Welcome to "Defeat Dementia Naturally." 00:00:28.56\00:00:31.89 I'm Doctor David DeRose, your host 00:00:31.93\00:00:34.50 for this presentation. 00:00:34.56\00:00:36.36 We'll be looking at things that you can do to 00:00:36.40\00:00:39.17 decrease the risk of dementia, 00:00:39.20\00:00:41.40 affecting you and those who you love. 00:00:41.44\00:00:44.41 Who really should be concerned about this topic? 00:00:44.44\00:00:48.68 It struck me, as a physician, over the years. 00:00:48.71\00:00:52.25 It seems that people who most need a message that 00:00:52.28\00:00:55.92 either I or someone else is presenting 00:00:55.95\00:00:59.62 just don't seem to be tuned in. This is an important question. 00:00:59.65\00:01:04.29 Who should be concerned? 00:01:04.33\00:01:06.19 My appreciation for the answer took on new significance. 00:01:06.23\00:01:11.17 I was reading from the 00:01:11.20\00:01:13.03 Morbidity and Mortality Weekly Report. 00:01:13.07\00:01:16.67 This edition came out in May of 2013. 00:01:16.71\00:01:21.88 That weekly publication 00:01:21.91\00:01:25.08 comes from the Centers for Disease Control and Prevention. 00:01:25.11\00:01:27.82 It's looking at a variety of 00:01:27.85\00:01:29.98 illnesses and conditions affecting 00:01:30.02\00:01:32.55 the American populace. 00:01:32.59\00:01:34.19 In this particular study, 00:01:34.22\00:01:36.22 some 60,000 Americans, a representative sample of 00:01:36.26\00:01:40.23 people living throughout the United States, 00:01:40.26\00:01:42.10 came under sharp focus. Researchers looked 00:01:42.13\00:01:46.17 at just how prevalent early signs 00:01:46.20\00:01:49.64 of dementia were. What they were looking at were 00:01:49.67\00:01:52.91 individuals who have had 00:01:52.94\00:01:55.18 episodes of confusion, increased confusion, or 00:01:55.21\00:01:58.88 memory loss in the preceding twelve months. 00:01:58.91\00:02:02.38 What did the researchers find when they looked 00:02:02.42\00:02:05.49 at individuals sixty years of age and older? 00:02:05.52\00:02:11.06 Believe it or not, they found that over twelve percent 00:02:11.09\00:02:15.16 of those responding (a representative sample, 00:02:15.20\00:02:19.20 a genuine cross-section of the American population), 00:02:19.23\00:02:25.77 roughly one in eight, were saying, 00:02:25.81\00:02:29.64 "I've got evidence of a cognitive decline. 00:02:29.68\00:02:33.48 I've been more confused. I've had memory problems 00:02:33.52\00:02:37.12 of increased severity over the last twelve months." 00:02:37.15\00:02:40.82 I looked at that and said, "Okay--sixty years of age. 00:02:40.86\00:02:44.89 There's a lot of people living in their eighties and 00:02:44.93\00:02:49.06 nineties, people over one-hundred. 00:02:49.10\00:02:51.07 Maybe the reason that percentage was so high 00:02:51.10\00:02:54.24 was because of the older group?" We would say it was 00:02:54.27\00:02:57.01 skewed by older individuals with higher rates 00:02:57.04\00:03:02.18 of dementia and symptoms 00:03:02.21\00:03:06.18 indicating dementia. That wasn't the case. 00:03:06.21\00:03:12.25 When you looked at the group, 00:03:12.29\00:03:15.66 sixty to sixty-four years of age, 00:03:15.69\00:03:18.33 about twelve percent had early indicators 00:03:18.36\00:03:25.43 of cognitive challenge. 00:03:25.47\00:03:28.60 Who needs to be concerned about dementia? 00:03:28.64\00:03:32.27 Anybody who's planning to age with grace should be. 00:03:32.31\00:03:38.58 We're all going to have that 00:03:38.61\00:03:40.38 sixtieth birthday, unless we succumb to something else. 00:03:40.42\00:03:46.65 The point is, we need to be concerned 00:03:46.69\00:03:50.39 about caring for our cognition. 00:03:50.43\00:03:54.73 The evidence suggests natural things we can do 00:03:54.76\00:03:58.63 to defeat dementia. 00:03:58.67\00:04:01.14 Those things, you might not be surprised 00:04:01.17\00:04:04.11 in the context of our series, can be summarized 00:04:04.14\00:04:08.14 with the phrase "LIFESTART." 00:04:08.18\00:04:12.81 Let's take some examples. 00:04:12.85\00:04:16.05 If you're not familiar with the LifeStart mnemonic, 00:04:16.08\00:04:19.12 it summarizes nine essential lifestyle practices. 