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Worried about your forgetfulness? Learn what’s
normal when it comes to memory and aging, and how to recognize the signs of
more serious problems.
Authors: Melinda Smith,
M.A., Lawrence Robinson, and Robert Segal, M.A.
HelpGuide
Memory and aging
We’ve all misplaced keys, blanked on someone’s
name, or forgotten a phone number.
When you’re young, you don’t tend to pay much
attention to these lapses, but as you grow older, you may worry about what they
mean.
Perhaps you start to talk about a movie you saw
recently when you realize you can’t remember the title.
You’re giving directions to your house when you
suddenly blank on a familiar street name.
Or you find yourself standing in the middle of the
kitchen wondering what you went in there for.
Memory lapses can be frustrating, but most of the
time they aren’t cause for concern. Age-related memory changes are not the same
thing as dementia.
As you grow older, you experience physiological
changes that can cause glitches in brain functions you’ve always taken for
granted.
It takes longer to learn and recall information. You’re
not as quick as you used to be.
In fact, you may mistake this slowing of your
mental processes for true memory loss.
But in most cases, if you give yourself time, the
information will come to mind.
So, while it’s true that certain brain changes are
inevitable when it comes to aging, major memory problems are not one of them.
That’s why it’s important to know the difference
between normal age-related forgetfulness and the symptoms that may indicate a
developing cognitive problem.
Age-related memory loss
The brain is capable of producing new brain cells
at any age, so significant memory loss is not an inevitable
result of aging.
But just as it is with muscle strength, you have to
use it or lose it.
Your lifestyle, habits, and daily activities have a
huge impact on the health of your brain.
Whatever your age, there are many ways you can improve your cognitive skills,
prevent memory loss, and protect your grey matter.
Furthermore, many mental abilities are largely
unaffected by normal aging, such as:
· Your
ability to do the things you’ve always done and continue to do often
· The
wisdom and knowledge you’ve acquired from life experience
· Your
innate common sense and your ability to form reasonable arguments and judgments
3
causes of age-related memory loss
1.
The
hippocampus, a region of the brain involved in the formation and retrieval of
memories, often deteriorates with age.
2.
Hormones
and proteins that protect and repair brain cells and stimulate neural growth
also decline with age.
3.
Older
people often experience decreased blood flow to the brain, which can
impair memory and lead to changes in cognitive skills.
Normal forgetfulness vs. dementia
For most people, occasional lapses in memory are a
normal part of the aging process, not a warning sign of serious mental
deterioration or the onset of dementia.
The following types of memory lapses are normal
among older adults and generally are not considered warning
signs of dementia:
· Occasionally forgetting where you left things you use regularly, such as glasses or keys.
· Forgetting names of acquaintances or blocking one memory
with a similar one, such as calling a grandson by your son’s name.
· Occasionally forgetting an appointment or walking into a
room and forgetting why you entered.
· Becoming easily distracted or having trouble remembering
what you’ve just read, or the details of a conversation.
· Not quite being able to retrieve information you have “on
the tip of your tongue.”
Does your memory loss affect your ability to function?
The primary difference between age-related memory
loss and dementia is that the former isn’t disabling.
The memory lapses have little impact on your daily
performance and ability to do what you want to do.
Dementia, on the other hand, is marked by a
persistent, disabling decline in two or more intellectual abilities such as
memory, language, judgment, and abstract thinking.
When memory loss becomes so pervasive and severe that it disrupts your work, hobbies, social activities, and family relationships, you may be experiencing the warning signs of Alzheimer’s disease, or another disorder that causes dementia, or a condition that mimics dementia.
Normal age-related memory changes |
Symptoms that may indicate dementia |
Able to function independently and
pursue normal activities, despite occasional memory lapses |
Difficulty performing simple tasks
(paying bills, dressing appropriately, washing up); forgetting how to do
things you’ve done many times |
Able to recall and describe
incidents of forgetfulness |
Unable to recall or describe
specific instances where memory loss caused problems |
May pause to remember directions,
but doesn’t get lost in familiar places |
Gets lost or disoriented even in
familiar places; unable to follow directions |
Occasional difficulty finding the
right word, but no trouble holding a conversation |
Words are frequently forgotten,
misused, or garbled; Repeats phrases and stories in same conversation |
Judgment and decision-making
ability the same as always |
Trouble making choices; May show
poor judgment or behave in socially inappropriate ways |
Symptoms of mild cognitive impairment (MCI)
Mild cognitive impairment (MCI) is an intermediate
stage between normal age-related cognitive changes and the more serious
symptoms that indicate dementia.
MCI can involve problems with memory, language,
thinking, and judgment that are greater than normal age-related changes, but
the line between MCI and normal memory problems is not always a clear one.
The difference is often one of degrees. For
example, it’s normal as you age to have some problems remembering the names of
people.
