Showing posts with label Mental Exercise. Show all posts
Showing posts with label Mental Exercise. Show all posts

6 Ways to Prevent Memory Loss

Contributed by: Dennis Fortier, President, Medical Care Corporation
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This summary, published online today at Fox News, cites evidence supporting 6 lifestyle choices you can make to reduce the likelihood of cognitive decline.

Of course, there are no guarantees and bad genes combined with age can overwhelm even the best life-style.  Nonetheless, it is worthwhile to know the steps that might help, and to pursue as many of them as possible.

I suggest you click through and read the short story, but here is the list:
  1. Stay Physically Active
  2. Eat Fruits and Veggies
  3. Reduce Risk Factors for Heart Disease
  4. Embrace Cultural Activities
  5. Care for Your Teeth
  6. Challenge your Intellect
Remember, there is no certain method to eliminate all risk of cognitive decline, but doing what you can to stack the odds in your own favor seems like an attractive course of action.

Brain Health Ranked by State

Contributed by: Dennis Fortier, President, Medical Care Corporation
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This might surprise you.

A study that ranks each of the 50 US states (and the District of Columbia) on brain health has a high concentration of rural states near the top.

The rankings were based on the following criteria:
  • Diet and nutrition: A healthy diet that is low in saturated fat and added sugar but rich in brain-enhancing foods such as good fats like DHA omega-3, antioxidant-rich fruits and vegetables, and algal DHA supplements.
  • Physical health: Staying physically active for at least 30 minutes a day most days of the week and making wise lifestyle decisions such as getting enough sleep and not smoking.
  • Mental health: Continually challenging the brain through activities such as game playing, creative pursuits like gardening, dancing or painting, or learning a new language or skill.
  • Social well-being: Nurturing human connections and engaging in social activities to give life purpose, such as volunteering.
To avoid the confusion that many commenters have noted, the graphic of the states above is merely an icon for "the states", it has no meaning in terms of brain health.  Please, click this link to view the complete state rankings.

Recent Press on Preventing Alzheimer's



 Contributed by: Dennis Fortier, President, Medical Care Corporation



There is no hope? 

Eating well, staying fit, and using your brain have no effect on your risk for Alzheimer's?  Many headlines have implied this dire message over the past 24 hours.

The source of these headlines is an article published in the Archives of Neurology, online edition.  The article reviewed the evidence that actively managing modifiable factors could reduce the risk of AD, and concluded that only a low level of evidence suggests a relationship between the risks and the disease.

Let's be sure not to misunderstand this.

What is a "Low Level" of Evidence?
The authors classified the level of evidence for each risk factor in accordance with accepted scientific standards.  These standards allow for three levels of evidence: low, medium, and high. 

Importantly, a "low" level of evidence means that real research, conducted with sound methods, that was published in peer-reviewed medical journals, showed an association between the risk factor being studied and the incidence of AD.  Perhaps the association was not overly strong, perhaps the sample size was small, perhaps similar studies have not been completed to verify the result, but even a "low" level of evidence is a pretty good start in finding a meaningful association.

The panel authoring this paper, on behalf of the National Institutes of Health, found a low level of evidence that diabetes, high cholesterol, and tobacco use all confer a higher risk of Alzheimer's disease.  Sure we want more evidence and a higher level of confidence, but all work so far suggests that these are real risks that need to be managed.

The panel also found a low level of evidence that a Mediterranean diet, folic acid intake, light alcohol consumption, cognitive activity, and physical activity all reduced risks of Alzheimer's.  That's more good news.

This review constitutes unbiased, expert confirmation that many modifiable risk factors should in fact be managed to reduce the risk of AD.  The evidence is not as strong as we would all like, but it has reached a minimum threshold of scientific scrutiny to establish a likely association.

The problem here is the massive and consistent misinterpretation of these findings by the press.  In every day jargon, a "low level of evidence" is a negative testimonial as to the likelihood of an association.  But in the scientific world, where facts are closely scrutinized before they qualify as "evidence", a low level of evidence connotes a pretty good start toward proving a point.  It is a shame that this is not understood by the major media outlets and is not more clearly represented in their publications.

