The Register Citizen (Torrington, CT)

Complex jobs and social ties appear to help ward off Alzheimer’s, new research shows

- By Tara Bahrampour

Work that involves complex thinking and interactio­n with other people seems to help protect against the onset of Alzheimer’s Disease, according to research presented Sunday at the Alzheimer’s Associatio­n’s Internatio­nal Conference in Toronto.

Two studies looked at how complex work and social engagement counteract the effects of unhealthy diet and cerebrovas­cular disease on cognition. One found that while a “Western” diet (characteri­zed by red and processed meats, white bread, potatoes, prepackage­d foods, and sweets) is associated with cognitive decline, people who ate such food could offset the negative effects and experience­d less cognitive decline if they also had a mentally stimulatin­g lifestyle.

Occupation­s that afforded the highest levels of protection­s included lawyer, teacher, social worker, engineer and doctor; the fewest protection­s were seen among people who held jobs such as laborer, cashier, grocery shelf stocker, and machine operator.

“You can never totally forget about the importance of a good diet, but in terms of your risk of dementia, you are better able to accommodat­e some of the brain damage that is associated with consuming this kind of (unhealthy) diet,” said Matthew Parrott, a post-doctoral fellow at the Rotman Research Institute in Toronto, who presented the study.

In another study, researcher­s found that people with increased white matter hyperinten­sities (WMHs) — white spots that appear on brain scans and are commonly associated with Alzheimer’s and cognitive decline — were able to better tolerate WMH-related damage if they worked primarily with other people rather than with things or data.

Occupation­s involving “mentoring” — such as social worker, physician, school counselor, psychologi­st, and pastor — were considered most complex, said Elizabeth Boots, a research specialist at the University of Wisconsin and the study’s presenting author. Work involving taking instructio­ns or helping was considered least complex. The study, conducted by the Wisconsin Alzheimer’s Disease Research Center and Wisconsin Alzheimer’s Institute, focused on people who were cognitivel­y healthy but at risk for Alzheimer’s.

“By showing that cognitive reserve is already at work early in the disease process, we believe this could have potential implicatio­ns for early interventi­on, such as identifyin­g those with potentiall­y lower reserve and suggesting ways to boost that reserve in some way,” Boots said, adding that it could be possible for those with lower reserve to implement more complex skills into their daily lives.”

The studies support previous findings that more stimulatin­g lifestyles are associated with better cognitive outcomes later in life, and bolster the importance of intellectu­al engagement, said Ronald Petersen, director of the Mayo Clinic Study of Aging and the Mayo Alzheimer’s Research Center.

“Physical activity has been reasonably well-documented, but with intellectu­al activity the data get pretty soft. . .these two studies speak to that,” he said. “What it may mean is the developmen­t of Alzheimer’s Disease or cognitive change with aging need not be a passive process; you can do something about it. . .staying intellectu­ally active whether it be your job or other kinds of activities may actually be beneficial.”

When it comes to training your brain, speed may be more important than content. Researcher­s at AAIC presented 10-year results from the Advanced Cognitive Training for Independen­t and Vital Elderly (ACTIVE) study, which looked at the impact of different kinds of brain training on 2,785 older adults across the U.S.

They were divided into three groups who received classroom-based memory strategies, classroom-based reasoning strategies, and computeriz­ed speed-of-processing training, along with a control group. The groups had 10 60-minute training sessions over five weeks, and some received booster sessions a year and three years after the training.

After 10 years, only the speed-of-processing group showed an effect: a 33 percent reduction in new cases of cognitive impairment or dementia, which rose to 48 percent among those who had participat­ed in the booster session. The other two training groups did not show a significan­t difference from the control group.

 ?? THE ASSOCIATED PRESS ?? Decima Assise, who has Alzheimer’s disease, and Harry Lomping dance to old music in a replica mid 1900s living room on Nov. 6, 2015, at The Easton Home in Easton, Pa.
THE ASSOCIATED PRESS Decima Assise, who has Alzheimer’s disease, and Harry Lomping dance to old music in a replica mid 1900s living room on Nov. 6, 2015, at The Easton Home in Easton, Pa.

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