As the number of patients with Alzheimer’s disease is going
to quadruple worldwide by 2050 reaching approximately 106 million cases, the
researchers try to find answers on how to treat or to ease symptoms of this
devastating disease.
Therefore, pharmaceutical companies have tried to develop
drugs to fight Alzheimer’s, which causes a progressive loss of memory and
mental faculties, but none of them appears to improve the condition. There are
currently five drugs approved to treat Alzheimer’s, but they only mask symptoms
for 6 to 12 months at most, according to the Alzheimer’s Association, an
advocacy group based in
It has long been know that physical exercise on regular
basis is good for the body, improving health. Now, two new studies presented
Sunday at the 2008 International Conference on Alzheimer’s Disease in
According to one of the studies, magnetic resonance imaging
(MRI) showed that physical exercise has a positive effect on hippocampus, an
area of the brain important for both memory and balance. In Alzheimer’s, the
hippocampus is one of the first regions of the brain that has to suffer damage.
“This is the first study to get an inside look into
specifically where these changes occur in the brain – we’re able to locate the
changes associated with fitness to the actual memory region, the hippocampus,
which is a key area for Alzheimer’s-related atrophy. This suggests that
maintaining cardiorespiratory fitness may positively modify Alzheimer’s-related
brain atrophy,” Robyn A. Honea, PhD, of the University of Kansas Medical
Center, in Kansas City and a lead investigator on the study, said.
The Alzheimer’s patients who were non-carriers of the APOE4
gene benefited the most from exercising. APOE4 gene is known to increase the
risk of developing Alzheimer’s.
The theory is bolstered by a study published July 15 in the
journal Neurology, which involved a group of 121 people age 60 and older,
including 57 who had early Alzheimer’s. The participants were put on treadmills
to measure their peak oxygen consumption, which is the standard used to measure
cardiorespiratory fitness.
The study found that people with Alzheimer’s who had low
levels of fitness had four times more brain shrinkage than those with
Alzheimer’s who had high levels of fitness. However, lead author Jeffrey Burns,
an associate professor of neurology at the University of Kansas School of
Medicine noted that the study looked at fitness levels but not exercise
activities. What remains to be seen is whether exercise itself can help prevent
brain atrophy in people who are at risk for developing Alzheimer’s. “The cause
and effect has yet to be established, but evidence is building,” Burns said.
Another separate study presented at the same conference
revealed that a 12-month home-based exercise program reduced falls and improved
balance in patients with dementia. People with dementia usually fall up to
three times more than those who have no cognitive impairment, according to
researchers from Western Medicine, a consultant physician service provider for
“Falls have a negative impact on a person’s quality of life,
often resulting in nursing home placement, increased mortality and significant
costs to the community. Targeting this high risk may be a relatively cost
effective way of having a significant impact on the overall rate of falling in
the elderly,” Megan J. Wraith, a speech pathologist at Western Medicine and a
researcher on the study said.
The two studies were funded by the National Institute on Aging and National Institute on Neurological Disorders and Stroke, and the Sir Charles Gairdner Research Foundation and Hollywood Private Hospital Research Foundation.