Fit Brains - Guilt Free Fun!

The first sound we may perceive as a budding human being on planet earth is the heart beat of our mother. Our brain appreciates rhythm and harmony for stress tends to be limited in such situations. Breathing in a rhythmical manner is taught to reduce stress. Scuba divers describe the peace of being under water when they can hear their breathing in an otherwise quiet environment. Humans continue to migrate to the oceans as a form of vacation where waves provide a rhythm. Others venture to the woods where there is little to distract an inner peace.

 These are a few examples of how nature provides our brains with environments that promote rhythm and perhaps stabilize the symmetry of our two brain hemispheres. Our typical daily life takes us out of rhythm and hence causes a stressful disequilibrium in our brain. Research on animals indicates that an environment that is too stimulating leads to slowed brain development. Our challenge is to be conscious of our own daily behavior and the types of environments we expose our brains.

 Make it a goal to seek out environments that promote peace and rhythms for your brain. This will help to reduce stress by reducing the amount of stimulation that is not healthy. A walk in the woods, a stroll on the beach, or even witness to a sunset can be more health promoting that you might imagine. Anytime you become conscious of your breathing and surrounding in a safe environment is typically a healthy moment.

Sleep is a highly active time for brain development and brain function. There are four primary stages of sleep including Rapid Eye Movement (REM) when we dream and deep sleep or stage four sleep. It is thought that deep sleep and REM tend to decline with advanced age and these are perhaps the parts of sleep when consolidation of information takes place. As such sleep quantity and quality have a major role in what and how well we process and remember information.

 REM sleep occupies about 25% of our total sleep and it is during REM that we dream. We tend to be paralyzed during this part of our sleep so we cannot act out our dreams. Without REM and deep sleep we can become lethargic, depressed, and make mistakes. Significant sleep disorders affect more than 35 million Americans and many more around the world. Sudden sleep is known as narcolepsy and can occur while driving which leads to a high number of fatal car accidents. Sleep Apnea, the first phase of narcolepsy, occurs because of a blockage of the airway and results in sudden gasps for air while sleeping. Apnea is most common in middle age, obese and hypertense males.

 When considering lifestyle changes for brain health, one of the most important aspects of life is sleep. We tend to not get enough sleep and our brains run on fatigue much of the time. Napping is a lost art and we do not rest enough. As a result, our brains are over-stimulated, stressed, and tired. Consider this blog a permission slip to get a good night sleep and to take a nap sometime this week.

A recent study has supported a relationship between an important ingredient in red wine and retardation of the aging process. Resveratrol, an ingredient of some red wines may have some life extending effects in mice and maybe in humans. The mechanism in play is switching the body’s resources from fertility to tissue maintenance. The improved tissue maintenance appears to extend life by reducing the degenerative diseases of aging.

Scientists believe this switching mechanism can be induced by a faminelike diet, known as caloric restriction that extends the life of  rodents by up to 30 percent, but similar effects in humans are not conclusive. Resveratrol has been shown to increase strength, endurance, and speed of lab mice. Findings from studies suggest resveratrol may be effective in mice and humans in smaller doses than previously known. Studies suggest a significant positive effect on aging in mice with dosages that mimic 4-5ounces of wine daily. Researchers believe resveratrol can mimic many of the effects of caloric restriction at doses that can be easily achieved by humans.

 So….if you are not predisposed to alcoholism and your doctor has not restricted you from alcohol, one 4-5 ounce glass of red wine a day may indeed promote a healthier aging process.

We have known for some time that some persons do not manifest the clinical pathology of Alzheimer’s disease (AD) even though their brains have the hallmark plaques and tangles at autopsy. How this occurs is still not known, but one theory is that those persons who are able to fight the clinical aspects of the disease off may have more brain reserve, developed over the course of their lifetime. It is further thought that particular lifestyle factors such as exposure to enriched, novel and complex environments can help to build reserve.

A new study indicates that the size of the hippocampus, the structures that lie deep in the temporal lobe and help to form new memories and learning, may be important. Researchers at Oregon Health and Science University in Portland found that those persons who avoided dementia had larger hippocampi relative to those who did not avoid the manifestation of the disease. Both groups had the pathologic markers of AD.

