Showing posts with label Dementia. Show all posts
Showing posts with label Dementia. Show all posts

Friday, October 4, 2013

The ‘Hygiene Hypothesis’ and Alzheimer’s


In medicine, the hygiene hypothesis states that a lack of early childhood exposure to infectious agents, symbiotic microorganisms (e.g., gut flora or probiotics), and parasites increases susceptibility to allergic diseases by suppressing natural development of the immune system.

Research led by Dr Molly Fox at Cambridge's Biological Anthropology division has found that sanitised environments in developed nations might actually cause the immune system to develop poorly, exposing the brain to the inflammation associated with Alzheimer's disease.

Previous research has shown that in the developed world, dementia rates doubled every 5.8 years compared with 6.7 years in low income, developing countries; and that Alzheimer's prevalence in Latin America, China and India are all lower than in Europe, and, within those regions, lower in rural compared with urban settings.

"Exposure to microorganisms is critical for the regulation of the immune system. Aspects of modern life -- antibiotics, sanitation, clean drinking water, paved roads and so on -- lead to lower rates of exposure to these microorganisms that have been "omnipresent" for the "majority of human history," write the researchers.

This lack of microbe and bacterial contact can lead to insufficient development of the white blood cells that defend the body against infection, particularly those called T-cells -- the foot soldiers of the immune system that attack foreign invaders in the bloodstream.

Deficiency of anti-inflammatory ("regulatory") T-cells has links to the types of inflammation commonly found in the brain of those suffering with Alzheimer's disease, and the researchers' proposal that Alzheimer's risk is linked to the general hygiene levels of a nation's population is reinforced by their analysis of global Alzheimer's rates.

While childhood -- when the immune system is developing -- is typically considered critical to the 'hygiene hypothesis', the researchers say that regulatory T-cell numbers peak at various points in a person's life -- adolescence and middle age for example -- and that microorganism exposure across a lifetime may be related to Alzheimer's risk, citing previous research showing fluctuations in Alzheimer's risk in migrants.

"A better understanding of how environmental sanitation influences Alzheimer's risk could open up avenues for both lifestyle and pharmaceutical strategies to limit Alzheimer's prevalence. An awareness of this by-product of increasing wealth and development could encourage the innovation of new strategies to protect vulnerable populations from Alzheimer's."


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The above story is based on the September 4, 2013 release by University of Cambridge.

The results of the study are newly published by the journal Evolution, Medicine and Public Health:
Fox M, Knapp LA, Andrews PW, Fincher CL. Hygiene and the world distribution of Alzheimer's Disease. Evolution, Medicine, and Public Health, 2013; DOI: 10.1093/emph/eot015



Click HERE if video does not appear on your screen. In this video, Molly Fox discusses her research.

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Friday, March 15, 2013

Chronic Stress Accelerates Alzheimer’s Disease

Credit: www.earthfitnessgym.com


Why does chronic stress lead to increased risk for dementia?

The answer may lie in the elevation of stress steroids that is seen in the brain during stress, Sara K. Bengtsson suggests in the thesis she is defending at Umeå University in Sweden on March 22nd.

These stress steroids can inhibit the general brain activity. Allopregnanolon is one of them, and the doctoral thesis shows that chronically elevated levels of allopregnanolone accelerated the disease development in two transgenic Alzheimer disease models. The Alzheimer mice responded with impaired learning and memory. They had also increased brain levels of beta-amyloids, i.e. the proteins that form plaques in Alzheimer's disease.

The thesis also demonstrates that high levels of beta-amyloids corresponded to dysfunction among brain synapses. This was seen after a period of chronically elevated levels of allopregnanolon, but not after placebo treatment. The effects were identified early in the disease development when the animals normally have intact memory function. A similar acceleration of AD in humans could mean the difference between living self-sufficiently at home and living with requirements of professional care.

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The above story is reprinted from materials provided by Umeå universitet.

Read the thesis or abstract HERE 


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Blissing Out


10 Relaxation Techniques To Reduce Stress On-the-Spot

If your hectic lifestyle has got you down, experts say relaxation techniques can bring you back into balance -- some in five minutes or less.