00:04:19.15\00:04:24.06 They can make a difference, 00:04:24.09\00:04:25.66 as far as decreasing your risk to a host 00:04:25.69\00:04:28.03 of conditions, improving your quality of life. 00:04:28.06\00:04:30.33 If you're not familiar with the mnemonic, log-in 00:04:30.37\00:04:33.77 to our website, 00:04:33.80\00:04:38.01 Pick up our free e book. 00:04:38.04\00:04:40.04 That will give you a little bit more insight 00:04:40.08\00:04:42.68 into this paradigm. 00:04:42.71\00:04:45.91 Again, LifeStart is nine elements. 00:04:45.95\00:04:49.42 The "S" in LifeStart stands for Sunlight. 00:04:49.45\00:04:56.93 Let's talk about that first as we're speaking about 00:04:56.96\00:04:59.59 defeating dementia. Very interesting research 00:04:59.63\00:05:03.83 recently came from the journal Neurology (2014). 00:05:03.87\00:05:10.74 They looked at the US population again, 00:05:10.77\00:05:14.54 trying to get an idea, a spectrum, 00:05:14.58\00:05:17.71 of individuals living in this great country. 00:05:17.75\00:05:20.88 By measuring vitamin D levels, 00:05:20.92\00:05:25.02 they could predict the risk of dementia. 00:05:25.05\00:05:27.92 There was a dose-response relationship. 00:05:27.96\00:05:31.89 In other words, researchers found that 00:05:31.93\00:05:34.36 individuals with very low levels of vitamin D 00:05:34.40\00:05:38.33 had a significantly higher risk of dementia. 00:05:38.37\00:05:41.94 Their risk doubled compared to those with 00:05:41.97\00:05:45.91 normal levels of vitamin D. 00:05:45.94\00:05:47.84 As you looked at more modest 00:05:47.88\00:05:49.94 decreases in vitamin D, 00:05:49.98\00:05:51.61 that increased risk was somewhere around 00:05:51.65\00:05:53.45 fifty percent. 00:05:53.48\00:05:54.58 We need to ensure that we have 00:05:54.62\00:05:59.02 optimal vitamin D levels. 00:05:59.05\00:06:01.32 If you are vitamin D deficient, 00:06:01.36\00:06:03.79 you are not on a trajectory 00:06:03.83\00:06:06.13 to defeat dementia. You're actually 00:06:06.16\00:06:08.46 increasing your risk of dementia. 00:06:08.50\00:06:11.00 That's with the data indicates. 00:06:11.03\00:06:12.63 Our first take-away point in this presentation: 00:06:12.67\00:06:15.97 we need to prioritize sunshine exposure. 00:06:16.00\00:06:20.21 That's the way we make vitamin D. 00:06:20.24\00:06:21.84 If there's some reason why 00:06:21.88\00:06:23.18 you can't do that, or you live in 00:06:23.21\00:06:24.61 a part of the country or the world 00:06:24.65\00:06:27.32 where you don't get much sunshine, 00:06:27.35\00:06:29.65 you need to take a vitamin D supplement. 00:06:29.68\00:06:32.25 As an aside, 00:06:32.29\00:06:34.19 if you haven't heard other presentations where I 00:06:34.22\00:06:36.29 speak about vitamin D and 00:06:36.32\00:06:37.86 parts of the world where there's not 00:06:37.89\00:06:40.26 much of it (especially in the winter months), 00:06:40.30\00:06:42.36 pay attention to this topic. 00:06:42.40\00:06:46.03 Boston, Massachusetts has been studied. 00:06:46.07\00:06:49.74 Four months out of the year, 00:06:49.77\00:06:51.24 you can not make adequate amounts of vitamin D. 00:06:51.27\00:06:54.31 The Sun does not come up 00:06:54.34\00:06:57.05 high enough above the horizon. 00:06:57.08\00:06:59.55 In Edmonton, Alberta 00:06:59.58\00:07:01.68 (Canada), it's five months of the year. 00:07:01.72\00:07:04.42 In Bergen, Norway, it's six months of the year. 00:07:04.45\00:07:07.19 The same would be true in the southern hemisphere 00:07:07.22\00:07:09.29 in the winter months. If you have any questions 00:07:09.32\00:07:12.99 about vitamin D status 00:07:13.03\00:07:14.76 (you're not getting out the Sun), 00:07:14.83\00:07:17.10 just have your vitamin D level checked. 00:07:17.13\00:07:20.67 What you check is called 25-hydroxyvitamin D. 00:07:20.70\00:07:25.07 Ask your doctor for that test. 00:07:25.11\00:07:27.28 I know we go through this material quickly. 00:07:27.31\00:07:30.15 We have a free study guide 00:07:30.18\00:07:31.51 that gives you more information about 00:07:31.55\00:07:34.32 the things we're talking about. 00:07:34.35\00:07:35.65 Again, that's available 00:07:35.68\00:07:36.95 for you free at 00:07:36.99\00:07:40.42 Let's move on from vitamin D 00:07:40.46\00:07:42.29 and sunlight, the "S" 00:07:42.32\00:07:44.36 in the LifeStart mnemonic. 