100 billion neurons!

Transcription

1

2 100 billion neurons!

3

4

5

6 Where s my car parked?

7 Normal Memory Changes with Age Memory changes start even before 30 Harder to store new memories Sensory inputs aren't as sharp hear, see, taste Multi-tasking Filtering Slower processing speed

8 Items on the grocery list? The street address? The name of the person you just met?

9 FOR MANY, THE JOURNEY OF AGING WILL INCLUDE THE REALITY OF DEMENTIA. By age 65, approximately one person in seven is already experiencing the changes in the brain. At age 72, one person in three experiences measurable cognitive loss. At 85 up to half of us will be living with some form of dementia

10 Function MCI Dementia Time

11 Dementia Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. Alzheimer's is the most common type of dementia.

12 Dementia Alzheimer's disease 53% 10% 10% AD/Vascular 8% 5% 8% 6% Vascular dementia DLB Frontotemporal dementia Other AD + dementia with Lewy bodies (DLB)

13 Primary Causes of Progressive Dementia Alzheimer s Disease Memory based syndromes Lewy Body Dementia Hallucinations, parkinsonism, and sleep/wake syndromes Frontotemporal Dementias Disinhibition or impulse control syndromes Language

14 Alzheimer s Disease A progressive, degenerative, neurological disease of the brain. Neurofibrillary Tangles Plaques Acetylcholine production is decreased Degeneration of the hippocampus A steady decline in memory and intellectual functioning severe enough to interfere with everyday life It is not reversible

15 Alzheimer s Disease Cognitive impairment Short-term memory loss Language problems Decreased judgment Behavior changes Loss of initiative

16 NUTRITION AND BRAIN HEALTH DOES IT MATTER?

17 MANAGE STRESS Nutrition BRAIN HEALTH SENSE OF PURPOSE Physical Activity SLEEP

18 There are no pharmaceutical cures for memory loss or dementia, but researchers say that brain health is highly influenced by our lifestyle behaviors

19 Learning Working Playing Mood Concentration Memory

20 Numerous studies have explored whether a healthy diet can help preserve cognitive function or even reduce the risk for Alzheimer s disease.

21 The Brain Diet Relationship The brain is highly susceptible to oxidative damage. The brain is a fatty organ. Fats are present in the neurons membranes to keep them flexible. Our brain is dependent on dietary fat intake to get enough fatty acids. The brain consumes considerable amount of glucose. One of the earliest sign of dementia is a decrease in the ability of the brain to use glucose efficiently.

22

23 The MIND diet lowered the risk of AD by as much as 53 percent in participants who adhered to the diet rigorously, and by about 35 percent in those who followed it moderately well.

24 MIND DIET Hybrid of the Mediterranean and DASH (Dietary Approaches to Stop Hypertension) 15 dietary components, including 10 brain-healthy food groups

25 Brain Healthy Food Groups 1. Green leafy vegetables 2. Other vegetables 3. Nuts 4. Berries 5. Beans 6. Whole grains 7. Fish 8. Poultry 9. Olive oil 10.Wine 1. Red meats 2. Butter 3. Stick margarine 4. Cheese 5. Pastries and sweets 6. Fried or fast food.

26 Details of the MIND Diet Three servings of whole grains a salad one other vegetable every day Glass of Wine Snacking most days on nuts Eating beans every other day Poultry and berries at least twice a week Fish at least once a week. Limit butter (less than 1 tablespoon a day), cheese, and fried or fast food (less than a serving a week for any of the three).

27 Journal Of Neurology April 30, 2013 REGARDS Study: Reasons for Geographic and Racial Differences in Stroke. A national sample of the general population, included 17,478 people with an average age of 64. The study examined how closely the participants adhered to a Mediterranean diet. Study participants completed tests that measured memory and thinking abilities over an average of four years.

28 During a four-year follow-up, 1,248 people became cognitively impaired. Among the study's healthy participants, those who followed the Mediterranean diet more closely were 19 percent less likely to develop problems with their thinking and memory skills.

29 A Mediterranean diet is largely plant-based, rich in good fats, very low in sugar and processed food.

30 Framingham Heart Study 1,575 adults (average age 67) with no signs of dementia MRI brain scans and tests to measure memory and thinking. Blood draws to check the level of omega-3 fatty acids in their red blood cells. Those whose omega-3 levels were in the bottom 25% of the group had lower brain volumes compared with people with higher levels the equivalent to about two years of structural brain aging. Plus, those with low levels scored poorer on tests of visual memory, processing, and abstract thinking. Neurology, 2012

31 According to the U.S Department of Agriculture, the average American consumes 156 pounds of added sugar per year. Overeating, poor memory formation, learning disorders, depression have been linked in recent research to the overconsumption of sugar

32 According to the New England Journal of Medicine even slight elevations of blood sugar, well below the range where diabetes becomes a concern, significantly predict the future risk for developing dementia.

33 Some people have described mild cognitive impairment as having diabetes in the brain because the sugar affects your brain in a way that is not good if you have too much of it. Dr. Rosebud Roberts, Mayo Clinic

34 A brain-healthy diet is one that reduces the risk of heart disease and diabetes.

35 Key Messages for Brain Health EAT Plant-based Foods for Antioxidants EAT Good Fats- Omega 3 s everyday keeps the neurons membranes flexible STAY AWAY from sugar and processed foods

36 The Art of Dementia Care A positive social environment can minimize the disabling effects of dementia. People with dementia are individuals with unique personalities, backgrounds, and preferences. People with dementia thrive in the midst of fun-loving relationships People with dementia are entitled to achieve their maximum potential in body, mind in spirit

37 The Experience Does the dining room experience look and feel normal? Do mealtimes provide an opportunity for the person with dementia to be successful? Are meals based on residents preferences? Does mealtime integrate habitual patterns? Are mealtimes engaging and social? How is the staff interacting with residents at mealtime? Does the dining room environment support people s remaining abilities and allow them to feel success during the dining experience? Is this a place where you would want to eat my meals for the rest of my life?

38 I am Sylvia. I was Sylvia before I was diagnosed, and I am still Sylvia after being diagnosed. I'm still the same person treat me the same way. Talk to me the same way. Include me in the conversation as you would before.

39 Minnesota ACT on Alzheimer s

40 BACKGROUND Minnesota Legislature charged the MN Board on Aging to establish the Alzheimer s Disease Working. Group (ADWG) and make recommendations for policies and programs that would prepare Minnesota for the future The ADWG developed a set of recommendations for the Legislature A coalition was formed to focus on implementing the recommendations. Now called ACT on Alzheimer s. No single organization owns, finances or controls the initiative. 40

41 ACT- 5 Goals Identify and invest in promising approaches that reduce costs and improve care. Increase detection of Alzheimer s disease and improve ongoing care and support. Sustain caregivers by offering them information, resources and in-person support. Raise awareness and reduce stigma by engaging communities. Equip communities to be dementia capable to support residents who are touched by Alzheimer s disease. 41

42 Dementia-Friendly Community We define dementia friendly as informed, safe and respectful and fostering quality of life for people with dementia and their family caregivers. 42

43 33 MN Communities working toward community influenced Dementia Friendly Initiatives 43

44 ACT Tool-Kit Community Engagement Process 1.Convene key community leaders and members to form an Action Team. 2.Assess current strengths and gaps within the community. 3.Analyze findings to understand your community s needs and develop a plan to take action. 4.ACT Together to pursue priority goals that foster community readiness for dementia. 44

45 PRESS RELEASE July 13,