The Mediterranean Diet May Help Prevent Alzheimer’s Disease

Research has shown that the Mediterranean diet may lower your risk for dementia by interfering with the build-up of amyloid, and tau. These are proteins that turn into plaques and tangles often resulting in Alzheimer’s disease.

The true diet is simple, plant-based cooking, with the majority of each meal focused on fruits and vegetables, whole grains, beans and seeds, with a few nuts and a heavy emphasis on extra-virgin olive oil. Fats other than olive oil, such as butter, are consumed rarely, if at all. And say goodbye to refined sugar or flour.

Mediterranean diet may prevent memory loss and dementia, study finds

Researchers found that for every point of higher compliance with the diet participants had one less year of brain aging. The study was published in Neurology, and examined 343 people who were at high risk for Alzheimer’s and then compared them to 169 “cognitively normal” participants.

Researchers tested cognitive skills, (language, memory, and executive function), used brain scans to measure brain volume, and tested spinal fluid from 226 people for amyloid an tau protein biomarkers.

Participants were then asked how well they were following the diet and found that those who did not follow the diet closely had more signs of amyloid and tau buildup than those who did.

This study is not the first of its kind. A previous study of nearly 6,000 older Americans showed that those who followed the Mediterranean diet or similar lowered their risk of dementia by a third.

The Mediterranean diet is one that closely follows OLM’s own recommended diet. With staples of whole grains and legumes, fresh fruits and vegetables, and no flour or refined sugar those who follow the Mediterranean diet are going to be much better off than those who follow a traditional western diet.

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How to Improve Brain Health and Reduce the Risk of Alzheimer’s

Aging is an inevitable process that we go through, and it has the most profound effects on the brain. After the age of 40, the brain decreases in volume by at least 5% every decade, and this rate increases with age. This loss in volume translates to a loss of long-term memory, slower reaction times, decreased working memory, slower processing speeds, and detriments in sensory and/or perceptual function. These effects can be reduced and even reversed by addressing these four processes:

1. Neuronal Cell Death

In our adolescence, we have 1.5x more neurons in our brain than we do as an adult. As we learn and grow, our brains form new synaptic connections that allow our neurons to communicate. This allows us to do the things that we want to do efficiently.

As we reach our early 20’s, our brain starts to refine its connections. Underused neurons undergo apoptosis or programmed cell death. This is a natural process that allows us to remain good at what our environment requires us to do while unneeded neurons and synaptic connections are removed.

Neuronal cells can also be damaged and eventually die due to traumatic injury, environmental toxins, cardiovascular disorders, infectious agents, and genetic diseases.

2. Reduction in Synapses and Synaptic Plasticity

As we age, the amount of dopamine and serotonin in our brain decreases. This leads to a decrease in synapses (the connections that allow for communication between neurons.)

Brain-derived neurotrophic factor (BDNF) activity also decreases with age. BDNF increases our ability to form new synaptic connections (synaptic plasticity) and triggers the development of new brain tissue (neurogenesis).

3. White Matter Damage

The white matter of our brain is made of myelinated axons. These are like electrical cables that carry the signal from one neuron to another. As we age, the myelination (fatty insulation) of these axons deteriorates. This process is what reduces our reaction time as we age.

4. Impaired Vascular Function

The health of our circulatory system is as important for brain health as it is for heart health. The primary cause of impaired vascular function is oxidative damage that leads to inflammation and plaque build up. This process is caused by consistent exposure to environmental toxins, refined foods, trans fats, and/or head trauma. Damaged blood vessels lead to an easily permeated blood-brain barrier that allows toxins and infectious agents in. The brain’s ability to receive nutrients and remove waste (like beta amyloid plaque) will also be impaired.

Brain Aging and Alzheimer’s Disease

These four changes are largely to blame for the effects that aging has on our cognitive function. This process is accelerated to a catastrophic degree in people with Alzheimer’s disease.

Alzheimer’s Disease: Brain Aging Accelerated

What makes Alzheimer’s disease so catastrophic is that it accelerates the synaptic damage and neuronal loss common with aging, while impairing the regenerative properties of the brain. This leads to a rapid decrease in brain volume and function.

