Wednesday, 24 July 2013

25 Simple Steps to Prevent Alzheimer's

25 seems a large number to go through but give it a try. Each suggestion is quite sensible.

Alzheimer’s strikes fear in all of us. The thought of losing your mind as you grow older is terrifying and made worse by the fact that, before now, there appeared to be little we could do to slow down or avoid Alzheimer’s, the most common form of dementia.

However research has found a lot of factors that raise or diminish the risk of Alzheimer's disease. Following these tips, you could slash your chances of developing the disease:

1. Check out your ankle
Low blood flow in your foot is a clue to trouble in your brain and a simple test can reveal its cognitive state and your likelihood of stroke and dementia. The theory is blood vessel health is similar throughout the body. The degree of clogged arteries and blood flow in the feet can suggest atherosclerosis in cerebral blood vessels. Ask your doctor for an ankle-brachial index (ABI) test which involves an ultrasound device and a blood pressure cuff that compares blood pressure in your ankle with that in your arm. To remedy any impairment of blood flow your GP may advise stepped-up exercise or a change in diet/medication.

2. Anti-oxidant-rich foods
Certain foods infuse your brain with antioxidants that can slow memory decline and help prevent Alzheimer’s. All fruit and vegetables are good but top of the list are black raspberries, elderberries, raisins and blueberries.

3. Beware of bad fats
The type of fat you eat changes your brain’s functioning for better or worse. Stay away from saturated fats which strangle brain cells causing them to become inefficient. Buy low fat or fat-free dairy products including milk, cheese and ice cream. Cut down on deep-fried foods.

4. Grow a bigger brain
Your brain starts to shrink when you reach 30 or 40 so it takes longer to learn. However scientists now believe you can increase the size of your brain through the act of learning. Try studying, learning new things or broadening your circle of friends for stimulation.

5. Chocolate Treat
Cocoa, the main ingredient in chocolate, has sky-high concentrations of antioxidants called flavanols, which possess strong heart and brain-protecting properties. Drinking cocoa increases blood flow to the brain. Cocoa powder has twice as many flavanols as dark chocolate which has twice a many as milk chocolate. White chocolate has zero.

6. The oestrogen evidence
Sixty eight per cent of Alzheimer’s patients are women, possibly as midway through life they lose the protection of the hormone oestrogen which boosts memory. Unless your GP says otherwise, start taking oestrogen immediately at the time of menopause – starting any later risks dementia and strokes.

7. Raise good cholesterol
It’s well known that having high good-type HDL blood cholesterol protects you from heart disease. But it can also save your brain. Researchers claim it blocks sticky stuff that destroys brain cells and acts as an anti-inflammatory to lessen brain damage. Ways to ramp up good cholesterol include exercise, drinking moderate amounts of alcohol and losing weight.

8. Google something
Doing an internet search can stimulate ageing brains even more than reading a book.
And MRI scans show that savvy surfers have twice as many sparks of brain activity as novices. Go online to search for information, things to buy or games to play. Although it’s not known how much it will benefit your brain, it’s better than passive pursuits.

9. The ApoE4 gene
One in four of you reading this has a specific genetic time bomb that makes you three to 10 times more susceptible to developing late-onset Alzheimer’s. The gene is called apolipoprotein E4. If you inherit a single variant of ApoE4 from one parent, your Alzheimer’s risk triples. If you inherit a double dose from both parents, your risk rises by 10 times. Ask your doctor about a DNA test to reveal your ApoE4 genotype.

10. Say yes to coffee
Coffee is emerging as a tonic for the ageing brain. It is anti-inflammatory, helps block the ill effects of cholesterol in the brain and cuts the risks of stroke, depression and diabetes, all promoters of dementia. It is also high in antioxidants and caffeine which stop neuronal death and lessen diabetes, high blood pressure and strokes that bring on dementia. For most people, a moderate daily intake of coffee, two to four cups, won’t hurt and may help.

11. Dangers of underweight
Unexplained weight loss after age 60 or so may be a sign of Alzheimer’s. A study showed that women with the disease started losing weight at least 10 years before dementia was diagnosed. Among women of equal weight, those who went on to develop dementia slowly became thinner over three decades and, when diagnosed, weighed an average 12lb less that women who were free of Alzheimer’s. Talk to your doctor about unexplained weight loss after 60.

