Dr. Nivins[/caption]
Samson Nivins PhD
Post-doc | Neonatology
Karolinska Institutet
Developmental Neuroscientist
Liggins Institute
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Dr. Ådén[/caption]
Ulrika Ådén PhD
Professor of Neonatology
Department of Women's and
Children's Health Karolinska
MedicalResearch.com: What is the background for this study?
Response: Children born preterm are at higher risk of cognitive impairment during childhood and later in life. However, an important unresolved question is whether these impairments primarily reflect genetic susceptibility or are driven by the biological consequences of being born too early. Cognitive development is known to have a strong heritable component (~70 %), and previous studies have attempted to disentangle genetic and environmental contributions, for example through sibling comparison designs. Although informative, such approaches have inherent limitations.
In this study, we aimed to investigate long-term cognitive outcomes across a range of gestational age groups including very preterm, moderately preterm, late preterm, and early term, compared to children born full term. Importantly, we accounted for genetic influences as well as a range of potential confounding factors, including prenatal risks and child-specific factors. This approach provides a more nuanced understanding of the extent to which cognitive outcomes associated with preterm birth reflect biological versus inherited risk.
Some of the most common cognitive disorders diagnosed through neuropsychological evaluations include Alzheimer's disease, traumatic brain injury (TBI), strokes, and...
Dr. Gowin[/caption]
Joshua Gowin PhD
Assistant Professor, Radiology
Anschutz Medical Campus
University of Colorado
MedicalResearch.com: What is the background for this study?
Response: Many people want to know how cannabis affects their brain and cognitive abilities. Previous studies have shown that cannabis use can impair learning and verbal memory function. Some evidence has shown that cannabis use is associated with smaller volume of areas of the prefrontal cortex. Our study investigated how cannabis use is associated with brain function.
We examined brain function across 7 tasks in 1,000 adults. 88 of them had used cannabis over 1,000 times in their lives.
Photo by emre keshavarz[/caption]
What Are Nootropics?
Nootropics are substances—either natural or synthetic—that are designed to enhance cognitive functions like memory, creativity, and focus.
Some of these might be things you’re already familiar with, like caffeine, while others are lesser-known compounds or herbal extracts.
A defining feature of nootropics from the likes of Simply Nootropics is that they are thought to support brain function without causing significant side effects. They’re not about forcing your brain into overdrive but rather optimising its natural processes.
The future of cognitive enhancement technologies holds great promise, but responsible use remains paramount to harnessing their full potential safely...
Source[/caption]
Response: Since 1945, the use of fluoride has been a successful public health initiative for reducing dental cavities and improving general oral health of adults and children. There is a concern, however, that some pregnant women and children may be getting more fluoride than they need because they now get fluoride from many sources including treated public water, water-added foods and beverages, teas, toothpaste, floss, and mouthwash, and the combined total intake of fluoride may exceed safe amounts.
Therefore, the National Toxicology Program (NTP) conducted a systematic review of the published scientific literature on the association between fluoride exposure and neurodevelopment and cognition. The NTP released their findings in a State of the Science Monograph on August 21, 2024, and posted to the NTP website. A corresponding meta-analysis on children’s IQ has been accepted by a scientific journal for publication later in 2024.
The NTP started this work in 2016. As with all research documents intended for publication, the NTP fluoride monograph and meta-analysis underwent rigorous scientific evaluation. The evaluation process has involved many steps. The draft fluoride monograph received significant critical feedback during peer-review by the National Academies of Science, Engineering and Medicine (NASEM), from other external experts, and from experts in several federal health agencies. After modifications were made, additional evaluation following a rigorous scientific framework was conducted by subject matter experts organized by the NTP Board of Scientific Counselors. I am very pleased that this document is now complete and available for reference.
Since fluoride is such an important topic to the public and to public health officials, it was imperative that we made every effort to get the science right. I commend the report authors, the NTP Board of Scientific Counselors, and countless subject matter experts who participated in this evaluation. The monograph represents a thorough review of the data, and the various interpretations of the data, to accurately reflect what we know and where additional research is needed.
Prof. Hampshire[/caption]
Prof. Adam Hampshire Ph.D.
Faculty of Medicine, Department of Brain Sciences
Professor in Restorative Neurosciences
Imperial College London
MedicalResearch.com: What is the background for this study?