Interestingly, the researchers did not find any difference in the two groups on education level or socioeconomic status. However, the study did not explore what the person did in their lifetime, the type of activities he or she pursued, or the quality of learning after graduation. While education level has correlated with reduction in the risk of dementia in other studies, the hippocampus may be stimulated by much more than formal education.

This is most likely the case given the research in 1998 that found the human hippocampus can generate new brain cells. Our goal should be to grow larger hippocampi through enriched environments across our lifetime as a health promoting behavior (see Dr. Nussbaum’s brain health lifestyle www.paulnussbaum.com). In this case, it is to potentially delay onset of dementia.

Two recent studies have further underscored my long held belief that many diseases, including those of the brain, actually begin early in life, perhaps even in childhood. The idea that a disease is proactive demands that we are adopt an equally proactive healthy lifestyle.

One study found that high cholesterol levels in the 40s may raise the chance of developing Alzheimer’s Disease (AD) decades later. The findings presented at the American Academy of Neurology in Chicago studied over 9,000 people in California and found that those with high cholesterol levels between the ages of 40 and 45 were about 50 percent more likely than those with low cholesterol to later develop AD.

Another study from Sweden found those with diabetes in midlife are 1.5 times more likely to develop AD later in life. This study followed over 2000 men for 32 years and while other risk factors for AD were found, the most significant was low insulin secretion in midlife.

These studies and others indicate the lifelong development of AD and that we really should not consider this disease a late life disorder. The studies also underscore our need to develop interventions much earlier in life and to adopt a brain healthy lifestyle regardless. Such a lifestyle should be a national priority and begin in early childhood if not earlier.

I was very proud of myself recently when I generated enough determination to quit my perceived addiction to caffeine in the form of coffee. While it is true that I only consumed one cup of coffee in the morning to get my jump on the day, it is also true that my brain demanded that one cup. I know this because when I stopped or missed my cup of coffee I felt a bit sluggish and then the headaches set in if I did not get the fix for several days. We refer to this as an addiction, though some do not like to hear that word to describe their (my) behavior.

After nearly one month of not consuming any coffee and getting through the withdrawal symptoms, I pick up a new research discovery in the Journal of Neuroinflammation (volume 6, 2008) that reports caffeine blocks disruption of blood brain barrier in a rabbit model of Alzheimer’s disease. It seems caffeine consumed in the equivalent of one cup of coffee daily protects against high cholesterol diet induced increases in disruptions of the blood brain barrier, and caffeine might be useful in the treatment of Alzheimer’s.
If high levels of serum cholesterol and disruption of the blood brain barrier are indeed underlying mechanisms in the pathogenesis of Alzheimer’s it suggests I need to reconsider starting my habit again!

The important message in the story is that we continue to monitor the new findings of lifestyle and brain health and change our behavior accordingly. This should not occur in an impulsive way. Rather, the negative effects need to be weighed against the positive effects of particular behaviors. For me, I think I will restart my consumption of coffee, but keep it to ½ cup a day. Moderation is typically a great idea. In the meantime, I will keep an eye out for replication of this finding on the relationship between caffeine and protection against Alzheimer’s.

What a great time to be alive if you are interested in your own brain and how to promote its health! With the daily reports of a new finding on how to promote brain health, the development of new companies with products for brain health, and with the boomers generating a booming interest in this part of their being, we really are in the “golden era of brain health.”

I am so very fortunate to have been involved with brain health more than a decade ago and to witness what I described then as the emerging “Brain Wave” that was coming. It is here and we will all be better for the fact that the human brain has found its way onto the radar screen of health.

A national and world wide discussion of the human brain with a focus on proactive lifestyle towards promotion of brain health is a great and needed thing. Dementia is a real problem and a growing concern. We have the ability to be proactive and to focus on an optimistic and positive path forward as we try to implement research-based behaviors to brain reserve. By building our own brain reserve across our lifespan we probably increase our chances of delaying the onset of neurodegenerative diseases such as Alzheimer’s.

The next step to this growing brain wave is for the governmental bodies to pass legislation that incorporates national emphasis on the brain similar to what we have done for the heart; for health care payers to include incentives for leading a brain health lifestyle that might recognize lifelong learning, use of pedometers, diet, and meditation as critical ingredients to brain health, and for continued innovation in the business world to apply research to the market.

