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Research suggests each geriatrician should care for no more than 700 patients; the current ratio of providers to older patients is 1 to 10,000. In some respects, geriatrics has been remarkably successful in disseminating principles and practices meant to improve the care of older adults. Under this model, older adults with acute but non-life-threatening illnesses get care at home, managed closely by nurses and doctors. In July 2019, the American College of Surgeons created a program with 32 standards designed to improve the care of older adults. The bright lights, noise, and harried atmosphere in hospital emergency rooms can disorient older adults.
Persons: Jerry Gurwitz, , ” Gurwitz, What’s, “ There’s, , geriatrician Gregg Warshaw, geriatrics, Michael Harper, Thomas Robinson, geriatricians, Dr, Sanjay Gupta, Lisa Walke, Harper Organizations: CNN, University of Massachusetts Chan Medical, National Academies of Sciences, Engineering, Medicine, American Geriatrics Society, University of North Carolina School of Medicine, University of California, Seniors, American College of Surgeons, Initiative, Geriatric, American College of Emergency Physicians, Centers, Medicare, Medicaid Services, UCLA, Indiana University, Johns Hopkins University, UCSF, Get CNN, CNN Health, Penn Medicine, University of Pennsylvania, KFF Health, Kaiser Health, KFF Locations: United States, San Francisco
Just how harmful or helpful hormone replacement therapy may be also depends on the type of hormones that are prescribed, especially at older ages. Estrogen-only hormone therapy can be prescribed if the uterus has been removed via hysterectomy. Scientists are developing a new generation of hormone replacement called selective estrogen receptor modulator, or SERM. Scientists are working on new forms of hormone replacement therapy that go directly to the brain, thus making them safer for menopausal women. In addition, some women are not candidates for hormone replacement therapy, perhaps due to family history, heart conditions or clotting disorders.
Persons: hasn’t, , , Lisa Mosconi, Mosconi, Richard Isaacson, ” Isaacson, gynecologists, midlife, ” Mosconi Organizations: CNN, Weill Cornell Medicine, Locations: New York City, midlife, Florida
CNN —Loss of slow-wave sleep as you age may increase your risk of developing dementia, according to a new study. Slow-wave sleep is the third stage of sleep, which is important for brain health. Each percentage decrease in slow-wave sleep per year was linked with a 27% increased risk of developing dementia and a 32% higher risk of Alzheimer’s disease dementia. The rate of slow-wave sleep loss accelerated from age 60, peaked from ages 75 to 80 and slowed afterward. “This is an important study yet again showing the impact of quality of sleep on a person’s risk of cognitive decline and dementia,” Isaacson said.
Persons: , Matthew P, Pase, , Richard Isaacson, Isaacson wasn’t, ” Pase, ” Isaacson, it’s, Rudolph Tanzi, Tanzi wasn’t, Pase’s Organizations: CNN, Monash University, Framingham Heart Study, US, Blood Institute, Study, Genetics, Aging Research, Massachusetts General Hospital, Locations: Australia, Florida, Framingham, Massachusetts
Foods that improve brain function and mood
  + stars: | 2023-10-27 | by ( Andrea Kane | ) edition.cnn.com   time to read: +7 min
Each episode will focus on one of those states — the distracted brain, the frightened brain, the depressed brain and others — to spotlight what is going on in our heads and how it affects our bodies. But it’s not so easy to know what to eat for brain health, or even how to measure it. Many of us have been told that foods such as blueberries, salmon, nuts and leafy greens are so-called brain foods. Nutritional psychiatrist Dr. Uma Naidoo has built a career around figuring out which foods improve brain function and positively influence the way we feel. What can you do to nourish your brain and boost your mood?
