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Category: healthy living

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Important to know about this nasty bacterial strain for those who use contact lenses. From Science Daily:

Bacteria survive longer in contact lens cleaning solution than previously thought, study shows

Each year in the UK, bacterial infections cause around 6,000 cases of a severe eye condition known as microbial keratitis -- an inflammation and ulceration of the cornea that can lead to loss of vision. The use of contact lenses has been identified as a particular risk factor for microbial keratitis. New research, presented today at the Society for General Microbiology Annual Conference in Liverpool, shows that a bacterial strain associated with more severe infections shows enhanced resistance to a common contact lens disinfectant solution.

Researchers from The University of Liverpool and The Royal Liverpool University NHS Trust tested different strains of the keratitis-causing bacterium Pseudomonas aeruginosa for their ability to survive in a commonly used contact lens cleaning solution. The team compared nine clinical strains of P. aeruginosa, taken from hospital patients in the UK, with P. aeruginosa strain 9027, the standard strain used by lens solution manufacturers.

The results showed that the majority of clinical strains tested were killed within 10 minutes of being immersed in the contact lens solution, comparable with the standard reference strain. However, one clinical isolate, P. aeruginosa strain 39016 -- associated with a more severe case of keratitis with a prolonged healing time -- was able to survive for over four hours, much longer than the reference strain.

Professor Craig Winstanley, who led the research, says: "Microbial keratitis can be devastating for a patient -- it is important that the risk of developing this condition is reduced in contact lens wearers by improving contact lens disinfectant solutions."

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The controversy over the safety of BPA (bisphenol A) is still dragging on. However, the new alternatives to BPA may not be any better and may be even worse. To minimize exposure to BPA and other estrogenic chemicals, try to buy and store food in glass bottles, jars, and containers (glass does not contain plastics of any sort). The following two articles discuss this issue. From Nature:

Toxicology: The plastics puzzle

A stroll down the aisles of a US supermarket reveals a modest victory for consumer activism. In the baby-products section, plastic baby bottles, spill-proof cups and miniature cutlery are proudly marked 'BPA-free' — a sign that they no longer contain the compound bisphenol A, found in many plastics.

The partial withdrawal of BPA is the culmination of two decades of research and hundreds of studies linking the compound — which mimics sex hormones called oestrogens — to adverse health effects in rodents and humans.  The decision by regulators in the United States and European Union to ban BPA from baby bottles, combined with industry marketing campaigns, has convinced many consumers that the plastics and other containers currently used to store food are safe.

It is a false sense of security. BPA is still a constituent of many food containers, especially cans. And when companies did abandon BPA, they often adopted compounds — such as the increasingly common bisphenol S (BPS) — that share much of the same chemistry and raise many of the same concerns as BPA. “People use this chemical to replace BPA without sufficient toxicological information,” says Kyungho Choi, an environmental toxicologist at Seoul National University. “That is a problem.”

BPA has formed the chemical backbone of most hard, clear polycarbonate plastic since the 1950s. Over time, studies have linked the chemical — which can leach out of plastics and into food — to a host of adverse health effects, including reductions in fertility and birth weight, male genital abnormalities, altered behavioural development, diabetes, heart disease and obesity1 (see Nature464, 1122–1124; 2010).

A few years ago, mounting evidence and concerned consumers convinced governments to take action. In 2011, the European Union banned BPA from baby bottles; the United States followed suit a year later. But BPA-based linings are still slathered on the insides of most food and beverage cans, and used to coat water-supply pipes in many countries. The compound is also found in dental sealants and in incubators for premature infants.

BPA-based epoxy linings are widely used because they are strong, flexible and cheap. They tolerate the high temperatures needed to sterilize foods during canning, and do not interact with a huge array of foods and beverages, according to the North American Metal Packaging Alliance in Washington DC. The alliance estimates that 95% of all aluminium and steel can coatings are epoxy-type resins: more than 99.9% of these contain BPA.

New options are beginning to surface. BPS was first made in 1869 as a dye. But because it was introduced into consumer goods only recently — into cash-register receipts in 2006, for example — few researchers have studied its toxicity. “The main question, to which we have no answer, is: 'is BPS as toxic as BPA?'” says René Habert, an endocrinologist at Paris Diderot University.