1. Meditate

2. Picture Yourself Relaxed

3. Breathe Deeply

4. Mindfulness

5. Drink Hot Tea

6. Show Some Love

7. Try Self-Massage

8. Take a Time-Out

9. Try a Musical Detour

10. Take an Attitude Break

Click HERE for details of each of these 10 steps by Jenny Stamos Kovacs of WebMD 

Thursday, February 7, 2013

Vitamin D, Omega-3 May Help Clear Amyloid Plaques Found in Alzheimer's

For illustrative purpose only

A team of academic researchers has pinpointed how vitamin D3 and omega-3 fatty acids may enhance the immune system's ability to clear the brain of amyloid plaques, one of the hallmarks of Alzheimer's disease.

The scientists identified key genes and signaling networks regulated by vitamin D3 and the omega-3 fatty acid DHA (docosahexaenoic acid) that may help control inflammation and improve plaque clearance.

Previous laboratory work by the team helped clarify key mechanisms involved in helping vitamin D3 clear amyloid-beta, the abnormal protein found in the plaque. The new study extends the previous findings with vitamin D3 and highlights the role of omega-3 DHA.

For the study, scientists drew blood samples from both Alzheimer's patients and healthy controls, then isolated critical immune cells called macrophages from the blood. Macrophages are responsible for gobbling up amyloid-beta and other waste products in the brain and body.

Both 1alpha, 25-dihydroxyvitamin D3 and resolvin D1 improved the ability of the Alzheimer's disease patients' macrophages to gobble-up amyloid-beta, and they inhibited the cell death that is induced by amyloid-beta.

The next step is a larger study to help confirm the findings, as well as a clinical trial with omega-3 DHA, the researchers said.


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The above story is based on the by University of California, Los Angeles

The research has been epublished November 27, 2012, ahead of print, in the Journal of Alzheimer’s Disease:
Mizwicki MT, Liu G, Fiala M, Magpantay L, Sayre J, Siani A, Mahanian M, Weitzman R, Hayden E, Rosenthal MJ, Nemere I, Ringman J, Teplow DB. 1α,25-Dihydroxyvitamin D3 and Resolvin D1 Retune the Balance between Amyloid-β Phagocytosis and Inflammation in Alzheimer's Disease Patients. J Alzheimers Dis. 2013;34(1):155-170. doi:10.3233/JAD-121735 
 

Monday, December 31, 2012

Active Lifestyle Boosts Brain Structure and Slows Alzheimer’s Disease

Tai chi - Gentle way to breakdown racial barriers

New research highlights the positive influence of an active lifestyle on brain health.

  • Researchers found that an active lifestyle can preserve brain structure in older adults.
  • Lifestyle factors examined included recreational sports, gardening and yard work, bicycling, dancing and riding an exercise cycle.
  • More than 35 million people worldwide have dementia.
Cyrus Raji at the University of California in Los Angeles, and colleagues recently examined how an active lifestyle can influence brain structure in 876 adults, average age 78 years, drawn from the multisite Cardiovascular Health Study. The patients' condition ranged from normal cognition to Alzheimer's dementia.


"We had 20 years of clinical data on this group, including body mass index and lifestyle habits," Dr. Raji said. "We drew our patients from four sites across the country, and we were able to assess energy output in the form of kilocalories per week."

The lifestyle factors examined included recreational sports, gardening and yard work, bicycling, dancing and riding an exercise cycle.

The researchers used magnetic resonance imaging (MRI) and a technique called voxel-based morphometry to model the relationships between energy output and gray matter volume.

"Gray matter volume is a key marker of brain health. Larger gray matter volume means a healthier brain. Shrinking volume is seen in Alzheimer's disease, " said Dr Raji.

