The role of genes

One working hypothesis is that once amyloid appears on the scene, tau will accelerate its misfolding , which will promote more amyloid and brain cell death. So how does amyloid appear on the scene in the first place?

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Genes may play an important role. Here, mutations in one of three genes amyloid precursor protein, presenilin 1 or presenilin 2 cause a rapid accumulation of amyloid in the brain. This results in severe loss of brain volume and memory at a devastatingly young age approximately 40 years old. However, people who carry these mutations have a Amyloid also accumulates with age. Diet has long been seen as a potential preventive factor against dementia risk. However, the effects of dietary supplements such as omega-III fatty acids and adherence to specific diets such as the Mediterranean diet have not been entirely convincing.

Evidence is yet to definitively show any particular diet or supplement has a substantial effect on reducing dementia risk or even memory decline. But there is stronger support for an association between weight body mass index, or BMI and dementia. Higher BMI over 40 is linked with greater risk of premature death and increased risk of dementia compared with people of normal weight.

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Evidence also suggests people with lower BMI under 18 in midlife and beyond have a significantly increased risk of dementia compared to those in healthy ranges Some researchers suggest this is driven by insulin resistance. However, this a controversial area of research and study results to this effect need independent replication. Studies now suggest exercise can increase neuroplasticity in the brain.

Breaking a sweat may increase levels of a protein called the brain-derived neurotrophic factor, which induces the growth and survival of brain cells. It is likely brain regions that regulate sleep-wake cycles deteriorate, resulting in sleep disruptions.


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Animal studies suggest disrupted sleep may result in increased amyloid accumulation. This is because a waste-draining system known as the glymphatic system proposed to be involved in clearing amyloid from the brain is significantly more active when people are asleep, and less effective during sleep disruption. Earlier-life depression has been associated with a doubled risk of developing dementia. Recent evidence also suggests anxiety, stress and elevated cortisol stress-hormone levels may play a role. While the mechanisms explaining how mood might increase dementia risk remain unclear, studies suggest symptoms of anxiety or depression may be associated with factors that increase your risk of vascular conditions such as heart disease and stroke.

They have also been associated with increasing levels of amyloid in the brain, and increased inflammation. As such, while cognitive reserve may be protective to a degree, it may simply delay disease onset. If brain shrinkage has already begun, removing amyloid from the brain is unlikely to be effective.

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Clinical trials experts are turning their gaze to earlier stages in the disease trajectory. For instance, Australian researchers are recruiting participants for a study that will test drugs that aim to remove amyloid in healthy older adults with high levels of amyloid plaques. Additionally, we and other scientists are trying to understand factors that contribute to amyloid accumulation, so it can be stopped before it even starts.

While the brain-training sector is worth millions of dollars annually, there is no convincing evidence that brain training computerised programs aimed at improving your memory through games and puzzles can result in better cognitive abilities in everyday life. But maintaining physical, social and brain health is an important component of reducing dementia risk , which all Australians can implement in their daily lives.

Dealing with Dementia Daze

Learning a new language, picking up bridge, travelling and going back to study are ideal examples as they incorporate brain challenges and increase social engagement, which are both important for dynamically engaging the brain. Pets in Victorian paintings — Egham, Surrey. Like Liked by 2 people. Hi Laurie, i really appreciate this. I get in denial a lot. The symptoms scare me. I am so glad i can find others too. Even though i am getting worried it m be gettin worse.!! I found a drug that helped but had to get it up.

And it got to expensive.


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  • All others gave me side effects. I am seeing doc next month cant get in earlier. So i am worried. Like Liked by 1 person. Linda, Thank you for sharing.

    Yes, denial is part of the process and there are days I feel so good I try to deny it all over again. I have found so much joy and acceptance in groups of people living well with dementia. If you would like a chance to socialize with others go to dementiamentors. Wishing you well on your doctor visit. I stopped taking all meds, too many side effects a little proof that they were helping me. Perhaps the doctor will find something to help you.

    1. Alzheimer’s disease was first identified more than 100 years ago.

    You pegged my experience. It certainly can be a really bad roller coaster ride. We have found that the trick is to make the best of the good moments, love, laugh and have fun.

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    WIshing you many days of love and laughter! I hope it gets in the hands of many neurologists and impacts the process of how we are diagnosed. I am 68 and have Lewy Body Dementia. I started with mild symptoms maybe 8 years ago, which progressed to a full evaluation and PET Scan about 3 or 4 years ago. Since the diagnosis, I have found that none of the so-called experts seem to know anything about what us dementia people going through. What Laurie said is what I experienced, and it is what everyone one else with dementia I have communicated are experiencing.

    It is just pathetic that the doctors who claim expertise in dementia have never taken the time to understand what their patients are going through, or give them suggestions for how to maintain some quality of life on their way to death, or just act and respond like they had a heart somewhere in their body. But I want to thank Laurie for taking the time to help others with dementia. I am gone now. Bill, Thank you for visiting dementiadaze. Wising you many good days!

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