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Can you reduce Alzheimer’s risk by seeing a health coach? Cognitive study suggests it’s possible

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Can you reduce Alzheimer’s risk by seeing a health coach? Cognitive study suggests it’s possible

Just as a fitness trainer can help you build physical strength, could a health and lifestyle coach help you reduce the chances of developing Alzheimer’s disease?

A recent study led by the University of California, San Francisco (UCSF), suggested personalized coaching in health and lifestyle resulted in better cognitive scores, improved quality of life and reduced dementia risk.

Titled the Systematic Multi-Domain Alzheimer Risk Reduction Trial (SMARRT), the study was published in JAMA Internal Medicine on Nov. 27. 

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The data was collected from August 2018 to August 2022 and analyzed from October 2022 to September 2023.

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A total of 172 older adults between 70 and 89 years of age who were already at high risk for dementia were placed in either a “personalized, multi-domain intervention group” or a control group that received no coaching.

A recent study led by the University of California, San Francisco, suggested personalized coaching in health and lifestyle resulted in better cognitive scores, improved quality of life and reduced dementia risk. (iStock)

The participants all exhibited at least two of eight risk factors for dementia, including sedentary lifestyle, poor sleep, uncontrolled hypertension, uncontrolled diabetes, current smoking status, depression, social isolation and use of prescription medications associated with a risk of cognitive decline.

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Before the study began, participants met with a health coach to choose the risk factors they wanted to improve. 

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Over a two-year period, they met with their coach every few months to discuss their progress toward their goals.

Compared to the control group, the intervention group showed a 74% improvement in cognitive test scores at the end of the study period.

Nurse with older man

Over a two-year period, participants (not pictured) met with their coaches every few months to discuss progress toward their goals. (iStock)

They also experienced a 145% improvement in dementia risk factors and an 8% increase in quality of life, the study found.

“This is the first personalized intervention, focusing on multiple areas of cognition, in which risk factor targets are based on a participant’s risk profile, preferences and priorities, which we think may be more effective than a one-size-fits-all approach,” said first author and lead investigator Kristine Yaffe, M.D., vice chair of research in psychiatry at UCSF, in a press release from the university. 

“The more mentally demanding activities you engage in on a regular basis, the lower your risk of developing dementia or cognitive impairment as you age.”

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“Not only did we find a significant reduction in risk factors, this is one of only a few trials that has shown a benefit in cognition that likely translates to lower dementia risk.”

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Dr. Suhail Rasool, director of the neurology research group at California pharmaceutical company TrueBinding, was not involved in the SMARRT study but shared his input on the potential benefits of cognitive coaching.

“The ‘use it or lose it’ theory underpins the concept of brain training,” he told Fox News Digital.

“According to a widely held belief, the more mentally demanding activities you engage in on a regular basis, the lower your risk of developing dementia or cognitive impairment as you age.”

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Older woman with nurse

Those who had the intervention experienced a 145% improvement in dementia risk factors and an 8% increase in quality of life, the study found. (iStock)

The theory is based on the observation that some people seem to have lower rates of dementia when they work complex jobs or engage in activities like crossword puzzles, puzzles or taking up new hobbies, Rasool noted. 

“Brain training games on computers have been created to test mental skills like reasoning, memory and problem-solving, abilities that can deteriorate or slow down with age.”

Dr. Joseph Antoun, CEO and chairman of the board of L-Nutra Inc., a California nutri-technology company, was also not involved in the SMARRT study but shared his insights on the potential benefits of cognitive coaching.

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“Some studies have suggested that working regularly with a brain coach can aid in brain health and develop neuroplasticity, which is the ability of the brain to heal, grow new neurons and form synaptic connections in response to stimuli,” he told Fox News Digital. 

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Stimulation through social interactions, learning a new hobby or even listening to music can also help aid brain repair.

“When coupling the stimulation received from a brain coach with other strategies, such as regular exercise, proper nutrition and quality sleep, the brain can start to repair itself.” 

Stimulation through social interactions, learning a new hobby or even listening to music can also help aid brain repair, Antoun added.

Physical therapy session

Before engaging in major lifestyle changes, such as exercise and diet, experts said it’s important to first check in with a doctor. (iStock)

“Treating the disease requires addressing many aspects of the body at one time, as you would when repairing holes in a roof, and the more holes you cover, the more success you have at fixing the problem,” he said.