6 Ways to Keep Your Brain Healthy

Contributed by: Dennis Fortier, President, Medical Care Corporation
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There is some great advice in the Huffington Post regarding 6 well-validated approaches to maintaining a healthy brain.  Each of these has been covered to some extent in past posts here, but this is a nice presentation of the evidence in one article.

While I would recommend that you click through and read the full article, the 6 tips are listed here as an overview:
  1. Manage chronic conditions under your control
  2. Incorporate Mediterranian diet
  3. Stay physically active
  4. Avoid Tobacco Smoke
  5. Stay intellectually and socially active
  6. Watch for signs of Depression
Each of these is well within your control and proven to reduce your risks for cognitive decline.

5 Brain Healthy Resolutions for 2011


Contributed by: Dennis Fortier, President, Medical Care Corporation
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It is that season when it is enjoyable, and in some ways instructive, to pause and reflect on the passing of another year. It is also an excellent time for setting priorities and establishing habits that we will be happy to reflect upon twelve months from now. With that in mind, this article suggests 5 simple practices with clear “brain health” benefits that you may wish to consider as you embark on a fresh new year.

To be sure, there are higher ideals than those I have listed here, toward which we could all strive. However, my intention is to provide readers with some ideas that are relatively easy to pursue but can still yield important benefits; the goal is to offer maximal return for minimal effort and sacrifice.

With that said, here are five considerations for starting fresh in 2011:

1. Improve Cardio-Vascular Health

This suggestion is not new but deserves repeating because it has been proven beyond a doubt that good cardio-vascular health leads to better over all health and lower risks for heart disease, diabetes, and Alzheimer’s disease. What is new is certain evidence about how easy it may be to start moving the needle in the right direction.

Improving cardio fitness need not involve strenuous exercise and really doesn’t even require that you sweat. Walking is one of the overall best and most underrated forms of exercise and can often be incorporated into daily errands. Also, don’t think that because walking is easier than running or swimming that you must do it longer to gain a benefit; a daily 30-minute walk is immensely beneficial to a person with no current routine of physical exercise. Especially if the walk can be augmented with a few trips up and down the stairs in lieu of the usual elevator ride.

In terms of staying motivated to maintain a routine of physical exercise, try to find a quantitative measure that will reveal your progress and keep you looking for more gains. In the past, much emphasis has been placed on body weight, a measure that is easy to obtain but can be difficult to improve. As an alternative, check your pulse rate at the end of your work out and track it for one month of daily walks; you might be surprised to see it fall. When you consider how many beats of your heart you can save over the course of a year by keeping your heart rate low, it can be very motivating.

Also, whether or not you suffer from high blood pressure or high cholesterol, be sure to get these measures from your physician during your next check-up and keep track of them as you exercise. Even something as simple as a daily walk is good for your brain and can produce meaningful improvements in both of these bio-markers as you gain better fitness.

2. Reduce Stress

This suggestion might top the all time list of things that are easy to suggest but difficult to achieve. However, it turns out that for many of us, a high percentage of the daily stresses we encounter are self-inflicted. That’s right; choices we make and attitudes we willingly assume end up creating stress that we could otherwise avoid.

Reducing stress is important because we know how detrimental stress can be to our health. Real physical processes are triggered by emotional reactions to stress and, as far as our science can tell, none of those processes are beneficial while all have harmful side effects.

Here is a simple suggestion for reducing stress that, although it won’t work for all of you, must be tried by the rest of you before you can fully believe its effects. Put simply, you should make a conscious decision to drive with patience and courtesy. Look for other drivers trying to cut traffic and motion them in. Don’t speed up to close the gap when another car wishes to enter your lane; slow down and allow them in. Embrace yellow lights for the opportunity they foretell to pause for a moment – this is certainly less stressful than treating them as a threat to your rapid progress. Don’t tailgate or change lanes incessantly seeking opportunities to move one car length closer to the front of the crawling traffic; it is just not worth it. Instead, accept the pace, listen to some music, and keep an eye out for other drivers who might benefit from your courteous cooperation.