The similarity of BPS's structure to that of BPA is enough to raise suspicions that it may mimic oestrogens, says Cheryl Watson, a biochemist at the University of Texas Medical Branch in Galveston. When combined with levels of oestradiol found in adult women, BPS seemed to over-stimulate the pathway, shutting it down and causing cell suicide. The results, says Watson, were typical of those expected of an oestrogen mimic: inappropriate activation of oestrogen responses, disruption of normal oestrogen-response pathways, and eventual cell death. 

Some manufacturers have left the bisphenol family in search of a replacement. In 2007, the Eastman Chemical Company launched Tritan — a new heat-resistant clear plastic — for infant-care products such as baby bottles. This BPA-free plastic has since replaced the old BPA-containing polycarbonate in many water bottles, food containers and children's cups. 

In 2011, George Bittner, a neurobiologist at the University of Texas at Austin and the chief executive of Austin-based chemical-testing company CertiChem, reported that 92% of 102 commercially available plastic products leached chemicals with oestrogenic activity7. This included plastics advertised as BPA-free. The reason, Bittner says, is that additives in plastics — such as stabilizers and lubricants — can also bind to oestrogen receptors, as can some of the plastic monomers themselves. Tritan resins produced by Eastman were among the polymers that showed oestrogenic activity in Bittner's assays. 

In 2012, the world produced some 280 million tonnes of plastic. According to a model based on the United Nations' Globally Harmonized System of Classification and Labelling of Chemicals, more than 50% of these plastics contain ingredients that can be hazardous (see Nature 494, 169–171; 2013). Some are carcinogenic; others are oestrogenic.

It is not yet clear how many of these chemicals are dangerous at the concentrations found in the plastics. But mixed together, the chemicals could have synergistic effects. 

Ideally, says Watson, the next generation of chemicals would be tested for effects on oestrogen signalling before widespread deployment in food containers.

From Mother Jones:

The Scary New Evidence on BPA-Free Plastics

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This study came out last month, but I think it is something to be concerned about any time you are thinking about getting cosmetic "fillers". Definitely check out the photo. From Science Daily:

Cosmetic treatment can open door to bacteria

Many people have 'fillers' injected into their facial tissue to give them 'bee-stung lips' or to smooth out their wrinkles. Unfortunately, a lot of cosmetic treatment customers experience unpleasant side effects in the form of tender subcutaneous lumps that are difficult to treat and which -- in isolated cases -- have led to lesions that simply will not heal. Research recently published by the University of Copenhagen now supports that, despite the highest levels of hygiene, this unwanted side effect is caused by bacterial infection.

Injections of fillers were previously reserved exclusively for trauma treatment -- when rebuilding a face disfigured in a traffic accident, for example. However, the jelly-like substances are increasingly being used in beauty treatments with the intention of making lips swell up and to erase the effects of ageing from the skin. Side effects in the form of stubborn, tender lumps or even lesions are becoming an increasing problem:

"Previously, most experts believed that the side effects were caused by an auto-immune or allergic reaction to the gel injected. Research involving tissue from patients and mouse models has now shown that the disfiguring lesions are actually due to bacteria injected in connection with the cosmetic procedure. What is more, we have demonstrated that the fillers themselves act as incubators for infection, and all it takes is as few as ten bacteria to create an ugly lesion and a tough film of bacterial material -- known as biofilm -- which is impossible to treat with antibiotics," says Morten Alhede, a postdoc at the Department of International Health, Immunology and Microbiology, University of Copenhagen.

Treatment with fillers is very common. According to the American Society for Aesthetic Plastic Surgery (ASAPS), treatment with products based on hyaluronic acid -- such as Restylane -- constitutes the second-most popular non-surgical cosmetic procedure in the United States. The precise figures for Denmark are not known, but there can be no doubt that the numbers are rising rapidly -- and a rise in the number of treatments will inevitably make the side effects more evident.

