Dementia

Swedish Diagnostic Method for Alzheimer’s Becomes International Standard

Body.Disease.Alzheimer1Researchers at Gothenburg University have developed a reference method for standardized measurements that diagnose Alzheimer’s disease decades before symptoms appear. The method has now formally been classified as the international reference method, which means that it will be used as the standard in Alzheimer’s diagnostics worldwide.

Everyone naturally builds the beta amyloid protein in his or her brain. The protein’s normal function is not completely mapped, but one theory is that it participates in the formation and removal of synapses, which is vital in enabling the brain to form new memories.

Remain in the brain

Beta amyloid built by healthy people is quickly transported out to the spinal fluid and blood. But with Alzheimer’s, the beta amyloids remain in the brain, where they clump together and begin to damage the synapses, which leads to brain, nerve cell death.

This process can begin in middle age and continue unnoticed for decades until the nerve cells are so damaged that symptoms take the form of a memory disorder and impaired cognitive abilities. At that point, the disease is felt to be too advanced to be treated, so intensive worldwide research is underway to find methods that diagnose Alzheimer’s sooner.

Exact measure

After decades of research, Henrik Zetterberg and Kaj Blennow at Sahlgrenska Academy, Gothenburg University, were able to develop a method that measures the exact amount of beta amyloid in spinal fluid and diagnose Alzheimer’s ten to thirty years before the disease becomes symptomatic.

“If the concentration of beta amyloid in the spinal fluid is abnormally low, it indicates that the protein is sticking in the brain, which is the earliest sign of Alzheimer’s disease,” says Henrik Zetterberg.

Global reference

The Gothenburg researchers’ pioneering studies have gained wide international recognition since the measurement method they developed was approved as the global reference method.

“This means that the method will be used as the norm for standardizing beta amyloid measurements around the world. With the help of the standard, people who are worried about Alzheimer’s disease can be tested, and get the same results regardless of whether it is done in San Francisco, Sao Paolo, London, Gothenburg or Cape town,” says Kaj Blennow.

“We put a lot of effort into this project and it has been initiated and conducted, and now completed by us at Gothenburg within the framework of a global cooperation project that we head,” says Henrik Zetterberg.

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Source: University of Gothenburg. “Swedish diagnostic method for Alzheimer’s becomes international standard.” ScienceDaily. ScienceDaily, 2 November 2015.

Fish Oil Supports Brain Structure

Food.Fish.Oil.SupplementOn average, one person is diagnosed every minute with Alzheimer’s disease, a condition for which no cure presently exists and thus for which intensive efforts to prevent or slow cognitive decline with age is focused.

Lori Daiello, from the Alzheimer’s Disease and Memory Disorders Center at Rhode Island Hospital (Rhode Island, USA), and colleagues completed a retrospective study of older adults (229 cognitively normal individuals, 397 patients with mild cognitive impairment, and 193 patients with Alzheimer’s disease), enrolled in the Alzheimer’s Disease Neuroimaging Initiative, who were assessed with neuropsychological tests and brain magnetic resonance imaging every 6 months.

Researchers tracked global cognitive status, and cerebral cortex gray matter and hippocampus and ventricular volumes. The study found that fish oil supplement use during the study was associated with significantly lower rates of cognitive decline as measured by two standardized assessment scales, but this benefit was observed only for the group of participants without dementia at the time of enrollment. Importantly, the study authors report that: “[fish oil supplements] use during the study was also associated with less atrophy in one or more brain regions of interest.”

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Source: WorldHealth.net

Link between Vitamin D, Dementia Risk Confirmed

Support.Vitamin.DVitamin D deficiency is associated with a substantially increased risk of dementia and Alzheimer’s disease in older people, according to a new study. An international team, led by Dr David Llewellyn at the University of Exeter Medical School, found that study participants who were severely Vitamin D deficient were more than twice as likely to develop dementia and Alzheimer’s disease.

The team studied elderly Americans who took part in the Cardiovascular Health Study. They discovered that adults in the study who were moderately deficient in vitamin D had a 53 per cent increased risk of developing dementia of any kind, and the risk increased to 125 per cent in those who were severely deficient.

Similar results were recorded for Alzheimer’s disease, with the moderately deficient group 69 per cent more likely to develop this type of dementia, jumping to a 122 per cent increased risk for those severely deficient.

Dr Llewellyn said: “We expected to find an association between low Vitamin D levels and the risk of dementia and Alzheimer’s disease, but the results were surprising – we actually found that the association was twice as strong as we anticipated.

