Health
Can we reverse Alzheimer’s disease? Experts suggest ‘new paradigm’ for combating dementia
With more people dying from Alzheimer’s disease than ever before, experts are emphasizing the importance of early diagnosis and intervention.
The number of fatalities due to the disease increased by 141% between 2000 and 2021, according to the 2024 Alzheimer’s Disease Facts and Figures report.
Also, the number of Americans living with the disease is on the rise as well — up to 6.9 million and counting.
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“As older adults — mostly baby boomers born between 1946 and 1964 — are the fastest-growing segment of the population, and this same demographic is at the highest risk for Alzheimer’s disease and related dementias, it is not entirely surprising that the number of cases continues to grow,” Dr. James Galvin, chief of cognitive neurology and director of the Comprehensive Center for Brain Health at The University of Miami Health System, told Fox News Digital.
The number of fatalities due to the disease increased by 141% between 2000 and 2021, according to the 2024 Alzheimer’s Disease Facts and Figures report. (iStock)
Another factor contributing to the uptick of cases is that the disease is getting detected earlier, he noted — “due to scientific advances in knowledge, diagnostic criteria and laboratory tests that enable health care professionals to make diagnoses with greater surety and accuracy.”
Importance of early detection
Early detection and diagnosis allows the family to plan for future care at a time when the patient is able to express their wishes and desires, Galvin noted.
Also, many of the available medications to reduce symptoms are most effective when started early in the course of the disease, he added.
Patients who are diagnosed early will also have a better chance of enrolling in clinical trials for new medications and diagnostics.
Many of the available medications to reduce symptoms are most effective when started early in the course of Alzheimer’s disease, said one expert. (iStock)
“There are newer medications that have the potential for disease modification that are approved or under consideration for approval, so patients have more treatment options,” Galvin said.
The current medications largely treat symptoms and slow progression of disease — but several trials are underway to test prevention therapies.
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“Specifically, these are monoclonal antibodies against the amyloid beta-protein, the building block of the senile plaques in the Alzheimer’s brain,” Galvin said.
“This is particularly exciting, because rather than being reactive after the disease starts, these new programs are proactive and could potentially have a much greater impact on public health.”
Can Alzheimer’s be reversed?
Dr. Heather Sandison, a leading expert in Alzheimer’s and related dementia care who is based in California, said that in some cases, the disease can be slowed or even reversed.
“The ways for individuals to potentially reverse Alzheimer’s vary, because the causes of Alzheimer’s vary from person to person,” Sandison, author of the upcoming book “Reversing Alzheimer’s: The New Toolkit to Improve Cognition and Protect Brain Health,” told Fox News Digital.
Early detection and diagnosis allows the family to plan for future care at a time when the patient is able to express their wishes and desires, a doctor noted. (iStock)
“Instead of thinking of one way or one of two ways, I propose an entirely new paradigm of thinking about the causes of Alzheimer’s disease — identifying them for the individual and creating a targeted, precise approach to treatment.”
One person, for example, may have Alzheimer’s that is associated with genetic predisposition, high blood sugar and a history of strokes, she noted.
“The choices you make each day about what you put in your mouth, how much you move and what time you get to bed have the biggest impact on your long-term brain health.”
Another individual may have Alzheimer’s caused by the inhalation of toxins from environmental pollution, obstructive sleep apnea reducing the oxygen supply, and a history of traumatic brain injuries.
Someone else may have all of these factors.
“We would treat these individuals differently,” Sandison said.
“The way for an individual to potentially reverse Alzheimer’s varies, because the causes of Alzheimer’s vary from person to person,” an expert said. (iStock)
Regardless of risk factors, Sandison said the best ways to prevent Alzheimer’s are to eat a diet high in vegetables, good fats and proteins, while also getting regular vigorous exercise, quality sleep and daily stress management practices.
“The choices you make each day about what you put in your mouth, how much you move and what time you get to bed have the biggest impact on your long-term brain health,” she said.
Like any complex system, the brain and body require a “homeodynamic balance” to function well, according to Sandison.
“Imbalance — too much, too little, in the wrong place, at the wrong time — will create dysfunction and, in the case of the body and brain, disease,” she warned.
“The primary causes of imbalance in the brain include toxins, nutrients, stressors, structure, infections and signaling.”
The number of Americans living with Alzheimer’s disease has risen to 6.9 million. Like any complex system, the brain and body require a “homeodynamic balance” to function well, said one expert. (iStock)
With her reversal techniques, Sandison said she sees the best results with patients who are younger than 75, have MoCA (Montreal Cognitive Assessment) scores of 18 and above, and have a supportive network of loved ones around them, “so they can dive fully into the lifestyle changes.”
She added, “That being said, we have seen miraculous results with patients in their 80s with single-digit MoCA scores.”
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“You don’t have to be perfect, but in order to get results, you need to be willing and able to make some changes,” Sandison continued.
“If you have that, there is room for hope, no matter how much the disease has progressed.”
To her patients, Sandison recommends combining lifestyle recommendations with conventional medicine.
“Diet, lifestyle and functional medicine approaches are best used collaboratively with a primary care provider and neurologist on your team,” she said.
“I am hopeful that in the future, we will use the plaque-busting drugs to reduce structural changes in the brain … in combination with the multi-pronged approach to reversing Alzheimer’s.”
‘Connection over correction’
Sandison coined the “connection over correction” approach as a way of helping caregivers deal with what can often feel like an “overwhelming burden.”
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“There are complex emotions — ranging from joy and gratitude for the precious time with a loved one to grief and despair as you lose them slowly,” she said.
“The physical, financial and emotional toll adds up.”
Regardless of what risk factors someone has, experts recommend eating a diet high in vegetables, good fats and proteins combined with regular vigorous exercise to help reduce dementia risk. (iStock)
One way to reduce the burden is to accept that your loved one has changed and stop correcting them, according to Sandison.
“Focus your energy on connecting with them in a way that honors their current capacity,” she advised.
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“If they make a mistake with a word or repeat a question or miss an appointment … make accommodations and focus on the positive aspects of the day, not dwelling on or emphasizing the mistake.”
The “connection over correction” approach is a way of helping caregivers deal with what can often feel like an “overwhelming burden,” an expert said. (iStock)
Having compassion for loved ones with dementia and understanding they have a disease they cannot control can help to reframe these frustrating situations, she said.
“We all function best when we are experiencing connections with others and when we can avoid the unnecessary stress of feeling we are wrong or as if we have displeased someone,” Sandison added.
The biggest myth surrounding brain health, she said, is that nothing can be done to prevent or reverse dementia or Alzheimer’s.
“That just isn’t true,” she said. “It’s almost overwhelming how much you can do to optimize cognitive function at any stage of life.”
For more Health articles, visit www.foxnews.com/health.
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Stat of the week
More than 59% of women may have high blood pressure by 2050, according to a new report from the American Heart Association.
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Health
Heart disease threat projected to climb sharply for key demographic
NEWYou can now listen to Fox News articles!
A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.
The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.
More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.
The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.
As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.
The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)
Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.
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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”
“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.
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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”
Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)
Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”
The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.
The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.
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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”
Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.
Moving more is one part of protecting a healthy heart, according to experts. (iStock)
Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.
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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.
The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.
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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”
“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”
The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.
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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.
“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”
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