"Because a lot of cosmetic practitioners refuse to accept that side effects from filler procedures are caused by bacteria, claiming that such problems are caused by allergic reactions, the usual procedure has been to treat with steroids. This is actually the worst possible treatment because steroid injections exacerbate the condition and give the bacteria free rein. Fortunately, many of the filler producers have now become aware of the risk of bacteria and recognise that the gel can act as a bacterial incubator," says Associate Professor Thomas Bjarnsholt from the Department of International Health, Immunology and Microbiology. He continues:

"The problem will become very serious when the treatment becomes so widespread that people are able to walk in off the street to have their wrinkles smoothed out. Experts recommend keeping facial skin free from make-up for a month before undergoing a treatment involving fillers. Good hygiene is always important. Even when you abide by all the rules and regulations, it is difficult to avoid bacteria completely as they are often buried far below the surface of the skin."

Researchers estimate that between 1:100 and 1:1000 -- depending on the type of filler - develops an unfortunate bacterial infection which, in the worst-case scenario, may leave the person in question with a permanently disfigured face.

The biofilm that can develop in the wake of a filler treatment is resistant to antibiotics. "The good news is that infections can be prevented by prophylactic antibiotic treatment, i.e. injecting antibiotics together with the filler itself during the cosmetic treatment process. Our new research emphasises how important it is for all practitioners to follow this procedure to prevent the unwanted complications," explains Morten Alhede.

Injection of fillers: Side effects in the form of stubborn, tender lumps or even lesions are becoming an increasing problem. Photo credit: University of Copenhagen

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Youthful skin (even reversing the effects of aging!) is an excellent reason to exercise. And apparently it's never too late to start. From NY Times:

Younger Skin Through Exercise

Exercise not only appears to keep skin younger, it may also even reverse skin aging in people who start exercising late in life, according to surprising new research.

As many of us know from woeful experience, our skin changes as the years advance, resulting in wrinkles, crow’s feet and sagging skin. This occurs because of changes within our layers of skin. After about age 40, most of us begin to experience a thickening of our stratum corneum, the final, protective, outer layer of the epidermis, itself the top layer of your skin. The stratum corneum is the portion of the skin that you see and feel. Composed mostly of dead skin cells and some collagen, it gets drier, flakier and denser with age.

At the same time, the layer of skin beneath the epidermis, the dermis, begins to thin. It loses cells and elasticity, giving the skin a more translucent and often saggier appearance. These changes are independent of any skin damage from the sun. They are solely the result of the passage of time.

But recently, researchers at McMaster University in Ontario began to wonder if such alterations were inevitable. Earlier studies at McMaster involving mice that were bred to age prematurely had shown that a steady regimen of exercise could stave off or even undo the signs of early aging in these animals. 

Of course, we humans long ago swapped our fur for naked skin. But if exercise could keep animals’ outer layer from changing with age, it might, the researchers speculated, do the same for our skin.

To test that possibility, the scientists first gathered 29 local male and female volunteers ages 20 to 84. About half of the participants were active, performing at least three hours of moderate or vigorous physical activity every week, while the others were resolutely sedentary, exercising for less than an hour per week. Then the researchers asked each volunteer to uncover a buttock. “We wanted to examine skin that had not been frequently exposed to the sun,” said Dr. Mark Tarnopolsky.

The scientists biopsied skin samples from each volunteer and examined them microscopically. When compared strictly by age, the skin samples overall aligned with what would be expected. Older volunteers generally had thicker outer layers of skin and significantly thinner inner layers. But those results shifted noticeably when the researchers further subdivided their samples by exercise habits. They found that after age 40, the men and women who exercised frequently had markedly thinner, healthier stratum corneums and thicker dermis layers in their skin. Their skin was much closer in composition to that of the 20- and 30-year-olds than to that of others of their age, even if they were past age 65.

So the researchers next got skin samples from their buttocks. The volunteers were aged at 65 or older and, at the study’s start, had normal skin for their age. They began a fairly straightforward endurance training program, working out twice a week by jogging or cycling at a moderately strenuous pace, equivalent to at least 65 percent of their maximum aerobic capacity for 30 minutes. This continued for three months. At the end of that time, the researchers again biopsied the volunteers’ skin.

But now the samples looked quite different, with outer and inner layers that looked very similar to those of 20- to 40-year-olds. “I don’t want to over-hype the results, but, really, it was pretty remarkable to see,” said Dr. Tarnopolsky, himself a middle-aged exerciser. Under a microscope, the volunteers’ skin “looked like that of a much younger person, and all that they had done differently was exercise.”

