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There has been medical debate over whether taking a daily multivitamin supplement has any benefits. Well, a third large study says YES - taking a daily multivitamin slows age-related memory loss and cognitive aging in older adults (60 years and older).

The researchers estimate that a daily multivitamin slowed cognitive aging the equivalent of 2 years when compared to persons not taking a multivitamin.

From Science Daily: Third major study finds evidence that daily multivitamin supplements improve memory and slow cognitive aging in older adults

By 2060, according to the Alzheimer's Association, nearly one in four Americans will be in an age bracket at elevated risk of cognitive decline and Alzheimer's disease unless interventions can help preserve cognitive function before deficits begin. ...continue reading "Study Finds Multivitamins May Slow Memory Loss In Older Adults"

One fear people have is of developing problems with their memory in their later years, called age-related memory loss. A recent study finding a possible way to maintain memory in older adults is intriguing and offers hope. And best of all, it's fairly easy to do - just increase the intake of flavanol rich foods.

A large Columbia University study of adults over age 60 found that daily flavanol supplementation (cocoa extract with 500 mg flavanols) over a 3 year period improved the memory of persons whose diet was low in flavanol intake from foods, but not in persons with high intake of flavanols. The researchers suggest that a low flavanol diet is one of the drivers of age-related memory loss.

The researchers stated that flavanols only improved memory processes governed by the hippocampus, and did not improve memory mediated by other areas of the brain.

Flavanols are natural substances found in certain fruits and vegetables, especially berries, onions, kale, lettuce, tomatoes, apples, grapes, and cocoa. Flavanols are a type or class of flavonoids, all of which have health benefits. Eat a variety of plant foods (includes tea and wine) to ensure you're eating a variety of flavonoids.

Some other benefits of flavonoids: they are anti-inflammatory, anti-oxidative, have anti-mutagenic and anti-carcinogenic properties, lower heart disease death rates, and prevention of heart disease.

From Medical Xpress: Low-flavanol diet drives age-related memory loss, large study finds

A large-scale study led by researchers at Columbia and Brigham and Women's Hospital/Harvard is the first to establish that a diet low in flavanols—nutrients found in certain fruits and vegetables—drives age-related memory loss. ...continue reading "Eating A Diet Rich in Flavanols May Help With Memory"

Memory declines over the years as we age. For some it can be mild (being forgetful), but very severe for some others.  The good news is that there are things we can all do to prevent, slow, or even reverse (!!) the memory decline. Studies suggest the key is adopting healthy lifestyle habits.

A large study found that there are six healthy lifestyle habits that were linked to a slower decline in cognitive decline (memory) in older adults followed for a decade. The more healthy habits, the slower the memory decline. The average age of participants was 72 years when the study started.

The six healthy lifestyle habits are a healthy diet, cognitive activity (use your brain!), regular physical exercise, not smoking, and and not drinking alcohol. Having a healthy diet (e.g., Mediterranean style diet) was the most important thing one can do, followed by cognitive activity (e.g., reading, writing, playing cards) and physical exercise or activity.

Excerpts from Medscape: Six Healthy Lifestyle Habits Linked to Slowed Memory Decline

Adhering to six healthy lifestyle behaviors is linked to slower memory decline in older adults, a large, population-based study suggests. ...continue reading "Six Lifestyle Habits Associated With Less Memory Decline In Older Adults"

Exercise is good for memory and the brain. University of Geneva researchers found that even one short bout of moderate or intense exercise improves memory and acquisition of new motor skills.

In a well-designed study, 15 healthy volunteers exercised intensely for 15 minutes, moderately for 30 minutes, or rested, and were given various tests both before and after exercising. They found that exercise had beneficial effects on the hippocampus of the brain, and that physical exercise improves some types of memory. The hippocampus plays a critical role in learning and memory.

Intense physical exercise improves memory functions by increasing neural plasticity in the hippocampus. [Note: increasing plasticity of the brain is good.] The findings of this study match earlier animal research, in that "a single session of physical exercise has been shown to boost anandamide (AEA), an endocannabinoid known to promote hippocampal plasticity".

