#1 Brain Neuroscientist: "These Habits Are The Leading Cause Of Alzheimer's!" | Louisa Nicola

Added: Jun 27, 2024

Louisa Nicola, a neurophysiologist and brain health expert, discusses the alarming rise in Alzheimer's disease cases globally. Currently, about 55 million people worldwide have Alzheimer's, and this number is projected to triple by 2050. Surprisingly, only 3-5% of diagnoses are driven by genetics, leaving 95-97% of cases potentially preventable through lifestyle factors. Nicola identifies three main areas that impact brain health and Alzheimer's risk: sleep, exercise, and nutrition.

The Importance of Sleep for Brain Health

Sleep plays a crucial role in brain health and Alzheimer's prevention. During deep slow-wave sleep, the brain's glymphatic system activates, allowing cerebrospinal fluid to flush out toxins and debris that accumulate during the day. This includes amyloid beta, a protein associated with Alzheimer's disease. Chronic sleep deprivation, defined as consistently getting 6 hours or less per night, can lead to a buildup of these toxins over time, potentially increasing Alzheimer's risk.

Nicola emphasizes the importance of sleep quality, quantity, and regularity. She recommends maintaining a consistent sleep schedule, aiming to go to bed and wake up at the same times each day. This regularity helps optimize the brain's natural rhythms and increases time spent in deep sleep stages. She also suggests "warming up" for sleep by winding down 90 minutes before bedtime, avoiding screens, and creating a relaxing pre-sleep routine.

Exercise and Its Impact on Brain Health

Physical activity is described as one of the most powerful interventions for slowing the progression of neurodegenerative diseases like Alzheimer's. Nicola breaks exercise into three categories: resistance training, aerobic training, and neurocognitive training. Aerobic exercise, in particular, has been shown to promote the growth of new neurons in the hippocampus, a brain region critical for memory that is often affected early in Alzheimer's disease.

Regular exercise also increases connections between brain cells and can lead to growth in the cortex, the brain's outer layer responsible for higher-level thinking and decision-making. Nicola emphasizes that even simple activities like walking can provide significant benefits, especially for those who are currently sedentary. She recommends aiming for 150-300 minutes of moderate to vigorous physical activity per week, as per CDC guidelines.

Nutrition and Brain Health

Proper nutrition is the third key factor in maintaining brain health and reducing Alzheimer's risk. Nicola highlights the importance of antioxidant-rich foods, which help protect the brain from oxidative stress. She recommends a diet high in fruits, vegetables, and foods containing vitamins E, C, and selenium. Blueberries and raspberries are specifically mentioned as beneficial for brain health.

Nicola also discusses the role of omega-3 fatty acids, particularly DHA and EPA, in brain health. She recommends aiming for 4-6 grams of combined DHA and EPA daily, which often requires supplementation in addition to dietary sources like fatty fish. Omega-3s have been shown to reduce inflammation, help clear amyloid beta from the brain, and improve cell membrane fluidity.

Resistance Training and Brain Health

Nicola emphasizes the importance of resistance training for brain health, explaining that muscles act as a "storage sink" for beneficial molecules called myokines. When muscles contract during resistance exercise, these myokines are released into the bloodstream and can cross the blood-brain barrier. They promote the growth of new brain cells and have anti-inflammatory effects.

She recommends 3-4 days per week of resistance training, focusing on exercises that challenge the muscles to 75-80% of their maximum capacity. This level of intensity is crucial for maximizing the release of myokines and their beneficial effects on the brain.

Social Connections and Brain Health

The podcast touches on the importance of social connections for brain health. Nicola mentions a Harvard study that found social connections to be the number one factor in improving brain health as people age. Maintaining strong friendships and family relationships can have protective effects on overall health, including brain health.

Advanced Brain Health Strategies

For those interested in optimizing their brain health beyond the basics, Nicola discusses several advanced strategies used with high-performing individuals:

1. Brain scans: EEG and qEEG to measure electrical activity and processing speed in the brain.

2. VO2 Max testing: A measure of peak aerobic fitness that is strongly correlated with longevity.

3. Comprehensive blood, urine, stool, and saliva testing to get a complete picture of overall health.

4. Full-body MRIs and DEXA scans to assess bone density and muscle mass.

5. Emotional and social well-being assessments, recognizing the strong link between social connections and brain health.

Misconceptions About Alzheimer's Disease

Nicola addresses some common misconceptions about Alzheimer's disease. She emphasizes that dementia is not a natural part of aging and that the disease process often begins 10-20 years before diagnosis. This highlights the importance of early intervention and lifestyle changes to prevent or delay onset.

She also discusses the higher prevalence of Alzheimer's in women, with two out of three cases occurring in females. This may be related to hormonal changes, particularly the decline in estrogen during menopause, which affects brain health.

Practical Advice for Brain Health

Nicola provides several practical recommendations for maintaining brain health

1. Prioritize sleep, aiming for at least 7 hours per night and maintaining a consistent sleep schedule.

2. Engage in regular exercise, including both aerobic and resistance training.

3. Eat a diet rich in antioxidants and omega-3 fatty acids.

4. Consider omega-3 supplementation, aiming for 4 grams daily of combined DHA and EPA.

5. Stay socially connected and prioritize relationships.

6. For those interested in optimization, consider advanced testing like brain scans and VO2 Max tests.

7. Treat exercise and healthy habits as daily hygiene, similar to brushing teeth.

Conclusion

Louisa Nicola emphasizes that individuals have the power to change the course of their lives and protect their brain health through daily choices. By focusing on sleep, exercise, nutrition, and social connections, people can significantly reduce their risk of Alzheimer's disease and other cognitive declines. She encourages viewers to take control of their brain health, reminding them that the brain is shaped by the foods we eat, the exercise we do, and the quality of sleep we get. Investing in these areas can lead to profound improvements in overall health and quality of life.

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