00:07:44.39\00:07:46.59 Let's look at another element. 00:07:46.63\00:07:49.06 In the word "Start," 00:07:49.10\00:07:51.53 "T" stands for Temperance, 00:07:51.57\00:07:53.44 total avoidance of things that are harmful, 00:07:53.47\00:07:56.14 moderation of things that are good. 00:07:56.17\00:07:58.01 The "A" stands for (fresh) Air. 00:07:58.04\00:07:59.87 There is a habit in America, 00:07:59.91\00:08:02.44 embraced by literally millions of people. 00:08:02.48\00:08:05.38 It's at the interface of temperance and fresh air. 00:08:05.41\00:08:09.02 It has to do with cigarette smoking. 00:08:09.05\00:08:11.42 Does smoking have any role in cognition? 00:08:11.45\00:08:14.92 Some of you will say, "Smoking helps me. I have 00:08:14.96\00:08:18.86 mental clarity when I smoke a cigarette." 00:08:18.89\00:08:21.66 Let me tell you just a little bit about that. 00:08:21.70\00:08:23.83 In individuals smoking on a regular basis, 00:08:23.87\00:08:26.63 nicotine has a very short half-life. 00:08:26.67\00:08:29.80 That means, from the time of your last cigarette 00:08:29.84\00:08:33.11 until you start going through moderate withdrawal 00:08:33.14\00:08:36.68 (or early withdrawal) symptoms is 00:08:36.71\00:08:39.45 perhaps as little as one to two hours. 00:08:39.48\00:08:42.25 What that means is a deterioration in your 00:08:42.28\00:08:46.52 concentration. You can start feeling more anxious. 00:08:46.55\00:08:49.26 This is because you're addicted to nicotine 00:08:49.29\00:08:51.66 and haven't had any in a relatively short time. 00:08:51.69\00:08:54.36 When you smoke, 00:08:54.40\00:08:55.76 it may help you calm down, may help you 00:08:55.80\00:08:57.67 (seem to) think clearer. 00:08:57.70\00:08:59.10 It's not because smoking is a boon to cognitive health. 00:08:59.13\00:09:03.07 The research actually indicates just the opposite. 00:09:03.10\00:09:07.84 The message is: smoking is a risk factor 00:09:07.88\00:09:12.65 for dementia. 00:09:12.68\00:09:14.55 In 2007, Australian researchers did a meta-analysis. 00:09:14.58\00:09:20.26 They collected 19 perspective studies. These 00:09:20.29\00:09:23.89 studies looked at people over time. 00:09:23.93\00:09:26.46 Involved were tens of thousands of people. 00:09:26.49\00:09:30.13 In one of those studies, they followed individuals 00:09:30.17\00:09:33.40 for up to thirty years. 00:09:33.44\00:09:37.01 What did they find when they looked 00:09:37.04\00:09:39.27 at these individuals? 00:09:39.31\00:09:41.58 They pooled all studies at the time of initial assessment. 00:09:41.61\00:09:45.31 It compared someone who smoked (ever) 00:09:45.35\00:09:50.15 with someone who never smoked. 00:09:50.19\00:09:53.12 It compared those who are currently smoking 00:09:53.15\00:09:57.19 with those who have never smoked. 00:09:57.23\00:09:58.59 What kind of difference you think was found? 00:09:58.63\00:10:00.83 They found a seventy-nine 00:10:00.86\00:10:02.96 percent increased risk 00:10:03.00\00:10:04.63 of having Alzheimer s disease. 00:10:04.67\00:10:06.63 There's a seventy-eight percent increased risk 00:10:06.67\00:10:09.60 of having what we call vascular dementia. 00:10:09.64\00:10:12.77 Alzheimer's is a form of dementia that 00:10:12.81\00:10:15.28 can sometimes track in families. 00:10:15.31\00:10:18.05 Vascular dementia is actually caused by small 00:10:18.08\00:10:22.55 (or large) strokes over time. 00:10:22.58\00:10:25.09 It refers to the blood vessel supply to the brain. 00:10:25.12\00:10:27.99 There's nearly a doubling of risk 00:10:28.02\00:10:31.49 of showing up. When you're talking with 00:10:31.53\00:10:34.10 the investigator, 00:10:34.10\00:10:35.70 you have nearly twice the likelihood 00:10:35.73\00:10:38.87 of having dementia if 00:10:38.90\00:10:40.64 you are a current smoker. 00:10:40.67\00:10:42.84 That's not all. 00:10:42.87\00:10:44.61 These studies followed people for 00:10:44.64\00:10:47.04 two years, five years, and some up to 00:10:47.08\00:10:49.28 thirty years. What did they find as they 00:10:49.31\00:10:51.51 followed smokers over time? 00:10:51.55\00:10:53.18 Do you see the picture? At any time 00:10:53.21\00:10:55.65 you interview a smoker, 00:10:55.68\00:10:57.25 they're going to be more likely to have dementia. 