Category Archives: Family

Research

A major discovery has been made in the research of Alzheimer’s disease, as reported in the July 2018 edition of JAMA Neurology. Researchers at Yale University Alzheimer’s Research center have been able to measure the density of neural synapses in living patients. Up until the present, measurement of synaptic density was only possible in brains of people after they died.

Levels of a certain protein, SV2A, found in the transmission of neurotransmitter chemicals from one neuron to another were measured with position emission tomography (PET). The participants with MCI or mild Alzheimer’s disease who were compared to cognitively unimpaired individuals were found to have significantly less SV2A in the neural synapses in the hippocampus indicating a decrease in synaptic binding. The hippocampus is the part of the brain that forms memories, and it has been established that there is a relationship to damage in that area and Alzheimer’s disease.

The PET scan results also correlated with scores on episodic (short term) memory tests as well as those for Alzheimer’s. Other brain imaging tests, though protein was measured, did not offer the correlation with tests for cognition, which is fundamental to the study.

This important breakthrough of a reliable test for synaptic density in living people can provide a better measure of disease progression and help in evaluation of treatment with drugs in clinical trials. Reference: Chen MK, et al. Assessing synaptic density in Alzheimer disease with synaptic vesicle glycoprotein 2A positron emission tomographic imaging. JAMA Neurology 2018 July 16.

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A Swedish study that spanned four decades and involved 200 women discovered that those who have high levels of physical activity in middle age are 90% less likely to develop dementia as compared to women who are moderately fit. The women were tested for physical fitness by means of a bicycle test and were monitored and tested for evidence of dementia. They found that the average age for the onset of dementia was 90 for those highly fit and 79 for moderately fit women. Reference: Mind Report.newsmax.com

If that doesn’t make you want to get up and move, this next study will!

Multiple studies have shown that physical exercise helps to protect memory and cognitive function. It can also increase the size of the hippocampus, where memories are created. Research conducted at UCLA explored the impact of sitting and the brain’s hippocampal thickness. After recruiting 35 volunteers they recored how many hours they spent sitting each day the previous week. They then performed MRI scans to measure the medial temporal lobe where new memories are formed. There was a correlation between the number of hours of sedentary behavior and thinning of the lobe.  Note: This was a small study and more research needs to be done and variables taken into consideration before general conclusions can be drawn. Reference: Mind Report.newsmax.com

 Do you know anyone hard of hearing who doesn’t always wear their hearing aids? They may not want to bother or want to deliberately tune people out. Let them know: Loss of hearing is a significant risk factor for dementia.

Experts don’t know yet what links hearing loss to dementia, but it is suggested that it may be due to the decrease in social interaction. If you don’t understand what is being said and don’t participate fully in conversations, you may lose the benefits that come from that type of mental stimulation. Reference: Alzheimer’s Association

Excellent sites to see what is being done currently in research for dementia and Alzheimer’s and opportunities to participate in clinical trials:

National Institute on Aging  www.nia.nih.gov

Bright Focus Foundation www.brightfocus.org 

Alzheimer’s Association  alz.org

Defining Dementia

Since my main focus of this blog will be on dementia we first need a clear definition of what it means. According to the New World Dictionary the psychiatric definition is “the loss or impairment of mental powers due to organic causes.” People with dementia have significantly impaired intellectual functioning that interferes with normal activities and relationships.

When I told people my mother was suffering from Dementia, they often said, “Oh Alzheimer’s.”, however, the two words are not synonymous. Dementia is a term used for a collection of symptoms which are caused by injury or disease to the brain. Alzheimer’s is a disease.

While it is true that the great majority of those with the symptoms of dementia may develop Alzheimers disease, it is only one kind. Other diseases that exhibit its symptoms are vascular dementia, Lewy body dementia, frontotemporal dementia, Hunington’s disease, and Creutzfelt-Jacob disease. Dementia symptoms also can occur in those whose brain has been affected by injury or drugs.

In the beginning my mother had what is called Mild Cognitive Impairment (MCI) which is early dementia. She had trouble with tasks that required reasoning, and could not remember what was said in conversations. She was able to live independently at first, but gradually her symptoms worsened. It is at this juncture that conflicts occur. Though the family realizes their loved one needs help, the person with dementia is usually not ready to give up his/her independence. And so, the caregiver challenge begins!

Here are some signs common to dementia
Impaired judgement
Faulty reasoning
Inappropriate behavior
Loss of communication skills
Disorientation to time and place
Gait, motor, and balance problems
Hallucinations, paranoia, agitation

Someone with dementia symptoms may
repeatedly ask the same questions
become lost or disoriented in familiar places
be unable to follow directions
be disoriented about the date or time of day
not recognize or be confused about familiar people
have difficulty with routine tasks such as paying the bills
neglect personal safety, hygiene, and nutrition

 According to the US National Institutes of Health:National Institute of Neurological Disorders and Stroke  Although it is commom in very elderly individuals, dementia is not a normal part of the aging process.