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High blood pressure and Alzheimer’s disease could go hand in hand, study finds

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High blood pressure and Alzheimer’s disease could go hand in hand, study finds

The risk of Alzheimer’s disease could escalate along with high blood pressure, according to a new study.

Published in the medical journal Neurology, the research found that people age 60 and older who have untreated high blood pressure may be more likely to develop the common dementia type.

Although the results don’t prove that untreated high blood pressure causes the disease, they do show an association, the American Academy of Neurology stated in a press release.

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Study author Matthew J. Lennon, M.D., PhD, of the University of New South Wales in Australia, wrote in a statement that high blood pressure is a “leading cause of stroke and cerebrovascular disease, and yet it can be controlled with medication, reducing a person’s risk of these diseases.”

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The study found that people age 60 and older with untreated high blood pressure may have an increased risk of Alzheimer’s. (iStock)

While previous research has found that taking blood pressure medications can reduce dementia risk, according to Lennon, less is known about the condition’s impact on Alzheimer’s risk.

“Our meta-analysis looked at older people and found that not treating blood pressure may indeed increase a person’s risk,” he said.

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The researchers analyzed 31,250 people averaging 72 years old who were involved in studies measuring cognitive change and dementia diagnosis over time, the release stated.

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After four years, 1,415 of those individuals developed Alzheimer’s disease.

A doctor points at potential evidence of Alzheimer’s disease spotted in a PET scan at Brigham And Women’s Hospital in Boston on March 30, 2023. (REUTERS/Brian Snyder/File photo)

People with untreated high blood pressure had a 36% increased risk of Alzheimer’s compared to those without the condition, the study found.

They had a 42% increased risk in comparison to those with high blood pressure who were taking blood pressure medication.

“This relationship is not altered by increasing age, which indicates that even those in their 70s and 80s are at significantly lower risk of AD if hypertension is treated,” Lennon told Fox News Digital in an email.

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“These results suggest that treating high blood pressure as a person ages continues to be a crucial factor in reducing their risk of Alzheimer’s disease,” he added.

The researchers also found that there were no significant risk differences in the effects of blood pressure or medication use across different sexes or racial groups.

“This is a very promising result, as it suggests that optimal care for one group will be similar for others,” Lennon noted.

“Treating high blood pressure as a person ages continues to be a crucial factor in reducing their risk of Alzheimer’s disease.”

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Dr. Marc Siegel, a professor of medicine at NYU Langone Medical Center and Fox News senior medical analyst, reacted to these findings in a conversation with Fox News Digital.

Alzheimer’s involves “neuroinflammation and the formation of plaques, which interfere with neuronal communication,” noted Siegel, who was not involved in the study.

“We have long known that high blood pressure, high cholesterol and high glucose levels — as well as obesity, smoking and alcohol use — contribute to increased risk of heart attack, stroke and vascular dementia,” a doctor told Fox News Digital. (iStock)

Added the doctor, “High blood pressure may accelerate this development by interfering with oxygen and blood supply to the nerve cells of the brain in some areas — especially the frontal lobe, which is affected.

Dr. Elizabeth Landsverk, geriatric medicine physician and author in California, was not involved in the study but said she was not surprised by the findings.

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“We have long known that high blood pressure, high cholesterol and high glucose levels — as well as obesity, smoking and alcohol use — contribute to increased risk of heart attack, stroke and vascular dementia,” she told Fox News Digital.  

“This new study also finds a decreased risk of Alzheimer’s disease (amyloid proteins deposing the brain) among those treated for hypertension.”

Potential study limitations

The researchers used data from 14 different longitudinal studies from around the world, Lennon noted, which means there may be some variability in the way they define dementia and high blood pressure.

“Most of the studies also did not report mortality data, and thus our analysis did not account for the competing risks of dementia and death,” the researcher told Fox News Digital.

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“These results suggest that treating high blood pressure as a person ages continues to be a crucial factor in reducing their risk of Alzheimer’s disease,” a study researcher said. (iStock)

Factors like socioeconomic status, health literacy, access to medications, poorly managed medical conditions, and depression and other mental illnesses could also confound the association between hypertension status and dementia risk, Lennon added.

“Because the study is taken over a long period of time, any number of outside variables can alter the results, making it less reliable,” Landsverk noted.

Hypertension is extremely common, affecting two-thirds of those over age 65 and around 1.3 billion people worldwide, Lennon noted. 

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“In the vast majority of cases, it is clinically silent, causing no symptoms until you present with a heart attack, a stroke, or — as we now have shown — dementia,” Lennon said.

Hypertension is extremely common, affecting two-thirds of those over the age of 65 and around 1.3 billion people worldwide. (iStock)

Only 28% of those with high blood pressure have it under adequate control, he noted. 

“While you might not feel the consequences of high blood pressure immediately, it is really important that you keep a close eye on it and bring it under control if you want to maximize your chance at a longer, happier, healthier life,” Lennon added.

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For those who are obese, Landsverk added, losing weight is the fastest way to decrease risk factors.

“In general, the healthiest approach is adopting a plant-based diet and exercising 30 minutes each day to reduce your risk of heart attack, stroke, dementia and now Alzheimer’s disease by as much as 40%,” she advised.

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Brain Health Challenge: Try a Brain Teaser

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Brain Health Challenge: Try a Brain Teaser

Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.

Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.

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Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.

To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.

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Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.

A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.

But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”

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So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”

Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Popular intermittent fasting diets may not deliver the health benefits many expect

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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.

The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.

The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.

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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.

The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.

A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)

The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.

“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.

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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.” 

“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.

One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)

“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”

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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D. 

Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.

“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”

Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.

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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.

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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”

Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)

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Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.

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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.

Fox News Digital reached out to the researchers for comment.

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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