00:10:57.29\00:10:59.29 You take that person with no dementia, 00:10:59.32\00:11:02.09 and follow them over time. 00:11:02.12\00:11:04.26 What happens? 00:11:04.29\00:11:05.93 There's an increased decline 00:11:05.96\00:11:10.00 in cognitive abilities of smokers over time. 00:11:10.03\00:11:13.00 There is a seventy percent increased risk 00:11:13.03\00:11:15.74 of developing Alzheimer's disease. 00:11:15.77\00:11:18.54 We're actually looking at two different things. 00:11:18.57\00:11:20.64 Some researchers would say the 00:11:20.68\00:11:23.41 study over time is more powerful. It 00:11:23.45\00:11:25.95 suggested it really is 00:11:25.98\00:11:27.85 a factor related to smoking. 00:11:27.88\00:11:29.78 If you look at one point in time, one could ask, 00:11:29.82\00:11:32.32 "Are more people with dementia smokers? 00:11:32.35\00:11:35.19 Is that what causes them to smoke, or 00:11:35.22\00:11:37.29 perpetuates their smoking?" 00:11:37.33\00:11:39.09 If you look over time, 00:11:39.13\00:11:41.06 what you see is greater development 00:11:41.10\00:11:43.53 of Alzheimer's disease. I think you see the bottom line. 00:11:43.57\00:11:48.00 Are you looking for more reasons to stop smoking? 00:11:48.04\00:11:52.14 Think about it. 00:11:52.17\00:11:56.78 Smoking is related to things that cut your life short, 00:11:56.81\00:12:01.05 like cancer and heart disease. 00:12:01.08\00:12:03.82 It also increases your risk of dementia. 00:12:03.85\00:12:06.52 If you want to defeat dementia, the message is clear. 00:12:06.55\00:12:09.32 Not only do you want to get 00:12:09.36\00:12:11.53 adequate sunshine and vitamin D levels, 00:12:11.56\00:12:16.20 you want to make sure you 00:12:16.23\00:12:20.04 get rid of that habit of cigarette smoking. 00:12:20.07\00:12:24.51 We want to move to the last element 00:12:24.54\00:12:27.41 in the LifeStart paradigm, Trust. 00:12:27.44\00:12:31.01 We often talk about 00:12:31.05\00:12:34.05 Trust in a higher power. Something beyond you. 00:12:34.08\00:12:39.79 Many people say, "You tacked that one on. 00:12:39.82\00:12:43.83 I'm not going to get too involved with that 00:12:43.86\00:12:46.59 Trust element. this is fascinating data, relatively 00:12:46.63\00:12:49.76 recent data coming out. It's looking at distrust. 00:12:49.80\00:12:53.50 These researchers looked at what's called cynical distrust. 00:12:53.54\00:12:57.17 It's the idea that, "No one cares about me. 00:12:57.21\00:13:01.71 No one cares what happens to me. 00:13:01.74\00:13:03.58 It's not safe to trust anyone." 00:13:03.61\00:13:06.85 When they looked at individuals who have 00:13:06.88\00:13:09.58 that approach to living, they have a higher 00:13:09.62\00:13:13.86 risk for dementia. You say, "Of course, 00:13:13.89\00:13:17.66 they're likely to have dementia. These people 00:13:17.69\00:13:19.69 are depressed, they have mental illness." 00:13:19.73\00:13:21.53 Even when they try to explain it 00:13:21.56\00:13:23.60 by depressive symptoms, 00:13:23.63\00:13:24.93 that does not explain it. 00:13:24.97\00:13:26.77 There is something about trusting 00:13:26.80\00:13:28.64 other people that actually helps the brain. 00:13:28.67\00:13:31.44 An interesting insight into this 00:13:31.47\00:13:34.11 comes from research on a compound called 00:13:34.14\00:13:43.52 It's been known for years 00:13:43.55\00:13:46.02 because it's involved in maternal- 00:13:46.05\00:13:47.76 infant relationships. We now know that oxytocin 00:13:47.79\00:13:51.73 is a trust hormone. 00:13:51.76\00:13:54.93 Oxytocin is involved in trusting relationships. 00:13:54.93\00:13:58.47 If you trust other people more, 00:13:58.50\00:14:01.70 it actually helps your brain make more 00:14:01.74\00:14:05.54 oxytocin. It's actually made by the 00:14:05.57\00:14:08.68 pituitary gland, with signaling from the brain. It's the 00:14:08.71\00:14:13.08 neuroendocrine pathway that's involved in producing 00:14:13.11\00:14:17.05 oxytocin. What I mean by "neuroendocrine" 00:14:17.09\00:14:21.06 is simply the fact that the brain 00:14:21.09\00:14:23.46 and the hormonal mechanisms 00:14:23.49\00:14:25.33 of the body are connected. 