Response: Cognitive symptoms after coronavirus disease 2019 (Covid-19), the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are well-recognized. Whether objectively measurable cognitive deficits exist and how long they persist are unclear.
Dr. Tervo-Clemmens[/caption]
Brenden Tervo-Clemmens, Ph.D.
Assistant Professor
Department of Psychiatry & Behavioral Sciences
Masonic Institute for the Developing Brain
Scholar, Institute for Translational Neuroscience
University of Minnesota
MedicalResearch.com: What is the background for this study?
Response: Both contemporary and historical theories of neurobehavioral development suggest executive functions (EF) mature through adolescence. These are often used in various contexts to try to demarcate the developmental boundaries of the adolescent period. However, the specific maturational timing of executive function, and the independence of various potential executive function subcomponents remain unknown. Building from prior investigations with relatively small datasets or narrow subsets of executive function measures, this work using four independent datasets (N>10,000) and 17 distinct executive function assessments provides a precise charting, multi-assessment investigation, and replication of executive function development from adolescence to adulthood.
Dr. Harmer[/caption]
Peter A. Harmer, PhD, MPH, AT-Ret, FACSM
Senior Associate Research Scientist
Oregon Research Institute
MedicalResearch.com: What is the background for this study?
Response: Decline in various aspects of cognitive function, such as memory, executive function, and multitasking ability is common as we age. The rate and extent of decline varies among older adults but approximately 20% of those aged 65+ will experience clinically relevant mild cognitive impairment, which places them at increased risk of progressing to Alzheimer’s disease or related dementias. It is also associated with decreased mobility, increased risk of falls and impaired capacity for complex activities of daily living.
Research has shown that physical and mental activity may attenuate the decline and that combined physical/mental challenges may be more effective than either alone but up to this point there has been little quality clinical evidence. Building on previous successful studies with our established tai ji quan therapy, we developed a cognitively-enhanced training tai ji quan protocol to determine its effectiveness in enhancing global cognition and dual-task walking compared to our standard tai ji quan program and a stretching program in adults 65+ with mild cognitive impairment or self-reported memory concerns.
MedicalResearch.com Interview with: [caption id="attachment_60963" align="alignleft" width="133"] Dr. Zhen Zhou[/caption] Zhen Zhou, PhD Research Fellow, Chronic Disease & Ageing Monash University MedicalResearch.com: What is the background...
MedicalResearch.com Interview with:
Lotfi Khemiri
Centre for Psychiatry Research
Stockholm, Sweden
MedicalResearch.com: What is the background for this study?
Response: Our study used large-scale national register data in close to 2 million children, and found that parental abuse of both alcohol and drugs are associated with increased risk of intellectual disability in the offspring. Importantly, the risk increase was observed in both mothers and fathers which to the best of our knowledge is a novel finding, and may be explained by both genetic and environmental factors including toxic effects of substance intake on fetal development.
Prof. Leon[/caption]
Michael Leon, Professor emeritus
Dr. Stern[/caption]
Robert A. Stern, Ph.D.
Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology
Director of Clinical Research, BU CTE Center
Senior Investigator, BU Alzheimer’s Disease Research Center
Boston University School of Medicine
MedicalResearch.com: What is the background for this study?
Response: The link between playing American football at the professional level and later-life brain disorders like chronic traumatic encephalopathy – or CTE -- and ALS has received increasing attention over the past 15 years. Previous research has shown that former NFL players are more likely to die from CTE and amyotrophic lateral sclerosis (ALS) and more likely to report cognitive impairment, behavioral changes, and dementia during life. Despite previous research focusing on the later-life effects of playing American football at the professional level, the long-term effects of college football participation remain largely unknown.
We had two goals for this new investigation. The first was to conduct a survey of the current overall health status, including cognitive and other neurological disorders, of older former college American football players compared with men in the general population. The second goal was to examine the mortality rate and causes of death in a cohort of older former college football players. The target population for this study was all 447 former Notre Dame football players who were listed as seniors on the varsity rosters during the 1964-1980 seasons. This was the era of legendary coaches Ara Parseghian and Dan Devine. I should add that this study was fully independent of the University of Notre Dame.
Dr. Launer[/caption]
Lenore J. Launer, Ph.D.
Chief, Laboratory of Epidemiology and Population Sciences
Intramural Research Program, National Institute on Aging.
