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Stroke, dementia and depression share these 17 preventable risk factors

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Stroke, dementia and depression share these 17 preventable risk factors

Three of the most common aging-related diseases share many of the same risk factors — and they can all be reduced through lifestyle changes.

That’s according to a new study from Mass General Brigham (MGB), which identified 17 common risk factors all linked to stroke, dementia and late-life depression.

The researchers combed through previously published studies of risk factors associated with those three conditions, then determined which ones can be controlled through healthy behaviors.

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They also predicted the impact each risk factor had on quality of life and mortality, according to a press release from MGB.

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“The suggestion that reduced activity may be a symptom rather than a cause of brain disease challenges how we interpret early signs.” (iStock)

The 17 risk factors that are shared by at least two of the diseases include blood pressure, kidney disease, fasting plasma glucose, total cholesterol, alcohol use, diet, hearing loss, pain, physical activity, purpose in life, sleep, smoking, social engagement and stress, the researchers listed. 

The findings were published in the Journal of Neurology, Neurosurgery, and Psychiatry.

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Senior author Sanjula Singh, MD, PhD, principal investigator at the Brain Care Labs at Massachusetts General Hospital, described the discovery as “hopeful.”

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“This means there are real opportunities for prevention. Whether it’s managing your blood pressure, staying physically active, eating well or maintaining social connections, small changes in your daily routine can help you take better care of your brain over time,” she told Fox News Digital.

“Small changes in your daily routine can help you take better care of your brain over time.”

Brian Snelling, MD, of the Miami Neuroscience Institute, part of Baptist Health South Florida, was not involved in the study but shared his input on the findings.

“The influence of factors like chronic pain and a sense of purpose on brain health was notable and often overlooked in neurological care,” he told Fox News Digital. 

“Also, the suggestion that reduced activity may be a symptom rather than a cause of brain disease challenges how we interpret early signs.”

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Total cholesterol was one of the modifiable risk factors shared by at least two of the three cognitive disorders. (iStock)

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, said he agrees with the findings of the study.

“These factors are all well-proven to decrease inflammation in the body and thereby the risk of stroke, dementia and late-life depression,” he told Fox News Digital.

Incremental changes

To keep from becoming overwhelmed, the researchers recommend regarding the 17 factors as a “menu of options.”

“You don’t have to address them all at once — starting with one to three small, realistic changes can already make a meaningful difference,” said Singh. “These findings might help people consider which of these 17 risk factors could be a starting point to take better care of their brains.”

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Singling out one area to start with, Singh recommended measuring blood pressure and taking steps to keep it at a healthy level.

“There are many ways to control your blood pressure — reducing salt intake, increasing physical activity, eating more fruits and vegetables, managing stress and taking medication when prescribed,” she advised. 

Singling out one area to start with, the lead study author (not pictured) recommended measuring blood pressure and taking steps to keep it at a healthy level. (iStock)

Other important areas to focus on include sleep, social connections, blood sugar and physical activity, according to the researcher. 

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“The most important thing is to start somewhere — even small improvements can make a meaningful difference for your brain health,” she said.

BRAIN AND MEMORY ARE BOOSTED BY EATING ONE PARTICULAR DIET

Many of the factors are interconnected, Singh noted. 

“Progress in one area often supports progress in others,” she said. “For example, becoming more active may help to improve sleep or lower blood pressure.”

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Managing blood pressure and kidney health, as well as staying mentally and socially engaged, are key strategies to protect the brain, according to Snelling.

“Proactive brain care should start well before symptoms appear,” he said.

Limitations of the study

Like any study, Singh noted, this one had several limitations. 

“We focused on modifiable risk factors that overlapped with at least two out of the three conditions — as a result, we may have excluded important risk factors that are specific to just one condition, particularly certain psychological or behavioral factors related to late-life depression,” she told Fox News Digital. 

Maintaining social connections is one of the most important strategies for protecting brain health, according to experts. (iStock)

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The researchers also relied only on existing meta-analyses, which meant some potentially important factors in smaller studies may have been missed. 

“Additionally, the strength of evidence varied across risk factors and conditions, and we couldn’t establish causality — only associations,” Singh said. “Still, we hope this work offers a useful starting point for prevention-focused research.”

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Snelling agreed that while the large review shows strong associations, it doesn’t confirm cause and effect. 

“It also highlights the need for more high-quality data, especially around late-life depression.”

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“Proactive brain care should start well before symptoms appear.”

Overall, experts agreed the study emphasizes that lifestyle changes can be instrumental in promoting health and longevity.

“Diet, exercise, sleep and having a purpose in life aren’t just good for brain health — they are also critical in preventing numerous chronic diseases,” family physician Dr. Brintha Vasagar, based in Milwaukee, Wisconsin, told Fox News Digital.

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“Your family medicine physician can help you identify which changes would have the most impact on your health.”

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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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