After controlling for age, head size, cognitive impairment, gender, body mass index, education, study site location and white matter disease, the researchers found a strong association between energy output and gray matter volumes in areas of the brain crucial for cognitive function. Greater caloric expenditure was related to larger gray matter volumes in the frontal, temporal and parietal lobes, including the hippocampus, posterior cingulate and basal ganglia. There was a strong association between high energy output and greater gray matter volume in patients with mild cognitive impairment and AD.

"Gray matter includes neurons that function in cognition and higher order cognitive processes," Dr. Raji said. "The areas of the brain that benefited from an active lifestyle are the ones that consume the most energy and are very sensitive to damage."

Dr. Raji said the positive influence of an active lifestyle on the brain was likely due to improved vascular health.

"Virtually all of the physical activities examined in this study are some variation of aerobic physical activity, which we know from other work can improve cerebral blood flow and strengthen neuronal connections," he said.


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The above story is based on the November 26, 2012 news release by the Radiological Society of North America (RSNA).

The research was presented the same day at at the annual meeting of the RSNA. Gach HM, Carmichael O, Becker JT, Lopez O, Thompson P, Longstreth W, Kuller L, and Kirk Ericson K coauthored the paper.




Saturday, August 25, 2012

Obesity, Metabolic Factors Linked to Faster Cognitive Decline

Credit: www.fengtastic.com

People who are obese and also have high blood pressure and other risk factors called metabolic abnormalities may experience a faster decline in their cognitive skills over time than others, according to a recent study supported by the National Institutes of Health, the Academy of Finland, the Bupa Foundation and the British Medical Research Council.

Metabolic abnormality was defined as having two or more of the following risk factors: high blood pressure or taking medication for it; low HDL or “good” cholesterol; high blood sugar or taking diabetes medication; and high triglycerides (a type of fat found in the blood) or taking medication to lower cholesterol.

The study involved 6,401 people with an average age 50 at the start of the study. Information on body mass index (BMI) and the risk factors was gathered at the beginning of the study. The participants took tests on memory and other cognitive skills three times over the next 10 years.

A total of 31 percent of the participants had two or more metabolic abnormalities. Nine percent were obese and 38 percent were overweight. Of the 582 obese people, 350, or 60 percent, met the criteria for metabolic abnormality. The metabolically normal obese individuals also experienced more rapid decline.

Over the 10 years of the study, people who were both obese and metabolically abnormal experienced a 22.5 percent faster decline on their cognitive test scores than those who were of normal weight without metabolic abnormalities.

“More research is needed to look at the effects of genetic factors and also to take into account how long people have been obese and how long they have had these metabolic risk factors and also to look at cognitive test scores spanning adulthood to give us a better understanding of the link between obesity and cognitive function, such as thinking, reasoning and memory,” said study author Archana Singh-Manoux, PhD, of INSERM, the French research institute in Paris and University College London in England. 

Singh-Manoux said the study also provides evidence against the concept of “metabolically healthy obesity” that has suggested that obese people without metabolic risk factors do not show negative cardiac and cognitive results compared to obese people with metabolic risk factors.


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The above story is based on the August 20, 2012 news release by the American Academy of Neurology (AAN).

The study findings are presented in the August 21, 2012, print issue of Neurology, the medical journal of the American Academy of Neurology:

Singh-Manoux A, Czernichow S, Elbaz A, Dugravot A, Sabia S, Hagger-Johnson G, Kaffashian S, Zins M, Brunner EJ, Nabi H, Kivimaki M. Obesity phenotypes in midlife and cognition in early old age: The Whitehall II cohort study. Neurology, 2012; 79 (8): 755 DOI: 10.1212/WNL.0b013e3182661f63

Click HERE To learn more about maintaining a healthy brain.


Tuesday, August 21, 2012

Food for Thought, 思維的食品

Credit: www.ncncf.org

"The idea that Alzheimer's is entirely genetic and unpreventable is perhaps the greatest misconception about the disease," says Gary Small, M.D., director of The UCLA Center on Aging.

Researchers now know that Alzheimer's, like heart Disease and cancer, develops over decades and can be influenced by lifestyle Factors including cholesterol, blood pressure, obesity, depression, education, nutrition, sleep and mental, physical and social activity.

