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Are You Doing Enough To Help Alzheimer’s Disease?

Alzheimer’s is a disorder that has been identified as the leading cause of dementia. It is a progressive degenerative brain disease. That means it starts off slowly but progresses rapidly. Brain cells start dying and this leads to declining cognitive abilities and loss of memory and bodily functions. Forgetfulness, difficulty in completing and focusing on otherwise easy tasks, confusion, inability to make decisions, a decline in problem-solving skills, problem with language, social withdrawal and behavioural changes are some of the early signs of Alzheimer’s disease. People often ignore these early signs considering them a normal part of ageing.

Despite extensive research, the exact cause of Alzheimer’s is unknown. However, genetics, old age and certain lifestyle disorders are considered to be risk factors for dementia. While genetics and ageing are beyond your control, there are a few things that you can do that can help with Alzheimer’s disease prevention.

Alzheimer’s disease is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks.
Dr. Ashish Bajaj – M.B.B.S, M.D.

Lifestyle problems that could make you susceptible to Alzheimer’s

Our lifestyle today is fraught with both psychological and physical problems that can open the doors to more serious illnesses. Even the air we breathe in is responsible for a number of illnesses.

Here are a few ways you could be increasing the chances of the onset of Alzheimer’s:

Staying mentally and socially active is the most important thing to prevent alzheimer. There’s some evidence to suggest that rates of dementia are lower in people who remain mentally and socially active throughout their lives. It may be possible to reduce your risk of Alzheimer’s disease and other types of dementia by: reading. learning foreign languages.
Dr. M.G. Kartheeka, MBBS, MD

1. Cardiovascular issues

Studies have found that cardiovascular disorders and factors leading to heart diseases such as high cholesterol levels or hardened arteries or hypertension are closely linked to Alzheimer’s.

Since cardiovascular diseases can become life-threatening, by managing/preventing such diseases, you can not only guarantee better heart health but also reduce the risk of being diagnosed with Alzheimer’s or dementia.

2. Diabetes

Just like heart disorders, elevated blood sugar levels have also been found to be a risk factor for Alzheimer’s. Diabetes causes changes in the brain’s chemistry that can slowly trigger dementia. Diabetes is also associated with Mild Cognitive Impairment or MCI which is characterized by problems of memory, speech and other cognitive issues. MCI can aggravate and progress to dementia if diabetes is not managed effectively.

New Alzheimer’s treatments may slow disease progression and reduce symptoms. They can help people stay independent and keep functional skills for longer than they’d be able to without treatment.
Dr. Ashish Bajaj – M.B.B.S, M.D.

3. Anxiety and depression

Arguably, the most common mental state for most humans today, anxiety, stress and depression. Some studies have found a connection between anxiety/depression and dementia. There is a lot of research that needs to be done but most doctors believe that clinical anxiety and depression can lead to many other psychological complications.

A Harvard University survey found that the onset of depression in one’s middle increases dementia risk by 80% and the development of depression later in life raises the risk by 70%.

In this context, it is important to state that mid-life or late-life loneliness, feelings of rejection and hopelessness can also be linked to dementia because these feelings trigger depression and anxiety.

4. Drinking too much alcohol

Drinking in excess (2 or more alcoholic drinks a day) can lead to brain damage, which may, in turn, trigger the onset of cognitive problems and Alzheimer’s.

However, moderate drinking is not linked to Alzheimer’s. Neither does it offer any protection against dementia.

5. Sedentary lifestyle

A lifestyle devoid of physical activities makes the onset of Alzheimer’s more likely. Obesity increases the chances of vascular dementia (dementia caused by interrupted blood flow to the brain). Exercise helps to lose weight and it also keeps other risk factors such as stress, hypertension and blood sugar levels in balance.

According to some studies, regular exercise can lower Alzheimer’s risk by as much as 30%.

6. Pollution

Rising levels of air pollution can cause brain atrophy that may eventually lead to Alzheimer’s.

Also Read: Benefits of Turkey Tail Mushroom: A Research-Supported Health Exploration

How to prevent Alzheimer’s disease?

Following measures may help reduce the risk of Alzheimer’s disease:

If you have been diagnosed with heart disorders, hypertension, high LDL levels or diabetes, manage the health conditions scrupulously. Take your medicines on time and follow the diet recommended by your doctor. Monitor the disorder at regular intervals with medical devices or diagnostic tests.
Eat healthily. Focus on whole grains, fruits, fresh vegetables, lentils, beans, soya and dairy products, eggs and fish. Avoid red meat, refined flour, deep-fried foods and desserts.
Exercise at least 5 times a week. Jogging, brisk walking, jumping rope, squats, lunges are good for your overall health and can keep obesity, heart disorders and diabetes at bay.
Practise meditation, yoga, take walk in nature, spend time with your loved ones and indulge in your favourite activities to deal with stress and anxiety. Meditation has also been shown to improve memory and reduce cognitive decline, when practised together by the patient and the caregivers, it can act as a de-stressor for both.
Wear a mask to minimize the volume of pollutants that enter your respiratory system.
If you are going to smoke or drink, do it in moderation
Take a good quality sleep of at least 7-8 hours. Sleeping and rising up at the same time every day is beneficial for your health.

Alzheimer’s is a very real threat. It impacts the quality of life, confidence and overall health of the patient and is also stressful to handle for the family members. Every one of us should be aware of the dangers that this disorder poses to ourselves and our loved ones. Do not ignore the early signs as early diagnosis and management can be very helpful in slowing the progression of this disease. Some studies show the positive impact of diet and lifestyle changes that can go a long way in Alzheimer’s prevention and you can start implementing them today!