The researchers felt that this study provided additional evidence that physical exercise could possibly prevent cognitive decline as people age. Typically some cognitive decline, along with a reduction in brain volume, occurs in the aging brain, so slowing down or preventing cognitive decline is desirable. Bottom line: Get out and move, move, move for brain health! By the way, all physical activity is better than no activity.

From Medical Xpress: Sport and memory go hand in hand

If sport is good for the body, it also seems to be good for the brain. By evaluating memory performance following a sport session, neuroscientists from the University of Geneva (UNIGE) demonstrate that an intensive physical exercise session as short as 15 minutes on a bicycle improves memory, including the acquisition of new motor skills. ...continue reading "Some Intense Exercise Is Beneficial For The Brain"

Are you exercising frequently? No? Perhaps you need a good motivating reason. Recent study results provide a good reason (brain health!) for all of us to exercise or do some form of of moderate physical activity for at least 2 1/2 hours per week.

A study conducted in Germany found evidence of an association between cardiorespiratory fitness and brain health, particularly in gray matter volume and total brain volume. The researchers found that higher cardiorespiratory fitness is associated with larger brain volumes in several brain regions that are involved with cognitive functioning.

The study found that exercise (which improves cardiorespiratory fitness) was especially beneficial for older adults. This is because there is some shrinkage of brain volume in normal aging, as well as in some diseases - thus want to prevent brain volume shrinkage as much as possible.

For example, one of the areas of the brain that that had greater volume with cardiorespiratory fitness was the hippocampus. The hippocampus plays a central role in memory-related functions and in stress regulation. This is an important finding because shrinking of the hippocampus (atrophy) is associated with several diseases and disorders, such as Alzheimer disease, depression, and schizophrenia.

What exactly is cardiorespiratory fitness? Cardiorespiratory fitness refers to the ability of the circulatory and respiratory systems to supply oxygen during physical activity. It is a big part of physical fitness and can be improved through regular physical activity, such as exercise. Higher cardiorespiratory fitness is associated with lower risk of heart disease and metabolic syndrome.

Bottom line: Get out and move, move, move to improve your cardiorespiratory fitness and so also benefit the brain. After all, we all want to prevent brain volume shrinkage (and cognitive decline) if at all possible. By the way, other studies also find beneficial brain effects from regular physical activity and exercise, even light physical activity.

...continue reading "Physical Activity Is Beneficial For The Brain"

Image result for soccer ball Many studies have discussed the short-term and long-term harm to the brain from playing tackle football, especially when starting the game at an early age (before the age of 12) , and from getting concussions and sub-concussions. But relatively little has been said about the possibility of similar harm from soccer (see post).

Finally a study looking at the practice of heading the ball in soccer - where yes, the person is directly hitting the soccer ball with his or her head, whether during a game or routine heading practice. Any harm from that? Yes. There were measurable brain function changes in both male and female young adults after heading a soccer ball 20 times during one practice session. While the changes ("short and long term memory function and corticomotor inhibition") were temporary, the researchers were concerned over possible long term brain effects (perhaps similar to those found in football players) when there are many practice sessions and soccer games, over many years. From Science Daily:

Heading a soccer ball causes instant changes to the brain

Researchers from the University of Stirling have explored the true impact of heading a soccer ball, identifying small but significant changes in brain function immediately after routine heading practice. The study from Scotland's University for Sporting Excellence published in EBioMedicine is the first to detect direct changes in the brain after players are exposed to everyday head impacts, as opposed to clinical brain injuries like concussion.

A group of soccer ball players headed a ball 20 times, fired from a machine designed to simulate the pace and power of a corner kick. Before and after the heading sessions, scientists tested players' brain function and memoryIncreased inhibition in the brain was detected after just a single session of heading. Memory test performance was also reduced by between 41 and 67 per cent, with effects normalising within 24 hours. Whether the changes to the brain remain temporary after repeated exposure to a soccer ball and the long-term consequences of heading on brain health, are yet to be investigated.

Played by more than 250 million people worldwide, the 'beautiful game' often involves intentional and repeated bursts of heading a ball. In recent years the possible link between brain injury in sport and increased risk of dementia has focused attention on whether soccer ball heading might lead to long term consequences for brain health.