How exercise changes skin composition is not completely clear, but in a separate portion of the study, the researchers checked for alterations in the levels of certain substances created by working muscles. Called myokines, these substances are known to enter the bloodstream and jump-start changes in cells far from the muscles themselves. In this case, the scientists found greatly augmented levels of a myokine called IL-15 in the skin samples of volunteers after exercise. Their skin samples contained almost 50 percent more IL-15 after they had been exercising than at the start of the study.

The researchers suspect that additional myokines and substances are also involved in the skin changes related to exercise, Dr. Tarnopolsky said, making it unlikely that any IL-15 pill, salve or injection will ever replicate the skin benefits of a workout. Nor is there evidence that exercise reverses wrinkling and other damage from the sun, some of which many of us accumulate during outdoor exercise. 

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An excellent reason to listen to your mother and eat your vegetables. From the U.S. Department of Health and Human Services site healthfinder.gov:

Vegetables in Childhood May Benefit Breast Health

Girls who ate the most fruits and vegetables rich in carotenoids were less likely to get benign breast disease, a new study suggests.

Carotenoids are a group of pigments that typically produce an orange, red or dark green color. They are believed to have antioxidant properties that may guard against disease. Benign breast disease describes a variety of noncancerous conditions of the breast; some forms raise the risk of breast cancer. 

For her study, Boeke and her colleagues looked at food reports from 1996 through 1998 and then evaluated reports in 2005, 2007 and 2010 from girls who got a diagnosis of benign breast disease from a doctor after having a biopsy. In all, Boeke studied nearly 6,600 girls, and 122 reported a diagnosis of benign breast disease.

When she looked at carotenoid intake, she found high intakes were protective. "The odds of benign breast disease in those who consumed the most beta carotene were about half that of those who consumed the least," she said. Girls in the highest intake group ate two to three servings of carotenoid-rich foods weekly, she said.

She did take into account other factors that might affect the risk of benign breast disease, such as alcohol intake, physical activity, family history and body mass index (a measure of body fat using height and weight).

Why might the fruits and vegetables help? It's not known for sure, but Boeke said it may be due partly to their antioxidant properties. Carotenoids absorb harmful substances known as free radicals which can harm cells.

The study looked only at food intake, not supplements, and Boeke said she would not recommend supplements since other research has found some harmful effects with supplement use. Other foods that are rich in carotenoids include yams, melons, spinach and kale.

The period of time between the start of a girl's period and the first birth is a sensitive one for the breasts, as they are very vulnerable to environmental exposures, according to background information in the study.

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Again, more support for eating a mainly plant based diet and lowering intake of saturated fat. From MedlinePlus:

High-Fat Diet May Boost Breast Cancer Risk

For more than three decades, experts have debated whether eating a high-fat diet increases breast cancer risk. Now, new research suggests it might boost the chances of three common types of breast cancer.

In a large European study evaluating more than 337,000 women in 10 countries over 11 years, researchers found that women who ate the most saturated fat were about 30 percent more likely to develop breast cancer than those who ate the least. The study is published April 9 in the Journal of the National Cancer Institute.

Sieri and her team found that a high intake of total fat and saturated fat was linked to an increased risk of breast cancer subtypes known as estrogen receptor-positive (ER-positive) and progesterone receptor-positive (PR-positive). High-fat diets also were tied to a raised risk of developing HER2-negative breast cancer, the investigators noted.

The breast cancer subtypes linked with fat intake are common, she said. "The majority of breast cancers in the U.S. and Europe are ER-positive, PR-positive, HER2-negative," she noted.

In the new study, women answered questions about their fat intake and other habits that could affect risk, including smoking, age at first period, pregnancy history, use of hormone therapy and their body mass index (a measurement of body fat based on height and weight). To correct for measurement errors in the diet questionnaire, the researchers interviewed a random sample of 8 percent of the women, asking for a 24-hour dietary recall.

After an average follow up of 11.5 years, just over 10,000 women were diagnosed with breast cancer.When the cases of cancer were compared with fat intake, "we found an association between exposure to saturated-fat intake and breast cancer," Sieri said.

