Cogito ergo sum…………rene decartes challenges our sense of personhood…our sense of identity….
Cadaveric study on a woman with an unusual mental illness…..with memory loss, language problems and odd behavior….found some off things in the brain we will talk about..
Approx. 1,300,000 new cases per year www.cdc.gov/.../mmwrhtml/ figures/m846qsf.gif www.ncbi.nlm.nih.gov/ bookshelf/picrender.fcgi.. http://www.ctahr.hawaii.edu/CS/blogs/sustainable_agriculture/cdc_logo(2).jpg
In 2005-2008 11% of adults 20 years of age or older had diabetes. In 2005-2008 the percentage of adults with dm increased with age from 4% of persons 20-44 to 27% of adults 65 years of age or older http://meps.ahrq.gov/mepsweb/ Medical Expenditure Panel survey
http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319587.pdf The prevalence of hypertension (defined as high blood pressure or taking antihypertensive medication) increases with age. In 2005–2008, 33%–34% of men and women 45–54 years of age had hypertension, compared with 67% of men and 80% of women 75 years of age and over (Table 67).
Definitions• Dementia: – Latin roots: De (absence) ment-(mind) – loss of cognitive ability in a previously healthy person, that is greater then what would be expected from natural aging alone – Frequent Deficits: • Memory • Attention • Language • Problem solving
Alzheimer’s• 1906: Described by German psychiatrist Alois Alzheimer MD• “Alzheimer’s disease is an irreversible, progressive brain disease that slowly destroys memory and thinking skills and, eventually even the ability to carry out the simplest tasks of daily living.” National Institute of Aging, NIH 2012
Progression• Early: independent – Short term memory loss – Attentiveness, planning, flexibility, abstract thinking, decreased fluency and word finding• Moderate: variable – Progressive impairments in function, self care, mood• Later: dependent – Confusion, agitation, violence, bowel and bladder dysfunction, loss of appetite, require 24hr care
Statistics• 5.4 mill. Americans have Alzheimer’s• 1 in 8 adults over 65 y/o• Spending: – 300% higher Medicare costs if pt has dementia – Projected thru 2050 a 500% increase in combined Medicare and Medicaid spending
Definitions• Exercise: – movement of the body resulting in the enhancement of health and improvement of function
Categories• Leisure time Exercise: organized sports, running, gym activities, rehabilitation etc.• Lifestyle Exercise: activity incorporated into our daily pattern of life – eg: parking in the distant portion of the parking lot rather then the first bumper, taking the stairs instead of the elevator, mowing your own lawn, sweeping the house etc.
Exercise Science• Delays the onset and reduces incidence• Those who are in the top 10% of exercisers have a 250% lower risk of alzheimers
Tough Question• Is it only for prevention?• Any benefit to those with Alzheimers?
Exercise training for depressed older adults with Alzheimers disease 2008 “…with severe AD evidenced a clear benefit to participants in this study ““A simple exercise program, 1 hour twicea week, led to significantly slower decline in ADL score inpatients withAD living in a nursing home than routine medical care.” 2007
"Regular physical exercise is probably the bestmeans we have of preventing Alzheimers disease today, better than medications, better thanintellectual activity, better than supplements and diet.” Dr Ronald Petersen MD
I want you to……• Know what Alzheimer’s is• Understand the basics of Exercise• Be able to make informed decisions about your health
What Next?• Learn more about Alzheimer’s• Identify your risk factors• Develop a preventive plan of action• Incorporate in your own life• Re-evaluate weekly/monthly• Never stop actively learning and actively living