What Is Dementia?
Dementia is a medical condition characterized by a decline in an individual's mental ability, including memory. In most cases, this condition is severe enough to interfere with the patient’s day-to-day activities. The mental functions that are most severely affected include memory, reasoning, and thinking.
Dementia in itself is not a disease — rather, it is a wide range of symptoms which are associated with a remarkable decline in memory and judgment skills. One of the most common types of dementia is Alzheimer’s disease. Another common type of dementia is vascular dementia and it is often observed after a stroke.
Causes of Dementia
There can be several causes of dementia. Some of these are listed below.
- Diseases, such as Parkinson’s, Alzheimer’s, and Huntington’s that are characterized by the degeneration of the nerve cells in the brain can cause dementia. Alzheimer’s disease is the cause of 50 to 60 percent of all cases of dementia.
- Strokes, of the kind that have an impact on blood vessels, might also lead to a condition known as multi-infarct dementia.
- Dementia is also caused by nutritional deficiencies such as folate and vitamin B12 deficiencies.
- Dementia might also be caused by hydrocephalus, a condition wherein fluid gets accumulated in the brain. Hydrocephalus can be congenital or might be caused by brain tumors, infections, or injury.
- People who consume excessive alcohol or drugs might show symptoms of dementia.
- Head injuries can also cause dementia.
Symptoms of Dementia
The symptoms of dementia depend on the part of brain that is affected by the degenerative changes. Typical symptoms of dementia are listed below:
- Loss of memory: One of the earliest and most striking symptoms of dementia is the loss of memory, and short term memory in particular. The memory loss disrupts the normal life of the patient. Patients tend to forget recently learned information, such as where they left their keys, that they have to attend an appointment, and so on. Other symptoms associated with the loss of memory include forgetting important dates such as birthdays, depending heavily on memory aides, and repeatedly asking for the same information.
- Difficulty in planning: People suffering from dementia might face difficulty in developing or following a plan. They also find it difficult to work with numbers. They experience difficulty in concentrating and take a long time to complete regular daily tasks.
- Confusion related to time and place: Dementia patients face difficulty in keeping track of time and dates. They even tend to forget about the place where they are and how they got there.
- Difficulty in comprehending and writing: Another symptom of dementia is that people find it increasing difficult to join a conversation and understand what other people are talking about. While talking, they face difficulty in finding the right words. They find it tough to read, judge distances, and at times recognize their own reflection in the mirror.
- Withdrawal from social activities: Another common symptom of dementia is that the patients try to withdraw themselves from their hobbies, work projects, social gatherings, and sports. The patients tend to become suspicious, irritable, and fearful. They also become passive and try to stay aloof.
Dementia: Exercise For Prevention
Everyone wants to take steps to prevent dementia, and even moreso if they have a family history of the disease. It can be difficult to prevent dementia, as the exact cause of dementia is quite often unknown. Studies suggest that moderate amounts of physical activity might help counter the risk of vascular dementia in the elderly people who are at risk. Physical exercise can cut down the risk of developing dementia by about 50 percent, research suggests. A study was conducted by the researchers at the University Hospital S. Orsola-Malpighi in Bologna to analyze the role of exercise in preventing dementia.
A group of people, comprising 749 rural Italians, above the age of 65 were shortlisted for a study. The participants were analyzed over a period of 4 years. At the beginning of the study, none of the people who were part of the sample population had any form of dementia. However, at the completion of the study, 85 people had started exhibiting symptoms of dementia.
The participants who burned 209 calories extra per week by walking had a 27% lesser risk of developing vascular dementia. People who indulged in moderate forms of exercises such as biking and yard work had a 29% lesser risk of developing vascular dementia. This shows that exercise might help reduce the risk of some forms of dementia.
Dementia Prevention: Role of Exercising
Exercising in the form of running, brisk walking, or cycling can help lower the risk of dementia. The key benefits of exercising for the prevention of dementia are listed below:
- Exercising increases blood flow to the brain thereby lowering the risk of cerebrovascular disease.
- Exercising helps in building elasticity in synapses in the brain and thereby prevents the nerves from suffering damage.
- Exercising helps in decreasing the secretion of stress hormones that have a negative impact on the brain tissue.
- Exercising helps in boosting the overall health of an individual by controlling weight and thereby preventing coronary diseases which can lead to dementia.
Other benefits of exercising are reduced stress levels, improved memory, and increased energy levels as well as, of course, improved physical fitness.
Dementia Prevention: Sticking to an Exercise Plan
The symptoms of dementia can be controlled by formulating and sticking to an exercise plan. Some tips for adhering to an exercise plan are listed below.
- One should try to exercise for at least 30 minutes a day, five times a week. The exercise can be in the form of walking or swimming or any other form of physical activity that increases the heart rate. Other forms of physical activity that can be helpful are gardening, cleaning etc.
- Building muscle mass can help maintain brain health. Some forms of exercise that can be practiced include combining moderate levels of weight and resistance training and aerobics and strength training.
- You should try to include balance and coordination exercises in your daily routine to help you stay agile and avoid falling. Head injuries, in older people are common and they often lead to dementia. Balance and coordination exercises that can be practiced regularly include yoga, tai chi, and exercises involving balancing balls and discs.
- You should try to stick to your exercise plan for at least a month so that it becomes a habit. Once this period is over, sticking to your daily exercise routine will seem natural.
Sources & Links
- “Physical Exercise as a Preventive or Disease-Modifying Treatment of Dementia and Brain Aging”, by J. Eric Ahlskog, et al. Published in the September 2011 issue of Mayo Clin Proc., accessed on March 11, 2013
- “Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older”, by Larson, E. B., et al. Published in the June, 2006 issue of Scandinavian Journal of Medicine & Science in Sports, accessed on March 11, 2013.
- Photo courtesy of rosieobeirne on Flickr: www.flickr.com/photos/rosieobeirne/4090198486