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Identifying early risk factors and early changes in the brain will have a major impact on future clinical and public health priorities related to the looming epidemic of dementia. Several studies based on older populations suggest mid-life is an important period to start prevention measures. To date control of blood pressure levels has been the most robust and promising candidate to target for prevention of future cognitive impairment. Although several studies have looked at levels of blood pressure and risk for cognitive impairment, it was not known whether trajectories from young adulthood to middle age studies provided additional information about risk. To investigate possible biomarkers of future risk, we chose to examine the association of the mean arterial blood pressure trajectories to indicators of pathology seen on MRI and that are associated with cognition.
We highlight the results of the mean arterial blood pressure (MAP) measure, which is an integrated measure of systolic and diastolic blood pressure.
Dr. Shiou Liang[/caption]
Wee Shiou Liang, PhD
Associate Professor | Health and Social Sciences, Singapore Institute of Technology
Faculty | Geriatric Education and Research Institute
Singapore
MedicalResearch.com: What is the background for this study?
Response: This study was funded by Singapore’s Ministry of Health Geriatric Education and Research Institute.
We randomly recruited 500+ adults aged 21-90+ from the residential town of Yishun. We performed detailed assessments of physical and cognitive performance, body composition using DEXA, and participants also provided information on their levels and frequencies of physical activities (PA) including recreational PA/exercise, commuting, housework and other occupational related PA. The demographics of the sample of participants is the same as that of Singapore in terms of age and ethnic composition. Comparing the results of those aged 21-<65 and those >=65 years, only around a third (36%; 90) of those in the younger group and only around half (48%;116) of those in the older age group, met guidelines recommended physical activity quota exclusively from recreational PA/exercise. But nearly two thirds (61% younger; 152 and 66% older; 159) met this target exclusively through housework.
Dr. Helcer Becker[/caption]
Jacqueline H. Becker, Ph.D.
Clinical Neuropsychologist
Associate Scientist
Division of General Internal Medicine
Icahn School of Medicine at Mount Sinai
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: This study leverages data being collected through the ongoing Mount Sinai Health System Post-COVID-19 Registry, which is led by Dr. Juan Wisnivesky, Professor of Medicine and Chief of the Division of General Internal Medicine at the Icahn School of Medicine at Mount Sinai and senior author of the study. Our study concluded that there may be long-term cognitive repercussions from COVID-19 that impact individuals in various age groups and across the spectrum of disease severity, although the frequency of cognitive impairment was highest among patients who were previously hospitalized for COVID-19.
Prof Kivimaki[/caption]
Prof Mika Kivimaki PhD
Director, Whitehall II Study
Dept. of Epidemiology
University College London
MedicalResearch.com: What is the background for this study?
Response: The Lancet 2020 Commission on Dementia Prevention, which is the most comprehensive and up-to-date review on the evidence in this field, did not list cognitive stimulation in adulthood as a protective factor against dementia. This was because trials results are inconsistent and observational studies suggest that leisure time cognitive activity does not reduce risk of dementia.
However, it was unclear whether the reason for modest findings is that the decrease in brain plasticity with age prevents cognitive activities across adult life from conferring protection against dementia, or, in the case of interventions, that the cognitive stimulation studied has not been intensive or engaging enough to preserve cognitive function.
To address this question, we decided to focus on cognitive stimulation at work rather than leisure time cognitive activity or cognitive interventions. We thought that this approach would allow us to detect an effect, if there is one, because exposure to cognitive stimulation at work typically lasts considerably longer than cognitively stimulating hobbies or cognitive interventions.
We contacted 13 cohort studies in Europe which had data on cognitive stimulation at work. Seven had also a dementia follow-up and were selected to our analyses, a total of 107 896 dementia-free participants from the UK, France, Sweden and Finland. Follow-up of incident dementia varied between 13.7 to 30.1 years depending on the cohort. 1143 people developed dementia during this follow-up.
Dr. Hampshire[/caption]
Dr. Adam Hampshire PhD
Faculty of Medicine
Department of Brain Sciences
Imperial College London
MedicalResearch.com: What is the background for this study?
Response: During 2020 I was leading a study that sought to map the distribution of cognitive abilities and aspects of mental health across the UK population. The study generated a lot of interest because it was a collaboration with BBC2 Horizon, leading to ~390,000 participants.