“Clinical trials are now needed to establish whether eating foods such as oily fish or taking vitamin D supplements can delay or even prevent the onset of Alzheimer’s disease and dementia. We need to be cautious at this early stage and our latest results do not demonstrate that low vitamin D levels cause dementia. That said, our findings are very encouraging, and even if a small number of people could benefit, this would have enormous public health implications given the devastating and costly nature of dementia.”

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Source: University of Exeter. “Link between vitamin D, dementia risk confirmed.” ScienceDaily. ScienceDaily, 6 August 2014.

Dementia Predicted by Slow Walking Speed and Memory Problems

Body.Disease.Alzheimer1Early diagnosis of dementia is critical to delaying the onset of cognitive decline. Now, a new study published in the journal Neurology suggests that a simple test of walking speed and memory could provide just that.

Current methods used to diagnose dementia involve a variety of assessments, including physical examinations, memory tests and brain scans.

But in this latest study, the research team – led by investigators at the Albert Einstein College of Medicine of Yeshiva University and Montefiore Medical Center in New York, NY – reveals a potential new test that could diagnose pre-dementia.

The team has developed a test that uses gait speed and cognitive complaints to diagnose motoric cognitive risk syndrome (MCR), which the researchers believe is an early sign of dementia. The team found that the participants who met the criteria for MCR were almost twice as likely to develop dementia during the 12-year follow-up, compared with those who did not meet MCR criteria.

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Source: Medical News Today

Lifetime of Learning Might Thwart Dementia

Support.ReadA lifetime engaging in intellectually stimulating pursuits may significantly lower your risk for dementia in your golden years, new research suggests.

Even people with relatively low educational and professional achievements can gain protection against late-life dementia if they adopt a mentally stimulating lifestyle – reading and playing music and games, for example – by the time they enter middle-age, the new study contended.

“In terms of preventing cognitive [mental] impairment, education and occupation are important,” said study lead author Prashanthi Vemuri, an assistant professor of radiology at the Mayo Clinic and Foundation in Rochester, Minn. “But so is intellectually stimulating activity during mid- to late life,” she added.

“It looks like the bottom-line is that it’s never too late to exercise your brain, and that is good news,” Vemuri said.

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Source: MedicineNet.


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Grandmas Stay Sharp When They Care For Grandkids Once a Week

Support.Granny1Taking care of grandkids one day a week helps keep grandmothers mentally sharp, finds a study from the Women’s Healthy Aging Project study in Australia, published online in Menopause, the journal of The North American Menopause Society (NAMS). That’s good news for women after menopause, when women need to lower their risks of developing Alzheimer’s disease and other cognitive disorders.

On the other hand, taking care of grandchildren five days a week or more had some negative effects on tests of mental sharpness. “We know that older women who are socially engaged have better cognitive function and a lower risk of developing dementia later, but too much of a good thing just might be bad,” said NAMS Executive Director Margery Gass, MD.

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Source: The North American Menopause Society (NAMS). “Grandmas stay sharp when they care for grandkids once a week.” ScienceDaily. ScienceDaily, 8 April 2014.

Physical Activity is Beneficial For Late-Life Cognition

Business.Cloud.PhysicalActivity1Physical activity in midlife seems to protect from dementia in old age, according to a study carried out at the University of Eastern Finland. Those who engaged in physical activity at least twice a week had a lower risk of dementia than those who were less active. The protective effects were particularly strong among overweight individuals.

Further staying physically active, or becoming more active, after midlife may also contribute to lowering dementia risk, especially in people who are overweight or obese at midlife. The findings were not explained by socioeconomic background, age, sex, genetic risk factors, obesity, weight loss, general health status or work-related physical activity.

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Source: University of Eastern Finland. “Physical activity is beneficial for late-life cognition.” ScienceDaily. ScienceDaily, 9 April 2014.

Healthy midlife diet may prevent dementia later

Support.Healthy.LivingHealthy dietary choices in midlife may prevent dementia in later years, according a doctoral thesis. The results showed that those who ate the healthiest diet at the average age of 50 had an almost 90 per cent lower risk of dementia in a 14-year follow-up study than those whose diet was the least healthy. The study was the first in the world to investigate the relationship between a healthy diet as early as in midlife and the risk of developing dementia later on.

The researchers assessed the link between diet and dementia using a healthy diet index based on the consumption of a variety of foods. Vegetables, berries and fruits, fish and unsaturated fats from milk products and spreads were some of the healthy components, whereas sausages, eggs, sweets, sugary drinks, salty fish and saturated fats from milk products and spreads were indicated as unhealthy.

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Source: University of Eastern Finland. “Healthy midlife diet may prevent dementia later.” ScienceDaily. ScienceDaily, 10 March 2014.