Health
Vision problems could mean higher dementia risk, study finds: ‘Eye health and brain health are closely linked’
Older adults with vision problems may be more likely to develop dementia, a new study published in JAMA Ophthalmology has found.
Researchers at the University of Michigan, Ann Arbor analyzed data from the 2021 National Health and Aging Trends Study, which showed a link between all types of vision problems — distance acuity, near acuity and contrast sensitivity — and a higher prevalence of dementia, including Alzheimer’s disease.
Distance acuity (visual acuity) is a measure of the clarity or sharpness of vision from 20 feet away, according to the American Optometric Association.
This is usually tested by having the person read letters on a Snellen chart.
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Near acuity is a measurement of how well someone can see something up close.
Contrast sensitivity measures the person’s ability to distinguish between an object and the background it is set against, or to differentiate between two similar colors.
The more types of vision problems a person has, the higher the chances of dementia, the study findings stated.
The study included national data from 2,967 participants aged 71 and older.
“We hypothesized that visual impairment would be associated with dementia because prior studies found an association,” said lead study author Olivia Killeen, M.D., clinical lecturer for ophthalmology and visual sciences at the University of Michigan, in a statement to Fox News Digital.
“Loss of visual stimulation will lead to withdrawal and less mental engagement.”
“Eye health and brain health are closely linked in older adults,” she added.
“This study is unique because it used up-to-date, objectively measured visual acuity (meaning participants all had their vision tested),” she went on.
“This allowed us to analyze the associations between visual acuity and dementia.”
Vision problems largely preventable, say experts
Although eye health and brain health are closely linked in older people, the good news is that most vision problems are treatable, Killeen said.
“For example, cataracts are one of the main causes of visual impairment in older people, and vision loss from cataracts can be reversed with cataract surgery,” Killeen explained.
“Because visual impairment is associated with dementia, treating vision problems may be one key to reducing the risk of dementia.”
The study did have some limitations, she pointed out.
The researchers did not have information on the causes of visual impairment, which means they couldn’t study the association between specific eye conditions — such as cataracts, glaucoma and macular degeneration — and dementia.
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“Randomized controlled trials are needed to measure the impact of treating vision problems on dementia,” Killeen said.
The results are consistent with previous research showing a link between sensory impairment and higher risk for dementia, agreed Dr. Gary Small, chair of psychiatry and behavioral health physician-in-chief at Hackensack University Medical Center in New Jersey.
Small was not involved in the University of Michigan study.
“Mental stimulation keeps neural circuits active and strong, which protects the brain from age-related declines,” he told Fox News Digital.
“Loss of visual stimulation will lead to withdrawal and less mental engagement.”
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Given this recent study’s large sample size and “objective measures of visual impairment,” Small said the results are particularly compelling.
“It’s important for anyone, especially older adults, to regularly check their visual acuity and correct deficits to optimize quality of life and protect against dementia,” he said.
Added Small, “The bottom line is that the old adage, ‘Use it or lose it,’ applies not just to physical health but to cognitive health as well.”
Protection and prevention are key to improving outcomes, both visual and cognitive, Killeen agreed.
“Getting routine eye care is important for early diagnosis and treatment of vision problems,” she said.
“The American Academy of Ophthalmology recommends that people 65 and older get routine eye exams every one to two years.”
“It’s important for anyone, especially older adults, to regularly check their visual acuity and correct deficits to optimize quality of life and protect against dementia.”
As Fox News Digital previously reported, a Cedars-Sinai study found in March that early signs of Alzheimer’s disease can be detected in eye exams.
EARLY ALZHEIMER’S DISEASE COULD BE DIAGNOSED THROUGH EYE EXAMS, NEW STUDY SUGGESTS
Patients who had mild cognitive impairment or Alzheimer’s disease were found to have higher amounts of amyloid beta 42, a protein that forms the “plaques” that build up in the brains of people with Alzheimer’s — as well as cells called microglia, which are also associated with progression of the disease — in their retinas.
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Kennedy’s Plan for the Drug Crisis: A Network of ‘Healing Farms’
Though Mr. Kennedy’s embrace of recovery farms may be novel, the concept stretches back almost a century. In 1935, the government opened the United States Narcotic Farm in Lexington, Ky., to research and treat addiction. Over the years, residents included Chet Baker and William S. Burroughs (who portrayed the institution in his novel, “Junkie: Confessions of an Unredeemed Drug Addict”). The program had high relapse rates and was tainted by drug experiments on human subjects. By 1975, as local treatment centers began to proliferate around the country, the program closed.
In America, therapeutic communities for addiction treatment became popular in the 1960s and ’70s. Some, like Synanon, became notorious for cultlike, abusive environments. There are now perhaps 3,000 worldwide, researchers estimate, including one that Mr. Kennedy has also praised — San Patrignano, an Italian program whose centerpiece is a highly regarded bakery, staffed by residents.
“If we do go down the road of large government-funded therapeutic communities, I’d want to see some oversight to ensure they live up to modern standards,” said Dr. Sabet, who is now president of the Foundation for Drug Policy Solutions. “We should get rid of the false dichotomy, too, between these approaches and medications, since we know they can work together for some people.”
Should Mr. Kennedy be confirmed, his authority to establish healing farms would be uncertain. Building federal treatment farms in “depressed rural areas,” as he said in his documentary, presumably on public land, would hit political and legal roadblocks. Fully legalizing and taxing cannabis to pay for the farms would require congressional action.
In the concluding moments of the documentary, Mr. Kennedy invoked Carl Jung, the Swiss psychiatrist whose views on spirituality influenced Alcoholics Anonymous. Dr. Jung, he said, felt that “people who believed in God got better faster and that their recovery was more durable and enduring than people who didn’t.”
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