Persons: Sanjay Gupta, , it’s, Uma Naidoo, Naidoo, ” “ We’re, , she’s, I’m, , ” Naidoo, Stephen King, CNN Audio’s Eryn Mathewson Organizations: CNN, Massachusetts General Hospital, Harvard Medical School, Standard Locations: Massachusetts
MADRID, Oct 25 (Reuters) - Shakhtar Donetsk captain Taras Stepanenko and the Ukrainian side's goalkeeping coach visited an injured Ukrainian soldier recovering at a Barcelona clinic ahead of their Champions League fixture in the northeastern Spanish city. Shakhtar decided to pay for his transfer to Barcelona's Guttmann Brain Health Institute, where he is undergoing a long neurorehabilitation process. I really wanted to cry, because when you see him, he is a really strong guy who protect(ed) our country," Stepanenko told Reuters. In the five months that Shumei has been in Barcelona, his condition has improved significantly, Shakhtar said in a statement, especially after doctors performed a complex brain surgery in June. Shakhtar face Barcelona in the Champions League on Wednesday evening.
Persons: Taras Stepanenko, Vitaly Shumei, Stepanenko, Shumei, Sergio Albu, Andriy Pyatov, Shumei's, Serhiy, Albert Gea, David Latona, Christian Radnedge Organizations: Shakhtar Donetsk, Ukrainian, Champions League, Shakhtar, Brain Health, Reuters, Barcelona, Thomson Locations: MADRID, Barcelona, Spanish, Donbass
Doubts abound about a new Alzheimer’s blood test
  + stars: | 2023-10-18 | by ( Judith Graham | ) edition.cnn.com   time to read: +10 min
The Quest Diagnostics blood test, AD-Detect, measures elevated levels of amyloid-beta proteins, a signature characteristic of Alzheimer’s. But Alzheimer’s researchers and clinicians aren’t convinced the Quest test is backed by sound scientific research. Though blood tests for Alzheimer’s are likely to become common in the years ahead, the Alzheimer’s Association said it’s premature to offer a test of this kind directly to consumers. Because the science behind blood tests for Alzheimer’s is still developing and because “patients may not really understand the uncertainty of test results,” Edelmayer said, the Alzheimer’s Association “does not endorse the use of the AD-Detect test by consumers.”Quest’s blood test is one of several developments altering the landscape of Alzheimer’s care in the United States. The bottom line: Before taking a test, “older adults need to ask themselves, ‘Why do I want to know this?
Persons: aren’t, Alzheimer’s, Michael Racke, , there’s, Suzanne Schindler, St . Louis, That’s, ” Schindler, Racke, Meera Sheffrin, , Rebecca Edelmayer, ” Edelmayer, Eric Widera, Dr, Sanjay Gupta, Emily Largent, ’ ”, Munro Cullum Organizations: Health, Diagnostics, Alzheimer’s Association, Quest, University of Michigan, International Conference, Washington University School of Medicine, Senior, Stanford Healthcare, The University of Michigan, FDA, National Institute, Aging, University of California, Get CNN, CNN Health, University, Pennsylvania’s Perelman, of Medicine, HIPAA, University of Texas Southwestern Medical Center, Kaiser Health, KFF Locations: U.S, San Diego, St ., United States, San Francisco
Each episode will focus on one of those states — the distracted brain, the frightened brain, the nourished brain, etc. (While her paper was published in 2021 in Nature Scientific Reports, Mosconi has kept adding women’s brain scans to her database.) She adds that what happens during menopause can have implications for brain health in later years. “Active smoking is a huge ‘no’ for both menopause but also for brain health,” she said. “Physical activity is really supportive of hormonal health and brain health,” she noted.