However, it’s not normal to forget the names of
your close family and friends and then still be unable to recall them after a
period of time.
If you have mild cognitive impairment, you and your
family or close friends will likely be aware of the decline in your memory or
mental function.
But, unlike people with full-blown dementia, you
are still able to function in your daily life without relying on others.
While many people with MCI eventually develop
Alzheimer’s disease or another type of dementia, that doesn’t mean it’s
inevitable.
Some people with MCI plateau at a relatively mild
stage of decline while others even return to normal.
The course is difficult to predict, but in general,
the greater the degree of memory impairment, the greater your risk of
developing dementia some time in the future.
Symptoms of MCI include:
· Frequently
losing or misplacing things
· Frequently
forgetting conversations, appointments, or events
· Difficulty
remembering the names of new acquaintances
· Difficulty
following the flow of a conversation
When to see a doctor for memory loss
It’s time to consult a doctor when memory lapses
become frequent enough or sufficiently noticeable to concern you or a family
member.
If you get to that point, make an appointment as
soon as possible to talk with your primary physician and have a thorough
physical examination.
Even if you’re not displaying all the necessary
symptoms to indicate dementia, now may be a good time to take steps to prevent
a small problem becoming a larger one.
Your doctor can assess your personal risk factors,
evaluate your symptoms, eliminate reversible causes of memory loss, and help
you obtain appropriate care.
Early diagnosis can treat reversible causes of
memory loss, lessen decline in vascular dementia, or improve the quality of life
in Alzheimer’s or other types of dementia.
What to expect at your doctor’s visit
The doctor will ask you a lot of question about
your memory, including:
· how
long you or others have noticed a problem with your memory
· what
kinds of things have been difficult to remember
· whether
the difficulty came on gradually or suddenly
· whether
you’re having trouble doing ordinary things
The doctor also will want to know what medications
you’re taking, how you’ve been eating and sleeping, whether you’ve been
depressed or stressed lately, and other questions about what’s been happening
in your life.
Chances are the doctor will also ask you or your
partner to keep track of your symptoms and check back in a few months.
If your memory problem needs more evaluation, your
doctor may send you to a neuropsychologist.
Reversible causes of memory loss
It’s important to remember that memory loss doesn’t
automatically mean that you have dementia.
There are many other reasons why you may be
experiencing cognitive problems, including stress, depression, and even vitamin
deficiencies.
That’s why it’s so important to go to a doctor to
get an official diagnosis if you’re experiencing problems.
Sometimes, even what looks like significant memory loss can be caused by treatable
conditions and reversible external factors, such as:
Depression. Depression can mimic the signs
of memory loss, making it hard for you to concentrate, stay organized, remember
things, and get stuff done.
Depression is a common problem in older adults — especially
if you’re less social and active than you used to be or you’ve recently
experienced a number of important losses or major life changes (retirement, a
serious medical diagnosis, the loss of a loved one, moving out of your home).
Vitamin B12 deficiency. Vitamin B12 protects
neurons and is vital to healthy brain functioning. In fact, a lack of B12 can
cause permanent damage to the brain.
Older people have a slower nutritional absorption
rate, which can make it difficult for you to get the B12 your mind and body
need.
If you smoke or drink, you may be at particular
risk.
If you address a vitamin B12 deficiency early, you
can reverse the associated memory problems. Treatment is available in the form
of a monthly injection.
Thyroid problems. The thyroid gland controls
metabolism: if your metabolism is too fast, you may feel confused, and if it’s
too slow, you can feel sluggish and depressed.
Thyroid problems can cause memory problems such as
forgetfulness and difficulty concentrating. Medication can reverse the
symptoms.
Alcohol abuse. Excessive alcohol intake is
toxic to brain cells, and alcohol abuse leads to memory loss.
Over time, alcohol abuse may also increase the risk
of dementia.
Because of the damaging effects of excessive
drinking, experts advise limiting your daily intake to just 1-2 drinks.
Dehydration. Older adults are
particularly susceptible to dehydration. Severe dehydration can cause
confusion, drowsiness, memory loss, and other symptoms that look like dementia.
It’s important to stay hydrated (aim for 6-8 drinks
per day). Be particularly vigilant if you take diuretics or laxatives or suffer
from diabetes, high blood sugar, or diarrhea.
Side effects of medication. Many prescribed and
over-the-counter drugs or combinations of drugs can cause cognitive problems
and memory loss as a side effect.
This is especially common in older adults because
they break down and absorb medication more slowly.
Common medications that affect memory and brain
function include sleeping pills, antihistamines, blood pressure and arthritis
medication, muscle relaxants, anticholinergic drugs for urinary incontinence
and gastrointestinal discomfort, antidepressants, anti-anxiety meds, and
painkillers.
Are you
taking three or more drugs?
As well as certain individual
medications, taking too many medications can also create cognitive problems.
