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Healthy Brain Aging: Evidence Based Methods to Preserve Brain Function and Prevent Dementia, An issue of Clinics in Geriatric Medicine - E-Book

Healthy Brain Aging: Evidence Based Methods to Preserve Brain Function and Prevent Dementia, An issue of Clinics in Geriatric Medicine - E-Book

Abhilash K. Desai

(2010)

Additional Information

Book Details

Abstract

This issue examines what is a healthy aging brain and covers preventive measures for succesful cognitive aging. Topics covered include: A road map to healthy aging brain; Cardiovascular risk factors, cerebrovascular disease burden and healthy aging brain; Healthy aging brain: Impact of head injury, alcohol and environmental toxins; Healthy aging brain: What has sleep go to do with it?; Endocrine aspects of healthy aging brain; Healthy aging brain: Role of exercise and physically active lifestyle; Healthy aging brain: Role of nutrition and nutritional supplements; Healthy aging brain: Role of cognitive reserve, cognitive stimulation and cognitive exercises; Healthy aging brain: Impact of positive and negative emotions; Dementia risk predictor. Are we there yet?; Potential future neuroprotective therapies for neurodegenerative disorders and stroke; Healthy aging brain: Importance of promoting resilience and creativity.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents v
Preface xi
Chapter 1. Healthy Brain Aging: A Road Map 2
STEP 1: UNDERSTANDING THE DEMOGRAPHIC IMPERATIVE 3
STEP 2: UNDERSTANDING THE CONCEPT OF HEALTHY BRAIN AGING 4
STEP 3: UNDERSTANDING THAT PREVENTION OF DEMENTIA PRIMARILY INVOLVES DELAYING ONSET OF DEMENTIA 4
STEP 4: UNDERSTANDING THE VARIOUS EVIDENCE-BASED STRATEGIES TO PROMOTE HEALTHY BRAIN AGING 5
STEP 5: UNDERSTANDING WHO THE TARGET POPULATION IS, WHEN TO START APPLYING THESE INTERVENTIONS, AND WHEN TO STOP 9
STEP 6: UNDERSTANDING THE POTENTIAL FOR BRAIN CHANGES (NEUROPLASTICITY), THE CAPACITY OF THE BRAIN TO GENERATE NEW BRAIN CELLS (NEUROGENESIS), AND THE CONCEPT OF COGNITIVE RESERVE 10
STEP 7: UNDERSTANDING THE DIRECTIONS THAT FUTURE RESEARCH NEEDS TO TAKE TO MAKE HEALTHY BRAIN AGING A REALITY FOR ALL 10
STEP 8: UNDERSTANDING THE ROLE OF GOVERNMENT, HEALTH-INSURANCE COMPANIES, AND ACADEMIC INSTITUTIONS IN PROMOTING HEALTHY BRAIN AGING 11
STEP 9: UNDERSTANDING THE ROLE OF PHYSICIANS AND INDIVIDUALS IN PROMOTING HEALTHY BRAIN AGING 12
SUMMARY 14
REFERENCES 14
Chapter 2. Cardiovascular Risk Factors, Cerebrovascular Disease Burden, and Healthy Brain Aging 18
CARDIOVASCULAR RISK FACTORS AND COGNITIVE IMPAIRMENT 18
CARDIOVASCULAR RISK FACTORS AND DEPRESSION 20
POTENTIAL MECHANISMS BY WHICH CEREBROVASCULAR BURDEN INFLUENCES THE HEALTHY BRAIN 21