Persons: Sanjay Gupta, , ” Lisa Mosconi, ” Mosconi, Mosconi, Lisa Mosconi, That’s, , , they’re, I’m Organizations: CNN, Weill Cornell Medicine, Nature Locations: New York City
Why it’s nutty not to eat nuts for good health
  + stars: | 2023-10-02 | by ( Carolyn O Neil | ) edition.cnn.com   time to read: +8 min
Sign up for CNN’s Eat, But Better: Mediterranean Style newsletter, an eight-part series that guides you in an expert-backed eating lifestyle that’s good for your health. Nuts contain dietary fiber, plant-based protein, vitamin E and potassium, calcium and magnesium. And to reap the most benefits, it’s key to make eating nuts a habit over the long haul. “Many healthy eating patterns, such as the renowned Mediterranean diet, include nuts on a regular basis in the diet,’’ Palmer said. Think outside the bowlIt’s easy to snack on nuts as part of a healthy lifestyle, but I also use nuts in many recipes.
Persons: they’re, , Sharon Palmer, Julio Ricco, iStockphoto, Pecans, They’re, ” Palmer, ’ Palmer, dill, Candice Bell, Liz Weiss, ” Carolyn O’Neil Organizations: CNN, US Food and Drug Administration, FDA, Beat Diabetes,
Certain lifestyle factors can lower your chances of developing dementia, from physical activity to brain-stimulating exercises and even the foods you incorporate in your diet. This may sound very similar to popular diets like the Mediterranean diet and the DASH diet, and researchers thought so, too. 1 best diet for 2023The MIND diet definedThe MIND diet is the Mediterranean-DASH Intervention for Neurodegenerative Delay Diet, which was coined in a 2015 study led by nutritional epidemiologist Martha Clare Morris. Researchers discovered that people who adhered to the Mediterranean and DASH diets had better levels of cognitive functioning compared to people who didn't follow those diets. These are the foods that are included in the MIND diet, as listed in The Nutrition Source: Whole grainsVegetables, especially green, leafy onesNutsBeansBerriesPoultryFishOlive oil The MIND diet also encourages you to limit your consumption of these foods: Pastries and sweetsRed meatCheeseFried foodsButter/Margarine'We have to be more holistic'
Persons: Hussein Yassine, Yassine, Martha Clare Morris Organizations: Keck School of Medicine, University of Southern, CNBC, New York Times, Harvard, Chan's, Public Locations: University of Southern California
Welcome to the hot flashes and other symptoms of approaching menopause — an experience experts say about 75% of women will share if they live long enough. Intense hot flashes could indicate an increased risk of Alzheimer's and heart disease in the future, new research found. The women were also fitted with sweat monitors to record their hot flashes on one of those nights. Frequent moderate to severe hot flashes can often last seven to 10 years, on average, and less frequent or severe hot flashes can last even longer, according to experts. “A lot of people actually underreport their hot flashes, saying they’re not having many when they really are,” Faubion said.
Persons: Peter Dazeley, , Stephanie Faubion, Faubion, Rebecca Thurston, , Thurston, ” Faubion, they’ve, Thurston’s, they’re, Mary Carson Organizations: CNN, Bank, Getty, Mayo, Specialty Clinic, , University of Pittsburgh’s Pitt Public Health, University of Pittsburgh Locations: Philadelphia, Jacksonville , Florida
Meats and fishBeef, chicken and fish are great for protein, and they can double as rich sources of choline. Beef liver is one of the highest available food sources of choline, which makes sense, as the liver is the organ that produces choline. Blackened cod is a great choice for delicious and easy fish tacos. EggsEggs are the second highest food source of choline after beef liver, providing 147 milligrams per one large egg. SoybeansIf you follow a vegetarian or plant-based diet, soybeans are a great protein source that's also high in choline.
Persons: multivitamins, I've, Lauren Armstrong, Lauren Organizations: Research, National Institutes of Health's, Children, Western Michigan University, CNBC Locations: Brussels, tacos, dietetics, Western
Phone. Keys. Wallet … Brain?
  + stars: | 2023-09-08 | by ( Jancee Dunn | More About Jancee Dunn | ) www.nytimes.com   time to read: +2 min
But starting in your fifties, Dr. Mendez said, the area of the brain in charge of memory retrieval is less efficient. So if you’re struggling to remember “that movie starring that guy,” the memory is often there, Dr. Mendez said — it just takes longer to surface. We are inundated with so much information each day, said Dr. Davis, and the brain has to manage memories. “Forgetting is a normal part of one’s brain function,” he said. It’s not good for your brain health in general, but as we get older, our capacity to multitask “typically diminishes,” he said.
