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- Giving Up the Guns When a Family Member Has Alzheimer’s
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- Making the Most of Mealtimes for People With Alzheimer’s
- Family Members Provide 100 Hours a Month of Unpaid Care for Alzheimer’s
- Alzheimer’s Caregivers Should Be Screened for Depression
- Alzheimer’s Care Costs Far More Than Heart Disease or Cancer Care
- Obesity at Midlife May Speed Alzheimer’s Onset
- Hello from my mom
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- ‘Squeezed’ Blood Vessels in the Brain May Contribute to Alzheimer’s Onset
- Hormone Therapy for Prostate Cancer Tied to Alzheimer’s Disease Risk
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- Intensive Blood Pressure Control May Help Keep Memory Sharp
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- High Blood Pressure of Pregnancy Tied to Late-Life Dementia
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- Widely Used Office Dementia Tests Are Often Inaccurate
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- Opioid Painkillers Increase Pneumonia Risk in People With Alzheimer’s Disease
- Drug Companies Halt Trials of Aducanumab for Alzheimer’s Disease
- Diabetes Treatments May Help Ward Off Alzheimer’s Disease
- Can Mushrooms Help Your Memory?
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- Experimental Drug, Fails to Benefit Alzheimer’s Patients
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- Pain Relievers Present Special Hazards in People With Alzheimer’s Disease
- Care Management Program Is Reducing Need for Anti-anxiety Medication and Visits to the Hospital/Emergency Room
- Music May Ease the Anxiety of Alzheimer’s
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- At Genetic Risk for Alzheimer’s Disease? A Healthy Lifestyle May Help
- Exercise Can Help Keep the Brain ‘Young’
- Fighting Gum Disease May Aid in Fight Against Alzheimer’s Disease
- Brain Scans Aid in Management of Alzheimer’s Disease
- For Brain Health, Choose Heart-Healthy Foods
- Keeping Physically and Mentally Active at Midlife May Cut Dementia Risk
- How Exercise May Help Fend Off Alzheimer’s Disease
- 6 Months of Moderate Exercise Can Sharpen the Mind
- Foods for Brain Health? Try Leafy Greens, Red and Orange Veggies, Berries and Orange Juice
- To Drive or Not to Drive? Questions to Ask
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- Are We Getting Closer to an Alzheimer’s Vaccine?
- Why More Women Than Men Have Alzheimer’s Disease
- Scientists get a ‘total surprise’ and a promising new clue for how to cure Alzheimer’s
- Some 44 Million People Have Alzheimer’s Worldwide
- Nearly 14 Million Americans Will Have Alzheimer’s Disease by 2060
- Alzheimer’s Rates Could Double in Coming Decades
- Combining Care Program With Medication Reduces Alzheimer’s Symptoms By 750%
- Fisher Center Scientists make two new Significant Discoveries in the battle against Alzheimer’s
- Dementia Rates Are Slowing, but Alzheimer’s Cases Continue to Rise
- Fisher Center Scientists Create a Novel Imaging Technology Allowing the 3D Visualization of Brain Defects That Cause Alzheimer’s Disease
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- The Fisher Center for Alzheimer’s Research Foundation Earns Coveted 4-Star Rating from Charity Navigator for the 8th Consecutive Year
- Fisher Center For Alzheimer’s Research Foundation Wins Fall 2018 Digital Health Awards®
- Fisher Center for Alzheimer’s Research Foundation Earns Gold Seal of Transparency from GuideStar
- The Fisher Center for Alzheimer’s Research Foundation Earns Coveted 4-Star Rating from Charity Navigator for the 7th Consecutive Year
- Hear Kent Karosen, President and CEO of the Fisher Center for Alzheimer’s Research Foundation, describe his new book and the power of art therapy
- Fisher Center Scientists link a Mutation That Protects Against the Development of Alzheimer’s Disease
- Newly Inducted Into the Basketball Hall of Fame, Shaquille O’Neal, Joins the Fisher Center for Alzheimer’s Research Foundation to Raise Funds for Groundbreaking Research in the Quest for a Cure
- Pat Summitt, legendary women’s basketball coach, dies at 64
- Celebrating the life of Nancy Reagan for her Impact on the Fight to end Alzheimer’s
- WRNN Interview
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Silent Strokes May Up Your Alzheimer’s Risk:
April 28, 2003
Evidence Links “Silent” Strokes to Alzheimer’s
Adopting the heart-healthy measures long advocated to prevent heart attacks and strokes might be a good hedge against memory decline, new research suggests. Dutch researchers report that symptom-free, unnoticed strokes in the brain may double your risk for developing the mind-robbing ravages of Alzheimer’s disease Sometimes called “brain attacks,” strokes most commonly result from the same artery-clogging damage that leads to heart attacks.