Many genetic and environmental factors lead to the accelerated damage of neurons and their synapses. In a brain with Alzheimer’s disease, this leads to the accumulation of beta amyloid plaque and damage of the neurofibrillary tracks that help move nutrients and other key materials throughout the cell. As plaque builds up and the tracks become tangled it leads to a snowball effect of neuronal damage and cell death throughout the brain. This unforgiving process is what makes Alzheimer’s disease the sixth leading cause of death among older adults.

Although genetics, specifically the APOE genes, play a major role in our brain health and the progression of Alzheimer’s, there are many things we can avoid, changes we can make, and treatments we can use to improve brain health and reduce neurodegeneration due to age and Alzheimer’s Disease.

Yes, you can teach an old dog new tricks, but first, we must understand what accelerates the aging of the brain and Alzheimer’s Disease.

How to Shrink Your Brain

Do the Same Thing Every Day

Every time we reach past our comfort zone by learning or experiencing something new, we increase the rate of neurogenesis and make new synaptic connections. On the other hand, if we do the same things every day without reaching beyond our competency, our brain will focus on pruning down its synaptic connections and more neurons will undergo apoptosis. As the process continues, your brain will become smaller and smaller.

Eat A lot Oxidized Polyunsaturated Fats and Trans Fats

When these fats enter our body they create chaos in the circulatory system which leads to an immune response to deal with the trouble that the oxidized fat and trans fat is causing. Our body handles these fats by depositing it as plaque which leads to atherosclerosis. This process also occurs in our brain, which contributes to the accumulation of beta amyloid plaque and tangling of the neurofibrillary tracks.

Eat Plenty of Refined Sugars

High blood sugar levels are associated with the increased risk of Alzheimer’s Disease. When blood sugar is high, the sugars tend to interact with the residues of proteins. Together they form glycation end-products (AGEs). These AGEs create oxidative damage and inhibit enzymes like macrophage migration inhibitory factor (MIF) that are important for protecting the brain aging.

Make Sure You Are Chronically Stressed

Although acute stress can enhance your learning ability, chronic stress impairs working memory and prefrontal cortex function. When the function of the prefrontal cortex is impaired, we cannot reason effectively, and our emotions can take hold and control us more easily.

Live in a Polluted Environment

The process of brain aging and Alzheimer’s disease is accelerated by the accumulation of metals in the brain. The primary way that this can happen is through the nose. Nanoparticles of metals from car exhaust, industrial pollution, and smoking can cross the olfactory areas of the brain and accumulate in areas, like the hippocampus that are most affected by Alzheimer’s Disease.

Drink Alcohol Every Day

Drinking alcohol accelerates the shrinkage of the brain, which leads to cognitive decline that mirrors the symptoms of Alzheimer’s Disease.

The best way to reduce brain aging is by eliminating the things from your life that age your brain. There are many other factors that contribute to brain aging that we have not discussed, but we know for sure that if you continue doing any of these six things, your brain will start shrinking rapidly.

How to Grow Your Brain & Keep It from Aging

Increase Your Physical Activity

Increasing your physical activity can improve brain volume and reduce the risk of Alzheimer’s disease by up to 50%. Even people who had mild symptoms of Alzheimer’s disease increased their brain volume by increasing their physical activity. This means that you can grow your brain by simply taking a walk every day.

These profound effects are due to the fact the exercise helps reduce inflammation, anxiety, and insulin resistance, while stimulating growth factors (like BDNF mentioned above) that improve the health of your brain cells and blood vessels.

Do Something New Every Day

When we were children, we were filled with curiosity. Every moment was an experiment that led to a new discovery like walking or crawling. During this phase of development, our brains were primed and ready to form new synaptic connections, so that we could thrive in our environment. By the time we are in our 20s, our brains are almost fully developed, and we begin to form patterns and habits, leaving our curiosity behind.

As we age, we must stimulate our curiosity again by learning new things, going on adventures, and reaching outside of our comfort zone every day. This will trigger a process in the brain called scaffolding, which stimulates the brain to form new connections with different neurons in new ways. This allows the brain to function more efficiently and age gracefully.