Cognitive neuroscientist Dr Magdalena Ietswaart from Psychology at the University of Stirling, said: "In light of growing concern about the effects of contact sport on brain health, we wanted to see if our brain reacts instantly to heading a soccer ball. Using a drill most amateur and professional teams would be familiar with, we found there was in fact increased inhibition in the brain immediately after heading and that performance on memory tests was reduced significantly.

"Although the changes were temporary, we believe they are significant to brain health, particularly if they happen over and over again as they do in soccer ball heading. With large numbers of people around the world participating in this sport, it is important that they are aware of what is happening inside the brain and the lasting effect this may have." In the study, scientists measured levels of brain function using a basic neuroscience technique called Transcranial Magnetic Stimulation (TMS).  (Original study)

A nice summary article about the benefits and risks of coffee consumption. Summary of effects of drinking coffee1) May potentially increase blood pressure, but also may lower the risk for coronary disease, and protect against heart disease. 2) May cut stroke risk by as much as 25%, 3) Linked to  improved glucose metabolism, reduced risk for type 2 diabetes, and promotion of weight loss in overweight patients. 4) May reduce the risk for several cancers. 5) Appears to slow the progression of dementia and Parkinson's disease. 6) A significantly decreased risk of developing depression. 7) Slows progression in alcoholic cirrhosis, hepatitis C, and NAFLD (non-alcoholic fatty liver disease). 8) May be beneficial in dry-eye syndrome, gout, and in preventing MRSA infection. 9) May increase blood pressure, anxiety, insomnia, tremor, withdrawal symptoms, and potential increased risk of glaucoma. From Medscape:

How Healthy Is Coffee? The Latest Evidence

Earlier this year, the Dietary Guidelines Advisory Committee (DGAC) released a report[1] stating that up to five cups of coffee per day, or up to 400 mg of caffeine, is not associated with long-term health risks. Not only that, they highlighted observational evidence that coffee consumption is associated with reduced risk for several diseases, including type 2 diabetes, cardiovascular disease (CVD), and neurodegenerative disorders. The body of data suggesting that moderate coffee—and, in all likelihood, tea—consumption is not only safe but beneficial in a variety of mental and medical conditions is growing fast.

A 2012 study of over 400,000 people, published in the New England Journal of Medicine, reported that coffee consumption is associated with a 10% reduction in all-cause mortality at 13-year follow-up.... It's important to note that much of the evidence on the potential health effects of coffee, caffeine, and other foods and nutrients is associational and doesn't prove causality—observational investigations come with limitations and often rely on error-prone methods such as patient questionnaires. However, the sheer volume of existing observational data linking coffee and/or caffeine with various health benefits—as well as, in many cases, evidence of a dose response—suggests that the most widely consumed stimulant in the world has positive influences on our health. 

Cardiovascular Disease:...However, when caffeine is ingested via coffee, enduring blood pressure elevations are small and cardiovascular risks may be balanced by protective properties. Coffee beans contain antioxidant compounds that reduce oxidation of low-density lipoprotein (LDL) cholesterol, and coffee consumption has been associated with reduced concentrations of inflammatory markers. Moderate coffee intake is associated with a lower risk for coronary heart disease as far out as 10 years, and data suggest that an average of two cups per day protects against heart failure.

Cerebrovascular Disease and Stroke: The vascular benefits of coffee are not lost on the brain. According to a 2011 meta-analysis, consuming between one and six cups per day reportedly cut stroke risk by 17%. A 22%-25% risk reduction was seen in a large sample of Swedish women followed for an average of 10 years.

Diabetes:...Numerous studies have linked regular coffee drinking with improved glucose metabolism, insulin secretion, and a significantly reduced risk for diabetes. Most recently, findings from a long-term study published this year suggest that coffee drinkers are roughly half as likely to develop type 2 diabetes as are nonconsumers, even after accounting for smoking, high blood pressure, and family history of diabetes.

Cancer: ...Evidence suggests that moderate to heavy coffee consumption can reduce the risk for numerous cancers, including endometrial (> 4 cups/day), prostate (6 cups/day), head and neck (4 cups/day), basal cell carcinoma (> 3 cups/day), melanoma,and breast cancer (> 5 cups/day). The benefits are thought to be at least partially due to coffee's antioxidant and antimutagenic properties.

