Deans' stroke musings: Association of daily intellectual activities with lower risk of incident dementia among older Chinese adults

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 10, 2018

Association of daily intellectual activities with lower risk of incident dementia among older Chinese adults

So your doctor needs to prescribe a protocol on this, not guidelines or best practices, PROTOCOL!
https://www.mdlinx.com/journal-summaries/intellectual-activities-dementia-geriatrics/2018/06/05/7523145/?

JAMA Psychiatry — Lee ATC, et al. | June 05, 2018

Researchers examined if participation in intellectual activity lessens the risk of dementia in older adults, independent of other healthy lifestyle practices like regular physical exercise, adequate fruit and vegetable intake, and not smoking. This population-based study suggested active participation in intellectual activities, even in late life, may be beneficial in delaying or preventing dementia in older adults.

Methods

At all Elderly Health Centers of the Department of Health of the Government of Hong Kong, researchers conducted a longitudinal observational study among 15,582 community-living Chinese individuals age 65 years or older at baseline who were free of dementia, with baseline evaluations performed January 1 to June 30, 2005, and follow-up assessments performed from January 1, 2006, to December 31, 2012.
From January 1, 2015, to December 31, 2016, they performed statistical analysis.
Incident dementia, as diagnosed by geriatric psychiatrists in accordance with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, or a Clinical Dementia Rating of 1 to 3 was the main outcome.
They collected self-reported information on participation in intellectual activities within 1 month before assessment at baseline and follow-up interviews.
Intellectual activities (described by a local validated classification system) included reading books, newspapers, or magazines; playing board games, Mahjong, or card games; and betting on horse racing.
They also assessed other important variables such as demographics (age, sex, and educational level), physical and psychiatric comorbidities (cardiovascular risks, depression, visual and hearing impairments, and poor mobility), and lifestyle factors (physical exercise, adequate fruit and vegetable intake, smoking, and recreational and social activities).

Results

Of the 15,582 individuals included, 9950 (63.9%) were women, and the median age at baseline was 74 years (interquartile range, 71-77 years).
During a median follow-up period of 5.0 years, dementia developed in a total of 1,349 individuals (8.7%).
As per multivariable logistic regression analysis, individuals with intellectual activities at baseline had an estimated odds ratio for incident dementia of 0.71 (95% CI, 0.60-0.84; P < .001), after excluding those who developed dementia within 3 years after baseline and adjusting for health behaviors, physical and psychiatric comorbidities, and sociodemographic factors.

Read the full article on JAMA Psychiatry