Drink Coffee or Tea

Habitual caffeine intake may protect against cognitive impairment. In studies done on mice, caffeine has been found to suppress the buildup of beta-amyloid plaque in the brain. On the other hand, OLM’s stance on coffee is not positive; try circumin:

Try Circumin

Like caffeine, circumin can prevent plaque build up, and it removes plaque as well. This potent anti-inflammatory molecule makes up 5-10% of turmeric. It is known to lower cholesterol, reduce oxidative damage, and remove metals that accumulate in the brain like iron and copper. Check out How To Optimize Curcumin Absorption for more on circumin.

Supplement with Vitamin B3 and B1

UCI scientist Kim Green conducted a study on the effect that nicotinamide (vitamin B3) has on mice with Alzheimer’s disease. This B Vitamin completely prevented the loss of cognition in the mice. Clinical trials are now being carried out using vitamin B3 as a treatment for Alzheimer’s Disease.

Thiamine or vitamin B1 is also a promising treatment for Alzheimer’s disease. Our brain uses up 20% of our energy, and in doing so, it uses enzymes that depend on thiamine for their function. When we don’t have enough thiamine, it can lead to memory deficits and excessive plaque buildup. With enough thiamine, the cells in the brain can metabolize sugar effectively and function properly.

Cook with and Consume Coconut Oil

Coconut oil, especially the medium chain triglycerides found in coconut oil, provide an alternative fuel source for brain cells, which may prevent neuronal cell death. It has been found to help improve cognitive function in women with Alzheimer’s, people without type 2 diabetes who had Alzheimer’s, and people with severe cases of Alzheimer’s. Coconut oil is also a great oil to cook with because it is not easily oxidized like polyunsaturated oils. Check out what else coconut oil can do for you.

Eat More Cruciferous Vegetables

Cruciferous vegetables contain sulforaphane, a compound that activates a transcription factor called Nrf2.What this means is that sulforaphane helps to set off a cascade of processes that detoxify and protect the body and brain from oxidative damage. sulforaphane works synergistically with circumin to reverse the aging of our cells due to oxidative damage.

The best source of sulforaphane is broccoli sprouts, and they can easily be sprouted at home in 7-9 days. If you don’t have access to broccoli sprouts, any cruciferous vegetables will do. Check out this salad recipe.

Increase Your Acetylcholine

Acetylcholine is the most used neurotransmitter in the brain and body. It is essential for muscle contraction, alertness, concentration, focus, and memory. Feeding your body with the components of acetylcholine and/or blocking the enzyme that breaks it down can be very effective for reducing the effects of brain aging and Alzheimer’s disease.

One of the primary components of acetylcholine is choline, and it is an essential nutrient that you must include in your diet. The best sources of choline are egg yolks, heavy cream, fatty fish, fatty meats, and liver. Make sure you source your meat, dairy, fish and eggs for people that treat their animals humanely and feed them what they are meant to eat. This will ensure that your animal products have a high amount of good quality fats and choline.

To ensure your brain gets the choline it needs, you can take a supplement like Alpha-GPC. This is a form of choline that can easily cross the blood-brain barrier. DMAE is another supplement that increases the level of acetylcholine in the brain while reducing beta amyloid plaque.

Other supplements like galantamine and huperzine-A increase acetylcholine in the brain by preventing the enzyme cholinesterase from breaking down acetylcholine.

What if Nothing is Helping?

Take the holistic approach, and improve your brain health by improving the health of your whole body. The gut and the brain are inexorably linked. Just like you can dimish cognitive function with poor health choices, you can improve brain function with a better diet. Research in brain regenration is making groundbreaking strides lately. Recently, many studies on mice have surfaced that use commonly used technologies, like ultrasound, to reverse Alzheimer’s disease. In one study researchers used a “…focused therapeutic ultrasound, which non-invasively beams sound waves into the brain tissue.” These sound waves activated the brain’s microglial cells so that they could do their job of removing the beta amyloid plaque. The results were tremendous with 75% of the mice with Alzheimer’s disease regaining their cognitive function. This means that this treatment may help reverse Alzheimer’s disease by using the brain’s own natural waste removal processes. This may be the miracle we have been searching for to treat Alzheimer’s.

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Are You Taking a Drug That May Cause Alzheimer’s?