00:14:25.36\00:14:26.93 Trust is something powerful, impacting the brain. 00:14:26.96\00:14:30.83 It impacts us hormonally. Don't look 00:14:30.87\00:14:33.97 at the LifeStart paradigm and say, "That 00:14:34.00\00:14:38.14 trust element doesn't make much difference." 00:14:38.17\00:14:40.14 When it comes to defeating dementia, 00:14:40.18\00:14:42.01 the evidence suggests 00:14:42.04\00:14:43.14 it is an important component 00:14:43.18\00:14:44.98 as far as maintaining optimal cognition. 00:14:45.01\00:14:51.22 Let's move on just a little bit further, 00:14:51.25\00:14:53.49 looking at natural strategies that can help 00:14:53.52\00:14:57.89 in this quest to optimize 00:14:57.93\00:15:01.63 brain performance and avoid dementia. 00:15:01.66\00:15:05.30 Some of you may be familiar with one of my 00:15:05.33\00:15:07.60 favorite brain health compounds. 00:15:07.64\00:15:09.60 It's something called 00:15:09.64\00:15:13.94 That's a mouthful, but let's break it down. 00:15:13.98\00:15:17.51 "Brain-derived" means this compound is made by your brain. 00:15:17.55\00:15:21.62 "Neurotrophic." 00:15:21.65\00:15:23.69 "Neuro" refers to neurons, or brain cells. 00:15:23.72\00:15:26.92 "Trophic" refers to growth. 00:15:26.96\00:15:29.16 This is a brain- 00:15:29.19\00:15:31.36 derived (brain-made) compound that 00:15:31.39\00:15:37.87 helps your brains cells thrive. 00:15:37.90\00:15:42.20 BDNF is so exciting. It actually 00:15:42.24\00:15:45.74 holds promise for helping prevent dementia. 00:15:45.77\00:15:50.05 I speak about this in detail in "The Brain Health Revolution." 00:15:50.08\00:15:54.95 I want to give you some of the highlights. 00:15:54.98\00:15:57.05 In that larger presentation, I speak of the 00:15:57.09\00:16:00.19 far-reaching benefits of BDNF. 00:16:00.22\00:16:02.46 It can help you with depression and addictive states. 00:16:02.49\00:16:05.86 In this presentation, 00:16:05.89\00:16:07.23 we're focused on dementia. I want to look 00:16:07.30\00:16:09.76 with you at two leading 00:16:09.80\00:16:11.73 causes of dementia, 00:16:11.77\00:16:13.10 affecting millions of people 00:16:13.13\00:16:15.17 in the United States. 00:16:15.20\00:16:16.84 We're speaking about Alzheimer's disease, 00:16:16.87\00:16:19.51 and also the neurodegenerative disorder 00:16:19.54\00:16:22.21 Parkinson's disease. 00:16:22.24\00:16:23.68 Parkinson's can also cause dementia. 00:16:23.71\00:16:26.88 BDNF has been shown to help 00:16:26.92\00:16:30.05 decrease your risk 00:16:30.09\00:16:31.75 of Alzheimer's and Parkinson's. 00:16:31.79\00:16:35.46 The question becomes, "With 00:16:35.49\00:16:37.16 BDNF, how do I increase it? What can I do?" 00:16:37.19\00:16:40.13 There are four key strategies 00:16:40.16\00:16:43.16 that can help improve levels of BDNF. 00:16:43.20\00:16:46.53 In addition to sunshine, 00:16:46.57\00:16:50.07 trusting relationships, and 00:16:50.11\00:16:52.57 not smoking, it's another window 00:16:52.61\00:16:55.01 on things that can improve your likelihood 00:16:55.04\00:16:58.61 of never having to deal with dementia. 00:16:58.65\00:17:01.12 Let's go through these four. The first one is 00:17:01.15\00:17:03.49 dietary restriction. 00:17:03.52\00:17:05.82 Think in terms of our mnemonic "LifeStart." 00:17:05.85\00:17:09.66 "L" for Liquids, "I" for Interpersonal Relationships, 00:17:09.69\00:17:15.06 and "F" for Foods. 00:17:15.10\00:17:16.87 Dietary restriction takes in Foods, but it also 00:17:16.90\00:17:21.24 the "T" in LifeStart, Temperance. 00:17:21.27\00:17:26.41 Dietary restriction is a concept of 00:17:26.44\00:17:29.21 eating what is good for you in moderation. 00:17:29.24\00:17:33.65 Let's talk a bit about it. 00:17:33.68\00:17:35.52 It's so interesting to me, 00:17:35.55\00:17:38.29 dietary restrictions. If you look at animal 00:17:38.32\00:17:41.69 studies of longevity, 00:17:41.72\00:17:43.69 you'll find that animals consistently live longer 00:17:43.73\00:17:48.06 with modest caloric restriction. 