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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Expert Opinion: Difference Between Alzheimer and Dementia

What is Alzheimer’s disease?

To a layman, Alzheimer’s is a disease in which the patient suffering from Alzheimer’s slowly loses his/her memory. But in medical parlance, Alzheimer’s is a progressive mental deterioration, occurring mostly in old age. This happens because of the degeneration of neurons in some parts of the brain. It is a common cause of premature senility.

How does dementia typically present?

Alzheimer’s is the most common form of dementia and typically begins with memory loss for recent events and gradual decline in various cognitive abilities, ultimately leading to interference with activities of daily living over the years. In its early stages dementia can present with:

Subtle short-term memory changes.
Difficulty finding the right words.
Depression/Changes in your mood.
Apathy.
Difficulty completing normal (routine/familiar) tasks.
Confusion.
Difficulty following storylines.
A failing sense of direction.

What is the significance of early diagnosis?

The degenerative processes behind Alzheimer’s disease begin 10 or even 20 years before symptoms become evident and the condition gets diagnosed. Hence, early diagnosis is of crucial importance in addressing the symptoms effectively. To know if one suffers or is prone to suffer from Alzheimer’s, it is advantageous to be able to obtain some accurate and early diagnosis when the cognitive symptoms start:

When dealing with reversible causes of dementia: Sometimes temporary memory loss can be caused by the use of psychoactive substances, vitamin deficiencies, trauma to the head, tumours, various metabolic diseases, hormonal dysfunction (thyroid) or infections, which can be reversed by managing the underlying cause efficiently.

Sooner the better: Treatment of dementia is typically most effective when started early in the disease process. Although the medication can not reverse the neuronal damage by degeneration, it does slow down the process and delay further degradation, thus adding a few more months or years to live.

Diagnoses are more accurate early in the disease process: A more precise diagnosis is possible when a complete history can be taken early in the disease process. This can happen when the person in question can answer questions about their cognitive health and report any concerns. Additionally, they should be able to observe or recall the chronological order in which the symptoms appeared. Unfortunately, an accurate diagnosis is challenging once all brain functions are compromised.

It’s empowering: An earlier diagnosis can be empowering as the person can participate in their own financial, legal and other long-term life care plans. They can also alert their family members about their condition.

They can focus on what’s important to them: Priorities in life change especially when such a severe diagnosis comes up. Therefore, early diagnosis, helps the person rethink and re-prioritize their life. Who they want to be with, how they wish to spend their time, what matters, life goals from here on, etc. They may choose to record their important moments, complete pending tasks, make new memories and so on.

One can make the best choices: With early diagnosis, one can make better decisions which they may have overlooked due to ignorance like moving far away from family or breaking up with friends or getting into draining financial commitments.

One can use the resources available: Individuals diagnosed early in the disease process can take advantage of available health services and early-stage support groups and learn tips and strategies to better manage and cope with the symptoms of the disease.

It will help the family: An early diagnosis gives families more opportunity to learn about the disease, develop realistic expectations and plan for their future together – which can result in reduced stress/anxiety and feelings of burden and regret later in the disease process.

It will help the person too: Early diagnosis allows the person and family to attribute cognitive changes to the disease rather than to personal failings – preserving the person’s ego throughout the disease process.

What is the recent research update on signs to predict the onset of Alzheimer’s?

In a recent study published in The American Journal of Psychiatry (Haridy et 2018), it was found that increasing symptoms of anxiety could be an early indicator of Alzheimer’s, thus allowing health professionals better targets for early interventions to treat the condition before it causes too much irreversible neurological damage.

Depression has often been a common denominator in the preclinical phase of those diagnosed later with dementia. When specific symptoms from the same were assessed in correlation with the cellular pathology of dementia, the researchers found a stronger association of the pathology (beta-amyloid levels in the brain) with the person’s preclinical state anxiety. However, this study did not comment upon its association with subsequent onset of Alzheimer’s disease, thus warranting further long-term study to ascertain such connection, if present. This research being in its preliminary stages also awaits application on pragmatic levels.

What is trait and state anxiety?

State anxiety describes the experience of unpleasant feelings when confronted with specific situations, demands or an object or event. Typically anxiety arises when the person makes a mental assessment of some threat. When the perceived threatening object or situation goes away, the person no longer experiences the anxiety, thus making it a temporary condition.

Like state anxiety, trait anxiety arises in response to a perceived threat, but it differs in its intensity, duration and the range of situations in which it occurs. Trait anxiety refers to the variation in people’s tendency to experience state anxiety in response to an anticipated threat. People with a high level of trait anxiety experience relatively more intense degrees of state anxiety and to a broader range of situations. Thus, trait anxiety describes a personality characteristic rather than a temporary feeling.

What is a ‘Catastrophic reaction’?

A catastrophic reaction is an excessive reaction by a person, to something that may seem otherwise inconsequential to others. Quite often, a person with dementia simply may not be feeling well or might be feeling rushed and confused during early-stage symptoms (when they notice/ experience their new-found inefficiency) or could be triggered by some distant memory or some complication in communication. It is important for caregivers and family members to be sensitive to the emotional needs of the ones suffering from this experience and respond to them with empathy, patience and reassurance.

What is the role of the caregivers?

In the early stage of Alzheimer’s, most people function independently. He or she may still drive, take part in social activities, volunteer and even continue to work. As a caregiver/partner, it is important to provide adequate support and companionship to the person and help him/her plan.

It is a new and unfamiliar role to play and might make one unsure of where to go for information or anxious about what to expect as the disease progresses and wonder whether one would be able to support the loved one living with dementia. In such cases, it is recommended to communicate with your nearest mental health facility or professional/s and seek medical guidance and support.