The Pilot News

Roundup of studies on cognitive impairment and Alzheimer’s

- BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.

A new report by the Alzheimer’s Associatio­n says that in the U.S., 12% to 18% of people age 60 or older are living with MCI -- that’s mild cognitive impairment. Every year, around 10% to 15% of those folks will develop full-blown dementia. In five years, 30% will have Alzheimer’s.

That’s why it’s important to understand that MCI isn’t a normal part of aging. Fortunatel­y, we know there are some risk factors for MCI that you can avoid or reverse -- and doing that will greatly reduce your risk for dementia. The risk factors are: diabetes, inadequate sleep, smoking, high blood pressure, high LDL cholestero­l, excess added sugar, obesity, depression, inactivity, isolation and lack of doing speed-of-processing games.

Why do those risk factors damage your brain? Another study has figured out that your pancreas, body fat, muscle and liver, which are sensitive to glucose and insulin, secrete amyloid beta. And when levels of amyloid beta are constantly elevated (as happens with diabetes and other risk factors), that keeps amyloid beta that’s in the brain from flowing out. It accumulate­s, contributi­ng to the developmen­t of amyloid tangles and Alzheimer’s. Then there’s additional research that shows as nerve cells in the brain try to cope with an ever-more toxic environmen­t, they alter their structure and interfere with healthy gene expression in the brain’s neurons, worsening dementia.

To protect your brain, start today with smart choices in nutrition, sleep and stress-response habits, exercise, and learning and social activities. That’ll help you untangle the toxic tangle that leads from MCI to dementia.

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