Neurodegeneration: Beyond the short-term mental boost it provides, coffee also appears to benefit longer-term cognitive well-being. A 2012 study reported that patients with mild cognitive impairment and plasma caffeine levels of > 1200 ng/mL—courtesy of approximately three to five cups of coffee per day—avoided progression to dementia over the following 2-4 years. On a related note, a study from last year reported that caffeine consumption appears to enhance memory consolidation....Caffeinated coffee has long been thought to be neuroprotective in Parkinson disease (PD)....—as well as in multiple sclerosis

Depression: A 2011 study suggests that a boost in coffee consumption might also benefit our mental health: Women who drank two to three cups of coffee per day had a 15% decreased risk for depression compared with those who drank less than one cup per week. A 20% decreased risk was seen in those who drank four cups or more per day. Newer work also suggests that regular coffee drinking may be protective against depression.

Liver Disease: The liver might help break down coffee, but coffee might protect the liver (in some cases). Evidence suggests that coffee consumption slows disease progression in patients with alcoholic cirrhosis and hepatitis C, and reduces the risk of developing hepatocellular carcinoma. A 2012 study reported that coffee intake is associated with a lower risk for nonalcoholic fatty liver disease (NAFLD), while work published in 2014 found that coffee protects against liver fibrosis in those with already established NAFLD.

And That's Not All…: An assortment of other research suggests that coffee intake might also relieve dry-eye syndrome by increasing tear production, reduce the risk for gout, and potentially fight infection. Coffee and hot tea consumption were found to be protective against one of the medical community's most concerning bugs, methicillin-resistant Staphylococcus aureus (MRSA). While it remains unclear whether the beverages have systemic antimicrobial activity, study participants who reported any consumption of either were approximately half as likely to have MRSA in their nasal passages.

And Finally, the Risks: As is often the case, with benefits come risks, and coffee consumption certainly has negative medical and psychiatric effects to consider. Besides the aforementioned potential increase in blood pressure, coffee can incite or worsen anxiety, insomnia, and tremor and potentially elevate glaucoma risk. Also, given the potential severity of symptoms, caffeine withdrawal syndrome is included as a diagnosis in the DSM-5.

Trans fats are commonly used in processed foods to improve taste, texture, and shelf life. Artificial trans fats are found in partially hydrogenated oils and in other ingredients, such as refined oils, emulsifiers, flavors and colors. Even those processed foods that say zero trans fats may contain trans fats - due to a loophole in labeling laws (if it has less than .5 grams per serving, then it can be rounded down to zero - thus allowing the incorrect claim of zero trans fats). Eating a variety of processed foods, each containing a little trans fats, easily adds up to eating a significant amount daily.Trans fats in the diet have long been linked to cardiovascular disease, artherosclerosis, obesity, oxidative stress, and inflammation, but now research finds that it is linked to a poorer memory in middle-aged men under the age of 45. From Science Daily:

Dietary trans fat linked to worse memory

Higher consumption of dietary trans fatty acids (dTFA), commonly used in processed foods to improve taste, texture and durability, has been linked to worsened memory function in men 45 years old and younger, according to a study.

Researchers evaluated data from 1,018 men and women who were asked to complete a dietary survey and memory test involving word recall. On average, men aged 45 and younger recalled 86 words; however, for each additional gram of trans fats consumed daily, performance dropped by 0.76 words. This translates to an expected 12 fewer words recalled by young men with dTFA intake levels matching the highest observed in the study, compared to otherwise similar men consuming no trans fats.

After adjusting for age, exercise, education, ethnicity and mood, the link between higher dTFA and poorer memory was maintained in men 45 and younger.The study focused predominantly on men because of a small number of women in this age group. However, including women in the analysis did not change the finding, said Golomb. An association of dTFA to word memory was not observed in older populations. Golomb said this is likely due to dietary effects showing more clearly in younger adults. Insults and injuries to the brain accrue with age and add variability to memory scores that can swamp ability to detect diet effects.