Women in the group eating the most saturated fat averaged 48 grams a day, compared to 15 grams in the group eating the least. The link can't be explained with certainty, Sieri said, but it's possible that the high-fat intake raises the levels of the body's own estrogen, which can stimulate the growth of breast cancer cells.

Until more study is done, Sieri tells women: "In general, it is recommended that the percent of total calories from saturated fat should not exceed 10 percent for women." Gaudet agreed. "If you have a mainly plant-based diet, that is going to help you keep your fat intake low."

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Another reason to avoid products with Triclosan. From Science Daily:

Antimicrobial from soaps promotes bacteria buildup in human noses

An antimicrobial agent found in common household soaps, shampoos and toothpastes may be finding its way inside human noses where it promotes the colonization of Staphylococcus aureus bacteria and could predispose some people to infection. 

Triclosan, a human-made compound used in a range of antibacterial personal care products such as soaps, toothpastes, kitchen surfaces, clothes and medical equipment, was found in nasal passages of 41% of adults sampled. A higher proportion of subjects with triclosan also had S. aureus colonization. S. aureus could promote infection in some populations such as people undergoing surgery.

Triclosan has been around for the past 40 years, says senior study author Blaise Boles, PhD, an assistant professor of molecular, cellular and developmental biology at the university, and has been incorporated into many antibacterial household products within the past decade. Other studies have found traces of triclosan in human fluids including serum, urine and milk, and studies in mammals have found that high concentrations of triclosan can disrupt the endocrine system and decrease heart and skeletal muscle function.

"It's really common in hand soaps, toothpastes and mouthwashes but there's no evidence it does a better job than regular soap," Boles says. "This agent may have unintended consequences in our bodies. It could promote S. aureus nasal colonization, putting some people at increased risk for infection."

Additional experiments found that S. aureus grown in the presence of triclosan was better able to attach to human proteins, and that rats exposed to triclosan were more susceptible to S. aureus nasal colonization.

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Paternal age of 25 to 29 at conception resulted in the lowest risk of adult-onset hormone related cancers in their daughters. From Science Daily:

Father's age at birth may affect daughter's cancer risk

Paternal age and the health effects it has on potential offspring have been the focus of many studies, but few have examined the effect parental age has on the risk of adult-onset hormone-related cancers (breast cancer, ovarian cancer and endometrial cancer).

A team of City of Hope researchers, lead by Yani Lu, Ph.D., explored this relationship and found that a parent’s age at birth, particularly a father’s age, may affect the adult-onset cancer risk for daughters — especially for breast cancer.

“Our findings indicate that parental age, especially paternal age, at conception appears to be associated with a wide range of effects on the health and development of the offspring,” Lu said.

To help determine the effects of parental age on the risk of adult-onset hormone-related cancers, Lu and her colleagues examined a cohort of 133,479 female teachers and administrators from the California Teachers Study. Between 1995 and 2010, 5,359 women were diagnosed with breast cancer, 515 women were diagnosed with ovarian cancer and 1,110 women were diagnosed with endometrial cancer.

While the team of researchers did not find an association for maternal age at birth for any type of cancer, they found that paternal age is linked to an increased adult-onset cancer risk for daughters – and the link was not only to advanced paternal age.

Women born to a father under the age of 20 had a 35 percent greater risk of breast cancer and more than two times greater risk of ovarian cancer, when compared to those born to a father whose age at his daughter’s birth was 25 to 29 years old.

Women born to a father whose age at childbirth was 30 to 34 years had a 25 percent greater risk of endometrial cancer than those born to a father age 25 to 29.

Lu and her team were not surprised to find a relationship between older fathers and an increased risk of hormone-related cancers, especially since there has been increasing evidence suggesting that daughters born to older fathers have increased risk of breast cancer, noted Lu.

“We observed that young paternal age, as well as advanced paternal age, increase the risk of breast cancer,” said Lu. “We also found that young paternal age increases the risk of ovarian cancer.”

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This study reevaluates how far airborne pathogens in coughs and sneezes can travel. From MIT News:

In the cloud: How coughs and sneezes float farther than you think

The next time you feel a sneeze coming on, raise your elbow to cover up that multiphase turbulent buoyant cloud you’re about to expel. That’s right: A novel study by MIT researchers shows that coughs and sneezes have associated gas clouds that keep their potentially infectious droplets aloft over much greater distances than previously realized.