What a great day to be interested in promoting your own brain health!

A study published in online Neurology 3-27-08 indicates belly fat is linked to increased risk of dementia. Rachel Whitmer, a researcher at Kaiser Permanente Division of Research noted that belly fat increases the risk of diabetes, heart disease, and stroke. However, her research on 6,583 men and women ages 40-45 living in northern

California found that belly fat was also related to increased risk of dementia.

 

Indeed those who were obese (30 pounds or more over a healthy weight) and had collected belly fat in their 40s were 3.6 times more likely to develop dementia during the 30 to 40 year study. Even those who were not obese, yet had extra weight around the waist or belly, were 1.8 times more likely to develop dementia compared to those who were lean all over.Whitmer stated that “it is not simply about weight, but where you carry your weight.” She noted that people who are predisposed to carry their fat in their belly region may be at risk. Fat cells in the stomach secrete hormones that may play a role in diseases such as diabetes, heart disease, and now perhaps dementia.

The good news is that anyone with belly fat in their 40s can adopt a lifestyle of diet and exercise that can reduce such fat and reduce the risk of disease related to the fat. Time to get moving and eating healthier!

We have no cure or perfect prevention against progressive dementia such as Alzheimer’s disease (AD). However, research over the past decade or more has established consistent links between lifestyle and the ability to delay the onset of such dementias. I have proposed a “Brain Health Lifestyle” to include five major factors: (1) physical activity, (2) mental stimulation, (3) socialization, (4) nutrition, (5) and spirituality.

 A recent interview on ABC News suggested that physical exercise may be the best means of preventing AD today, better than medications, intellectual activity, and supplements. Studies on mice bred to develop plaques in their brains consistent with AD were exposed to an exercise regimen or not. Those mice that exercised had 50 to 80 percent less plaque than the brains of mice that were passive. Other studies have demonstrated generation of new brain cells in animals that exercise and a relationship in humans between physical exercise and increased cognitive performance.

One important point is that our body does not operate in a fragmented manner. I describe the brain and body as a miraculous symphony. One system directly impacts another and both health and disease effects can be experienced as a result throughout the body. Exercise is one example of a behavior that has positive impact on multiple systems of the body including the brain. The same can be said for the other four brain health lifestyle behaviors noted above.

 While I am not yet sure that any one behavior such as exercise is better than another in promoting brain health, I do champion regular exercise as a very important behavior with positive brain health effects. My view is to approach brain health from an integrated manner using the five part brain health lifestyle. This approach fits with the complex integrated reality of our bodies and brains.

Everyone experiences moments when we feel sluggish or perhaps hyperactive. Sometimes our brains feel like they are stuck in mud while other times we can solve almost any problem we confront. Interestingly, these cycles of mental energy or arousal may occur within a 24 hour time period, our circadian rhythm.

Some of us have our creative time or the time we perform best mentally in the morning hours. Others have their greatness expressed in the evening hours. There is no right versus wrong, simply different. Some people who work after midnight or in a mine shaft that has no natural light can experience a different circadian rhythm than those who work during the day and have exposure to natural sunlight. Sleep disorders, depression, and cognitive problems can result from altered sleep wake cycles.

There is no clear explanation for when arousal is highest in some and lowest for others. Some factors that can enhance or reduce mental energy or arousal include the following:

•  Amount of daily exercise
• Amount of sleep in 24 hours
• Types of foods consumed
• Water intake and hydration
• Exposure to sunlight
• Prescribed Medication and substance abuse
• Mental challenge during the day

One of the best methods to increase mental energy is to increase blood flow to the brain through movement. This can include a brisk walk, aerobics, swimming, and even a dance. Fresh air can also rejuvenate a sluggish brain and increase water intake to remain hydrated during the day. Sugar can put the brain to sleep in some cases or make it feel like a good nap is needed. Caffeine can provide a quick boost, but may result in a type of mental crash later in the day.

 It is a good idea to first identify what periods of the day your brain is alert and productive and when it is sluggish. Try to identify what factors might be causing the onset of sluggishness and consider the tips suggested above.

A mentally alert brain is critical to health and to productivity.