12. Drink wine
A daily glass of wine may help delay dementia. Research says that alcohol is an anti-inflammatory and raises good cholesterol which helps ward off dementia. High antioxidants in red wine give it additional anti-dementia clout. Such antioxidants act as artery relaxants, dilating blood vessels and increasing blood flow which encourages cognitive functioning.

13. Know the early signs
Memory problems are not the first clue. You may notice a decline in depth perception, for example you reach to pick up a glass of water and miss it. Or you misjudge the distance in walking across a street.
Doing a jigsaw puzzle or reading a map may also be confusing. Losing your sense of smell can also be an early clue, as well as asking the same question repeatedly or misplacing belongings in odd places (like putting keys in the fridge). Be aware of memory problems as the earlier the signs are spotted, the more successful lifestyle changes and medications are likely to be.

14. Mediterranean diet
The Mediterranean diet, no matter where you live, can help save your brain from memory deterioration and dementia. Studies consistently find that what the Greeks and Italians eat is truly brain food. Following this diet – rich in green leafy vegetables, fish, fruits, nuts, legumes, olive oil and a little vino – can cut your chances of Alzheimer’s by nearly half. Rather than depending on just one food or a few nutrients, it is a rich menu of many complex brain benefactors, including an array of antioxidants, which shield brain cells from oxidative damage.

 15. Middle Age Obesity
Your brain cares if you are fat. A study showed obese people had 8% less brain tissue and overweight people had 4% less brain tissue than normal weight people, which according to one scientist hugely increases the risk of Alzheimer’s. Moreover, brain shrinkage occurred in areas of the brain targeted by Alzheimer’s, and which are critical for planning, long term memory, attention and executive functions, and control of movement. 

Tackle signs of rising weight early, when you are young or middle aged. Oddly, being obese after the age of 70 does not raise the risk of Alzheimer’s but that doesn’t mean you should neglect exercise as it is the best way of stimulating cognitive functioning and may delay the onset of Alzheimer’s at any age.

16. Get a good night’s sleep
A lack of sleep is toxic to brain cells. Sleep has surprising powers to protect your brain against memory loss and Alzheimer’s. It is a wonder drug that helps manipulate levels of the dreaded brain toxin peptide beta-amyloid, a prime instigator of Alzheimer’s, which according to one scientist puts you at accelerated risk. Research has also found that sleeping an average of five hours or less a night is linked to large increases in dangerous visceral abdominal fat, which can cause diabetes and obesity that can lead to Alzheimer’s. Take naps and seek treatment for sleep disorders.

17. Have a big social circle
Studying the brain of a highly sociable 90-year-old woman who died from Alzheimer’s, researchers in Chicago found that having a large social network provided her with strong “cognitive reserve” that enabled her brain to not realise she had Alzheimer’s. Why this happens is a mystery but interacting with friends and family seems to make the brain more efficient. It finds alternative routes of communication to bypass broken connections left by Alzheimer’s. So see friends and family often and expand your social network. The stronger the brain reserve you build through life, the more likely you are to stave off Alzheimer’s symptoms.

18. Deal with stress
When you are under stress, your body pours out hormones called corticosteroids, which can save you in a crisis. But persistent stress reactions triggered by everyday events like work frustration, traffic and financial worries can be dangerous. Over time, it can destroy brain cells and suppress the growth of new ones, actually shrinking your brain. Sudden traumatic events like the death of a loved one or a life-changing event like retirement can leave a hangover of severe psychological stress that precedes dementia. Be aware that chronic stress can increase older people’s vulnerability to memory decline and dementia. Seek professional advice. Antidepressants, counselling, relaxation techniques and other forms of therapy may head off stress-related memory loss if treated early.

19. Take care of your teeth
Bad gums may poison your brain. People with tooth and gum disease tend to score lower in memory and  cognition tests, according to US dental researchers who found that infection responsible for gum disease gives off inflammatory byproducts that travel to areas of the brain involved in memory loss.
Consequently, brushing, flossing and preventing gum disease may help keep your gums and teeth healthy but also your memory sharper. In another study, older people with the most severe gingivitis – inflamed gums – were two to three times more likely to show signs of impaired memory and cognition than those with the least.