洛杉磯加州大學老年中心主任Gray Small 博士說:「那種認為腦退化症 (譯注-兹海默氏症-過去亦稱老人痴呆症,按香港醫務衛生署建議改為腦退化症-下同) 完全來自遺傳的和不可預防的想法,是對這個病症的最大誤解。」研究人員現在已經明白,腦退化症就像心臟病和癌症,是經年累月發展起來的病症,是受生活方式因素所影響,這些因素包括膽固醇、血壓、肥胖、癌症、憂鬱、教育、營養、睡眠、腦力、體力和社交活動等等。

The big news: Mountains of research reveals that simple things you do every day might cut your odds of losing your mind to Alzheimer's.

好消息:大量的研究指出,只要每日做一些簡單小事就有可能把腦退化症發病機會降低。

In search of scientific ways to delay and outlive Alzheimer's and other Dementias, I tracked down thousands of studies and interviewed dozens of Experts. The results in a new book: 100 Simple Things You Can Do to Prevent Alzheimer's andAge-Related Memory Loss.

Here are 10 strategies I found most surprising.

為了尋找可以推遲腦退化症和其他癡呆症發生的科學方法,我閱讀了過千份報告及訪談了數十名專家。結論就在一本新書:"你能做得到的100件簡單事情可以預防腦退化症和與老年有關的痴呆症"。下面是我認最值得驚喜的10項策略。

1.  Have coffee:  In an amazing flip-flop, coffee is the new brain tonic. A large European study showed that drinking three to five cups of coffee a day in Midlife cut Alzheimer's risk 65% in late life. University of South Florida Researcher GaryArendash credits caffeine:
He says it reduces dementia-causing amyloid in animal brains. Others credit coffee's antioxidants. So drink up, Arendash advises, unless your doctor says you shouldn't.

1.  喝咖啡: 咖啡得到平反,現在認為咖啡是一種新的補腦品。根據歐洲大量研究表明,中年時每日飲3-5杯咖啡,晚年時出現腦退化症的風險可以下降65%。美國南佛羅里達研究人員Gary Arendash 贊許咖啡,他說咖啡可以減少動物腦中的導致失憶的類澱粉含量。其他研究人員則因抗氧化劑的功用給咖啡加分。Arendash勸人多飲咖啡,除非你的醫生認為你不宜飲咖啡。

2. Floss:  Oddly, the health of your teeth and gums can help predict dementia. University of Southern California research found that having periodontal disease before age 35 quadrupled the odds of dementia years later. Older people with tooth and gum disease score lower on memory and cognition tests, other studies show. Experts speculate that inflammation in diseased mouths migrates to the brain.

2. 牙線: 說來也怪,牙齒和牙齦的健康有助於預診癡呆症。南加州大學研究表明,35歲之前有牙周病的人,老年時患癡呆症的機會比沒有的人多四倍。其他研究亦有患牙齒及牙齦病患的長者在記憶力和認知能力測試上得分較低。專家們推測是由於口腔感染炎症向大腦遷移。

3. Google:  Doing an online search can stimulate your aging brain even more than reading a book, says UCLA's Gary Small, who used brain MRIs to prove it. The biggest surprise: Novice Internet surfers, ages 55 to 78, activated key memory and learning centers in the brain after only
a week of Web surfing for an hour a day.

3. 谷歌 (譯註- 上網)  加州大學的 Gary Small用核磁共振證實,上網搜索比閱讀書本更能刺激長者的大腦。最令人驚訝的是:55-78歲的新手,只要一個星期每日上網一小時,便能活化大腦的主記憶和學習中心。

4. Grow new brain cells:  Impossible, scientists used to say. Now it's believed that thousands of brain cells are born daily. The trick is to keep the newborns Alive.. What works: aerobic exercise (such as a brisk 30-minute walk every day), strenuous mental activity, eating salmon and other fatty fish, and avoiding obesity, chronic stress, sleep deprivation, heavy drinking and vitamin B deficiency.

