Experts warn that common heart conditions increase the risk of developing dementia.
Taking care of your heart is crucial for maintaining brain
health as you age, and starting early can make a significant difference,
according to a recent statement from the American Heart Association (AHA).
“Dementia is often viewed as an inevitable disease that
cannot be prevented,” said Dr. Fernando Testai, a neurology professor at the
University of Illinois College of Medicine. “However, evidence suggests that a
healthy lifestyle and early treatment of vascular risk factors can help
preserve brain function and potentially reduce the impact of Alzheimer’s and
other dementias.”
The AHA reports that nearly 130 million adults in the U.S.
have some form of heart disease. Dr. Andrew Freeman, director of cardiovascular
prevention and wellness at National Jewish Health in Denver, emphasizes the
importance of adopting a heart-healthy lifestyle as early as possible. “This is
especially urgent as many Americans are facing heart disease at younger ages,”
he said. “We work hard, save for retirement, and then face serious health
issues like heart attacks and dementia, which may be preventable with early action.”
Heart Disease and Cognitive Impairment
Coronary heart disease, characterized by plaque buildup in
the arteries, is the leading global cause of death. The World Health
Organization reported that deaths from this condition increased from 6.4
million in 2000 to 9.1 million in 2021. The impact of this disease extends to
brain health; narrowed arteries from heart disease and high blood pressure can
reduce blood flow to the brain, leading to cognitive decline.
According to the AHA, individuals with coronary heart
disease face a 27% higher risk of developing dementia. This disease can start
manifesting in one’s 40s or 50s, often without noticeable symptoms.
Heart Attacks and Cognitive Decline
In the U.S., someone experiences a heart attack
approximately every 40 seconds. Following a heart attack, up to 50% of
survivors may suffer some loss of brain function, with many experiencing
cognitive decline. Heart failure, a more severe condition where the heart
cannot pump enough blood, affects up to 81% of those diagnosed, leading to
memory and cognitive difficulties.
Emerging research suggests a deep connection between heart
health and brain health. For instance, vascular risk factors like diabetes can
elevate beta-amyloid levels in the brain, a marker linked to Alzheimer’s
disease. Conversely, beta-amyloid has been found in the heart and is associated
with cardiac dysfunction.
Atrial Fibrillation and Cognitive Risks
Atrial fibrillation (A-fib) is an irregular heartbeat that
significantly raises the risk of stroke and is linked to more severe strokes
than those from other causes. People with A-fib are also at a 39% increased
risk of memory and cognitive issues due to a higher occurrence of small brain
bleeds.
Prioritizing Lifestyle Changes
While medications like statins can help manage heart
disease, Dr. Freeman emphasizes that lifestyle changes are essential. Regular
checkups and medication adherence are important, but they have limits. For
instance, while aggressive treatment of high blood pressure may reduce mild
cognitive impairment, it does not prevent dementia.
Key Lifestyle Factors for Brain Health
Prioritize Sleep: Quality sleep enhances mood, energy, and
cognitive function. Aim for seven to eight hours of uninterrupted sleep each
night to support brain health.
Focus on Nutrition: A plant-based diet, such as the
Mediterranean diet, can lower dementia risk by 31%, even for those with
existing health conditions.
Manage Stress: High cortisol levels can harm cognitive
function. Reducing stress through sleep, healthy eating, and social connections
is vital.
Stay Active: Regular physical activity is crucial. Aim for
150 minutes of moderate-intensity or 75 minutes of vigorous exercise each week,
along with strength training. Even brisk walking can significantly lower
dementia risk.
Dr. Freeman notes, “Physical activity is magnificent for
overall health. When combined with a plant-based diet, stress management,
adequate sleep, and social connections, it creates a powerful formula for
longevity and brain health.”
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