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Aide-memoire

Gentleman reading a book outdoors

It’s a fact of life that as we get older, our memory may not serve us so well.This may be because of diseases that cause dementia or as a consequence of the harm which we’ve subjected our grey matter to over the years.

Memory loss is often simply part of the ageing process. There are ways, however, that we can improve the odds of our memory being there for us.

Some degree of loss is inevitable as we get older and is called age-associated memory impairment. People feel they are becoming forgetful, that they’re not able to remember the name of those they have met recently, for example. This impairment is a nuisance and possibly a little embarrassing, but doesn’t impact on everyday functioning and is considered normal.

At the other end of the spectrum are the different types of dementia, which is defined as a decline in mental abilities to a degree that affects daily activities. Alzheimer’s disease is the most common type of dementia and starts by affecting recent memory such that a person can remember exact details of his or her distant past but cannot remember recent events or conversations. In time, however, Alzheimer’s disease affects all parts of the memory.

It’s those who are worried about memory problems who in general don’t have dementia, since those with it, again generally speaking, are unaware that they have a difficulty. The old adage is useful in distinguishing between what’s normal and what is not;- "You need not worry if you forget where you put your car keys. You need worry only if you forget what they′re used for." Of course when memory loss occurs it’s important to check that it isn’t being caused by other conditions such as depression, alcoholism, or the side effects of medication.

ABUSE IT AND LOSE IT

Smoking, drinking too much alcohol and a poor diet that is high in unhealthy fat will narrow arteries, damaging the circulation. This in turn will prevent enough oxygen and nutrients getting through to the brain. High blood pressure can also damage arteries that feed the brain. Multiple small blood clots may develop that starve the brain cells of oxygen and result in memory loss caused by a common form of dementia called multi-infarct dementia. So just as it’s important to protect the circulation around the rest of thebody so it’s vital to protect the brain from this damage by eating a healthy diet, taking regular exercise and not smoking. In fact, smoking increases the risk of Alzheimer’s disease too so another good reason not to smoke.

FEED YOUR BRAIN

A healthy diet, supplemented with a multivitamin if necessary, is vital for good overall health and well-being. In particular, folic acid, vitamin B12 and vitamin B6 are all needed for good brain function and antioxidants (e.g. vitamins C and E) are also important as they may help to maintain brain health.

Probably the most studied and talked-about approach to preventing memory decline is with the herb, ginkgo biloba. Extracts of the leaves of been found to have a small but noticeable effect on improving memory and mental functioning. A number of trials suggest that it may help to prevent the progression of symptoms in dementia too. Researchers in America also found that when taking a supplement of ginkgo biloba for six months, those with age-associated memory impairment experienced improved verbal recall when compared with those who took a placebo supplement.

The benefits of ginkgo are believed to be as a result of widening the blood vessels which in turn allows an improved blood flow to the brain. It is also believed to help thin the blood so it is less likely to clot. It is for this reason that although ginkgo is considered a safe supplement, those who are already on blood-thinning medication would probably be wise not to take it. Ginkgo probably has some antioxidant effects too, which will protect the brain from damage caused by free radicals. Even though the research may not be conclusive yet, it would be worth trying a ginkgo supplement provided you’ve checked with your doctor that it’s safe for you to do so, since nothing ventured, nothing gained.

With increasing age, the body may make less of a natural nutrient called phosphatidyl serine. This is a type of fat that is found in high concentration in the brain where it acts as a building block of cell membranes. It also protects against cell damage and agerelated cognitive decline. Put simply, it helps keep those brain pathways involved in memory running smoothly.

Research shows that as levels of PS naturally decrease with age, so does the ability to learn, stay alert and to remember things. To combat these natural changes, taking a supplement of PS has been shown in scientific studies to improve memory and mental functioning in those who already have age-associated memory impairment and in those already diagnosed with early Alzheimer’s disease.

Oily fish and essential fatty acids appear to be constantly in the news, in particular the omega 3 fatty acids DHA and EPA. The benefit of omega 3 in maintaining heart health is well established but what is now becoming increasingly clear is how important these essential fatty acids are for brain health too. Eating one portion of oily fish each week or the equivalent in a supplement is recommended. Now supplements containing omega 3 fatty acids derived from marine algae have become available that are suitable for vegetarians.

PROTECTING YOUR MEMORY

  • Keep mentally, physically, and socially active.
  • Drink 6-8 glasses of water a day.
  • Eat a healthy low-fat diet with plenty of fruit and veg and one portion of oily fish a week.
  • Consider taking specific brain health supplements - e.g. omega 3 fatty acids, ginkgo biloba,
    phosphatidyl serine and antioxidant vitamins B complex, C and E.
  • Avoid smoking and excessive alcohol consumption.
  • Take time out each day to relax and enjoy yourself.

USE IT OR LOSE IT

There is no doubt that if you don’t make use of your brain function, you’re likely to lose it. Plenty of scientific research has found that by challenging your brain, you can help maintain its function. Chess, bridge, crosswords and Suduko are some of the mental activities people use to keep their grey matter healthy. Research has also found that regular physical exercise and an active social life will benefit brain function too.

SUMMARY

A healthy lifestyle combined with specific memory-supporting supplements will provide the best opportunity to keep memory in good working order. In essence, what is essential for keeping the body healthy is essential for keeping the brain healthy too.

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Dr Rob Hicks

Dr Rob Hicks 

Dr Rob Hicks is a part time GP and clinical assistant in sexual health medicine. He is the Classic FM radio doctor and columnist for the Metro newspaper. He believes that prevention is better than cure and keeping healthy should be fun, not hard work.  

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