4. 新生大腦細胞: 以前科學家們老是說大腦不可能產生新的細胞。現在卻認為大腦每日產生萬千個新細胞,關鍵是怎樣使這些新細胞存活。方法是:帶氧運動(例如每日急散步30分鐘),緊張的腦力活動,進食沙文魚和其他含脂肪高的魚,避免過胖、慢性應激、剝奪睡眠、酗酒和維生素B 缺乏。

5. Drink apple juice:  Apple juice can pushproduction of the "memory chemical" acetylcholine; that's the way the popular Alzheimer's drug Aricept works, says Thomas Shea, Ph.D., of the University of Massachusetts . He was surprised that old mice given apple juice did better on learning and memory tests than mice that received water. A dose for humans: 16 ounces, or two to three apples a day.  (Important apples are heavily sprayed so go for the organic juice)

5. 飲蘋果汁:  麻薩諸薩斯大學的Thomas Shea博士這樣說,蘋果汁可以促進「記憶化學物」乙酰膽碱的產生。這也就是治療腦退化症常用藥 Aricept 的作用機理。他用蘋果汁飼餵的老齡老鼠比用水飼養的老鼠,在學習和記憶試驗中表現得比較優勝。人類的服食劑量:16安士或每日2-3個蘋果。(注意蘋果通常噴大量農藥,飲有機果汁較佳)

6. Protect your head:  Blows to the head,even mild ones early in life, increase odds of dementia years later. Pro football players have 19 times the typical rate of memory-related diseases. Alzheimer's is four times more common in elderly who suffer a head injury, Columbia University finds. Accidental falls doubled an older person's odds of dementia five years later in another study. Wear seat belts and helmets, fall-proof your house, and don't take risks.

6. 保護頭顱: 若頭顱受到撞擊,那怕是年輕時期的輕度撞擊,也會使晚年時癡呆症增加。職業美式足球運動員發生與記憶有關的疾病比常人高19倍。哥倫比亞大學發現,年輕時頭部受傷的人得腦退化症的機會是常人的4倍。另一項研究表明意外跌倒受傷,五年後發生痴呆症的機會增加2倍。配戴安全帶,戴頭盔,家中防滑,不要冒險。

7. Meditate: Brain scans show that people who meditate regularly have less cognitive decline and brain shrinkage - a classic sign of Alzheimer's - as they age. Andrew Newberg of the University of Pennsylvania School of Medicine says yoga meditation of 12 minutes a day for two months improved blood flow andcognitive functioning in seniors with memory problems.

7. 冥思:  腦部掃描顯示,經常沉思默想的人,在年齡日長時,腦退化症的典型症狀--認知衰退和腦萎縮比較少。賓夕凡尼亞醫學院的Andrew Newberg 說,記憶力有問題的的長者,若每日作12分鐘的瑜伽冥想,實踐兩個月,便可改進血液流通和思考功能。

8. Take vit  D:  A "severe deficiency" of vitamin D boosts older Americans' risk of Cognitive impairment 394%, an alarming study by England 's University of Exeter finds. And most Americans lack vitamin D. Experts recommend a daily dose of 800 IU to 2,000 IU of vitamin D3.

8. 服食維他命 D:  英國埃克塞特大學的研究驚人地發現,由於嚴重缺乏維他命D,美國的長者的認知障礙症急升394%。專家建議每日服食維他命 D3800-2000 國際單位。

9. Fill your brain: It's called "cognitive reserve." A rich accumulationof life experiences - education, marriage, socializing, a stimulating job,language skills, having a purpose in life, physical activity and mentallydemanding leisure activities - makes your brain better able to tolerate plaques and tangles. You can even have significant Alzheimer's pathology and no symptoms of dementia if you have high cognitive reserve, says David Bennett, M.D., of Chicago 's Rush University Medical Center .