“When you cough or sneeze, you see the droplets, or feel them if someone sneezes on you,” says John Bush, a professor of applied mathematics at MIT, and co-author of a new paper on the subject. “But you don’t see the cloud, the invisible gas phase. The influence of this gas cloud is to extend the range of the individual droplets, particularly the small ones.”

Indeed, the study finds, the smaller droplets that emerge in a cough or sneeze may travel five to 200 times further than they would if those droplets simply moved as groups of unconnected particles — which is what previous estimates had assumed. The tendency of these droplets to stay airborne, resuspended by gas clouds, means that ventilation systems may be more prone to transmitting potentially infectious particles than had been suspected.

With this in mind, architects and engineers may want to re-examine the design of workplaces and hospitals, or air circulation on airplanes, to reduce the chances of airborne pathogens being transmitted among people.

“You can have ventilation contamination in a much more direct way than we would have expected originally,” says Lydia Bourouiba, an assistant professor in MIT’s Department of Civil and Environmental Engineering, and another co-author of the study.

Indeed, the cough or sneeze resembles, say, a puff emerging from a smokestack.

“But by elucidating the dynamics of the gas cloud, we have shown that there’s a circulation within the cloud — the smaller drops can be swept around and resuspended by the eddies within a cloud, and so settle more slowly. Basically, small drops can be carried a great distance by this gas cloud while the larger drops fall out. "

Specifically, the study finds that droplets 100 micrometers — or millionths of a meter — in diameter travel five times farther than previously estimated, while droplets 10 micrometers in diameter travel 200 times farther. Droplets less than 50 micrometers in size can frequently remain airborne long enough to reach ceiling ventilation units.

A cough or sneeze is a “multiphase turbulent buoyant cloud,” as the researchers term it in the paper, because the cloud mixes with surrounding air before its payload of liquid droplets falls out, evaporates into solid residues, or both.

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The benefits of exercise and being fit keeps growing. From Medical Daily:

Physical Fitness In Your 20s Can Help Preserve Your Thinking Skills Later On In Life

If you need some motivation to get up off the couch and in your running shoes than how about this; a new study has proved that those who are fitter in their 20s are sharper thinkers in their middle age. So not only does exercise improve your health, slim your waistline, and lift your mood, but apparently it can also make you smarter. 

The study was carried out by researchers at the University of California, San Francisco. It started in 1985 and was conducted on nearly 3,000 19- to 30-year-olds in the U.S. The participants were asked to do a treadmill test and undergo physical examinations. They were asked to run for as long as they could without becoming exhausted or short of breath, according to the BBC. Then, 20 years later, the participants agreed to repeat the physical test. Five years after the second physical exam the participants underwent brain testing. These included a word recall test, a number-based test of attention, thinking speed and memory, and a test of how well people can focus while tuning out distractions. Results showed that the better people did on the treadmill test 20 years earlier, the better they did on the memory test. Also, those who had kept up their fitness later on in life scored the best overall in the memory tests. The researchers took into account factors such as weight, sex, drinking, smoking, and education. Still, those who did better on the treadmill test seemed to do better on the memory tests years later. 

The reasoning for this is that the brain uses a lot of oxygen and people who are fitter make more efficient use of oxygen. Also, exercise improves mitochondrial function, which is necessary in making use of energy. It is emphasized that this increase in brain function cannot be attributed to exercise alone. People who are physically fit are less likely to be sat in front of a television and more likely to interact with people and be engaged in life. “Just moving around — being engaged in family and life as opposed to sitting down and watching TV and pretty much not doing anything, they are going to preserve brain function. This is really about engagement in life,” lead researcher David Jacobs told NBC News. The study will continue by observing whether physical fitness in youth makes individuals less likely to develop Alzheimer’s disease later on in life. “Investment in research is vital to better understand how we can protect our brains as we age,” Jacobs concluded.

This research also ties in with another study released this week that showed young adults who had better heart health, as measured by blood pressure, have better thinking skills in middle age than those with high blood pressure.