CHANGING CLINICAL PRACTICE AND PUBLIC HEALTH POLICY 23
KEY GAPS IN RESEARCH 25
SUMMARY 25
REFERENCES 25
Chapter 3. Healthy Brain Aging: Effect of Head Injury, Alcohol and Environmental Toxins 29
HEAD INJURY AND RISK FOR DEMENTIA 30
ALCOHOL AND HEALTHY AGING BRAIN 33
HEALTHY AGING BRAIN AND ENVIRONMENTAL TOXINS 36
REFERENCES 39
Chapter 6. Healthy Brain Aging: What Has Sleep Got To Do With It? 45
SLEEP AND ITS EFFECT ON COGNITION 46
OBSTRUCTIVE SLEEP APNEA AND THE HEALTHY AGING BRAIN 48
SLEEP AND SLEEP DISORDERS IN THE ELDERLY 49
COGNITIVE IMPAIRMENT/IMPROVEMENT FROM MEDICATIONS USED FOR SLEEP 50
RESEARCH GAPS 51
SUMMARY 52
REFERENCES 52
Chapter 7. Endocrine Aspects of Healthy Brain Aging 57
DIABETES MELLITUS AND INSULIN RESISTANCE 57
HYPERLIPIDEMIA 58
GROWTH HORMONE AND IGF-I 59
LEPTIN 59
METABOLIC SYNDROME 60
TESTOSTERONE AND COGNITIVE FUNCTION 60
ESTROGEN AND HORMONE THERAPY IN WOMEN 62
DEHYDROEPIANDROSTERONE AND PREGNENOLONE 62
CORTISOL 63
VITAMIN D 63
GONADOTROPIN 64
MELATONIN 64
SUMMARY 65
REFERENCES 65
Chapter 8. Healthy Brain Aging: Role of Exercise and Physical Activity 75
PHYSICAL ACTIVITY AND THE PREVENTION OF DEMENTIA, AD, OR COGNITIVE DECLINE 76
SUMMARY 82
REFERENCES 83
Chapter 9. Nutrition and the Brain 89
THE GUT-BRAIN AXIS 89
FAT-BRAIN AXIS 90
DIABETES MELLITUS AND MEMORY 90
VITAMIN B12 DEFICIENCY 91
VITAMIN D DEFICIENCY 92
FREE RADICALS AND OXIDATIVE DAMAGE 92
DIETARY PATTERNS AND DEMENTIA 92
MEMORY SHAKES 93
SUMMARY 94
REFERENCES 94
Chapter 10. Healthy Brain Aging: Role of Cognitive Reserve, Cognitive Stimulation, and Cognitive Exercises 99
KEY TERMS, CONCEPTS, AND HYPOTHESES 100
COGNITIVELY STIMULATING LIFESTYLES: WHAT IS KNOWN? 101
COGNITIVE TRAINING INTERVENTIONS: WHAT IS KNOWN? 103
POTENTIAL MECHANISMS FOR NEUROPROTECTIVE EFFECTS OF COGNITIVE STIMULATION AND TRAINING 105
IMPLICATIONS FOR CLINICAL PRACTICE AND PUBLIC HEALTH POLICY 106
KEY GAPS IN RESEARCH AND SUGGESTIONS ON HOW TO FILL THESE GAPS 108
REFERENCES 108
Chapter 11. Dementia Risk Prediction: Are We There Yet? 113
RISK FACTORS 113
PREVIOUS DEMENTIA RISK PREDICTOR STUDIES 118
SUMMARY 119
REFERENCES 120
Chapter 12. Potential Future Neuroprotective Therapies for Neurodegenerative Disorders and Stroke 125
TARGETING SPECIFIC MECHANISMS OF DISEASE PATHOGENESIS 126
AD 127
HD 127
PD 128
SUMMARY 139
REFERENCES 139
Chapter 13. Healthy Aging Persons and Their Brains: Promoting Resilience Through Creative Engagement 149
CREATIVITY, RESILIENCE, AND AGING: LEO AND MRS G 151
WHAT’S GOOD FOR THE PERSON IS USUALLY GOOD FOR THE BRAIN 154
IMPLICATIONS FOR RESEARCH, PRACTICE, AND POLICY 155
SUMMARY OF KEY POINTS 159
ACKNOWLEDGMENTS 159
REFERENCES 159
Index 163