is important to celebrate the small and big achievements of children. The     positive reinforcement helps to repeat performances and provides a joyous time in     the home. Keep perspective during the tough times and encourage the importance     of learning from success and from failure. This will lay the foundation for similar     experiences across the lifespan.

Have a great school year!

Summertime can be Family Time

The hot lazy days of summer tends to provide ample time and opportunity for many activities. Youth sports, swimming, vacations, retreats, and all the time to spend with technologies. One thing that might not get accomplished is the simplicity of spending time with the family without any task or duty to accomplish, and without the technological gadgets that can distract us.

Family time remains critically important to the vitality and strengthening of bonds between parents and children and between siblings. Time can be taken each day or perhaps several times a week to simply stop everything and talk. A family sitting together inside or outside can relate well to each other. It might be uncommon for many families to share their thoughts and feelings with one another, but this will serve to strengthen the family bond.

Families can provide tremendous support to its members and be a place to voice concerns or fears. What might seem a bit odd at first can become a regular exercise of checking in with so the family stays a priority and not a thing that keeps us away from our cell phones, etc.

As summer winds down take a few days each week and create a family time where the members of your family will gather and talk. You will be refreshed and filled with energy and joy to be together focused on one another.

Happiness comes with Age?

Hopefully you are already a happy and joyful person. Life can certainly place challenges to happiness and sometimes we consider advanced age to be anything but happy. However, a new study based on a telephone survey of 340,000 people nationwide between age 18 and 85 found that we tend to get happier as we get older!

The survey asked about global well being by asking each person to rate overall life satisfaction between one and ten. Results published in the Proceedings of the National Academy of Sciences found that people were quite satisfied with themselves by the time they were 85 especially when compared to when they were 18. The tendency to rate happiness lower in the 20s and 30s began to reverse in the 50s.

Emotions of stress, anger, and worry decline beginning in the 20s and more significantly in the 50s onward. Sadness rises to a peak at 50 then declines to 73 and rises again slightly to 85. Enjoyment and happiness both decrease gradually until our 50s then rise steadily for the next 25 years and decline again, but not as much as the low point in our early 50s.

The study did not try to understand what makes people happy, but there is a relationship between getting older and happiness. Not bad!

Enjoy the Water in the Summer Months

With summer drawing near most of us will interact much more with water. Whether it be a river, lake, ocean or even a pool we will dawn our swim trunks and enjoy the fun of getting wet in the water. The water can provide recreation and also exercise depending on how we spend out time there. Both are important.

It is important to use the summer as a time to get outside more and to soak in the important Vitamin D from sunshine. Time spent swimming and recreating in the pool with family is great socialization and terrific stress reduction.

We can also begin a super exercise program by swimming daily or several times a week. The aerobic benefit of swimming is tremendous and the brain will appreciate the abundance of oxygen supplied by such exercise. Your muscles will also be stimulated and strengthened.

Some will fish, boat, tube, jet ski, and water ski as forms of play that are great fun in the summer months. If you make it to the beach enjoy the rhythms of the waves and the relaxed state that will envelope you. Enjoy the beautiful scenes of trees and sounds of birds that nature provides.

The water has always been a big part of our lives and evolution. Make sure you spend sufficient time in a safe and fun manner in and around the water this summer.

Summertime a Good Time for Brain Health

With warm weather and the summer season upon us it is a good time to consider all the benefits this sunny season provides for brain health:

1.    Increased exposure to the sun comes with Vitamin D which is good for the body     and brain.

2.    We can increase our mobility by getting outside to walk, play, swim, and run.

3.    Socialization can increase as more people commune to the outdoors.

4.    Exercise routines can become more routine and more diverse.

5.    We can enjoy nature and slow our world down thereby decreasing stress.

6.    We can increase our water consumption and reduce calories.

7.    Our moods can get a bit happier with blue sky.

8.    We may sleep better with increased physical activity.

9.    We can garden and do chores in the yard.

10.    We may be able to spend more time with the family.

So have fun this summer and enjoy all the brain benefits.


Napping and the Brain

Sleep has been known to be an important component to brain function and memory for some time. A recent study on sleep and learning conducted by Dr. Walker, University of California Berkeley provides further support.

The study involved 39 healthy young persons who were placed into a nap or no nap group. At noon, all subjects completed a memory task intended to engage the hippocampus, a region deep in the medial temporal lobe responsible for learning new fact based information. Both groups performed equally on this test.

At 2pm, the nap group took a 90 minute nap while the no-nap group did not. At 6pm of that day, subjects completed a new memory task. Those who remained awake throughout the day performed worse on the task while those who napped did markedly better and actually improved in their capacity to learn.

Some scientists suggest the human animal is designed to sleep in bouts rather than one long period of time which supports taking naps. About 30% of Americans nap during the mid-day. The study’s results support the idea that sleep clears the brain’s short-term memory storage and creates the ability for new information to be learned. Napping may serve as a type of “rebooting” process, particularly when nappers enter stage two of their natural sleep cycle.

Results are preliminary and further research will be done to support these findings. However, scientists continue to help understand the sleep and its critical role in memory and brain health.

Sweet dreams!

Visualization and the Human Brain

You may have heard about the ability to “see one’s future” or maybe to “see yourself achieving a goal or success.” For some this may seem purely science fiction. However, it is important to not fall victim to the common tendency of many to underestimate the power of the human brain. You might be surprised to learn that many of the coincidences or “déjà vu” phenomena that occur in your life are brain based and directed.

Visualization is the term often used to describe our attempt to use mental imagery to guide behavior and outcome. This is used by many of our best known athletes and others who are the best at what they do. Very often it is the mental side of action that differentiates good from great.

Specific steps to practice visualization include the following:

1.    Identify a specific goal you have for your life, one that you have some control     over shaping. Specify what a successful outcome is for attaining your goal. Place     that goal into your brain and specify when it should occur. Identify those things     and people you need to have to reach the goal.

2.    Identify impediments to the goal including those that may exist outside of you and     those inside of you. The latter involve your own tendencies that may have limited     your success in the past. It might be lack of confidence, poor persistence,     problems dealing with setbacks, etc.

3.    Once steps 1 and 2 are completed, position yourself into a quiet area where you     can engage in deep breathing relaxation and meditation. On a daily basis you need     to turn inward and learn to set your body and brain into a relaxed state of     existence. You will need to practice these two-to-three times daily to learn how to     relax. You should feel completely at ease and focused on your existence.

4.    Once you are mentally relaxed and focused inward without any external     distraction, you can begin to see yourself completing the goal you identified. You     can visualize success, see the people and things that will help you to achieve     success, and feel the success. Your brain needs to establish the reality of the     success and map out the road to the desired outcome. The singular focus is on     success.

5.    Now you are ready to simply live your life and to realize your surroundings more     consciously. Life will provide the path for your goal and your brain understands     what to do because of your visualization training.  You may need to stop what you     are doing and re-engage in the visualization process above. If you remain true to     these steps you will find greater sense of accomplishment and goal attainment in     your life. It takes time. Visualization is a lifestyle change.