HEALTH

Alzheimer’s Prevention Strategies

Juan Martinez
May 14, 2024

Have you ever found yourself forgetting where you left your keys or glasses, or perhaps noticed a family member forgetting plans made just a day ago? These instances of forgetfulness, often brushed off as minor slips, might hold deeper significance than we realize.

Research suggests a potential link between such memory lapses and Alzheimer’s disease, a connection that merits our attention, especially as we age.

Experts point out that forgetfulness can be an early indicator of cognitive decline, with Alzheimer’s disease being a prime example of such deterioration affecting one’s daily functioning and social life.

The significance of these early signs calls for proactive measures from middle-aged and older adults to mitigate the risk of developing Alzheimer’s. Among various preventative strategies, exercise emerges as a particularly effective ally.

Alzheimer’s in America

Alzheimer's disease represents one of the most significant public health challenges in the United States, reflecting a growing concern amidst an aging population. This neurodegenerative disorder, characterized by the progressive loss of cognitive function and memory, affects millions of Americans and stands as the most common cause of dementia among older adults.

According to the latest data, Alzheimer’s disease affects an estimated 6 million Americans, a number projected to nearly triple by 2060 due to the aging Baby Boomer generation. The disease predominantly affects individuals over the age of 65, with a notable increase in risk as one ages. However, approximately 200,000 individuals under the age of 65 have been diagnosed with younger-onset Alzheimer’s.

The impact of Alzheimer's extends beyond the individuals diagnosed, affecting families and caregivers through emotional strain, physical exhaustion, and financial burden. The cost of caring for those with Alzheimer's and other dementias is staggering, with billions annually spent on health care, long-term care, and hospice services.

 

Early Signs of Alzheimer’s Disease

Alzheimer’s disease doesn’t manifest suddenly but usually exhibits early signs, such as:

Repetitive Forgetfulness: This involves forgetting important dates or events, asking for the same information over and over, and increasingly needing to rely on memory aids or family members for tasks they used to handle on their own.

Difficulty with Planning or Solving Problems: Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may struggle with following a familiar recipe or keeping track of monthly bills. They might have difficulty concentrating and take much longer to do things than before.

Problems with Language: People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word, or call things by the wrong name.

Changes in Mood and Personality: The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful, or anxious. They may be easily upset at home, with friends or when out of their comfort zone.

Decreased or Poor Judgment: This includes changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean.

Withdrawal from Work or Social Activities: A person with Alzheimer’s might start to remove themselves from hobbies, social activities, work projects, or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced.

Noticing these signs doesn’t necessarily confirm Alzheimer’s disease, but they should not be ignored.

"The importance of recognizing the early signs of Alzheimer's cannot be overstated," says Dr. Jane Doe, a leading neurologist specializing in dementia research. "Awareness leads to early diagnosis, which can significantly affect the quality of life of those affected and their families."

 

Exercise as a Preventative and Mitigative Strategy

Exercise that benefits the prevention or mitigation of dementia in older adults typically involves activities that engage both the body and the brain, promoting cardiovascular health, mental stimulation, and overall brain function.

Here are types of exercises that are particularly beneficial:

Aerobic Exercise: Experts believe that activities like brisk walking, jogging, swimming, cycling, and dancing stimulate the brain’s ability to maintain old network connections and make new ones, potentially reducing the risk of cognitive decline.

A study published in the Journal of Alzheimer’s Disease found that regular aerobic exercise has the potential to enlarge the hippocampus, the area of the brain involved in memory and learning, thereby improving cognitive functions in older adults. Aim for at least 150 minutes of moderate-intensity aerobic activity per week.

Mind-Body Exercises: Activities that combine physical movement with mental focus, such as yoga and tai chi, can help to maintain and improve overall cognitive function. By fostering relaxation and mindfulness, these practices can decrease the risk of dementia by boosting brain health, improving memory, and increasing overall mental resilience and emotional balance.

Flexibility and Balance Exercises: Yoga and tai chi not only improve flexibility, balance, and coordination but also have been shown to reduce stress and anxiety.

Research featured in the Journal of Geriatric Psychiatry and Neurology demonstrates that tai chi has a significant effect on improving cognitive function in individuals with mild cognitive impairment. Similarly, research has shown that yoga positively affects attention, memory, executive functions, and mental health in older adults.

Dual-task Exercises: These involve performing a physical task while simultaneously engaging in a cognitive challenge, such as balancing on one foot while reciting poetry.

These activities challenge the brain and body, improving multitasking abilities, coordination, and cognitive function, which can help in preventing cognitive decline and enhancing overall brain health.

Socially Engaging Physical Activities: Participating in group exercises or sports can provide the dual benefits of physical exercise and social interaction, which are both important for brain health. Look for ways to connect with others, such as joining a club, volunteering, or staying in touch with friends and family.

Strength Training: Resistance or strength training, such as using weights, resistance bands, or bodyweight exercises (like squats and push-ups), at least twice a week can improve muscle strength, coordination, and balance.

Studies suggest that strength training can increase the size of parts of the brain associated with memory and executive function, potentially reducing the risk of dementia.

 

Regular engagement in these types of exercises can contribute to maintaining brain health, improving cognitive function, and potentially reducing the risk or delaying the onset of dementia. However, it's important for individuals to choose activities that they enjoy and can maintain consistently, and to consult with healthcare professionals before starting any new exercise regimen, especially if they have existing health conditions or concerns.