Archive for January, 2010

More muscle power means lower Alzheimer’s risk

Wednesday, January 27th, 2010

Older people with stronger muscles are at reduced risk of developing Alzheimer’s disease compared to their weaker peers, a new study shows.

Dr. Patricia A. Boyle of Rush Alzheimer’s Disease Center in Chicago and her colleagues found that the greater a person’s muscle strength, the lower their likelihood of being diagnosed with Alzheimer’s over a four-year period. The same was true for the loss of mental function that often precedes full-blown Alzheimer’s.

Studies have linked grip strength to Alzheimer’s, while a person’s weight and level of physical activity also influence risk of the disease. To date, however, no one has studied whether muscle strength in and of itself might play a role in dementia risk, Boyle and her team note in November’s Annals of Neurology.

“These findings support the link between physical health and cognition in aging and the importance of maintaining good physical function and strength,” Boyle told Reuters Health via E-mail.

The researchers measured the strength of nine muscle groups in the arms and legs of 970 dementia-free men and women 54 to 100 years old (their average age was around 80). They also tested the strength of study participants’ breathing muscles.

During follow-up, which lasted about four years, 138 people developed Alzheimer’s. These individuals were older and had worse mental function than the rest of the study participants. They also were weaker.

But even after the researchers adjusted for age and education level-which can influence Alzheimer’s risk-they found that muscle strength had a strong influence on the risk of the disease. People who ranked in the top 10 percent for muscle strength were 61 percent less likely to develop Alzheimer’s than the weakest 10 percent. Stronger people also showed a slower decline in their mental abilities over time.

The relationship between muscle strength and mild mental difficulties, which occurred in an additional 275 people, was similar, with the strongest 10 percent being at 48 percent lower risk than the weakest 10 percent.

When the researchers looked at different types of muscle strength separately, they found that grip strength and breathing-muscle strength had an independent effect on Alzheimer’s risk, but arm and leg strength didn’t.

The most likely explanation for the mental function-muscle strength link is that there is something going in the body that causes both muscle weakness and loss of mental ability, Boyle said.

While the study couldn’t show whether keeping one’s muscles strong will keep Alzheimer’s at bay, staying fit is a good idea-and good for the brain-no matter what, according to Boyle.

“We certainly think that it is important to be physically active and to work to keep our muscles strong,” she said. “Good physical health is important for good brain function.”

Healthy home may help keep the weight off

Friday, January 8th, 2010

If you’ve lost a lot of weight and want to keep it off, banishing high-fat foods and getting rid of your TV sets might help, along with eating less and staying active, new research hints.

Researchers found that people who had lost weight and had maintained a normal weight for 5 years were much more physically active than obese people who hadn’t lost weight and were also being better able to control their food intake.

But people’s home environment also mattered, Dr. Suzanne Phelan of California Polytechnic State University in San Luis Obispo and her colleagues found. The weight loss maintainers had fewer TVs in their homes, and were less likely to be stocking their shelves with fatty foods.

Phelan and her team looked at 167 weight-loss maintainers and two groups of 153 treatment-seeking obese individuals to investigate behaviors and environmental factors that might promote sustained weight loss. People in the control groups had been participating in two different studies of weight loss interventions, but remained obese.

People who had kept the weight off expended 2,877 calories in physical activity per week, on average, compared to 762 per week for one of the control groups and 1,003 for the other, the team found.

In addition, weight loss maintainers had fewer TVs in their homes and more exercise equipment than the control groups.

There were also marked differences in the kinds of foods people had in the pantry, with the weight loss maintainers having significantly fewer high-fat items and more low-fat foods like fruits and vegetables and low fat dairy foods.

The weight-loss maintainers clearly had stronger self-control than the persistently obese people, Phelan and her team note, but it’s not clear why.

“The home environment of the weight-loss maintainers contained fewer high-fat foods and televisions and, thus, may have demanded fewer self-control resources than the more ‘toxic’ home environments of the treatment-seeking obese,” they note in the Annals of Behavioral Medicine.

“You have to pay attention to your home environment if you want to succeed,” Phelan advised in a statement from the Health Behavior News Service. “Do you have TVs in every room? When you walk into your kitchen, do you see high-fat food or healthy food?”

“If you want to choose better foods, keep better foods within reach. Don’t just rely on willpower,” Dr. David Katz, director of Yale University School of Medicine’s Prevention Research Center in New Haven, Connecticut, commented in the statement.

“If you want to be more active, create opportunities for exercise that are always within reach. Don’t just rely on motivation,” added Katz, who wasn’t involved in Phelan’s study. “We should be propagating the awareness that lasting weight control is about skill power, not just willpower.”