20. Get enough Vitamin B12
As you age, blood levels of vitamin B12 go down and the chance of Alzheimer’s goes up. Your ability to absorb it from foods diminishes in middle age, setting the stage for brain degeneration years later. Researchers at Oxford University found that a brain running low on B12 actually shrinks and a shortage can lead to brain atrophy by ripping away, myelin, a fatty protective sheath around neurons. It can also trigger inflammation, another destroyer of brain cells. Take 500 to 1000mcg of vitamin B12 daily after the age of 40. If you or an older family member has unexplained memory loss, fatigue or signs of dementia, be sure to get tested for vitamin B12 deficiency by your GP.

21. Vinegar in everything
There is plenty of evidence that  vinegar sinks risk factors that may lead to memory decline, namely high blood sugar, insulin resistance, diabetes and pre-diabetes and weight gain. Researchers in Phoenix, Arizona, have noted in studies of humans and animals that the acidic stuff packs potent glucose-lowering effects. Studies have also found it can curb appetite and food intake, helping prevent weight gain and obesity, which are associated with diabetes, accelerated dementia and memory loss. Pour on the vinegar – add it to salad dressings, eat it by the spoonful, even mix it into a glass of drinking water. Any type of vinegar works.

22. Have your eyes checked
If you preserve good or excellent vision as you age, your chances of developing dementia drop by an astonishing 63%. And if it’s poor, just visiting an optician for an eye test and possible treatment at least once in later life cuts your dementia odds by about the same amount. Exactly how vision problems promote dementia is not clear but impaired vision makes it difficult to participate in mental and physical activities such as reading and exercising, as well as social activities, all believed to delay cognitive decline. Be aware that your eyes reflect and influence how your brain is functioning, especially as you age. Don’t tolerate poor vision as often it can be corrected.

23. Eat curry
Curry powder contains the yellow-orange spice turmeric, packed with curcumin, a component reported to stall memory decline. One study showed elderly Indians who ate even modest amounts of curry did better in cognitive tests. Curcumin works by blocking the build-up of Alzheimer’s-inducing amyloid plaques (deposits found in the brains of sufferers) then nibbles away at existing plaques to slow cognitive decline.
It is recommended to eat two or three curries a week, and make it a yellow curry. Otherwise, sprinkle the spices on your food.

 24. Diabetes control
Having type 2 diabetes makes you more vulnerable to Alzheimer’s. Studies show it may double or triple your risk and the earlier diabetes takes hold, the higher the odds of dementia. Some experts refer to Alzheimer’s as “diabetes of the brain”. The two disorders have similar causes – obesity, high blood pressure, high cholesterol, high fat and high sugar diets, low physical activity as well as high blood sugar. In short, diabetes can deliver a double whammy to the brain, destroying neurons and increasing inflammation. Do everything possible to keep blood sugar levels low and stick to a low-saturated fat diet and regular exercise.

25. Drink more tea
Evidence suggests that tea stalls the cognitive loss that precedes Alzheimer’s and that the more tea you drink, the sharper your ageing memory is. Tea’s secret is no mystery. The leaves are packed with compounds able to penetrate the blood-brain barrier and block neuronal damage.

One particular green tea antioxidant can block the toxicity of beta-amyloid, which kills brain cells. Make a point of drinking black and green tea. Don’t add milk, it can reduce tea’s antioxidant activity by 25%.

Courtesy
Mr. Suresh Palta, New Delhi

Wednesday, 17 July 2013

Hard Earned Money in your Life- Your Last Power at Old Age

Sad, but true. In this day and age that we live.

At their 50th anniversary my friends made a decision to distribute their combined assets among their living heirs. Their rationale, “Para walang gulo” (To avoid trouble). They added one proviso: “While still alive, income from these properties will be used to maintain our present lifestyle inclusive of medical expenses, extravagant trips and unlimited shopping.”
“That’s easy” replied the heirs. The income was substantial to indulge the old folks with a bonus that the heirs can use in any manner they wanted.


The first year passed without a hitch, but soon the problem surfaced. Each child used all kinds of tactics to keep the money from his parents. It reached a point where the poor retirees had to beg for sustenance, robbing them of the dignity they worked hard to uphold.
What went wrong?