Heather M. Snyder, PhD, vice president of medical and scientific relations for the Alzheimer’s Association in Chicago, Illinois, who was not involved in the SMARRT research, noted that lifestyle and behavioral interventions combining multiple components “show promise as a therapeutic strategy to protect brain health.”

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Snyder pointed to a previous study from 2015, the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER).

“The FINGER study reported that a combination of physical activity, nutritional guidance, cognitive training, social activities and management of heart-health risk factors protected cognition in healthy older adults with an increased risk of cognitive decline,” she told Fox News Digital. 

Elderly woman eating salad

A prior study found that a combination of good nutrition, exercise, cognitive training, social activities and heart-healthy behaviors protected cognition in healthy older adults who had increased dementia risk. (iStock)

“There is an urgent need to expand this work to test the generalizability, adaptability and sustainability of the FINGER study’s findings in geographically and culturally diverse populations worldwide.”

Fox News Digital reached out to the SMARRT study authors for further comment on the findings.

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Potential limitations

Jessica Caldwell, PhD, director of the Women’s Alzheimer’s Movement Prevention Center at Cleveland Clinic in Las Vegas, pointed out some potential limitations of using health coaching to prevent Alzheimer’s.

She was not involved in the new research.

“Coaching would not be expected to last forever, but health changes must be made for the long term.”

“Coaching may not be possible for everyone at risk, as it could be expensive and we do not yet know how often or long coaching is needed,” Caldwell told Fox News Digital. 

“In any case, coaching would not be expected to last forever, but health changes must be made for the long term.”

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Caldwell also pointed out that before someone engages in major lifestyle changes, such as exercise and diet, it’s important to first check in with a doctor to be sure they are healthy enough for changes and to understand any possible risks. 

Alzheimer's awareness

“It is possible to live well with Alzheimer’s by taking control of your health and wellness and focusing your energy on the aspects of your life you find most meaningful,” said a representative from the Alzheimer’s Association. (iStock)

Although a full recovery is a “difficult thing to guarantee,” said Antoun, practices like health coaching are most effective when used as a preventative measure or in the very early stages of cognitive decline.  

In the future, study author Yaffe hopes that “treatment of Alzheimer’s and related dementias will be like cardiovascular disease management, with a combination of risk-reduction and specific drugs targeted for disease mechanisms.”

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Added Snyder of the Alzheimer’s Association, “It is possible to live well with Alzheimer’s by taking control of your health and wellness and focusing your energy on the aspects of your life you find most meaningful.”

For more Health articles, visit www.foxnews.com/health.

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Mom’s Gripes About Sister-in-Law Put Daughter in a Bind

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Mom’s Gripes About Sister-in-Law Put Daughter in a Bind

My mother is hypercritical of my brother’s wife, to the point that she blames my sister-in-law for my brother’s “failings” (not getting a better job, not taking better care of his health, etc.). It has gotten worse now that there are grandchildren. My mother constantly criticizes how my sister-in-law is raising the kids, who are lovely and adore their grandparents.

Although my mother will occasionally raise criticisms with my sister-in-law and brother, I am mostly her audience.

I have a great relationship with my sister-in-law, and when my mother goes off on one of her rants, I defend her. I tell my mother how lucky she is to have such wonderful grandchildren, and point out that my brother is an adult who makes his own decisions. This just leads to an argument between my mother and me.

When I finally told my mother how much it hurts me to hear her say these things about my sister-in-law, she said that she needed to air her frustrations with someone. I want to be there for my mother, but I don’t like being put in this position. How do I navigate this?

From the Therapist: The short answer to your question is that you can navigate this by no longer engaging in these conversations. But I imagine you already know this. What you might be less aware of is that you aren’t being “put in this position” of supportive daughter, protective sister-in-law and unwilling confidante. You’ve chosen it, and it’s worth examining why you’ve signed up for a job you don’t want — and what makes it hard to resign.

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Usually when we find ourselves repeatedly engaging in uncomfortable family patterns, it’s because they echo familiar roles from our childhood. It sounds as if you’re struggling with enmeshment, a relationship pattern in which boundaries between family members become blurred or are nonexistent.

Think of enmeshment as being like two trees that have grown so close together that their branches have become intertwined. While this might look like closeness, it actually prevents either tree from growing in a healthy way. In your case, your mother’s emotions and grievances have become so entangled with your own emotional life that it’s hard to distinguish where her feelings end and yours begin.