When the pandemic began to escalate in the UK a number of my colleagues at Imperial and elsewhere contacted me to note that the study could be used to investigate the impact of both the pandemic and direct illness on daily life, mental health and cognition. I had been thinking along similar lines so decided to add questionnaires about peoples' experiences with the pandemic and Covid-19 illness.
Dr. Nation[/caption]
Daniel A. Nation, Ph.D.,
Associate Professor of Psychological Science
Institute for Memory Impairments and Neurological Disorders
University of California, Irvin
MedicalResearch.com: What is the background for this study?
Response: Hypertension is a risk factor for cognitive decline and dementia, and treatment of hypertension has been linked to decreased risk for cognitive impairment.
Prior studies have attempted to identify which specific type of antihypertensive treatment conveys the most benefit for cognition, but findings have been mixed regarding this question. We hypothesized that antihypertensive drugs acting on the brain angiotensin system may convey the greatest benefit since they affect the brain angiotensin system that has been implicated in memory function.
Dr. Whitlock[/caption]
Elizabeth L. Whitlock, MD, MSc
John W. Severinghaus Assistant Professor In Residence
Anesthesia & Perioperative Care
UCSF Medical Center
MedicalResearch.com: What is the background for this study?
Response: We have known for a while that, rarely, some older adults suffer substantial, durable cognitive decline after surgery, particularly after coronary artery bypass grafting (CABG) surgery; a larger proportion experience a decline in cognitive test performance which doesn't necessarily affect function, but which has caused concern among researchers. This cognitive decline was attributed, in part, to the cardiac bypass pump. Many of the studies had methodological limitations which made it difficult to be sure that the cognitive change was due to surgery and not due more generally to heart problems or atherosclerotic disease, which may also imply cerebrovascular atherosclerosis.
Using a large database of older adults who undergo regular cognitive testing, we identified individuals who underwent CABG and compared them to those who underwent percutaneous coronary intervention (PCI), a minimally invasive, non-surgical method of opening blocked coronary arteries. This allowed us to model the rate of memory decline before surgery - which hadn't been done in previous studies - and compare it to the rate of memory decline after surgery in older adults who had serious heart disease (some of whom were treated with CABG, and some treated with PCI).
Dr. Dunietz[/caption]
Galit Levi Dunietz MPH, PhD
Assistant Professor
Dr. Braley[/caption]
Tiffany Braley, MD, MS Associate Professor
Reduction of brain plaques and tangles leads to improved memory, focus, concentration and executive function as has been shown by...
Dr. Sanchez-Juan[/caption]
Pascual Sánchez-Juan, MD, PhD
Servicio de Neurología Hospital Universitario "Marqués de Valdecilla"
Unidad de Deterioro Cognitivo
https://www.facebook.com/deteriorocognitivovaldecilla
Director científico Biobanco Valdecilla
Avda Marqués de Valdecilla s/n
MedicalResearch.com: What is the background for this study?
Response: Alzheimer's disease is one of the greatest public health challenges. From the moment the first lesions appear in the brain to the clinical manifestations, up to 20 years can pass. Today we can detect the presence of these initial lesions through biochemical markers such as amyloid-β, which is one of the main proteins accumulated in the brains of Alzheimer's patients. The prevalence of cerebral amyloid-β pathology in cognitively asymptomatic individuals increases with age. It has been estimated that 21.1% of the population at the age of 65 will have a positive amyloid scan or a pathological cerebrospinal fluid (CSF) amyloid-β determination, and which will double by the age of 90.
Due to the aging of our societies and advances made in medical care, an increasing number of elderly and more fragile people are considered candidates for major surgery. In preoperative screenings, respiratory and cardiovascular functions are routinely checked; however, it is not commonly assessed how the brain is going to cope with the intervention.
In the clinic, the patient’s relatives frequently tell us that the memory problems began after a surgical procedure or a hospital admission. This posed us the following question: is this just a recall bias or has surgery triggered the appearance of the symptoms in a previously affected brain?”
Dr. Stickel[/caption]
Ariana M. Stickel, Ph.D.
Postdoctoral Scholar
Department of Neurosciences
University of California, San Diego
MedicalResearch.com: What is the background for this study?
Response: Latinos are projected to have the largest increase in Alzheimer’s disease and related dementia in the coming years, yet we know so little about important risk factors for dementia amongst Latinos.