A study was published in 2015 that clearly linked anticholinergic drugs with an increased risk of Alzheimer’s. Many of these drugs are taken by countless Americans on a daily basis. Are you taking one or more of these drugs? Do you realize the risk? If you take one of these drugs on a daily basis for 3 or more years, your risk of dementia will increase by more than 50%!

We should only have to listen to the litany of side effects and contraindications to know that most, if not all, of today’s pharmaceuticals are dangerous. Yet somehow, most of us have been brainwashed into ignoring these warnings, always believing in the overarching promise that the FDA will not allow drugs on the market that can hurt us – even when the pharmaceutical ads say otherwise. When that overconfidence is not the reason we ignore the warnings, perhaps it is the lure of playing Russian roulette. Surely we won’t be among the ones who die, suffer a stroke, or experience some other heinous side-effect.

Since we have been conditioned to ignore warnings, both verbal and in print, will we also ignore a study that reveals a horrific outcome for a large collection of drugs? Will we ignore the findings that link these drugs to irreversible dementia? Or will we listen?

What is Dementia?

Dementia is not a normal part of aging. It is a set of symptoms – cognitive impairments involving memory, reasoning and judgment, focus and attention, communication and language, and/or visual perception. Dementia is present when at lease two of these symptoms are severe enough to cause significant impairment in activities of daily living.

Alzheimer’s, an irreversible and progressive disease, accounts for the vast majority of dementia patients. Many studies have suggested a link between anticholinergic drugs and dementia. A recent longitudinal study showed a significant link between these drugs and dementia with the vast majority (79%) of dementia patients diagnosed with Alzheimer’s.

What Are Anticholinergic Drugs?

Anticholinergic drugs block the neurotransmitter acetylcholine. These drugs are used to treat many diseases and disorders including sleep disorders, depression, muscle cramps, insomnia, allergies, asthma, incontinence, gastrointestinal cramps, motion sickness, vertigo, hypertension, Parkinson’s, psychosis, and COPD.

Some of these drugs are commonly sold over the counter like Benedryl, Advil PM, Tylenol PM, and Motrin PM. And many people take these drugs on a daily basis. The study not only showed a significant link between these drugs and Alzheimer’s, it showed a dose response – meaning that the longer you take these drugs, the more likely Alzheimer’s will be the result. The following statistics reveal the effects of these drugs taken daily compared to those who did not use these drugs:

  • 3-12 months – 19% increased risk for Alzheimer’s
  • 1-3 years – 23% increased risk for Alzheimer’s
  • 3-7 years – 54% increased risk for Alzheimer’s

A Comprehensive List of Anticholinergic Drugs

Aging Brain Care has created a detailed list of anticholinergic drugs, with both generic and brand names. In the notes, it says, “Each definite anticholinergic may increase the risk of cognitive impairment by 46% over 6 years.” So before you take that daily dose of medication, check to be sure the drug you are taking is not one of the 99 medications listed on the Anticholinergic Cognitive Burden Scale. Or better yet, reclaim your health and get off medications altogether. It’s easier than you think.

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Prevent Dementia Naturally

Dementia is not a normal part of the ageing process. In the developed world, dementia currently affects three in ten people over 70 years of age, with approximately 70% caused by Alzheimer’s disease. Vascular dementia is caused by chronic reduced blood flow to the brain, typically as a result of stroke. It is responsible for 20-30% of dementia cases and can often coexist with Alzheimer’s disease. At least 10% of people diagnosed with dementia have mixed type. There is currently no medical cure for dementia.

The overlap between risk factors for cardiovascular diseases such as stroke and Alzheimer’s disease is important. Naturopathic preventative strategies look to uncover the “triggers” for disease, which may be related to diet, lifestyle, toxins in the home/work environment, constitutional susceptibility and/or other factors. Using natural strategies to reduce risk is vital for prolonged health and enjoyable older age.

The naturopathic view of health, which emphasises prevention, is that all disease starts with disruption to the body’s balance, and that the two pillars governing health are toxicity and deficiency.  It is for that reason naturopaths advocate the reduction of toxins in our everyday lives and eating a wide-ranging, healthy, balanced diet consisting of organic (ideally) whole foods.