You mention wanting to “be there” for your mom even though these conversations hurt you. Many adult children who struggle to say no to their parents grew up serving as their parents’ emotional support system, or absorbing their parents’ feelings, even at the expense of their own. When you told your mother how much her venting hurt you, she responded not by acknowledging your feelings, but by asserting her need to “air her frustrations.” Her response reveals something important: She sees you as a vessel for her emotional overflow rather than as someone with valid feelings of your own. And yet, despite your hurt, you’re still more concerned about her feelings than yours.

You’re asking how to navigate this situation, but I think the deeper question is: How can you begin to value your own emotional needs?

You can start by reframing what it means to make a reasonable request, which is essentially what setting a boundary is. A boundary isn’t about pushing someone away. Instead, it’s about making a bid for connection. It’s saying:I want to feel good being close to you, but when you do X, it makes me want to avoid you. Help me come closer.”

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Establishing a boundary consists of three steps:

  • State the issue and the desire to come closer (what will make this possible): “Mom, I love you and want to support you, but these conversations about my sister-in-law put me in an impossible position and make me want to avoid talking with you, which I know isn’t what either of us wants. I’m happy to talk about other things together, but in order to keep our relationship strong, I need this topic to be off limits.”

  • Set the boundary (what you will do): “If you’re struggling with their choices, I’m happy to support you in finding a therapist who can help you work through these feelings. But if you bring up these frustrations with me, I’m going to end the conversation and we can talk another time about other things.”

  • Hold the boundary (do what you say): A boundary isn’t about what the other person will or won’t do. A boundary is a contract with yourself. If you say you’ll end the conversation when your mom brings up your sister-in-law, you need to hold that boundary every single time. If you end the conversation only 90 percent of the time, then why would the other person honor your request when 10 percent of the time, you can’t honor it yourself? Honoring your request might sound like: “Mom, I’m going to end the conversation now because I’m not comfortable talking about my sister-in-law. I love you, and we’ll talk later.”

If you start to feel guilty, remember that just because someone sends you guilt doesn’t mean you have to accept delivery. Remind yourself that when you become your mother’s outlet for criticism of your sister-in-law, you’re participating in a cycle that strains loyalties and causes you personal distress. And keep in mind that being a good daughter means setting boundaries that encourage our parents to grow, rather than enabling patterns that harm our family relationships.

Want to Ask the Therapist? If you have a question, email askthetherapist@nytimes.com. By submitting a query, you agree to our reader submission terms. This column is not a substitute for professional medical advice.

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Cancer death rates decline yet new diagnoses spike for some groups, says report

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Cancer death rates decline yet new diagnoses spike for some groups, says report

A major annual cancer report has revealed a mix of good news and points of concern.

Cancer diagnoses are expected to exceed two million in 2025, with approximately 618,120 deaths predicted, according to the American Cancer Society’s annual cancer trends report, which was published today in CA: A Cancer Journal for Clinicians.

ACS researchers compiled data from central cancer registries and from the National Center for Health Statistics.

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While mortality rates have declined, certain groups are seeing a spike in diagnoses, the report noted.

Cancer diagnoses are expected to exceed two million in 2025, with approximately 618,120 deaths predicted. (iStock)

“Continued reductions in cancer mortality because of drops in smoking, better treatment and earlier detection is certainly great news,” said lead author Rebecca Siegel, senior scientific director of surveillance research at the ACS in Georgia, in a press release.

“However, this progress is tempered by rising incidences in young and middle-aged women, who are often the family caregivers, and a shifting cancer burden from men to women, harkening back to the early 1900s, when cancer was more common in women.”

Overall decline in death rates

Cancer death rates dropped 34% between 1991 and 2022, according to the ACS report.

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That equates to approximately 4.5 million deaths avoided due to early detection, reductions in smoking, and improvements in treatment, the report stated.

Cancer death rates dropped 34% between 1991 and 2022.

Several factors likely contributed to this decline, noted John D. Carpten, Ph.D., chief scientific officer at City of Hope, a national cancer research and treatment organization in California.

“I think a big one is smoking cessation and the battle against lung cancer, which has always been the most common form of cancer and is tied to tobacco use,” Carpten told Fox News Digital in an on-camera interview.

