Skip to content

Category: brain

Published on Leave a comment on Mild Cognitive Impairment In Older Adults Can Improve

As we get older, we may notice that we're forgetting things, or we're having trouble remembering names, or... And we wonder if we're starting to "lose our mind" and developing dementia.

A recent study has good news - even in persons labeled as having Mild Cognitive Impairment (MCI), 2 1/2 years later about half had improved and no longer fit the criteria of mild cognitive impairment. Back to normal! (Other studies have similar results.)

The big question is why do so many improve, and why do others get worse?

This study conducted by Columbia University researchers was part of a long-term study looking at aging in older adults (65 years old or older) and living in New York City (thus the study was "community based"). All 2903 participants (white, black, and Hispanic) did not have Mild Cognitive Impairment or dementia at the start of the study (the baseline), were followed for 6 years, and evaluated (including physical and neurological tests) every 18 to 24 months.

After an average 2.4 years follow-up after MCI diagnosis: 12.9% of individuals progressed to dementia, 9.6% declined in functioning (but did not meet the criteria for dementia), 29.6% continued to meet MCI criteria, and 47.9% no longer met MCI criteria. This last group was now "cognitively normal". (!!)

The  researchers found that the presence of the APOE4 gene (which increases the risk of Alzheimer's disease) and having more medical problems ("medical burden") increased the risk of MCI. On the other hand, more years of education, more leisure activities (e.g., reading, socializing, taking walks), and higher income decreased the risk of developing MCI. But MCI across several domains, being a carrier of the APOE4 gene, depressive symptoms, and antidepressant use increased the risk of progression to dementia

Bottom line: Older adults should try to be active, get exercise (walking counts!), have a healthy lifestyle, socialize, and be busy - it's good for mental health. Studies also find participation in arts, crafts, and using computers all lower the risk of older adults developing MCI.

From Medical Xpress: 'Mild cognitive impairment' in older age often disappears, study finds

A diagnosis of mild cognitive impairment (MCI) might worry an older adult, who could see it as a stepping stone to dementia. But a new study suggests one does not necessarily lead to the other.  ...continue reading "Mild Cognitive Impairment In Older Adults Can Improve"

Published on Leave a comment on Coffee and Tea Drinking Associated With Lower Rates of Stroke and Dementia

Some good news - a recent study found that daily coffee and tea drinking is associated with lower rates of stroke and dementia. Just an association, not a definite cause and effect, but still... nice to hear some (more) good news for us coffee and tea drinkers.

Researchers analyzed data from a large group in the United Kingdom's Biobank (a large medical data base). The 365,682 participants (aged 50 to 74 years old) were followed for about 11 years. They found that drinking coffee and tea separately or in combination were associated with a lower risk of stroke and dementia. Coffee alone or in combination with tea was also associated with lower risk of post-stroke dementia.

Most interesting finding: Drinking 2 to 3 cups of coffee with 2 to 3 cups of tea daily was associated with a 32% lower risk of stroke and a 28% lower risk of dementia (when compared to those who do not drink coffee and tea).

How much was best in this study? Moderate amounts of coffee and tea consumption are best. Two to 3 cups of coffee per day or 3 to 5 cups of tea per day, or a combination of 4 to 6 cups of coffee and tea per day, were linked with the lowest rates of stroke and dementia.

From Science Daily: Coffee and tea drinking may be associated with reduced rates of stroke and dementia

Drinking coffee or tea may be associated with a lower risk of stroke and dementia, according to a study of healthy individuals aged 50-74 publishing Nov. 16 in the open-access journal PLOS Medicine. Drinking coffee was also associated with a lower risk of post-stroke dementia.  ...continue reading "Coffee and Tea Drinking Associated With Lower Rates of Stroke and Dementia"

Published on Leave a comment on A Daily Multivitamin Linked to Slower Brain Aging In Older Adults

All of us want to age well, with as little physical and mental decline as possible. Multivitamins may help. A recent study found that in older adults (over 65 years) taking an ordinary multivitamin daily for at least 3 years is associated with a 60% slowing of cognitive decline. That's huge!

Unfortunately, in this study ingesting cocoa flavanols did not have any beneficial effect. The multivitamins appeared to be most beneficial for persons with heart disease.

What made this study noteworthy were the large number of participants, that there were different groups, and that there was also a control group who got a placebo (in other words - a fake pill). It was an observational study, therefore can't definitely say cause and effect, but still... those are nice results.

From Medscape: Multivitamins, but Not Cocoa, Tied to Slowed Brain Aging

Taking a daily multivitamin for 3 years is associated with a 60% slowing of cognitive aging, with the effects especially pronounced in patients with cardiovascular (CVD) disease, new research suggests. ...continue reading "A Daily Multivitamin Linked to Slower Brain Aging In Older Adults"

Published on Leave a comment on Pesticides and Lou Gehrig’s Disease

The incredibly high use of pesticides in this country, especially when routinely applied to crops, lawns, and residence interiors, is worrisome. Over 1 billion pounds used in the US annually! Not only are there all sorts of environmental effects, including contamination of water, air, soil, but pesticides also have health effects on humans and wildlife. It seems that with each new study, more concerns are raised.