Persons: Mario Mendez, ’ ”, Mendez, , , , it’s, Ronald Davis, Herbert Wertheim, Davis, Arman Fesharaki, Fesharaki, Zadeh, , Organizations: David Geffen School of Medicine, Herbert, Herbert Wertheim UF Scripps Institute for Biomedical Innovation, Technology, Yale School of Medicine Locations: U.C.L.A
Does the MIND Diet Prevent Dementia?
  + stars: | 2023-08-31 | by ( Alice Callahan | ) www.nytimes.com   time to read: +1 min
What is the MIND diet? The MIND diet was first described in a 2015 study led by Martha Clare Morris, a nutritional epidemiologist at Rush University, who died in 2020. The MIND diet is unique, however, in that it calls for at least six servings of leafy greens and two servings of berries each week. Does the MIND diet benefit the brain? But these studies can’t prove that the MIND diet itself leads to better brain health.
Persons: Martha Clare Morris, Morris, , Debora Melo van Lent Organizations: Rush University, University of Texas Health Science Center, San Locations: San Antonio
Microsoft's cofounder Bill Gates lacked motivation when he was at school and was 'lazy' at math. "Early on in math, I was kind of lazy," 67-year-old Gates said. "And a teacher in eighth grade said, you know: 'How come you're so lazy? Gates explained that the teacher would give him books to read and push him to do better. However, Gates has encouraged students to stick out the full four years of college to get the best out of their education.
Persons: Bill Gates, Sal Khan –, Gates, we're, Paul Allen Organizations: Harvard University, Microsoft, Morning, Khan,
I've been a practicing doctor and neurologist for more than seven decades. And at 101 years old, people often ask me how I keep my brain sharp. Some areas of the brain may shrink, communication between neurons may become less effective, and blood flow may decrease. But like any other muscle in the body, our mind needs consistent exercise to thrive. I use three daily rituals to boost my brain health.
Persons: I've
Bill Gates said that he used to think sleeping was lazy and unnecessary when he was younger. Now he checks his daily sleep score to maintain good brain health as he gets older. The billionaire has changed his tune about sleep since then and started tracking his daily "sleep score," he said. A sleep score is determined by the length and quality of your sleep and is something that can be tracked on an Apple Watch or a Fitbit, for example. "One of the most predictive factors of any dementia, including Alzheimer's, is whether you're getting good sleep," he added.
Persons: Bill Gates, Seth Rogan, Lauren Miller Rogan, Gates, Rogan chimed, Matthew Walker Organizations: Microsoft, Apple Watch
"One of the strongest things to emerge in [the Alzheimer's] area is the importance of good sleep," Gates said. "It's one of the most predictive factors of any dementia, including Alzheimer's, whether you're getting good sleep." On the podcast, Seth Rogen agreed with Gates, saying his mother-in-law's Alzheimer's diagnosis encouraged him to take sleep more seriously. You don't need sleep,'" Rogen said. It's "super important," Gates said.
Persons: Bill Gates didn't, Bill Gates, Seth Rogen, Lauren Miller Rogen, Gates, , Rogen, Warren Buffett Organizations: Microsoft, Harvard Medical School, National Health, American Academy of Sleep Medicine, Centers for Disease Control, Apple
The company told Reuters that 49% of Black volunteers did not meet the trial's amyloid threshold requirements compared to 22% for whites and 55% for Hispanics. "Is it because MCI (mild cognitive impairment) or early dementia type-symptoms in Blacks are caused by other reasons more so than Alzheimer's?" In 96 dementia trials from 2000-2017, diverse populations only made up around 11% of enrollment, according to a 2018 study. Among Black people who died of Alzheimer's, their dementia was more likely to result from multiple causes, such as vascular disease. "Is it that it's not Alzheimer's disease?
