Stress Archive

Unless you have symptoms of a heart problem, taking a cautionary look under the hood is unlikely to help—and could even be harmful.

A heart-healthy lifestyle is strongly associated with better memory and lower risk of Alzheimer's disease.

The health press is full of claims that "superfoods"—like fresh berries and leafy greens—can keep your memory sharp and hold the threat of Alzheimer's disease at bay. But for now, the evidence is preliminary at best. Your safest bet is to lead an overall heart-healthy lifestyle—including eating a plant-based diet and getting regular exercise—rather than drawing up a shopping list of alleged brain-boosting superfoods.

Now we have a better tool to calculate your chance of a brain attack if you've been diagnosed with afib.

Atrial fibrillation (afib) is among the most common heart rhythm irregularities. During a bout of afib, the usually rhythmic contractions of the heart muscle's upper chambers (the atria) are replaced by an ineffectual quiver that does not completely move blood out of the heart chamber. As a result, blood can stagnate and form clots. These clots can then travel to the brain and cause an ischemic stroke.

Find out if your sleeping habits put you at risk—and what to do about it.

Heavy snoring and sleep apnea may be linked to early declines in memory and thinking, according to a new study published online April 15, 2015, by the journal Neurology. The research also suggests that treating sleep apnea with a continuous positive airway pressure (CPAP) machine may delay the declines.

For the study, researchers reviewed the medical histories for 2,470 people ages 55 to 90 and categorized them as free of memory and thinking problems, in early stages of mild cognitive impairment, or with Alzheimer's disease. For each category, the researchers compared people without sleep apnea, people with untreated sleep apnea, and people with sleep apnea who had used CPAP machines to aid breathing as they slept.

A mini mental status exam or a thorough cognitive assessment can give you answers and may improve your qualify of life.

Women are at greater risk for dementia. Joining clinical trials can help to speed the development of promising drugs.

The search for an effective, easy-to-use treatment for sleep apnea has been going on for years. The gold standard is a breathing machine known as continuous positive airway pressure (CPAP). A report published online this week by JAMA Internal Medicine describes a mouth-guard-like device that may work for people with mild sleep apnea, but that may not be much help for those with severe sleep apnea. The 18 million Americans with obstructive sleep apnea sufferers are a powerful incentive for device manufacturers, and there are myriad alternatives to CPAP in the marketplace and under development. Swedish researchers tested a custom-fitted mandibular advancement device among people with self-reported sleep apnea. It worked, but a placebo device worked almost as well.

Hospice care improves quality of life in the dire circumstances of a person’s last days. It can enable the dying to spend this time in peace, surrounded by family and friends, and in little pain. Studies confirm what many know intuitively. Family members are likely to experience major depression following the loss of a loved one. A recent study published in today’s online JAMA Internal Medicine looked at whether hospice care reduces the severity of bereavement-related depression in people who had recently lost a spouse. While the researchers saw no difference between spouses whose partners were enrolled in hospice and those how weren’t, major depression was less common in spouses who received support from a hospice program.

Over time, most people with dementia or mild cognitive impairment (a decline in thinking skills) also experience behavioral changes, such as depression and agitation. Which comes first? A study published online by Neurology on Jan. 14, 2015, suggests that psychological and behavioral changes can begin before people develop mild cognitive impairment or dementia. Researchers evaluated the daily functioning, memory and thinking skills, and psychological and behavioral symptoms of about 2,400 people, ages 50 and older, who had no evidence of cognitive decline. The study also suggests that a pattern of depressive symptoms may occur in older adults, unrelated to cognitive decline. The takeaway? "Depressive symptoms can occur in older adults for many reasons. If you are experiencing mood or cognitive changes that last for more than a few weeks, it's a good idea to bring this up with your doctor or consult a mental health specialist to help sort out possible causes," says Dr. Nancy Donovan, an instructor in psychiatry at Harvard Medical School.