If you are not aggressive driver and cannot benefit from that tip, perhaps you can benefit from becoming a less aggressive “parker”. When visiting an establishment with a large parking lot, rather than seeking the spot nearest to the entrance, subjecting yourself to the anxiety of passing up a mediocre spot for the possibility of finding a better one, all the while monitoring the flow of motorists who might be competing for the best spot, try driving to the far end of the lot and parking in the open expanse of remote spots. It is a stress-free approach with the added benefit of a short cardio workout as you walk to your final destination.

While this might seem silly, it’s a step toward avoiding self-inflicted stress that just might carry over into other realms of your life as well. Get the right attitude, reduce your stress, and enjoy a healthier brain and body.

3. Stay Socially Active

While most of us are not in danger of becoming accidental hermits, making new friends and interacting socially are activities that have been documented to decline as we age. We are most prolifically social as young students, followed by fairly intense socialization in adulthood when our children are students, and we tend to be least active when we are older and our children have grown and moved on.

Much research on the benefits of intellectual stimulation, the act of using our brains in challenging ways, has shown a positive correlation with maintained cognitive health. I will write more on that below but will make a separate point here. Meeting people, learning about them, interacting and cooperating with groups, and cultivating relationships are all activities that require deep and comprehensive cognitive activity. In socializing, especially with persons we are still getting to know, we use memory, verbal skills, and judgment along with a poorly understood melding of emotions and executive function. In the opinion of many scientists, socializing may be the best mental activity we have.

Two great ideas for remaining socially active are club membership and volunteering. While you may or may not have interests that lend themselves easily to club membership, a regular card game or social activity with a committed group brings the same benefits. As for volunteering, hospitals, churches, and many non-profit organizations are begging for help in nearly every community. Incidentally, one of the most meaningful gifts you can offer through volunteering is friendship and interaction with a lonely, usually elder, person. Doing so will yield a double benefit because every interaction will be a work-out for both of your brains, not to mention the good it will do for your hearts.

4. Eat Well

You had to know this one was coming. As I did with the section on cardio-vascular fitness, I will try to present this in a new perspective that might be easier to embrace than those perspectives you have heard in the past.

Here is my fresh take on eating well. You needn’t necessarily deny yourself the junk food you’ve grown to love nor worry too much about your daily intake of calories. You do need, however, to worry about getting proper nutrition first. While consuming empty calories is harmful because it leads to weight gain and poor vascular health, the more damaging impact is that it strips away your appetite and prevents consumption of necessary vitamins and nutrients. A fresh approach to diet in the new year might be to focus first on what you should eat and set, as a second goal, the elimination of foods that you should not.

The good news is that the diet shown to produce the best vascular health was also shown this year to also promote the best cognitive health. One should be sure to consume a diet rich in cruciferous and green leafy vegetables, nuts, fish, and tomatoes and low in red meat and high-fat dairy products. Ideally, you will eventually adopt a diet whereby you take in what you need and avoid what you do not, but an easy place to start is to ensure that you get enough fruits and vegetables prior to filling up on junk; this will offer the best opportunity to keep your brain functioning at a high level in the new year.

5. Seek Intellectual Stimulation

If you have pondered the health of your brain at all, you have likely read or heard about the importance of ongoing intellectual stimulation. While it is not yet completely understood, it does appear that active brains decline more slowly with age than those that are relatively unchallenged.

A potential red herring in the discussion is the value of crossword puzzles, sudoku, and the like. Yes, they are mentally challenging activities but they may not produce the rich neural rewards that other activities, such as socializing, might yield. The key seems to be related to the concept of “learning”. If you don’t know the rules of crossword or sudoku then these may be great activities for your brain. However, if you know how the games are played, then merely working through new forms of each puzzle requires no new learning and may offer few benefits to brain health.