“Bad decision”, said a cautious friend who warned the couple of this scenario. “Children are so unreliable when it comes to inherited money.”

Money received, which was not expected and not a direct result of something they worked for, is not given the same value as money earned with their own sweat and tears. They lose their sense of propriety; gratitude is tainted by greed and decency gone. This is compounded by in-laws who can tilt or convince their respective spouses  to throw out good sense and filial affection like soiled rugs. “Honey, they’re going to die anyway, so why waste good money on them?”

To avoid falling into this vulnerable, pitiful state, keep these 10 tips in mind:
  1. Do not retire. If you’re over-aged, retire and get all the benefits but find another income-generating job or open a business that will keep you active physically and mentally. Travel and bond with true friends, play a sport, learn a new hobby and volunteer in your community or parish. Don’t loaf around. Your spouse will hate you because you’ve become a sloppy, listless bum with nothing good to say about the household and things that you never bothered about before. Solve Crossword puzzles, play Scrabble, write your memoirs, and above all, Read- this will keep you alert and  keep Alzheimer’s at bay.

  2. Live in your own place to enjoy independence, privacy and a solo life. If you move in with your children, your rank or degree of importance is reduced to that of a bed spacer who has no place of honor, or worse, like crumbling furniture merely displayed with no added value. Might you kowtow to conform to their own rules that are not kind, considerate or mindful of you? If you witness your children engaged in a war of will and wits with your grandchildren, whom will you side with? Will they even appreciate your arbitration? Remind your children that silence is not a sign of weakness; you are merely processing data that is taking longer to complete.

  3. Hold on to your nest egg, bank deposits and assets. Never gift your immovable property to your legal heirs during  your life time. Similarly never give relinquishment deed of your property in favor of your legal heirs.  Write and register your Will in favor of your spouse.If you want to help your children, do give, but not the extent that you wipe out your life’s earnings, singing heroically “not a shirt on my back, nor a penny in my name.” Staying solvent and in the black is a good hedge against all kinds of tempests. You will sleep better, you will not be afraid to express your opinion and you will be confident about yourself.
  4. Don’t believe your children’s promise to care for you when you grow old. Priorities change. Many children are not guilt-ridden or filled with a sense of moral obligation when the wife and offspring take top billing in their lives. There are still children who would consider it a privilege  to show compassion, genuine love, and deep concerns for their parents but be warned that not all children think alike.
  5. Expand your circle of friends to include young ones who will definitely outlive your old BFFs. Keep up with the new inventions, trends, music and lifestyle including all scams and schemes you should guard against. Remember that when you mix with the young, you also open a fresh avenue to channel your thoughts, experiences and values through so that the lessons you learned are not lost, forgotten or buried with you.
  6. Be well groomed and smelling fresh of spring water all the time. There is nothing more depressing than seeing people exhale when you walk by because you reek of baul (camphor chest) or lupa (dirt). Old age or bust, don’t look and smell like a corpse when you’re not one yet.

  7. Do not meddle in the lives of your children. If they ask for your counsel, give it, but be ready to accept that they may not take it. Their situations in life cannot be compared to the situations that you experienced in your life. The playing field has changed and they need to develop their own set of survival skills. If you raised them to be street smart, they can handle themselves in tough situations and be able to read people. Champion and encourage their dreams and desires but on their own terms.

  8. Do not use old age as your shield and justification for turning grumpy. There’s nothing more annoying than an arrogant old fool. Welcome each day as another chance to be kind and forgiving, to yourself and to others.

  9. Listen to what others may say. Do not throw your weight around just because you are a septuagenarian or a nonagenarian. You are not a depositary of knowledge. Even if the roles have been reversed, making growing old a fun-filled, pleasant experience for you and your brood.

  10. Pray always and focus on your eternal life. You will definitely leave everything behind, a final journey detached from burden and care. Be more accepting that, sooner or later, you will croak. Prepare your swan song with humble and contrite heart. If you believe in a merciful and loving God, there is no need to strut like a star. Nobody is.

Courtesy
Mr. Narendra Ahuja (Senior Citizen)
Vasant Kunj, New Delhi