With a stroke, hardening of the arteries occurs in the blood vessels feeding the brain; with a heart attack, blood supply to the heart is blocked. Keeping the blood vessels open and healthy through diet, exercise, and regular medical care may help to guard against both life-threatening events. This study was the first major one to look at “silent” strokes. Unlike regular strokes, which cause weakness in an arm or leg or difficulty speaking, these “silent” strokes are small and go unnoticed. They can occur in healthy older people and, over the course of years, lead to gradual mental decline.
What the Study Found
This large trial, from the Erasmus Medical Center in the Netherlands and published in the March 27, 2003 issue of the esteemed New England Journal of Medicine, adds to the growing body of evidence that circulatory problems in the brain contribute to the development of Alzheimer’s disease. The study looked at more than 1,000 healthy older men and women aged 60 through 90. All were free of memory deficits, earlier strokes, or other major medical problems.
The participants underwent a sophisticated computer imaging technique called MRI that scanned their brains to look for problems like poor blood flow and signs of brain damage. They were also given extensive memory tests to look for signs of mental and cognitive decline. The more than 700 volunteers who completed the study then had another MRI scan and battery of tests three to four years later. At the end of the study, 26 of the men and women had developed Alzheimer’s, and four had other forms of dementia.
Those study participants who had evidence of “silent” strokes were more than twice as likely to develop dementia. The study confirms earlier links between poor circulation, strokes, and Alzheimer’s disease, although the relationship remains uncertain. For example, some people with Alzheimer’s show no signs of hardening of the arteries or “silent” strokes. In addition, “silent” or even full-blown strokes can strike many older people who remain clear thinking and alert. More commonly, however, people with Alzheimer’s do show evidence of blocked blood vessels, particularly in the arteries that feed the brain.
What’s more, if you’ve had a stroke in the past, you are at increased of developing Alzheimer’s down the road. The researchers also speculate that “silent” strokes may speed mental decline in those whose brains are already diseased by Alzheimer’s.
Cutting Your Risk
Going out to get tested for “silent” strokes is not something that’s routinely done. Whether a stroke is “silent” or not depends on many factors, including how large an area of the brain is affected, where in the brain it occurs, whether you are asleep or awake when it strikes, and even whether friends, family, or you yourself notice any problems. MRI is costly and not ordinarily recommended to diagnose “silent” strokes. A better step is to adopt lifestyle and medical measures to prevent strokes in the first place. What’s good for the heart, this and other research continues to confirm, is also good for the brain.
Among the measures experts recommend:
*If you’re overweight, drop some pounds.
*If you smoke, quit.
*Get regular medical checkups. If you develop high blood pressure or high cholesterol, get treated for it.
*If you drink alcohol, limit yourself to one to two drinks a day.
*Exercise regularly. Check with your physician about a routine that’s right for you.
*Eat a diet rich in fruits and vegetables and low in artery-clogging fats.
*Ask your doctor if “an aspirin a day” is right for you. Aspirin and other drugs can limit your chance of having a stroke.
*Ward off “the blues.” Many of those who fret about declining memory are actually depressed and can be treated with appropriate medicines. Antidepressants can also foster improvements in those with Alzheimer’s.
By Toby Bilanow, Medical Writer, for www.ALZinfo.org. Reviewed by Samuel E. Gandy, M.D., Ph.D., Chairman of the Scientific Advisory Board, Fisher Center for Alzheimer’s Research Foundation.