Trans fatty acids have been linked to negative effects on lipid profiles, metabolic function, insulin resistance, inflammation and cardiac and general health. In 2013, the United States Food and Drug Administration issued a preliminary determination that trans fats were no longer generally recognized as safe. According to the Centers for Disease Control, reducing dTFA consumption could prevent 10,000 to 20,000 heart attacks and 3,000 to 7,000 coronary heart disease deaths per year in the U.S.

Chocolate lovers are rejoicing! From the NY Times:

To Improve a Memory, Consider Chocolate

Science edged closer on Sunday to showing that an antioxidant in chocolate appears to improve some memory skills that people lose with age. In a small study in the journal Nature Neuroscience, healthy people, ages 50 to 69, who drank a mixture high in antioxidants called cocoa flavanols for three months performed better on a memory test than people who drank a low-flavanol mixture.

On average, the improvement of high-flavanol drinkers meant they performed like people two to three decades younger on the study’s memory task, said Dr. Scott A. Small,a neurologist at Columbia University Medical Center and the study’s senior author. They performed about 25 percent better than the low-flavanol group.

The findings support recent research linking flavanols, especially epicatechin, to improved blood circulation, heart health and memory in mice, snails and humans. But experts said the new study, although involving only 37 participants and partly funded by Mars Inc.,the chocolate company, goes further and was a well-controlled, randomized trial led by experienced researchers.

Besides improvements on the memory test — a pattern recognition test involving the kind of skill used in remembering where you parked the car or recalling the face of someone you just met — researchers found increased function in an area of the brain’s hippocampus called the dentate gyrus, which has been linked to this type of memory.

To consume the high-flavanol group’s daily dose of epicatechin, 138 milligrams, would take eating at least 300 grams of dark chocolate a day — about seven average-sized bars. Or possibly about 100 grams of baking chocolate or unsweetened cocoa powder, but concentrations vary widely depending on the processing. Milk chocolate has most epicatechin processed out of it.

More extensive research is planned. As for why flavanols would help memory, one theory is that they improve brain blood flow; another, favored by Dr. Small, is that they cause dendrites, message-receiving branches of neurons, to grow.

Fish consumption was beneficial for the brain, but brain differences among the groups not correlating with blood omega-3 levels was a surprise. From  Science Daily:

Eating baked, broiled fish weekly boosts brain health, study says

Eating baked or broiled fish once a week is good for the brain, regardless of how much omega-3 fatty acid it contains, according to researchers. The findings add to growing evidence that lifestyle factors contribute to brain health later in life. Scientists estimate that more than 80 million people will have dementia by 2040, which could become a substantial burden to families and drive up health care costs.

"Our study shows that people who ate a diet that included baked or broiled, but not fried, fish have larger brain volumes in regions associated with memory and cognition," Dr. Becker said. "We did not find a relationship between omega-3 levels and these brain changes, which surprised us a little. It led us to conclude that we were tapping into a more general set of lifestyle factors that were affecting brain health of which diet is just one part."

Lead investigator Cyrus Raji, M.D., Ph.D., who now is in radiology residency training at UCLA, and the research team analyzed data from 260 people who provided information on their dietary intake, had high-resolution brain MRI scans, and were cognitively normal at two time points during their participation in the Cardiovascular Health Study (CHS), a 10-year multicenter effort that began in 1989 to identify risk factors for heart disease in people over 65.

"The subset of CHS participants answered questionnaires about their eating habits, such as how much fish did they eat and how was it prepared," Dr. Raji said. "Baked or broiled fish contains higher levels of omega-3s than fried fish because the fatty acids are destroyed in the high heat of frying, so we took that into consideration when we examined their brain scans."

People who ate baked or broiled fish at least once a week had greater grey matter brain volumes in areas of the brain responsible for memory (4.3 percent) and cognition (14 percent) and were more likely to have a college education than those who didn't eat fish regularly, the researchers found. But no association was found between the brain differences and blood levels of omega-3s.

"This suggests that lifestyle factors, in this case eating fish, rather than biological factors contribute to structural changes in the brain," Dr. Becker noted. "A confluence of lifestyle factors likely are responsible for better brain health, and this reserve might prevent or delay cognitive problems that can develop later in life."