Erickson Tribune

Health Secrets

UPDATED: Thursday, June 22, 2006

Feed Your Brain, Fight Alzheimer’s

Posted on Saturday, July 01, 2006
 

Evidence Increases That Diet Plays a Role In Brain Health

By Wendy J. Meyeroff
THE ERICKSON TRIBUNE

There has been speculation about whether certain nutritional elements can prevent or at least delay the onset of Alzheimer’s disease. A team at Columbia University Medical Center in New York has found evidence that following a Mediterranean-style diet might have a positive impact on fighting Alzheimer’s disease. While still preliminary, results are interesting.

The Alzheimer’s Association says finding a treatment that could delay the disease’s onset could reduce the number of people with Alzheimer’s by 50 percent within 50 years. The organization estimates there are 4.5 million people affected by Alzheimer’s, and is expected to rise to 16 million by 2050.

Why Look at Diet?

"Studies indicate that if you have a lot of vascular risks—the things that increase your chances of heart disease—you also have a higher risk of cognitive decline. Smoking, inactive lifestyle, and high blood pressure, for example, affect your heart and your brain," says Marilyn Albert, M.D., a professor of neurology at Johns Hopkins Medical Center in Maryland.

One of the major recommendations doctors make for fighting heart diseases: change your diet. (See the high blood pressure article on this page.) So why shouldn’t a heart-healthy diet have brain benefits too?

"Science has been looking at foods in isolation: one study looks at vitamin C’s effect on Alzheimer’s, another looks at fish’s impact, and so on. But we don’t eat things in isolation, so we wanted a study that looked at nutritional interactions," says Nikos Scarmeas, M.D., assistant professor of neurology at Columbia University Medical Center in New York.

Scarmeas led a study of 2,258 older people (average age 77) for an average of four years, though some were followed as long as 14 years. None of them had Alzheimer’s at the outset. Among people with the highest adherence to this "good" diet, the risk of Alzheimer’s was 40 percent lower than those with the lowest adherence.


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What Is the Mediterranean Diet?

The American Heart Association points out there really isn’t just one "Mediterranean" diet. The countries bordering the Mediterranean Sea all have different dietary variations. There are certain common patterns among these diets which seem to lead to certain health benefits, including lowering heart disease.

A Mediterranean diet includes these characteristics:

  • High in fruits, vegetables, beans, whole grains, nuts, and seeds
  • Extensive use of olive oil, a monounsaturated fat
  • Low-fat dairy products
  • Limited amounts of low-fat meat
  • Low to moderate amounts of wine

"In some ways the Mediterranean diet is higher in calories than the typical U.S. diet, but they are "good" calories because they come from a combination of healthful elements like olive oil, nuts, and legumes," says Scarmeas. Preparation is important too. The Center for Science in the Public Interest points out that Mediterranean foods can become artery-clogging the way Americans prepare them. Spanakopita (spinach pie) isn’t good for you when the pastry is slathered with butter and crammed with eggs and cheese.

What’s Actually Going On?

Scarmeas admits this study is still just a first step. Even if other studies confirm his results they still won’t necessarily explain the mechanism allowing the diet to fight this disorder.

Among the theories:

  • It keeps mini-strokes from happening in the brain. and affecting memory
  • It protects against brain inflammation.
  • It’s anti-oxidative. Oxidation is a process during which elements of the brain (such as proteins) are chemically altered to elements that can be harmful to the brain (particularly substances called free radicals). Anti-oxidants prevent this process.

Incorporating Your Own Changes

"It is a little premature to just say go eat the Mediterranean diet and you will prevent Alzheimer’s," admits Scarmeas. "We are talking about lowering risk," Albert reminds people.

Sometimes it is easy to find help. "If you live at a community built and managed by Erickson, there are fitness centers, all sorts of exercise programs, various types of mental stimulation, and heart-healthy menu choices. They can be found both on the main campus and at Renaissance Gardens, Erickson HealthSM extended care neighborhood at many sites that includes care for Alzheimer’s patients," says Judah Ronch, Ph.D., vice president of resident life, mental health, and wellness at Erickson Communities.

If you are not a resident of such a community, find your own small steps towards building a brain-healthy diet. Switch to olive oil instead of butter or margarine for sautéing foods, or add blueberries to your cereal in the morning.

Whatever your choices, make them things you can stick to. "The people in this study were able to maintain their food choices because they were foods they ate habitually," says Albert. "The idea that a heart-healthy lifestyle is a mind-healthy lifestyle is great. It gives people some control over something they thought they had no control over," says Ronch.



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