Persons: Barrington, Vickie Riley, Charlie, Harriet Shaffer, Barrington Riley, , Eli Lilly, Lilly, Crystal Glover, Eisai, Ivan Cheung, Cheung, Shobha, Biogen, Mark Mintun, Alzheimer's, Dr Lisa Barnes, Barnes, Joshua Grill, we're, Reisa Sperling, Brigham, Julie Steenhuysen, Caroline Humer, Suzanne Goldenberg, Daniel Flynn Organizations: Emory University Brain Health, Americans, Reuters, Prospective Black, Rush, Disease Research, and Drug Administration, FDA, Black, MCI, National Institutes of Health, Rush Center, University of California, Women's Hospital, Thomson Locations: Atlanta , Georgia, U.S, Chicago, Tokyo, Irvine, United States
Olive oil may lower risk of death from dementia
  + stars: | 2023-07-27 | by ( Kristen Rogers | ) edition.cnn.com   time to read: +5 min
Whether olive oil is linked with risk of dementia-related death had never been studied until now, according to the authors. Over a follow-up period of 28 years, regardless of diet quality, eating more than half a tablespoon of olive oil per day was associated with a 28% lower risk of dying from dementia, compared with participants who never or rarely consumed olive oil. Additionally, replacing a daily teaspoon of mayonnaise or margarine with the same amount of olive oil was correlated with an 8% to 14% lower risk of dementia-related death, the authors found. “It is also possible that olive oil has an indirect effect on brain health by benefiting cardiovascular health,” she added. Besides cooking with olive oil, you can also use it to make salad dressings or vinaigrettes, mayonnaise, pesto or bread dip.
Persons: , , Anne, Julie Tessier, David Curtis, Duane Mellor, Olive, Tessier, ” Curtis, Curtis, it’s, Mellor Organizations: CNN, Nutrition, American Society for Nutrition, Harvard, of Public Health, Nurses, Health, UCL, Institute, University College London, Aston Medical School, Aston University in Locations: Boston, Chan, North America, Aston University in England, Olive
New research backs her up: Volunteering has been linked with better scores on tests of cognitive function, according to research presented Thursday at the Alzheimer’s Association International Conference in Amsterdam. “We hope these new data encourage individuals of all ages and backgrounds to engage in local volunteering — not only to benefit their communities, but potentially their own cognitive and brain health.”Previous studies have found positive links between volunteering and cognitive function. These adults were around age 74 on average and had participated in the Kaiser Healthy Aging and Diverse Life Experiences Study or the Study of Healthy Aging in African Americans. Barberena thinks volunteering helps maintain her cognition by engaging her memory, verbal and reasoning skills, she said. Previous studies have found socializing and physical activity, both often involved in volunteering, to be beneficial for brain health.
Persons: Celia Barberena, Barberena, , , Donna McCullough, , it’s, Maria C, Carrillo, wasn’t, hadn’t, ” Carrillo, Yi Lor, Lor, ” Barberena, ” Lor Organizations: CNN, Alzheimer’s Association International, “ Volunteers, Alzheimer’s Association, Healthy Aging, Aging, University of California, Alliance Locations: Latina, Pacific Grove , California, Amsterdam, Davis, Monterey County, , California’s Monterey
In my early 50s, I was forced to retire early after a near-death experience to take care of my health. But at 62, after feeling bored, restless and stuck, I un-retired and started a coaching company to help people achieve a more fulfilling retirement than I did. Here are four myths about retirement that more people need to talk about:Myth #1: Life follows a linear path. Don't wait for retirement to live the life you want. Benedictine monks are encouraged to "keep death daily before your eyes," so that they can live life more fully and in a detached manner.