Among the most challenging yet rewarding intellectual activities that you pursue are learning to play a musical instrument and learning to speak a foreign language. Both of these have become much easier in the digital age with the advent of tools and software to aid in the learning process. While this might seem counter-intuitive it is actually quite well-grounded. With better tools, the learning becomes easier so the process yields faster proficiency and remains interesting through time. Despite the ease, the learning is real and the brain builds new circuits in accordance with the new learning. The whole process can be great fun, deeply rewarding, and very good for your brain.

So there you have 5 good suggestions to start fresh in the new year and keep your brain healthy in the process. Work on that cardio-vascular fitness, reduce your stress, stay socially active, eat well, and challenge your brain with new learning. If you do so, you can expect that twelve months from now you can look back with clarity and reflect on a year when you made a worthy commitment to the health of your brain.

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Working Out for a Healthy Brain

Contributed by: Dennis Fortier, President, Medical Care Corporation
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The LA Times published a nice article today summarizing what we know about mental and physical exercise with regards to the benefits that accrue to cognitive health.

Articles of this nature are commonly written with a commercial agenda, touting exaggerated claims that have not been adequately validated through scientific study. I have chosen to highlight this article because it was well written and objective in its presentation. I think it does a good job in separating unproven claims from those with varying degrees of scientific evidence.

We know that physical exercise is generally beneficial to overall health, including cognitive health. We also know that exercising your brain, through challenging new learning, is surely not bad and most probably beneficial. But be aware, many vendors of computerized workouts claim benefits that are yet unproven. Others are accumulating scientific evidence suggesting that their products may improve mental sharpness. It certainly stands to reason that forcing your brain to learn and to establish new synaptic circuitry is probably somehow helpful. You should simply be aware that not every claim you find online is well backed with evidence.

The bottom line: staying active (both mentally and physically), is a good bet in maintaining a high level of health and a good quality of life.
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A better understanding and more awareness of Alzheimer's related issues can impact personal health decisions and generate significant impact across a population of aging individuals. Please use the share buttons below to spread this educational message as widely as possible.

Does Mental Activity Accelerate Cogntive Decline?

Contributed by: Dennis Fortier, President, Medical Care Corporation
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Does mental activity accelerate cognitive decline for people with Alzheimer's disease? Of course not. But to read the headlines over the past two days, one could be excused for wondering.

Contradictory Study?
A study published yesterday in Neurology noted that, among demented subjects with AD, those who had a history of high cognitive activity like reading, doing crosswords, and visiting museums, declined at an accelerated pace. On the surface, this seems contradictory to the notion that exercising your brain preserves mental function. A closer look, however, reveals an obvious and consistent conclusion.

This study demonstrates that, most probably, maintaining a high level of mental activity allows subjects with progressing Alzheimer's pathology, to continue functioning at a high cognitive level, even as the lesions accumulate in their brains. This means that those who remain mentally active may not manifest symptoms until they have very extensive damage in their brains. If so, symptoms will first appear in these subjects at a later, more pathologically severe stage. As such, there is little wonder that the decline seems more rapid for these subjects.

Delay and Compression of Symptoms
A good way to look at it is this: We don't see an acceleration of decline, but rather, a delay and compression of decline, into the final stages of the disease.

To illustrate this point, consider a typical course of decline between a mentally active person and a mentally inactive person. The inactive person may show subtle symptoms for 5 years, moderate symptoms for five years, and severe symptoms for five years, across a 15-year disease course. The mentally active person might show no symptoms for the first ten years of disease and then degrade quickly to severe symptoms during the final five years. Both had a 15 year disease course but the mentally active person showed no symptoms for the first ten. That person appeared to decline more rapidly, but actually declined much slower (perhaps not at all) during ten of the 15 years. In the broad context, the active person was certainly far better off across the full course of decline.

Many of the headlines on this study are sensationalistic and misleading. I thought this coverage from Bloomberg/Business Week was well done and represented the facts quite fairly.
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A better understanding and more awareness of Alzheimer's related issues can impact personal health decisions and generate significant impact across a population of aging individuals. Please use the share buttons below to spread this educational message as widely as possible.