Mar 012014

Journalist and presenter Andrew Marr criticizes lack of support after successful operation for his stroke.

Andrew Marr’s comments on his hospital treatment and subsequent physiotherapy sounds strikingly similar to the way heart patients are treated – excellent initial care, but little (if any) follow-up after rehabilitation.

Jonathan Ross invited Andrew Marr on to his show the other week. Andrew is visibly still suffering the consequences of the stroke he suffered last year.

In his interview he said :

“I’ll never be 100% again but I will be most of the way there and it’s one of those simple things – the more work you do, the more physiotherapy and strength training you do, the better you’ll be, but you have to do it every day probably for years and years.”

Marr said that his personal experiences had made him realise how poor the UK is at helping people recover from strokes, commenting: “I had enough money to pay for physiotherapy every day when I came out of hospital. I still do it almost every day. Most people can’t afford that. Continue reading »

Exercise is essential to ‘grow back your brain’

 Medical, News  Comments Off on Exercise is essential to ‘grow back your brain’
Mar 012014

The following article was published in The Times on 18th February.

Any form of exercise, including walking, swimming or playing tennis, could be helpful

Physical exercise is as important in staving off dementia as keeping your mind active, scientists have said.

Taking a brisk walk three or four times a week can effectively “grow back your brain”, helping to reverse early signs of neurodegeneration and improve performance on memory tests, research has found.

Speaking at the American Association for the Advancement of Science annual conference in Chicago, Kirk Erickson, a psychologist at the University of Pittsburgh, rejected the idea of an inexorable descent into Alzheimer’s disease. “The brain and cognitive function of older individuals remain highly plastic,” he said. “It’s not this inevitable decline that we thought it was.”

In a study involving 120 people aged 60 to 80, half of the participants took part in brisk walking sessions for 30-45 minutes, three to four times a week. The other half spent the same amount of time doing light stretching exercises.

The participants were given cognitive tests and an MRI scan at the beginning and end of the 12-month study.

In the exercising group, the brain scan revealed that the hippocampus region of the brain, which is crucial for memory, had increased in volume by about 2 per cent. The pre-frontal cortex, an area involved in decision-making and social behaviour, grew by a similar amount. By contrast, in the control group those brain regions shrank by about 1.5 per cent, in line with the annual decline in brain volume seen in the elderly.

A reduction in the volume of the hippocampus can be a precursor to Alzheimer’s disease and other forms of dementia. “We were able to increase the size of these areas that had typically deteriorated,” Professor Erickson said. “It’s growing back your brain.”

Exercising also appeared to improve performance on memory tasks and problem-solving. Some of the participants said that, subjectively, they felt sharper. Dementia affects 820,000 people in Britain and the figure is likely to rise as the population ages.

It is not clear how exercise improves brain function, but one possibility is that it increases blood flow, which in turn helps to create capillaries, meaning that existing neurons have a better oxygen and energy supply. Another possibility is that exercising enhances the activity of genes that trigger the growth of new connections between neurons.

Professor Erickson said that any form of exercise, including walking, swimming or playing tennis, could be helpful and that these activities could have a stronger protection than mental activities such as doing a crossword or a Sudoku puzzle.

“Quite often people are misled into thinking we need lots of exercise to see positive effects. But with moderate exercise we are seeing enormous benefits,” he said. “As we get older we experience cognitive decline. Most cognitive functions decline — memory and some language functions. There has been growing interest in ways to prevent decline from happening, and delay losses and even reversing some losses that have already taken place. There is a great proportion of the population who are not 65 years and older, and so this is cause for some alarm. That is really why physical activity is so important.

“Results from these studies suggest that the brain and cognitive function of older individuals remain highly plastic. It’s not this inevitable decline that we thought it was. We don’t have a good understanding of how long the effect persists.”

A study which reported in December also found that living healthily could cut the risk of developing dementia by about 60 per cent. Scientists at Cardiff University have been following 2,235 men since 1979, looking at the link between disease and regular exercise, eating fruit and vegetables, staying slim, light drinking and not smoking. Researchers said that only 1 per cent of the population had all five healthy habits, with numbers unchanged over three decades. Five per cent had four.

People who followed four out of the five healthy habits were 60 per cent less likely to suffer from cognitive decline or dementia, with exercise accounting for a significant chunk of the effect. So far 219 of the men have shown signs of cognitive decline and 79 have dementia.

If half the men in the study had taken up one extra healthy habit 30 years ago, there would have been 13 per cent fewer cases of dementia today, with a 12 per cent drop in diabetes, a 6 per cent fall in heart disease and 5 per cent fewer deaths, the research team said.

This report was taken from The Times on 18th February 3014. (NOTE: you can only open the article if you have a subscription to The Times)