If the first rule of cancer is “Don’t get cancer,” the second rule is “Catch it as soon as possible.”
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The single most powerful item in our preventive tool kit is exercise, which has a two-pronged impact on Alzheimer’s disease risk: it helps maintain glucose homeostasis, and it improves the health of our vascula
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As we’ll see in chapter 11, endurance exercise produces factors that directly target regions of the brain responsible for cognition and memory.
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grip strength, an excellent proxy for overall strength, was strongly and inversely associated with the incidence of dementia
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the greater someone’s grip strength, the lower their risk of dementia.
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I now tell patients that exercise is, full stop and hands down, the best tool we have in the neurodegeneration prevention tool kit.
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Sleep is also a very powerful tool against Alzheimer’s disease, as we’ll see in chapter 16. Sleep is when our brain heals itself; while we are in deep sleep our brains are essentially “cleaning house,”
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Another somewhat surprising risk factor that has emerged is hearing loss. Studies have found that hearing loss is clearly associated with Alzheimer’s disease, but it’s not a direct symptom.
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Another surprising intervention that may help reduce systemic inflammation, and possibly Alzheimer’s disease risk, is brushing and flossing one’s teeth.
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(Remember, cognition is one of the three key vectors of healthspan.)