Alzheimer's Disease is one of the meanest diseases (if you can
characterize a disease as such) in existence today. Over 5 million
Americans live with the reality of Alzheimer's every day...and this number is
way too large for my liking, considering how far medicine has come especially
in the last perhaps 30 years. What is Alzheimer's Disease (AD)?
According to The
Alzheimer's foundation, AD is:
"a progressive,
degenerative disorder that attacks the brain's nerve cells, or neurons,
resulting in loss of memory, thinking and language skills, and behavioral
changes." Neurons destroyed in the hippocampus impairs memory
function while death of neurons in the cerebral cortex causes language skill
impairment and judgment decline. Alzheimer's is characterized by the
presence of beta-amyloid plaque (between cells) in the brain as well as
neurofibrillary tangles (within cells). It is the most common cause of
dementia in adults ages 65 and older.
I
believe that I have mentioned this fact before, but my grandmother has been
diagnosed with dementia for several years now, although interestingly she have
never been diagnosed with Alzheimer's.
She has in fact been tested for AD (a couple of times) but she passed
'with flying colors' each time. As much as I want to believe her
clinicians, I cannot help but think that she has perhaps developed it, and is
only in its early stages, as she uses her intelligence to fool her
doctors.
According to Dr.
Holtzman'z article about AD, sleep loss is correlated to amyloid plaque
buildup: the hallmark of AD in a patient's brain. Beta-amyloid actually
builds up in the brain 10-20 years before memory/ cognition impairment presents
in AD patients. This plaque buildup in the brain decreases the presence
of a-beta42 in the cerebrospinal fluid (CSF), a finding associated with AD
patients as many as 15 years or more prior to the presentation of cognitive
symptoms. Importantly, low CSF levels of a-beta42 were found to correlate
with poor sleep quality, although not necessarily sleep quantity (TST).
This finding is very logical to me, as it is known that sleep quality
decreases generally across the lifespan (less REM sleep, less SWS sleep, and
shorter duration overall). Therefore, maybe we all increase our risk for
developing AD as we get older...but we can slow or maybe prevent its arrival by
giving ourselves better sleep.
Improved sleep
begins now, in college, as we transition into total independence and control of
our schedule. The article also mentioned that improved exercise helps rid
the brain of plaque buildup -- another sensible finding because exercise helps
one sleep better. With better sleep comes improved diet too, because we
are not craving things like fast food.
I would like to
see more research and resources poured into the area of sleep as it relates to
memory function and the development of AD, as it is relevant to my future and
the rest of my generation. For now, I can continue to improve my sleep
habits.
This week I
commented on Kiara Stewart and Jace Ryan's blogs.
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