A recent large study found a link with amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, and exposure to pesticides. The Dartmouth College researchers found the link with about two dozen neurotoxic pesticides, including 2,4-D, chlorpyrifos, glyphosate, permethrin, MCPB, carbaryl, and paraquat.

Note that 2,4-D is a herbicide (weed-killer) that is used in crops, and also in feed and weed products for lawns. Glyphosate is the most commonly used herbicide in the world, and used extensively on crops in the US.

The study has limitations, but it should definitely get people investigating this possibility more. For a while now, pesticide exposure has been hypothesized to be a risk factor for ALS. This is a progressive and fatal disease that affects nerve cells in the brain and spinal cord, causing loss of muscle control.

Excerpts from Environmental Health News: Higher estimated pesticide exposures linked to ALS risk

Every year, approximately 5,000 people in the U.S. are diagnosed with amyotrophic lateral sclerosis (ALS), or Lou Gehrig's disease.  ...continue reading "Pesticides and Lou Gehrig’s Disease"

Published on Leave a comment on Microplastics Are Entering Our Bodies

Something to ponder: Are tiny plastic particles (microplastics) that enter the human body traveling to the brain and causing harm? An article by the science writer Erica Cirino examines that question by looking at existing research and comes to the disturbing conclusion of: Yes, they are.

Yes, that plastic particles are inhaled or ingested (in food, water, and air), that many are excreted, but some travel to organs in the body, are absorbed in the bloodstream, and some eventually cross into the brain. Research in fish shows that this ultimately results in abnormal (dysfunctional) behavior. [Note: she is the author of the book Thicker Than Water, which addresses the plastics pollution problem.]

One problem is that plastic particles contain all the chemicals in the original plastic, which includes endocrine (hormone) disruptors.  Another is that the plastic particles accumulate once they are in the organs. Yes, studies find plastic particles in humans (e.g., the placenta, the lungs, and other tissues) and also that many microparticles are excreted in feces. But much is still unknown.

A study by Canadian researchers estimated that the consumption of microplastics by Americans ranges from 39,000 to 52,000 particles (depending on age and sex) each year. When they added in inhalation of microplastic particles, the numbers increased to 74,000 to 121,000. And those who only drink bottled water may be getting an additional 90,000 microplastics (versus about 4000 microplastics from tap water). Yikes!

Since more and more plastics are entering the environment each year, then this does not bode well for humans. We need to deal with plastic pollution!

Excerpts from an article by Erica Cirino in The Scientist: Opinion: Plastic Pollution May Endanger Brains

In 1950, 2 million metric tons of plastic were produced globally; in 2015, petro-chemical companies churned out 381 million metric tons. Most plastic waste—more than 6.3 billion metric tons of it has been generated by humans over the last 80 years—is never recycled. And to scientists’ best knowledge, petroleum-based plastic will never biodegrade. Instead, it breaks up into ever-smaller particles that always remain plastic.  ...continue reading "Microplastics Are Entering Our Bodies"

Published on Leave a comment on Some Thought Processes Improve With Age

Some mental abilities actually improve with age! This is great news, because the general view is that our brain volume shrinks and mental abilities decline with age (especially after age 70).

A large Georgetown Univ. Medical Center study of 702 participants (58 to 98 years old) found that two important brain functions actually improve with age, probably due to lifelong experience using them. They were attention and executive functions - which allow us to attend to new information and to focus on what's important in a situation. They underlie  memory, decision making, self-control, navigation, language, and reading.

Is this why there is a saying that wisdom comes with age?

From Science Daily: Key mental abilities can actually improve during aging

It's long been believed that advancing age leads to broad declines in our mental abilities. Now new research from Georgetown University Medical Center offers surprisingly good news by countering this view.  ...continue reading "Some Thought Processes Improve With Age"

Published on Leave a comment on Coffee Can Have Health Benefits, But Perhaps Harmful In Large Amounts

Recently there have been studies with conflicting results about the health benefits or harms from coffee consumption. Overall, it seems like moderate intake is OK and beneficial for adults, but too much may cause harm. And avoid caffeinated coffee if pregnant. Yesterday I posted about several recent studies finding health benefits from daily coffee consumption.

Coffee has anti-inflammatory effects, and contains more than a thousand chemical compounds. Over the years many studies found health benefits with regular and decaffeinated coffee, especially when a filter is used in the brewing process (e.g. drip coffee). But when the coffee is made by methods that don't filter the coffee (e.g. French press) the results may show harm, especially if large quantities are consumed daily.

The following are two recent studies finding that coffee consumption is associated with health benefits, and two studies finding potential harm from coffee consumption of over 6 cups a day. Note that whether the coffee is filtered or not may make a difference in results (the last 2 studies).