00:17:48.10\00:17:50.87 Evidence suggests that one of those 00:17:50.90\00:17:53.17 health-giving attributes of dietary restriction 00:17:53.20\00:17:56.67 is increased compounds of this BDNF. 00:17:56.71\00:18:01.28 If you're focused on defeating 00:18:01.31\00:18:06.38 dementia, you are going to want to do what? 00:18:06.41\00:18:10.52 You want to make sure 00:18:10.55\00:18:12.15 you do not overeat. Maybe you even 00:18:12.19\00:18:15.16 practice fasting occasionally, 00:18:15.19\00:18:18.56 maybe skip the evening meal. 00:18:18.59\00:18:21.06 (You don't want to skip breakfast, an important 00:18:21.10\00:18:23.97 meal for optimal brain performance.) 00:18:24.00\00:18:27.30 Skipping the evening meal can aid in weight reduction. 00:18:27.34\00:18:31.27 It can also help increase BDNF levels. 00:18:31.31\00:18:35.88 There's a reason I say that. 00:18:35.91\00:18:37.25 In the research, cutting back on calories (as little as 00:18:37.28\00:18:40.52 thirty percent) significantly boosts levels of this 00:18:40.55\00:18:44.95 dementia-fighting compound. 00:18:44.99\00:18:49.39 If caloric restriction can help with 00:18:49.42\00:18:54.00 boosting BDNF levels and also 00:18:54.00\00:18:57.17 helping to avoid Alzheimer's, do we know 00:18:57.20\00:19:00.50 why there are these connections? 00:19:00.54\00:19:02.87 Is BDNF the only reason why you need to 00:19:02.90\00:19:06.94 be careful as far as dementia? Maybe you could do 00:19:06.98\00:19:09.58 three of these other four things 00:19:09.61\00:19:11.71 I'm giving in this presentation? 00:19:11.75\00:19:15.08 Then you can eat as much as you want. 00:19:15.12\00:19:16.95 Let me share some interesting research done 00:19:16.99\00:19:20.16 in the halls of those working with dementia prevention. 00:19:20.19\00:19:23.39 One of the leading research 00:19:23.43\00:19:25.43 groups is based at Mount Sinai School of Medicine, 00:19:25.46\00:19:28.43 now referred to as the Icon School of Medicine. 00:19:28.46\00:19:32.53 What they've been studying is dementia. 00:19:32.57\00:19:35.50 What factors predispose us to dementia? 00:19:35.54\00:19:39.11 They found, in their research, 00:19:39.14\00:19:41.08 that dietary factors loom large when it 00:19:41.11\00:19:44.01 comes to risk of dementia. 00:19:44.05\00:19:45.95 One of the things highlighted as having a role 00:19:45.98\00:19:49.98 in promoting Alzheimer's disease changes in the brain 00:19:50.02\00:19:54.29 is consumption of saturated fat. 00:19:54.32\00:19:57.59 Saturated fat is typically found in 00:19:57.63\00:20:00.03 animal products. What we're seeing, when it 00:20:00.06\00:20:03.33 comes to that "F" in LifeStart, 00:20:03.37\00:20:06.77 is a very important aspect. 00:20:06.80\00:20:09.17 We want to avoid overeating. 00:20:09.20\00:20:11.47 We want to think about periodic fasting. 00:20:11.51\00:20:13.54 If you have high blood pressure, diabetes, or 00:20:13.58\00:20:15.94 questions about the safety of fasting, 00:20:15.98\00:20:18.01 you want to check with your 00:20:18.05\00:20:19.18 physician before embarking on such a practice. 00:20:19.21\00:20:22.72 You definitely can cut back on saturated fat. 00:20:22.75\00:20:25.79 You do that by eating less in the way of animal products, 00:20:25.82\00:20:29.89 eating more plant products that tend to be low 00:20:29.92\00:20:34.73 in saturated fat. 00:20:34.76\00:20:36.50 Let's hasten on and look at the 00:20:36.53\00:20:38.90 three other areas they can help us deal 00:20:38.93\00:20:42.77 with dementia by boosting levels of BDNF. 00:20:42.80\00:20:45.91 One way is cut back on our caloric intake. 00:20:45.94\00:20:50.08 What is the second area? 00:20:50.11\00:20:51.75 The second brings up another LifeStart element. 00:20:51.78\00:20:55.05 The "E" in "Life" stands for 00:20:55.08\00:20:59.05 Exercise, regular physical exercise. 00:20:59.09\00:21:03.16 It actually boosts levels of this brain- 00:21:03.19\00:21:06.26 protective compound. 00:21:06.29\00:21:07.83 It has been shown in research in animal models. 00:21:07.86\00:21:10.47 It's been shown in human studies. 00:21:10.50\00:21:12.60 Exercise can increase BDNF levels 00:21:12.63\00:21:15.74 in the range of thirty percent after a single 00:21:15.77\00:21:18.74 exercise session. 00:21:18.77\00:21:21.94 If you're concerned about brain health, 00:21:21.98\00:21:24.58 you need to be concerned about physical activity. 