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Prevention
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Experts sit on The NIH Alzheimer's Prevention Panel
Top experts on the NIH Alzheimer's Prevention Panel authored this report.

The NIH report, “Preventing Alzheimer’s Disease and Cognitive Decline,” reviews the numerous studies on lowering the risk of Alzheimer's. It helps clarify which studies show "consistent associations" between people's characteristics and their level of risk for Alzheimer's.

For an explanation of "consistent associations", see below the chart.

 

Alzheimer's Prevention: What We Know

Consistent Association
for Reducing Risk -->

Good
Modest
None

Nutrition & Diet

Fish rich in Omega-3

Low in saturated fat

High vegetable intake

Mediterranean Diet
Light alcohol
Vitamins B, C, E
Folate and Beta-Carotene
Flavonoids and Multivitamins

Gingko biloba

Medication

Statins
Antihypertensive medication
Cholinesterase inhibitors
Anti-inflammatories:
NSAID's, aspirin
Estrogens

Socioeconomics

Socioeconomic status
Cognitive milieu
Years of education

Activity

Cognitive activities ("brain exercise, brain training")
Physical activity
Painting, gardening
Religious services
Club membership

Consistent Association for Increased Risk -->

High
Modest
None

Medical Factors

High Blood Pressure

Diabetes

Sleep apnea, obesity

Traumatic brain injury

Psychological & emotional health

Depression

Depressive symptoms

Social

Living alone
Loss of spouse

Habits

Current tobacco use
Past tobacco use
Alcohol use

Genetics

ApoE gene

What are "consistent associations?"

Let's take fish as an example. People who ate a lot of fish rich in Omega-3 fatty acids were "consistently associated" with a lower risk of Alzheimer's. That means that if there were 10 studies, the results of all 10 studies were pretty consistent, and people who ate such fish kept showing a low risk. There was good consistency between the studies, associating the people who ate fish rich in Omega-3 with a lower risk for Alzheimer's. Therefore, in the chart, the "GOOD" box next to fish is checked.

On the other hand, take the case of B Vitamins. Some studies reported on this site have shown they were great at lowering risk while others have shown that they did nothing, or perhaps even increased risk. Based on these studies, it is unclear whether taking B Vitamins is a benefit or a detriment. Therefore the phrase, "consistent association" is used. Based on studies to date, there is "no consistency" between the B Vitamin studies. Therefore, there is no consistent association between taking B Vitamins and reducing the risk of Alzheimer's. Though we did not prove B Vitamins don't help, we certainly have been unable to make any meaningful connection one way or the other. That is why the "NONE" box is checked by B Vitamins.

This process of looking for "consistent associations" does not prove any absolute cause-and-effect relationships. Notwithstanding, when there is a consistent association, consider it probable evidence worthy of serious attention.

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READ RELATED ARTICLES


Senior couple in sporty clothes preparing healthy meal together The NIH’s Alzheimer’s Prevention Panel clarified the big issues in reducing Alzheimer's risk, stirring up a bit of controversy along the way. Its insights are in the new 16-page report, “Preventing Alzheimer’s Disease and Cognitive Decline.”
Read More...


More Information:

Source:

National Institutes of Health


Week of May 2 - May 9, 2010

By Peter Berger, Alzheimer's Weekly.
Reviewed by
Dr. Boaz Ancselovic, MD, Geriatrician, Alzheimer's Weekly.
COPYRIGHT © 2010 Alzheimer's Weekly LLC.
All Rights Reserved.




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