A recent study found that the
more medications you take, the higher your risk for brain atrophy.
Researchers found that the loss
of gray matter was most acute in people who took three or more different
medications.
If you are concerned about the
medications you’re taking, talk to your doctor. But do NOT stop taking your
medications without your doctor’s consent.
Compensating for memory loss
The same practices that contribute to healthy aging
and physical vitality also contribute to a healthy memory.
So, by taking steps early to prevent cognitive
decline, you’ll also be improving all other aspects of your life as well.
Stay social. People who aren’t socially
engaged with family and friends are at higher risk for memory problems than
people who have strong social ties.
Quality face-to-face social interaction can greatly
reduce stress and is powerful medicine for the brain, so schedule time with friends,
join a book club, or visit the local senior center.
And be sure to put your phone away and focus fully
on the people you’re with if you want the full brain benefit.
Stop smoking. Smoking heightens the risk
of vascular disorders that can cause stroke and constrict arteries that deliver
oxygen to the brain. When you quit smoking, the brain quickly benefits from
improved circulation.
Manage stress. Cortisol, the stress
hormone, damages the brain over time and can lead to memory problems.
But even before that happens, stress or anxiety can
cause memory difficulties in the moment.
When you’re stressed out or anxious, you’re more
likely to suffer memory lapses and have trouble learning or concentrating.
But simple stress management techniques can minimize
these harmful effects.
Get enough sleep. Getting a good night’s sleep as you age is
necessary for memory consolidation, the process of forming and storing new
memories so you can retrieve them later.
Sleep deprivation reduces the growth of new neurons
in the hippocampus and causes problems with memory, concentration, and
decision-making. It can even lead to depression—another memory killer.
Watch what you eat. Eat plenty of fruits and
vegetables and drink green tea as these foods contain antioxidants in abundance,
which can keep your brain cells from “rusting.”
Foods rich in omega-3 fats (such as salmon,
tuna, trout, walnuts, and flaxseed) are particularly good for your brain and
memory.
Eating too many calories, though, can increase your
risk of developing memory loss or cognitive impairment.
Exercise regularly. Starting a regular exercise routine, including
cardio and strength training, may reduce your risk of developing dementia by up
to 50 percent.
What’s more, exercise can also slow further
deterioration in those who have already started to develop cognitive problems.
Exercise protects against Alzheimer’s by
stimulating the brain’s ability to maintain old connections as well as make new
ones.
Walking:
An easy way to fight memory loss
New research indicates that walking six to nine
miles every week can prevent brain shrinkage and memory loss.
According to the American Academy of Neurology,
older adults who walked between six and nine miles per week had more gray
matter in their brains nine years after the start of the study than people who
didn’t walk as much.
Brain exercises to combat memory loss
Just as physical exercise can make and keep your
body stronger, mental exercise can make your brain work better and
lower your risk of mental decline.
Try to find brain exercises that you find
enjoyable. The more pleasurable an activity is to you, the more powerful its
effect will be on your brain.
You can make some activities more enjoyable by
appealing to your senses — by playing music during the exercise, for example,
or lighting a scented candle, or rewarding yourself after you’ve finished.
Here are some ideas for brain exercise, from light
workouts to heavy lifting:
· Play
games you are not already familiar with that involve strategy, like chess or
bridge, and word games like Scrabble. Try crossword and other word puzzles, or
number puzzles such as Sudoku.
· Read
newspapers, magazines, and books that challenge you.
· Get
in the habit of learning new things: games, recipes, driving routes, a musical
instrument, a foreign language. Take a course in an unfamiliar subject that
interests you. The more interested and engaged your brain, the more likely
you’ll be to continue learning and the greater the benefits you’ll experience.
· Improve
how well you do existing activities. If you already speak a foreign language,
commit to improving your fluency. Or if you’re a keen golfer, aim to lower your
handicap.
· Take
on a project that involves design and planning, such as a new garden, a quilt,
or a koi pond.
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HelpGuide’s
Story
HelpGuide is dedicated to
Morgan Leslie Segal, who died by suicide in 1996 at the age of 29. Described as
“a rare and beautiful soul,” “a rising talented writer,” and “a young woman
with great intelligence and sensitivity,” Morgan nevertheless grappled with a
condition that started as low self-esteem and worsened into major depression.
Six years of therapy and a variety of drug prescriptions did not help her.
Following
Morgan’s death, her parents Robert and Jeanne Segal began sharing their grief
and discovered that all too many others had experienced similar struggles. “The
pain was so evident,” said Robert, “the subject so frightening, hidden, and
loaded with stigma, that they don’t know where to turn.” They concluded that
the best way to honor the memory of their daughter was by helping people in
similar trouble by guiding them toward appropriate information and care.
And
so HelpGuide was born.
https://www.helpguide.org/articles/alzheimers-dementia-aging/age-related-memory-loss.htm
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