00:21:24.61\00:21:27.68 You need to be making a regular priority 00:21:27.72\00:21:31.25 of getting physical exercise. 00:21:31.29\00:21:34.66 How much exercise you need? 00:21:34.69\00:21:36.86 The more moderate exercise you get, 00:21:36.89\00:21:40.76 the better you do with BDNF. 00:21:40.80\00:21:44.17 Having said that, 00:21:44.20\00:21:47.04 even a little exercise is better than none. 00:21:47.07\00:21:51.04 There's something else very interesting in this 00:21:51.07\00:21:53.48 relationship between dementia, 00:21:53.51\00:21:55.58 cognitive health, and exercise. 00:21:55.61\00:21:58.58 They've noticed, in animal models, 00:21:58.61\00:22:02.42 that if you get under more stress, 00:22:02.45\00:22:05.52 it depresses BDNF levels. 00:22:05.55\00:22:09.62 Exercise helps offset stress. That's 00:22:09.66\00:22:12.56 part of why this connection is coming in here. 00:22:12.59\00:22:15.03 Listen very carefully. If stress is persistent, 00:22:15.06\00:22:19.37 BDNF levels drop. 00:22:19.40\00:22:22.70 Scientists have been able to measure 00:22:22.74\00:22:25.77 atrophy, or a wasting away, of a critical brain 00:22:25.81\00:22:29.74 region known as the hippocampus. 00:22:29.78\00:22:32.15 The hippocampus is involved in memory. 00:22:32.18\00:22:35.05 Think about it. 00:22:35.08\00:22:36.25 One the hallmarks of dementia is memory problems. 00:22:36.28\00:22:40.26 Part of the strategy we want to focus on 00:22:40.29\00:22:44.26 is stress management. 00:22:44.29\00:22:46.33 One of the ways you manage stress 00:22:46.36\00:22:48.73 is by physical activity. Whether it's running, 00:22:48.76\00:22:52.60 walking, biking, or swimming, 00:22:52.63\00:22:56.20 be more physically active. 00:22:56.24\00:22:58.37 It can make a difference, 00:22:58.41\00:23:00.08 not only in raising BDNF levels, 00:23:00.11\00:23:02.41 but in defusing stress. 00:23:02.44\00:23:04.81 This is one of the keys that can help defeat dementia. 00:23:04.85\00:23:09.75 We need to move on to the 00:23:09.78\00:23:12.75 third element that can help 00:23:12.79\00:23:14.89 raise those levels of BDNF, that natural 00:23:14.92\00:23:18.16 Brain-Derived Neurotrophic Factor. 00:23:18.19\00:23:21.36 This can help you as far as fighting off 00:23:21.40\00:23:24.37 two common sources of dementia, 00:23:24.40\00:23:27.84 namely Alzheimer's disease and Parkinson's. 00:23:27.87\00:23:30.81 That third element we want to talk about 00:23:30.84\00:23:33.71 is environmental enrichment, 00:23:33.74\00:23:36.04 or environmental stimulation. 00:23:36.08\00:23:38.18 This is easy to conceptualize if working with rats. 00:23:38.21\00:23:41.38 Think of rats in their usual 00:23:41.42\00:23:43.39 housing environment. You 00:23:43.42\00:23:45.35 maybe even had rodents as pets. I had 00:23:45.39\00:23:48.26 them growing up. 00:23:48.29\00:23:49.39 They've got that water bottle hanging on their 00:23:49.42\00:23:52.73 cage. They've got a little food dish. 00:23:52.76\00:23:54.83 They've got a wheel because 00:23:54.83\00:23:56.90 the rat, the mouse, or the hamster has to be active. 00:23:56.93\00:23:59.93 It's a boring environment when you think about it. 00:24:00.04\00:24:03.34 An environmentally-enriched setting 00:24:03.37\00:24:06.78 would be moving that rat or that hamster 00:24:06.81\00:24:10.18 into a more natural setting. 00:24:10.21\00:24:12.11 Let it go in the yard 00:24:12.15\00:24:13.95 (good luck getting it back). Put it in a box 00:24:13.98\00:24:17.79 with natural obstacles. It can 00:24:17.82\00:24:21.02 dig, and not just in the 00:24:21.06\00:24:23.89 cedar shavings at the bottom of a cage. 00:24:23.93\00:24:27.76 They are engaging with the environment 00:24:27.76\00:24:31.07 at a much higher level. 00:24:31.10\00:24:32.47 This environmental enrichment, 00:24:32.50\00:24:34.47 whether we look at animal 00:24:34.50\00:24:36.24 or human models of dementia, 00:24:36.27\00:24:39.47 is very powerful. 00:24:39.51\00:24:41.81 You ask, "What does that 00:24:41.84\00:24:42.94 mean, Doctor DeRose? You want to 00:24:42.98\00:24:44.61 stick me out of my house to live in nature?" 00:24:44.65\00:24:49.22 A camping trip may accomplish that. 00:24:49.25\00:24:52.59 Any change in setting 00:24:52.62\00:24:55.49 is environmentally enriching. 