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How To Reduce Your Risk of Alzheimer’s and Keep Your Brain Young with Dr Tommy Wood #316

Nov 30, 2022 2h 19m 21 insights
In the UK, one in 14 people over 65 will develop dementia, with that figure rising to one in six once we’re over 80. It’s fair to say it’s the disease many people fear the most. But this podcast makes it clear that cognitive decline is not a natural or inevitable part of ageing. During the course of this conversation, returning guest Dr Tommy Wood outlines plenty of simple, enjoyable things that we can all start doing right now to improve our brain health and stave off age-related dementia.   Dr Tommy Wood is Assistant Professor of Pediatrics and Neuroscience at the University of Washington, US. He holds a degree in biochemistry from Cambridge, a medical degree from Oxford, achieved his PhD in physiology and neuroscience in Oslo, and has published papers and lectured across the globe. It’s fair to say that when it comes to brain health and longevity, he knows his stuff.   We kick off our conversation with the empowering news that we can resist declining brain function simply by challenging ourselves more. We can make new cells, new connections and change the structure around them, harnessing the neuroplasticity of the brain. And it doesn’t matter if we’re 28 or 80, he says. MRI scans prove the brain can adapt at any age.   Tommy explains the importance of rest, for the brain to consolidate all its new pathways, and nutrition to provide the fuel it needs to function well and grow. We talk about the role of B vitamins and omega-3 fatty acids for brain development, and the fact there’s no one-size-fits-all when it comes to optimum diet.   We also talk about the similarity between training your muscles and training your brain. And the research conclusively shows that the more muscle mass you have, and the more you move it, the lower your risk of cognitive decline. Tommy talks us through the types of exercises and the number of reps we need to do to gain muscle and brain benefits. And it's probably less than you think.   We also cover the surprising value of video games, the importance of social connection, and why going to dance classes might just be the best thing you can do for your brain and body. This is a fantastic episode, jam packed with life-changing practical information. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Order Dr Chatterjee's latest book Happy Mind, Happy Life: UK version: https://amzn.to/304opgJ, US & Canada version: https://amzn.to/3DRxjgp Show notes https://drchatterjee.com/316
Actionable Insights

1. Regular Brain Challenges

We can improve brain function by challenging ourselves more, as this helps make new nerve cells and connections, and changes brain structure at any age. Stop believing the story that your brain doesn’t work anymore as you get older, because the brain can adapt at any time in life if challenged.

2. Embrace New, Difficult Skills

Focus on learning new skills that you are not very good at, as the challenge of being an amateur provides greater cognitive benefit than being a professional. Choose new skills that you enjoy and can continuously learn and improve at, as enjoyment ensures adherence and long-term benefit.

3. Learn in Short Bursts

When learning new skills, aim for focused 20-30 minute chunks to push the limits of your current ability, as this is the optimal period for cognitive challenge before fatigue.

4. Support Brain’s Adaptation

Support your brain’s ability to adapt to challenges by providing nutrients, sleep, recovery, and avoiding toxins.

5. Prioritize Resistance Training

Engage in physical movement, specifically resistance training, to improve the structure and function of certain brain areas, as well as being your most important glucose sink. Aim for two to three sets per muscle group per week as a minimum effective dose, or 8-12 sets per week for optimal balance.

6. Train to Muscular Failure

When performing resistance training sets, push yourself until you reach voluntary muscular failure (where you can’t do any more reps), regardless of the number of reps, as this is what stimulates strength gains.

7. Incorporate Coordinated Movement

Choose movements with a coordination component, like Tai Chi, yoga, or dancing, for greater cognitive benefit than simple exercise, as they combine music, social, and movement components.

8. Boost Social Connection

Prioritize social connection as it supports both physical and mental health, and its absence is a known stressor in animal models of cognitive decline.

9. Learn a New Language

Learn a language, even late in life, to improve cognitive function and protect certain brain areas.

10. Choose Sustainable, Enjoyable Diet

Prioritize a diet that is accessible, enjoyable, and sustainable for you, as this is the starting point for supporting your health. If your current diet makes you feel great and objectively supports your health, there is no need to change it.

11. Ensure Adequate B Vitamins

Ensure your diet includes a reasonable number of whole foods (plants, vegetables, eggs, meat, fish) to get sufficient B vitamins (B12, folate, B2, B6) for brain health. If vegetarian or plant-based, take a B12 supplement.

12. Optimize Omega-3 Status

Include some seafood in your diet for long-chain omega-3 fatty acids (EPA and DHA), which are critical for brain development and function, and support B vitamin efficacy. If you don’t eat seafood or animal products, consider testing your omega-3 levels and supplementing with algal sources if low.

13. Improve Blood Sugar Control

Actively work to improve your blood sugar control (e.g., by reducing spikes after meals), as this has been shown to improve cognitive function and reverse decline.

14. Monitor Metabolic Health

Aim to avoid increased waist circumference, low HDL cholesterol, high triglycerides, high blood sugar, and high blood pressure, as these are components of metabolic syndrome and indicate poor metabolic health.

15. Target Optimal HbA1c

Aim for an HbA1c level between 5% and 5.5% for the lowest risk of mortality at the population level. If borderline, check fasting blood sugar.

16. Maintain Healthy Waist-to-Height

Aim for a waist-to-height ratio close to or below 0.5, as this is a good cutoff associated with a lower risk of mortality.

17. Use Household Items as Weights

Utilize household items like bags of sugar or cans of beans as weights for resistance training if gym access or specialized equipment is limited.

18. Any Movement is Beneficial

Understand that literally any amount of physical activity, even a brisk walk or short resistance session, is beneficial for your health, so don’t let perceived effort or time constraints deter you.

19. Holistic Health Assessment

Avoid hyper-focusing on optimizing every individual blood test number; instead, consider all results in context with your overall health and how you feel.

20. Maintain Muscle Mass

Aim to be in the top 50% of the population for muscle mass to ensure sufficient strength for health benefits.

21. Maintain Gains with Less Effort

After building desired strength or muscle, you need significantly less training volume to maintain it (e.g., 2-3 sets per week) than to actively build it.