High blood levels of homocysteine (an amino acid connected with unfavourable health conditions) increase the risk of developing Alzheimer’s disease and cardiovascular disease.  Homocysteine is reduced by B-vitamins, so increasing B vitamins, in particular B12, B9 (folate), and B6, is a good step for protecting long-term health. B vitamins are water soluble and readily excreted so it’s important to top up every day. This is one of the many reasons why you need a good diet.  A good quality food-state multi B-vitamin supplement can help boost levels. B12 is particularly important for vegetarians/vegans who may not get enough from plant foods. Keep an eye on homocysteine levels (tests are available).  An optimal homocysteine level is 7–9 umol/L; anything outside of that range should be addressed. Vitamins interact with one another; excess B9 can mask B12 deficiency (a further cause of dementia!). Seeing a naturopathic nutritional therapist to address your diet, and if supplementing, to get the levels and vitamin forms right for you, is best, as levels required for a therapeutic effect are often well above the recommended daily amount.

Boosting fish intake is also preventative. Studies have shown that fish eaters (as little as one serving per week) have lower rates of Alzheimer’s disease and better cardiovascular health. Choose oily fish like sardines, small mackerel, and salmon; they are rich in healthy fats and vitamin B12. Flaxseed (linseeds) and walnuts are good vegetarian sources of oils supportive of cardiovascular health. Eat them fresh and unheated.

Avoid farmed fish (less nutritious and often polluted), swordfish, shark, flake or rock salmon, and Big Eye tuna, as high levels of mercury in these larger fish, from pollution in our seas, are toxic to the brain and other organs. Some medication and vaccines contain mercury. Many medications interfere with the absorption of vitamin B12 and other important nutrients. Pesticides, chemicals in products, processed foods, cookware, and smoking, can all contribute disease risk factors. Your naturopath can support you in reducing your toxic load.

Increase antioxidant intake, particularly vitamin E rich foods, as vitamin E is linked with reduced rates of inflammatory diseases such as Alzheimer’s and cardiovascular disease. Try more sunflower seeds, almonds and spinach. Antioxidants reduce inflammatory processes linked to ageing and tissue deterioration, including delicate tissues of the brain. Natural antioxidants are believed to prevent amyloid-beta deposition (Alzheimer’s sufferers have deposits of this in the brain), so berries, brightly coloured fruit and vegetables, and raw nuts are all on the menu.

An estimated 50% of cases of vascular dementia result from high blood pressure (hypertension). Blood pressure can be reduced naturally by adopting a plant based diet. A higher ratio of potassium to sodium is effective in reducing hypertension. In practical terms, this means ditching processed, packaged ready-made foods and eating more vegetables and fruits. Ideally we would like a ratio of 5:1 in favour of potassium to sodium. Keep sodium intake low, check your packeted foods – stay under 1.5gm per day (this is the equivalent of about 4g of Himalayan salt which is our preferred salt). Avocado, spinach and tomato are all rich in potassium; bananas and potatoes are too, but are best taken in moderation due to their high sugar content. Steam or bake, do not boil your vegetables, as potassium and other nutrients will leach into the cooking water.

The DHA found in fish oil reduces blood pressure; a further reason why some people like to eat fish at least three times a week. Keep red meat consumption low; excessive iron in the blood is damaging to the body and linked to atherosclerosis/cardiovascular disease. Red meat, if taken, should be limited to once or twice per week and preferably are grass-fed, organic cuts.

Autoimmune inflammatory diseases of the arteries, such as lupus, can contribute to vascular dementia. Keep inflammation down to prevent additional problems. Turmeric taken either as a supplement or added to your meals can help reduce inflammation. Half a teaspoon of the dried herb taken with some cracked black pepper to enhance absorption, is a great start.  Put it in savoury dishes or in warm almond milk. Brightly coloured fruit and vegetables are rich in phytonutrients and antioxidant, anti-inflammatory compounds, so eat them daily. To avoid pesticide residues, opt for organic produce wherever possible.