00:24:55.52\00:24:57.53 You get out of your routine. 00:24:57.56\00:24:59.36 I know sometimes it's frustrating. 00:24:59.39\00:25:01.33 It may be difficult. Maybe you're 00:25:01.36\00:25:03.80 going to help on 00:25:03.83\00:25:06.60 a project in a third world country. 00:25:06.63\00:25:08.74 Maybe you're building something there. 00:25:08.77\00:25:10.64 Maybe you don't have modern conveniences. 00:25:10.67\00:25:13.34 Maybe you're in a five-star hotel 00:25:13.38\00:25:16.01 in a different place in the world or country. 00:25:16.04\00:25:19.21 Any of these situations 00:25:19.25\00:25:21.28 is environmentally enriching. It's 00:25:21.32\00:25:23.49 challenging your brain 00:25:23.52\00:25:24.85 to deal with different situations. 00:25:24.89\00:25:27.62 Along these lines, education 00:25:27.66\00:25:30.33 helps lower your risk of Alzheimer's disease. 00:25:30.36\00:25:34.30 LifeStart seminars are so powerful, by 00:25:34.36\00:25:38.30 engaging on this level, learning this material, or 00:25:38.33\00:25:42.40 tapping into the website. Get the 00:25:42.44\00:25:44.44 free resources. There's a free e book or 00:25:44.47\00:25:47.18 the study guides that go along with this, 00:25:47.21\00:25:49.41 tapping into our other educational programs. 00:25:49.44\00:25:52.45 All these things can challenge the mind, 00:25:52.48\00:25:55.32 can be environmentally 00:25:55.35\00:25:56.69 enriching in that way. 00:25:56.72\00:25:58.25 These can decrease your risk of dementia. 00:25:58.29\00:26:01.19 Let's talk about the last area 00:26:01.22\00:26:04.79 of BDNF- increasing practices. 00:26:04.83\00:26:09.73 It's avoiding alcohol. Alcohol exposure 00:26:09.76\00:26:14.17 imbalances the various 00:26:14.20\00:26:16.67 nerve growth factors in the brain. It 00:26:16.71\00:26:18.67 can raise them in some areas, 00:26:18.71\00:26:20.61 lower them in other areas, 00:26:20.64\00:26:22.24 like the hippocampus, 00:26:22.28\00:26:23.65 that critical area for memory. 00:26:23.68\00:26:25.78 I recommend, if you want to function 00:26:25.81\00:26:28.18 optimally, take alcohol out the program. 00:26:28.22\00:26:33.99 Alcohol is a depressant. 00:26:34.02\00:26:35.72 Even in small amounts, it blunts the frontal lobe. 00:26:35.76\00:26:39.53 You lose some if your discriminating faculties, 00:26:39.56\00:26:42.66 even with a small amount of alcohol. 00:26:42.70\00:26:47.60 Remember that connection with the hippocampus. 00:26:47.64\00:26:50.34 With alcohol, the research indicates you will 00:26:50.37\00:26:53.51 drop levels of BDNF in that important 00:26:53.54\00:26:56.68 brain memory region. Hopefully, 00:26:56.71\00:27:00.48 you've seen in this presentation how LifeStart 00:27:00.52\00:27:03.95 is really telling us about nine 00:27:03.99\00:27:07.56 natural elements that can help defeat dementia. 00:27:07.59\00:27:10.86 We haven't looked at every one of them. 00:27:10.89\00:27:12.49 We saw how temperance 00:27:12.53\00:27:14.96 (avoiding smoking and alcohol, 00:27:15.00\00:27:17.60 eating in moderation) 00:27:17.63\00:27:19.23 can help with dementia. 00:27:19.27\00:27:21.14 We saw how sunlight 00:27:21.17\00:27:22.67 can boost levels of vitamin D, helping you 00:27:22.70\00:27:26.37 avoid things like Alzheimer's disease. 00:27:26.41\00:27:29.24 We showed you how trust, 00:27:29.28\00:27:31.48 trust in divine power and 00:27:31.51\00:27:33.21 trust in relationships with others, 00:27:33.25\00:27:35.18 can help as far as brain health. 00:27:35.22\00:27:37.59 Let me close on that note. 00:27:37.62\00:27:40.46 LifeStart is not just about educational materials. 00:27:40.49\00:27:43.76 It's also about support. 00:27:43.79\00:27:45.36 There are free coaching options 00:27:45.39\00:27:47.86 where you can connect with others. 00:27:47.93\00:27:49.63 Go to our website, 00:27:49.66\00:27:55.44 Whether it's educational material, 00:27:55.47\00:27:57.94 connecting with other people, 00:27:57.97\00:28:00.04 or just making a point to exercise and be 00:28:00.08\00:28:03.31 temperate in your eating (avoiding harmful substances), 00:28:03.35\00:28:06.41 you can defeat dementia. 00:28:06.45\00:28:09.48 I'm Doctor David DeRose, for Lifestart Seminars. 00:28:09.52\00:28:24.50