9. 充實大腦:  即所謂 "認知儲備"。生活經驗的累積  -- 教育、婚姻、社交、具刺激性的工作、語言技巧、生活有目標、要動腦的休閑活動 --  都可以令大腦較好地忍受色斑和緾結  (譯註--色斑 plagues 通常指 amyloid plaques 澱粉質色斑,是在腦退化症患者的大腦所發現的結構異常特征。tangles 是指 neurofibrillary tangles 是腦退化症患者大腦神經原纖維混亂狀態。這兩者都是腦退化症患者死後屍剖的診斷依據)。芝加哥魯殊大學醫學中心的 David Bennet博士認為,如果有丰富的認知儲備,一個人可以有明顯的腦退化症的病理學病徵,但沒有痴呆的病狀。

10. Avoid infection: Astonishing new evidence ties Alzheimer's to cold sores, gastric ulcers, Lyme disease, pneumonia and the flu., Ruth Itzhaki Ph.D., of the University of Manchester in England estimates the cold-sore herpes simplex virus is incriminated in 60% of Alzheimer's cases. The theory: Infectionstrigger excessive beta amyloid "gunk" that kills brain cells. Proof is still lacking, but why not avoid common infections and take appropriate vaccines, antibiotics and antiviral agents?

10. 預防感染:  英國曼徹斯特大學 Ruth Itzhaki博士新近的證據令人驚訝地證明疱疹,胃潰瘍,萊姆病 (譯注 - 一種由蜱傳播的全身疾病),肺炎,流感都與腦退化症有密切關系。按他的估計60%腦退化症的元凶是單純疱疹病毒。理論是:感染激發產生多餘的澱粉樣蛋白""從而殺死腦細胞。雖然證據尚未充足,但是為甚麼不注射適合的疫苗、服抗生素、抗病毒藥物來避免感染呢?

What to Drink for Good Memory

A great way to keep your aging memory sharp and avoid Alzheimer's is to drink the right stuff.

喝甚麼來改善記憶  飲正確的飲料是保持你的記憶力和避免得腦退化症的好方法。

a.  Juice. A glass of any fruit or vegetable juice three times a week slashed Alzheimer's odds 76% in Vanderbilt University research. Especially protective: blueberry, grape and apple juice, say other studies.

a.  上選:果菜汁細西州范德堡大學研究結果,一個星期飲三次,每次一杯任何的水果蔬菜汁可以減少76%的腦退化症。特別有效的是果汁是:藍莓、葡萄、蘋果汁。

b.  Tea: Only a cup of black or green tea a week cut rates of cognitive decline in older people by 37%, reports the Alzheimer's Association. Only brewed tea works. Skip bottled tea, which is devoid of antioxidants.

b.  :  據阿兹海默症協會報告,對長者而言,每星期一杯紅茶或綠茶就可以把認知衰退減少37%。但只有泡茶才有效,不要飲罐裝茶,罐裝茶沒有抗氧化劑。

c.  Caffeine beverages: Surprisingly, caffeine fights memory loss and Alzheimer's, suggest dozens of studies. Best sources: coffee (one Alzheimer's researcher drinks five cups a day), tea and chocolate. Beware caffeine if you are pregnant, have high blood pressure, insomnia or anxiety.

c.  含咖啡因飲料沒想到,有數十個研究證實咖啡因可以對抗記憶衰退和腦退化症。最佳選擇:咖啡(一名腦退化症研究者一天飲五杯咖啡),茶、巧格力。但咖啡因對孕婦、高血壓患者、失眠症患者、焦躁症患者不宜。

d.  Red wine: If you drink alcohol, a little red wine is most apt to benefit your aging brain. It's high in antioxidants. Limit it to one daily glass for women, two for men. Excessive alcohol, notably binge drinking, brings on Alzheimer's.

d.  紅酒  飲小量紅酒對日漸老化的大腦有好處。紅酒含大量抗氧化物。婦女一天不可超過一普通玻璃杯,男士兩杯。

Forwarded to us by Hua Keong Phang


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Ah, now I remember!

We had published a similar story,  Yes, You Can Prevent Alzheimer's”, back in August 17, 2011:
Still, I hope you will find the translation provided Hua Keong useful. I have also linked some of the claims to scientific journals for your further reference.