From (Jan. 11, 2021) Science Daily: Higher coffee intake may be linked to lower prostate cancer risk ...continue reading "Coffee Can Have Health Benefits, But Perhaps Harmful In Large Amounts"

Published on Leave a comment on Overweight and Obesity Is Associated With Reduced Blood Flow In the Brain

There is another great reason to try to lose weight if you are overweight or obese - being overweight or obese lowers blood flow to the brain in older adults. Yikes! However, one bit of good news from a study of 495 adults (average age 69) was that increased physical activity (brisk walks count!) can reduce or eliminate this association.

This could help explain why obesity increases the risk for a number of conditions as a person gets older, such as heart disease, dementia, and Alzheimer's disease.

The study was part of the Irish Longitudinal Study on Ageing. The average BMI (body mass index) was 28, which is considered overweight. One finding was that each 1 cm increase in waist circumference was associated with the same reduction of brain (cerebral) blood flow as 1 year of advancing age. (Yes, brain volume and blood flow typically diminish with age in older adults. So you want to prevent it as much as possible.)

The study found that higher levels of physical activity can reduce or remove this association of overweight & obesity and reduced brain blood flow. So if it's not possible to lose weight - then get really physically active!

How much exercise is beneficial? The researchers recommend at least 1.5 to 2 hours per day of "being active", that is, doing activities that require "moderate" effort - this means breathing somewhat harder than normal (e.g. brisk walking, cycling at a regular pace, carrying light loads). Equally beneficial is to get some "vigorous activity" which results in breathing much higher than normal (e.g., digging, aerobics, fast cycling, carrying heavy loads). But any and all movement is good!

Medical Xpress: Researchers find obesity linked to reduced blood flow to the brain

A new study from scientists at The Irish Longitudinal Study on Aging (TILDA) at Trinity College Dublin reveals important findings, indicating that being overweight or obese significantly reduces blood flow in the brain. The study also shows that increased physical activity can positively modify, or even negate, this reduction in brain blood flow. ...continue reading "Overweight and Obesity Is Associated With Reduced Blood Flow In the Brain"

Published on Leave a comment on Encouraging Results For A Vaccine Targeting Brain Tumors

The possibility of a vaccine for helping the body fight cancer just got one step closer. A vaccine that targets a specific type of usually incurable brain cancer called "diffuse glioma" has had very good results in a trial of the vaccine. This is great news for a brain cancer that, even with treatment, keeps spreading throughout the brain, and only has a general 5-year survival rate of 48.9%.

The most important findings of the vaccine trial: the 3 year survival rate after being fully vaccinated was 84%, and in this group of 30 patients - 63% did not have any progression in tumor growth. And 82% of one subgroup of patients whose immune system showed a specific response to the vaccines had no tumor progression within the 3 year study period. This is amazing news for a cancer that typically has such a bleak prognosis.

brain cancer, diffuse glioma
Diffuse glioma in the brain. Credit: NCI

In a follow-up to this trial the researchers are combining the vaccine with checkpoint inhibitor immunotherapy (which give the immune system a boost), and which they think (are hoping) may produce even better results. Think of it this way - these treatments have the potential for you (your body's immune system) to effectively fight a cancer. The future is looking bright!

From Medical Xpress: First-ever vaccine for malignant brain tumors reported safe, effective in early trial

Tumor vaccines can help the body fight cancer. Mutations in the tumor genome often lead to protein changes that are typical of cancer. A vaccine can alert the patient's immune system to these mutated proteins. For the first time, physicians and cancer researchers from Heidelberg and Mannheim have now carried out a clinical trial to test a mutation-specific vaccine against malignant brain tumors. The vaccine proved to be safe and triggered the desired immune response in the tumor tissue, as the team now reports in the journal Nature.  ...continue reading "Encouraging Results For A Vaccine Targeting Brain Tumors"

Published on Leave a comment on Main Difference Between Male and Female Brains Is Size

Finally, a huge review of decades of studies answers the question of whether there are actual structural differences between male and female brains. And the answer is...(drumroll)... No - they are very similar. There aren't male brains and female brains with 2 different brain shapes or features. The main difference is a size difference in brain volume.

Women tend to have a little smaller brain (about 11% in adults) because they are smaller than men. (Similarly, smaller men also have smaller brains.) The Chicago Medical School researchers found that any sex/gender differences in the human brain are extremely subtle and inconsistent, and maybe account for 1% of variation between males and females. Note: Brain size is not correlated with or indicative of intelligence! 

They found that the size of the structures in the brain (e.g cerebellum, hippocampus) change along with the volume - it's a matter of proportion. The researchers summarized it: "Males’ brains are larger than females’ from birth, stabilizing around 11% in adults. This size difference accounts for other reproducible findings: higher white/gray matter ratio, intra- versus interhemispheric connectivity, and regional cortical and subcortical volumes in males."

By the way, the researchers also point out that large studies find that human males and females are far more similar than different in most measures of cognition, personality and attitudes.

From Medical Xpress: Massive study reveals few differences between men and women's brains

How different are men and women's brains? The question has been explored for decades, but a new study led by Rosalind Franklin University neuroscientist Lise Eliot is the first to coalesce this wide-ranging research into a single mega-synthesis. And the answer is: hardly at all. ...continue reading "Main Difference Between Male and Female Brains Is Size"