Alzheimer's Disease Archive

Adults need an annual flu shot and a Tdap booster every 10 years. People over 60 need a shingles shot, and those over 65 should have two pneumonia vaccines.

Some intriguing research suggests that positive psychology can help you weather the routine ups and downs of life and also build resilience for times of greater difficulty.

Here are three ways to capture the benefits of positive psychology.

Ask the Doctor

Q. I had a colonoscopy recently and it detected hemorrhoids. I don't have any symptoms. Should I be doing something to get rid of them?

A. Like you, approximately 40% of people with hemorrhoids have none of the common symptoms—bleeding, anal itching, and pain. Their hemorrhoids may be found on a routine physical examination or during a test done for other reasons, such as a colonoscopy for colon cancer screening.

For many women, bunions and rigidity are two of the most common—and painful—problems with the big toe. Both are easily treated.

Reports at the Alzheimer's Association International Conference in July 2015 verified that women are at higher risk than men for developing Alzheimer's, and also progress more rapidly from mild cognitive impairment to out-right dementia than men do. But not all the news was bad. A study reported at the meeting indicates that physical exercise can halt, and even reverse, the decline in people with mild cognitive impairment.

In that study, conducted by researchers at Wake Forest University in North Carolina, 65 previously sedentary women and men with mild cognitive impairment exercised at peak capacity for at least 45 minutes four times a week for six months. At the beginning and end of the study, researchers tested participants' cognitive skills and examined their blood and cerebrospinal fluid for levels of tau protein—a principal component of the amyloid plaques associated with Alzheimer's disease. They found that the participants scored significantly higher on the cognitive tests at the end of the study than they had at the beginning. Their tau protein levels had declined substantially as well.

We know that moderate-intensity exercise, such as brisk walking, can both improve thinking skills and slow their decline in older age. Now a trio of studies presented at the July 2015 Alzheimer's Association International Conference suggest that aerobic exercise may even be able to help protect your brain from Alzheimer's and other dementias, and improve your quality of life if you have the disease. One study of 200 adults with Alzheimer's showed that those who engaged in three hour-long exercise sessions a week for 16 weeks had less anxiety, irritability, and depression and better mental speed and attention compared with those who didn't exercise. A study of 65 sedentary older adults with mild cognitive impairment showed that those who took part in 45 to 60 minutes of aerobic exercise four times a week for six months not only had better attention and planning skills, but also better blood flow to the brain and a reduction in dangerous proteins associated with Alzheimer's disease, compared with those who only did stretching exercises. A study of 71 older adults with cognitive impairment due to vascular disease found that those who did an hour of aerobic exercise three times per week for six months improved their thinking skills, memory, and attention compared with those who did not exercise. Although the studies were presented at a scientific meeting, it's only after publication of the full details that scientists can adequately judge a work. Nevertheless, the studies are in line with past research showing that regular exercise may help protect the brain.

Atrial fibrillation (afib) is affecting far more people than it did 50 years ago, according to a study published July 11, 2015, in The Lancet. Afib is an irregular heartbeat that makes the heart's upper chambers (the atria) quiver, rather than pump steadily. This can lead to the formation of blood clots, which can travel in the blood to the brain and cause a stroke. The Lancet study found that afib cases quadrupled from 1958 to 2007 among 9,500 people. But there is some encouraging news: the study also found that the risk of stroke associated with afib decreased 74% in the last 50 years, and the risk of death decreased 25%.

Why the ups and downs? Researchers point to epidemics of obesity and diabetes as part of the reason, as well as increased awareness of the condition and better detection methods. Meanwhile, improved recognition and treatment of other diseases, such as high blood pressure, may be helping to reduce the cases of stroke and early death linked to afib. So, this study provides further evidence of the importance of maintaining a healthy weight and keeping blood sugar, blood pressure, and cholesterol under control. In addition to reducing the risk of heart disease, stroke, diabetes, and other illnesses, you also reduce the risk of getting afib and developing complications from it.

Repeated nocturnal bathroom calls are bothersome, but self-help steps and targeted treatment offer relief.

With aging, the body and mind change—but it's not all bad.

Aging brings physical changes and a greater risk of health problems—no one needs to tell you that. The mind changes too, and we grumble about things like increased forgetfulness. But the aging mind bestows some gifts, too.

Q. My doctor used to check my liver function once a year after I started taking a statin drug to lower my cholesterol, but he doesn't anymore. Why not?

A. Your doctor appears to be following the latest recommendations from the American Heart Association and the FDA. When statin medications were first approved, doctors did periodic blood tests to check for liver injury. Three decades later, it is clear that serious liver injury from statins is a rare side effect and that routine blood testing does not help identify people at risk for statin-related liver problems. Therefore, routine monitoring is not a good use of money and time.