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‘What is brain fog — and when should I seek medical attention?’: Ask a doctor

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‘What is brain fog — and when should I seek medical attention?’: Ask a doctor

Most people have had brief lapses of memory — forgetting a train of thought, a driving route or maybe a word choice. 

In most cases, these episodes last only a few seconds and are nothing to worry about — but if they persist, it may warrant getting a doctor’s input.

For a clearer understanding of what defines this condition — often referred to as “brain fog” — Fox News Digital asked two medical doctors about recognizing the symptoms and when to seek medical attention.

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What is brain fog?

Brief periods of mental lapses happen, but persistent symptoms could indicate an underlying condition. (iStock)

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Brain fog represents a “set of symptoms persons can experience due to impairments in brain functions, such as thinking, memory, information processing, storage and retrieval, decision-making, paying attention and performing tasks, among others,” Irene M. Estores, MD, an associate professor in the Department of Physical Medicine and Rehabilitation at the University of Florida College of Medicine in Gainesville, Florida, told Fox News Digital.

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Symptoms of the condition

The markers and indicators of brain fog can range from feeling suddenly confused about a familiar task or just feeling out of sorts mentally.  

“A person may experience difficulty staying on task, inability to focus, forgetfulness or problems finding the right words,” said Estores.

The markers and indicators of brain fog can range from feeling suddenly confused about a familiar task or just feeling out of sorts mentally. (iStock)

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“They may also struggle to follow simple instructions or remember new information.”

Other symptoms may include feeling confused and dazed, or being physically present but feeling mentally absent, according to Estores.

What can cause these symptoms?

Although each person is different, there are some common causes of brain fog, medical experts say.

Chronic sleep deprivation

Just a single night of poor shuteye can have negative cognitive effects, so a compounded lack of sleep can surely be a culprit of brain fog, Estores noted.  

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“Sleep is key to the consolidation of memory, specifically long-term memory,” she said. 

“It also affects working memory, attention and decision-making, by affecting the activity of neural circuits in the hippocampus, prefrontal cortex, basal ganglia, thalamus and parietal lobes.”

Chronic stress and pain

People who experience chronic stressful events — such as pain, emotional and mental trauma, and social isolation — may notice cognitive effects, said Estores. 

Pain medications and co-existing conditions, such as sleep disorders and depression, can also trigger or worsen brain fog.

A compounded lack of sleep can be a culprit of brain fog, a doctor noted. “Sleep is key to the consolidation of memory, specifically long-term memory,” said Irene M. Estores, MD, an associate professor in the Department of Physical Medicine and Rehabilitation at the University of Florida College of Medicine in Gainesville, Florida. (iStock)

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Illness

Underlying medical conditions — such as some degenerative diseases, like dementia and Parkinson’s — and metabolic conditions, like diabetes or hypertension, can cause brain fog, according to Estores.

Trauma or infection can also play a role.

What to do about brain fog

For those who are experiencing symptoms associated with brain fog, the first step is to practice good “brain health,” according to Glen R. Finney, MD, professor of neurology at the Geisinger College of Health Sciences in Wilkes-Barre, Pennsylvania.

      

Healthy cognitive habits include maintaining good sleep hygiene, getting adequate exercise, striving for a healthy diet, staying hydrated and limiting stress. 

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If medical evaluation is suggested, imaging tests — like a brain CT or MR scan — can be used to diagnose any existing conditions. (iStock)

“If that isn’t enough to improve things, let your primary care provider know what you’re experiencing, and they can review your medications and examine you for signs of medical causes, like autoimmune conditions,” Finney told Fox News Digital. 

“Also, some people with persistent brain fog may benefit from cognitive rehabilitation with a speech language pathologist, occupational therapist or psychologist,” he added.

How is brain fog evaluated?

If medical evaluation is suggested, imaging tests — like a CT or MRI scan — as well as vascular studies (tests that check the blood flow in the veins and arteries) can be used to diagnose any existing conditions, Estores noted.

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Doctors may also recommend screening for co-existing diseases and conditions, such as diabetes, hypertension, depression, anxiety and sleep disorders, she added.

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While feelings of brain fog can be frustrating or sometimes scary, Finney noted that practicing good brain health and talking with your primary care provider can likely help put your mind at ease.

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Goodbye, Late-Night Cravings! How To Curb Hunger and Make Weight Loss Easier

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Goodbye, Late-Night Cravings! How To Curb Hunger and Make Weight Loss Easier


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Lurking dementia risk exposed by breakthrough test 25 years before symptoms

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Lurking dementia risk exposed by breakthrough test 25 years before symptoms

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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.

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That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.

The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release. 

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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.

After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia. 

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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)

Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.

“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital. 

“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”

“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.

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This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.

A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)

“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.

This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.

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The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.

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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release. 

“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)

“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”

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Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted. 

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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms. 

Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.

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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”

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Key fitness measure is strong predictor of longevity after certain age, study finds

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Key fitness measure is strong predictor of longevity after certain age, study finds

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For women over 60, muscle strength plays a critical role in longevity, a new study confirms.

Researchers at the University at Buffalo, New York, followed more than 5,000 women between the ages of 63 and 99, finding that those with greater muscle strength had a significantly lower risk of death over an eight-year period.

The findings were published in JAMA Network Open.

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Muscle function was measured using grip strength and how quickly participants could complete five unassisted sit-to-stand chair raises. 

These are two tests commonly used in clinical settings to evaluate muscle function in older adults, the researchers noted.

A recent study shows that stronger muscle strength in women over 60 is linked to a lower risk of death over eight years. (iStock)

“In a community cohort of ambulatory older women, muscular strength was associated with significantly lower mortality rates, even when we accounted for usual physical activity and sedentary time measured using a wearable monitor, gait speed and blood C-reactive protein levels,” study lead author Michael LaMonte, research professor of epidemiology and environmental health at the University at Buffalo, told Fox News Digital.

“Movement is the key — just move more and sit less.”

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Many earlier studies did not include those objective measurements, making it difficult to determine whether muscle strength itself was linked to longevity, according to LaMonte. “Our study was able to better isolate the association between strength and death in later life,” he added.

Even for women who don’t get the recommended amount of aerobic physical activity, which is at least 150 minutes per week, muscle strength remained important for longevity, the researchers found.

Women with greater muscle strength were more likely to live longer, even if they did not meet the recommended amount of aerobic exercise. (iStock)

“The findings of lower mortality in those who had higher strength but were not meeting current national guidelines on aerobic activity were somewhat intriguing,” LaMonte said.

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Federal guidelines recommend strengthening activities one to two days per week, targeting major muscle groups.

Resistance training does not have to require a gym membership, LaMonte noted. These exercises can be performed using free weights, resistance bands, bodyweight movements or even household items, such as soup cans.

Experts recommend working major muscle groups one or two days a week using weights, bands or bodyweight exercises. (iStock)

“Movement is the key — just move more and sit less,” he said. “When we can no longer get out of the chair and move around, we are in trouble.”

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LaMonte acknowledged several limitations of the study. The researchers assessed muscle strength in older age but did not explore how earlier levels in adulthood might influence long-term health outcomes.

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“We were not able to understand how strength and mortality relate in younger ages,” he said, noting that future research should explore whether building strength earlier could have an even greater impact on longevity.

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