Cancer screenings

“Screening programs are a critical component of early detection, and expanding access to these services will save countless lives.” (iStock)

“But without a doubt, I think new and better methods for early detection, and screening for colorectal cancer and other forms of the disease, have also allowed us to see a decrease.” 

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Lifestyle improvements have also helped to decrease mortality, he said, along with the development of new and better therapies for cancer.

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Despite overall declines in mortality, the report revealed that death rates are rising for cancers of the oral cavity, pancreas, uterine corpus and liver (for females).

Some common cancers have also seen an increase in diagnoses, including breast (female), prostate, pancreatic, uterine corpus, melanoma (female), liver (female) and oral cancers associated with the human papillomavirus, the report stated.

Increased diagnoses among certain groups

Diagnoses for many cancer types are increasing among certain groups.

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Cancer rates for women 50 to 64 years of age have surpassed those for men, the report revealed. For women under 50, rates are 82% higher than males in that age group.

Doctor with cancer patient

The report revealed that diagnoses of colorectal cancer in men and women under 65 and cervical cancer in women between 30 and 44 years of age has increased. (iStock)

As far as what is influencing the “disconcerting trend” in women’s cancers, Carpten said it is likely “highly nuanced” and will require additional research.

“The decrease in fertility and increases in obesity that we’ve seen are risk factors for breast cancer, especially in postmenopausal middle-aged women,” he said. 

“But there could be other modifiable risk factors at play, like alcohol and physical activity.”

Cancer rates for women 50 to 64 years of age have surpassed those for men.

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Another trend in the increase in early cancers is occurring in individuals under the age of 50, Carpten noted.

In particular, the report revealed that diagnoses of colorectal cancer in men and women under 65 and cervical cancer in women between 30 and 44 years of age has increased.

Woman cancer mother

Some common cancers have also seen an increase in diagnoses, including breast (female), prostate, pancreatic, uterine corpus, melanoma (female), liver (female) and oral cancers associated with the human papillomavirus. (iStock)

The report also discusses inequities in cancer rates among certain ethnic groups, with Native American and Black people experiencing higher diagnoses of some cancer types.

“Progress against cancer continues to be hampered by striking, wide static disparities for many racial and ethnic groups,” said senior author Dr. Ahmedin Jemal, senior vice president of surveillance and health equity science at the ACS, in the release.

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The report shows mixed trends for children, with diagnoses declining in recent years for patients 14 years of age and younger, but rising for adolescents between 15 and 19.

“Mortality rates have dropped by 70% in children and by 63% in adolescents since 1970, largely because of improved treatment for leukemia,” the ACS stated in the release.

Pancreatic cancer a growing concern

The ACS report also warns about “lagging progress” against pancreatic cancer, the third-leading cause of cancer death in the U.S. 

pancreatic cancer 3D rendering

The ACS report also warns about “lagging progress” against pancreatic cancer, the third-leading cause of cancer death in the U.S.  (iStock)

Rates of diagnoses and deaths from the disease type are on the rise.

“Pancreatic is an incredibly deadly form of cancer,” Carpten said. 

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One of the main issues with pancreatic cancer, he said, is that it sometimes can grow in an individual for up to 10 years before it’s detected.

“If we can identify those cancers when they’re at at a curable stage, we can improve outcomes.”

One of the best opportunities for beating pancreatic cancer is early detection, Carpten said. 

“By the time those cancers have advanced, they’ve spread to the liver or other organs, and they’re almost impossible to cure at that stage,” he said.

      

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“If we can identify those cancers when they’re at a curable stage, we can improve outcomes.”

‘It takes a village’

Making progress in fighting cancer “takes a village,” Carpten told Fox News Digital.

“It will require partnerships between the community, the health care system, cancer researchers, government, industry — we all have to work together if we want to continue to see a decrease and an ultimate increase in cures,” he said.

young doctor researches in lab

“We all have to work together if we want to continue to see a decrease and an ultimate increase in cures,” a cancer researcher said. (iStock)

Dr. Wayne A. I. Frederick, interim chief executive officer of the American Cancer Society and the American Cancer Society Cancer Action Network (ACS CAN), stated that the report highlights the need to “increase investment in both cancer treatment and care, including equitable screening programs.”

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“Screening programs are a critical component of early detection, and expanding access to these services will save countless lives,” he said in the release.

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“We also must address these shifts in cancer incidence, mainly among women. A concerted effort between health care providers, policymakers and communities needs to be prioritized to assess where and why mortality rates are rising.”