Diabetics have two to four times the chance of developing cardiovascular disease and have increased risk of both high blood pressure and stroke. Keep your sugar and insulin down by investigating a low Glycemic Load (low GL) diet and maintaining a sensible weight. Being overweight in mid-life is a risk factor for developing dementia including Alzheimer’s disease (although being overweight in late-life appears to be protective of dementia development). Lowered weight equals lowered blood pressure, too. Brisk walking for 30 minutes, five days a week is ideal to reduce weight and reduce stress levels, both of which are big contributors to cardiovascular problems.

Herbal Gingko biloba extract has been proven to assist with cerebral vascular insufficiency (lack of blood flow to the brain) and improve thinking, memory, and social behaviour. White willow Salix alba is used similarly to aspirin for blood thinning and anti-inflammatory properties. Aortic GAGs (glycosaminoglycans) 50-100mg per day have been used successfully to rejuvenate blood flow to the brain (available online or in health food stores) and can be used alongside certain blood thinning medication in stroke rehabilitation. An herbal or naturopathic practitioner can advise you on appropriateness and dose of these therapeutics.

Naturopaths acknowledge that physical, mental, and emotional needs must be met for abundant health.  More than 20% of people with physical signs of dementia in brain tissue (post mortem) showed no outward signs of mental decline. Amazingly, keeping the mind active and engaged, through language, social interaction, and coordination tasks can help the brain to form new connections, compensating for the loss of function in other areas.

Dementia

Whilst it is preferable to attend to risk factors in regards to the prevention of disease, and given that there is no current cure, what can we do from a naturopathic perspective if our loved one currently suffers dementia? Here are some therapeutic options to target problems associated with dementia such as memory loss, anxiety, restlessness, insomnia and depression, aggression, and loss of appetite.

Use Essential Oils

Try a few drops of pure essential oil in an oil burner, on the pillow or in the bath depending on time of day. Do not leave an open flame unattended. Use lemon balm for cognition and to ease anxiety, lavender to combat aggression and insomnia, sweet orange to uplift the spirits and reduce aggression, and rosemary to enhance memory and stimulate appetite.

Keep the Diet Plant Based

Maintain a low glycemic load. Minimise processed packaged foods and stick as close to nature by purchasing organic, local, and seasonal wherever possible.

Increase Antioxidants

Taking vitamins C and E together reduces dementia risk and can protect from additional oxidative stress, thus slowing cognitive decline. Foods to include for vitamin C and E include red peppers, Kiwi fruit (with the skin on), broccoli, and other dark green leafy vegetables.

Take B-vitamins

Taking B-vitamins has been found to reduce brain atrophy and reduce homocysteine levels, which are linked to disease progression and cognitive decline. B12 and folate deficiency induce cognitive impairment, so be sure there are significant levels in the diet and include supplementation to boost levels. Thiamine (B1) at 3-8g per day has shown mild improvement of Alzheimer’s type dementia.

Include Fish Oils

Whilst evidence has not been established for fish oils to improve health once dementia has been diagnosed, there is evidence that omega 3 oils help the brain to utilise B-vitamins to reduce the rate of cognitive decline in pre-dementia.

Try Drinking a Litre of Mineral Water Daily

The risk of Alzheimer’s disease is higher in areas with higher aluminium (a neurotoxin) levels in the water (the main source of circulating aluminium in the body). The silica content in mineral water mops up aluminium, so look for high silica content brands, preferably in glass, as chemicals in plastic are deleterious to health. In one small study 35mg/L silicon in mineral water improved cognition in some participants and slowed deterioration in others.

Drink Cherry Juice

In a recent trial, 200ml daily of anthocyanin-rich (69mg per 100ml) cherry juice improved measures of memory and cognition compared to a placebo juice in mild-to-moderate dementia patients. Choose organic, unsweetened juice for maximum benefit from these phytonutrients.

Music Therapy

Listening to music, musical games, singing, and using musical instruments can all be beneficial to dementia sufferers in regards to behaviour and cognition. Background classical music or nature sounds can be very soothing.

Massage

Aggression, anxiety, and depression can all be reduced by touch-based therapies. Combining these therapies with aromatherapy may enhance their benefits.

Author

Gemma Hurditch is a Naturopath with a Bachelor of Health Science in Complementary Medicine.  She lectures at CNM (College of Naturopathic Medicine) in the UK.

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