Persons: Millennials, I've, They'd, Cicero Organizations: Stanford's Center of Longevity Locations: U.S
CNN —Results are in from the highly anticipated clinical trial on the Mediterranean-DASH Diet Intervention for Neurodegenerative Delay or MIND diet — a diet designed specifically to boost the brain — and they are less stellar than anticipated. Actually, the MIND diet did improve the brains of those who followed it for three years. Past studies have shown both the MIND diet and the Mediterranean diet significantly reduced the risk of cognitive decline and Alzheimer’s disease. The MIND diet also assimilates elements of the Dietary Approaches to Stop Hypertension (or DASH) diet. The DASH diet has been shown to reduce blood pressure and is the American Heart Association’s top diet.
Persons: , Lisa Barnes, Barnes, Walter Willett, Harvard T.H, Willett, “ It’s, David Katz, ” Katz, romaine, ” Willett, , Katz Organizations: CNN, Disease Research, Rush University Medical Center, Harvard, of Public Health, Harvard Medical School, True Health Initiative, Rush University, New, of Medicine, Blue Locations: Chicago, Chan, Amsterdam, American, Swiss chard
Neuroscientists explain how they keep healthy brains with regular exercise, enough sleep, and more. Keeping your brain healthy is important for delaying neurodegenerative conditions like Alzheimer's. But there's a lot more to keeping the brain healthy and the science behind it. Try new thingsExposing yourself to new people, places, and challenges can keep your mind sharp, improve brain plasticity and strengthen your brain, Shepherd said. "Your brain is not somehow totally separate from your body, so things that are helpful for your body are also good for your brain," Lerner said.
Persons: Neuroscientists, Emily McDonald, McDonald, Jason Shepherd, Talia Lerner, Shepherd, Sleep, Lerner Organizations: Service, University of Utah, Northwestern University, Research Locations: Wall, Silicon
The participants, who were all older than 71, were then screened for dementia using the Dementia Screening Interview, the study said. In people with distance visual impartment, that jumped to 19.5%; 21.5% for near visual impairment; and 32.9% for people who had moderate to severe visual impairment or were blind, according to the study. Another factor that might lead to the correlation is a possible decrease in opportunities and community participation that could come with vision loss, Silverman said. “When it comes to vision impairment and blindness, an estimated 80 plus percent is either preventable or even reversible,” he added. “If you notice that you have vision that is starting to be impaired, get it checked out.”But not every case of vision loss is treatable.
Persons: Joshua Ehrlich, Ehrlich, , , Arielle Silverman, Silverman, Thomas Holland, Chicago . Holland, Holland, ” Holland, ” Silverman Organizations: CNN, Ophthalmology, University of Michigan, American Foundation for, Rush Institute, Healthy Aging, Rush Medical College Locations: United States, Ann Arbor, Chicago ., Holland
However, experts who treat and study menopause say the study is unable to draw a direct connection to later-life dementia and that the overall benefits of hormone replacement therapy, or HRT, far outweigh the risks for many patients. “One finding in the study was a link between dementia and the use of HRT for a very short time span, under a year. Researchers compared people with dementia who had used hormone therapy, even briefly, with those from the larger group who had not. The chance of being diagnosed with dementia went up with years spent on HRT, the study found. When women used 12 or more years of hormone therapy, the association with a diagnosis of dementia rose to 74%, Pourhadi said.
Persons: , Nelsan, Pauline Maki, David Curtis, Kejal, Kantarci, Andrea Lenzi, University of Rome La Sapienza, ” Pourhadi, Pourhadi, Maki, ” Maki, Susan Davis, Amanda Heslegrave, ” Heslegrave Organizations: CNN, Danish Dementia Research, Copenhagen University Hospital Rigshospitalet, University of Illinois, UCL Genetics Institute, University College London, Mayo Clinic, University of Rome La, University of Illinois’s Center for Research, Women’s, Monash University, Dementia Research Locations: Danish, Denmark, Chicago, neuroradiology, Rochester , Minnesota, Taiwan, Melbourne, Australia, London
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