As there has been too little widespread research on diverse Latinos and dementia until recently, we examined the individual and combined relationships of two important risk factors for dementia --hearing impairment and cardiovascular disease risk--in over 9,000 Latinos 45 – 74 years old.
Diverse Latinos participated in the study, including Central Americans, Cubans, Dominicans, Mexicans, Puerto Ricans and South Americans residing in the Bronx, NY; Chicago, IL; Miami, FL and San Diego, CA. It is important to study a wide range of Latinos in order to appropriately reflect the diversity of this population.
Each participant underwent extensive cardiovascular and diabetes testing, hearing examinations, and cognitive assessments.
Dr. Willette[/caption]
Auriel Willette, PhD
Assistant Professor
Food Science and Human Nutrition
Iowa State University
MedicalResearch.com: What is the background for this study?
Response: To date, pharmacology therapies done to slow down or halt Alzheimer's disease have been inconclusive. Lifestyle interventions like changes in diet and activity are also mixed but do show some promise. Dietary clinical trials or self-reported diet have tended to focus on groups of foods such as the Mediterranean or MIND diet. To build from this excellent work, we were curious if we could pinpoint specific foods that were correlated with changes in fluid intelligence over time. Fluid intelligence represents our ability to creatively use existing knowledge, working memory, and other components of "thinking flexibly."
Further, we tested if these patterns of association differed based on genetic risk. In this case, genetic risk was defined as having a family history of Alzheimer's disease or having 1-2 "bad" copies of the Apolipoprotein E (APOE) gene, which is the strongest genetic risk factor for Alzheimer's disease.
Dr. Rosi[/caption]
Susanna Rosi, Ph.D.
Lewis and Ruth Cozen Chair II
Professor, Brain and Spinal Injury Center
Weill Institute for Neuroscience
Kavli Institute of Fundamental Neuroscience
Departments of Physical Therapy Rehabilitation Science,
Neurological Surgery
University of California San Francisco
MedicalResearch.com: What is the background for this study?
Response: Everybody has experienced a “senior moment” forgetting where the car keys are, or where you put your glasses. These forgetful moments are not always indicative of a disease, but rather can be a consequence of normal aging. Normal aging is associated with decline of cognitive abilities, such as memory, spatial orientation, problem solving and executive functioning. Investigating what changes happen in the brain with age, can help us to understand why these ‘senior moments’ occur. When we understand what causes these moments, we can design therapeutics with the hopes of preventing or reversing them.
With increased life expectancy age-associatedmemory decline becomes a growing concern.
We wanted to investigate
(i) What causes memory decline with age?
(ii) Are there ways to reverse it?
Dr. Mahncke earned his PhD at UCSF in the lab where lifelong brain plasticity was discovered. At the request of his academic mentor, he currently leads a global team of more than 400 brain scientists engaged in designing, testing, refining, and validating the computerized brain exercises found in the BrainHQ app from Posit Science, where he serves as CEO.
MedicalResearch.com Tell us what’s important about this new study in people with heart failure?
Response: Heart failure is a common condition that even when properly treated can have adverse long-term health outcomes and high medical costs. Heart failure commonly causes cognitive impairment, which can have devastating effect on patient abilities to engage in self-care, and which contributes to poor clinical outcomes, increased rehospitalizations, and higher mortality rates. What makes these results exciting is that the Emory University researchers discovered that a simple intervention – a fairly modest amount of walking and brain exercise – not only significantly improved a standard measure of cognition, but also significantly improved multiple measures that drive better health outcomes and lower costs.
[caption id="attachment_55753" align="alignleft" width="165"]
Dr. Mahncke[/caption]
MedicalResearch.com: What is heart failure?
Response: Heart failure – sometimes called congestive heart failure or congestive cardiac failure – is when the heart cannot pump sufficient blood flow to maintain the body’s needs. Common symptoms include excessive tiredness, shortness of breath and swelling particularly in legs. It’s treated with a combination of lifestyle changes, drugs, and devices. An estimated 6.5 million Americans are diagnosed with heart failure, with 960,000 new cases each year, leading some to describe it as reaching epidemic proportions. In older adults, it’s the most common cause of hospital readmissions within 30 days of discharge and among the most costly areas of Medicare expenditures.