Fox News Digital reached out to the ACS for further comment.

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FDA Moves Forward With Last-Minute Push to Cut Nicotine Levels in Cigarettes

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FDA Moves Forward With Last-Minute Push to Cut Nicotine Levels in Cigarettes

The Biden administration unveiled a proposal on Wednesday to cut the level of nicotine in cigarettes, a last-minute push on a plan that could meaningfully cut cancer rates nationwide and extend the lives of millions of cigarette smokers.

If finalized, the proposal would require cigarette makers to significantly reduce the levels of nicotine in their products in an effort to make smoking less addictive and less satisfying. Research has suggested that the move would result in fewer people taking up the habit and would help the nation’s roughly 30 million smokers quit or switch to less harmful alternatives like e-cigarettes.

The policy is a centerpiece of antismoking initiatives by Dr. Robert Califf, commissioner of the Food and Drug Administration, who has recounted treating cardiology patients ravaged by smoking during his medical career.

“It’s the biggest thing I’ve ever seen in terms of societal benefit, cost saving and lives saved, and strokes prevented and cancers prevented,” Dr. Califf said.

The policy’s companion effort to ban menthol cigarettes has been set aside indefinitely after vehement opposition from cigarette makers and other opponents, including convenience store retailers.

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Whether the nicotine reduction plan would survive the incoming administration of President-elect Donald J. Trump is unclear. Mr. Trump has traditionally been industry friendly and opposed to heavily regulating businesses. In addition, he has had the support of tobacco companies, including Reynolds American, which contributed at least $8 million to Mr. Trump’s main super PAC during the presidential campaign. Reynolds has already expressed its opposition to the proposed requirement.

Mr. Trump’s campaign co-chair and incoming chief of staff, Susie Wiles, is a former lobbyist for Swisher, a company that makes cigars. The rule applies to cigarettes, roll-your-own tobacco, pipe tobacco and cigars (though not premium cigars).

Some public health advocates are holding out hope that the Trump administration will allow the proposal to move forward, given that a previous version was considered by the F.D.A. during his first term. At minimum, officials could continue to allow the public to comment on the initiative without killing it or putting it into effect.

The F.D.A.’s proposal includes projections that by 2100, the nicotine reduction measure would prevent an estimated 48 million young people from starting to smoke. By 2060, the agency also estimates that 1.8 million tobacco-related deaths would be prevented, and that $30 trillion in benefits would accrue over 40 years, mostly from the generation that would not begin smoking.

“We do have an extremely toxic and addictive product with cigarettes that remain on the marketplace, that still kills almost a half a million people a year,” said Dorothy Hatsukami, a tobacco researcher from the University of Minnesota who has studied low-nicotine cigarettes for about 15 years. “So it’s really kind of an unfortunate situation that we haven’t really done anything dramatically about it.”

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In 2022, Dr. Califf released an updated proposal to lower nicotine levels, and opposition began to grow almost immediately.

Tobacco companies have viewed the initiative as a major threat to their business. Luis Pinto, a spokesman for Reynolds American, said the proposal would “effectively eliminate legal cigarettes and fuel an already massive illicit nicotine market.”

“These actions would also have a significant negative economic impact on farmers, retailers and others,” he added.

Convenience store retailers have also opposed earlier versions of the proposal, saying they would sustain substantial losses in revenue from a projected decline in cigarette sales.

Congressional Republicans have also tried to thwart restrictions on nicotine levels. In 2023, members of an influential House subcommittee passed a measure that would have prevented the F.D.A. from spending any money to advance limits on nicotine, with nearly all of the supporting votes by Republicans. The Senate did not include the provision in a final budget package.

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Still, supporters of the plan point to signs that incoming public health officials may be receptive to it, including to the popularity of Robert F. Kennedy Jr.’s pledge to tackle chronic diseases and improve the health of Americans if he is confirmed to lead the nation’s top health agency. Mr. Trump himself has said that he is personally opposed to cigarette smoking.

“Given these enormous benefits, we urge the incoming Trump administration to move forward in finalizing and implementing this rule,” Yolonda C. Richardson, the president of Campaign for Tobacco-Free Kids, said in a statement. “Few actions would do more to fight chronic diseases such as cancer and cardiovascular disease that greatly undermine health in the United States, and that the incoming administration has indicated should be a priority to address.”

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