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.

Wednesday, April 19, 2023

Strong Sense of Purpose in Life Promotes Cognitive Resilience Among Middle-Aged Adults

My purpose in life is to have fun. But whom do I ask if this will create enough resilience and brain reserve again to prevent dementia? And since I'm 67 I'm still in midlife, will live to 100.

Part of my Hunter S. Thompson journey;
“Life should not be a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming "Wow! What a Ride!”

Therapy gets in the way of living, so I stopped attempting it until somebody comes up with EXACT protocols. I can't waste my time on guidelines.

 I'm not afraid of dying. I'm afraid I haven't been alive enough. It should be written on every school room blackboard: Life is a playground — or nothing.
— "Mr. Nobody," 2009

"Your body is not a temple: It's an amusement park. Enjoy the ride." Anthony Bourdain

Strong Sense of Purpose in Life Promotes Cognitive Resilience Among Middle-Aged Adults

Summary: A stronger sense of purpose enhances cognitive resilience in middle-aged adults, a new study reports. Those who report greater purpose in life have greater functional connectivity between the default mode network and other brain areas, which represents a neuroprotective mechanism that could improve cognitive function in old age.

Source: Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research

New research suggests that having a stronger purpose in life (PiL) may promote cognitive resilience among middle-aged adults.

Cognitive resilience refers to the capacity of the brain to cope with stressors, injuries and pathology, and resist the development of symptoms or disabilities.

Furthermore, having a purposeful life implies changes in the organization of the brain with one specific brain network, the dorsal Default Mode Network, showing greater functional connections within its components and with other brain areas.

This may represent a neuroprotection mechanism that ultimately ensures better cognitive function into old age. 

These are among the findings in the article, “Purpose In Life Promotes Resilience To Age-Related Brain Burden And Neuroprotection Through Functional Connectivity In Middle-Aged Adults,” published in the journal Alzheimer’s Research & Therapy.

“The present data extend previous findings found in advanced age and pathological aging, such as Alzheimer’s Disease, revealing that having a strong sense of purpose might confer resilience already in middle age,” said author Dr. Kilian Abellaneda-Pérez, Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain.

“The fact that individuals in the higher purpose in life group had greater connectivity between specific Dorsal default-mode network nodes, which correlated with cognitive performance, suggest such changes in the functional organization of the brain may represent the mechanism by which a greater purpose in life promotes brain health and protects the brain from dysfunction even in the face of stress, adversity and illness,” said Dr. Alvaro Pascual-Leone, Medical Director, Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife; and Department of Neurology, Harvard Medical School.  

He concludes, “What is also exciting is that each of us, with appropriate guidance and support, can develop and sustain a robust sense of purpose and thus contribute to our brain health and wellbeing.”

Background
Disease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting brain reserve and resilience is paramount.

In Alzheimer’s disease, education and occupation are typical reserve proxies. However, the importance of psychological factors is being increasingly recognized, as their operating biological mechanisms are elucidated.

This shows happy people in the sunset
This may represent a neuroprotection mechanism that ultimately ensures better cognitive function into old age. Image is in the public domain

Purpose in life, one of the pillars of psychological well-being, has previously been found to reduce the deleterious effects of Alzheimer’s Disease-related pathological changes on cognition.

However, whether purpose in life operates as a cognitive resilience factor in middle-aged individuals, and what are the underlying neural mechanisms remains unknown.

Methods
Data was obtained from 624 middle-aged adults (mean age 53.71±6.9; 303 women) from the Barcelona Brain Health Initiative cohort. Individuals with lower (N=146) and higher (N=100) purpose in life (PiL) rates, according to the division of this variable into quintiles, were compared in terms of cognitive status, a measure reflecting brain burden (white matter lesions; WMLs), and resting-state functional connectivity (rs-FC), examining system segregation (SyS) parameters using 14 common brain circuits.

Results
Neuropsychological status and WMLs burden did not differ between PiL groups. However, in the lower PiL group greater WMLs entailed a negative impact on executive functions. Subjects in the higher PiL group showed lower SyS of the dorsal DMN (dDMN), indicating lesser segregation of this network from other brain circuits.

Specifically, higher PiL individuals had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Greater functional connectivity in some of these nodes positively correlated with cognitive performance.

Competing interests
A.P.-L. is listed as an inventor on several issued and pending patents on the real-time integration of transcranial magnetic stimulation with electroencephalography and magnetic resonance imaging. He is co-founder of Linus Health and TI Solutions AG and serves on the scientific advisory boards for Starlab Neuroscience, Magstim Inc., Hearts Radiant, MedRhythms, TetraNeuron, and Skin2Neuron.

Funding
The research leading to these results has received funding from “la Caixa” Foundation (grant agreement n° LCF/PR/PR16/11110004). This study is also partly supported by the Spanish Ministry of Science and Innovation (RTI2018-095181-B-C2), and the National Institutes of Health (R24AG06142, and P01AG031720).

About this aging and cognition research news

Author: Michael Chmura
Source: Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research
Contact: Michael Chmura – Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research
Image: The image is in the public domain

Original Research: Open access.
Purpose in life promotes resilience to age-related brain burden in middle-aged adults” by Kilian Abellaneda-Pérez et al. Alzheimer’s Research & Therapy


Abstract

Purpose in life promotes resilience to age-related brain burden in middle-aged adults

Background

Disease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting resilience, as the capacity of the brain to maintain cognition and function with aging and disease, is paramount. In Alzheimer’s disease (AD), education and occupation are typical cognitive reserve proxies. However, the importance of psychological factors is being increasingly recognized, as their operating biological mechanisms are elucidated. Purpose in life (PiL), one of the pillars of psychological well-being, has previously been found to reduce the deleterious effects of AD-related pathological changes on cognition. However, whether PiL operates as a resilience factor in middle-aged individuals and what are the underlying neural mechanisms remain unknown.

Methods

Data was obtained from 624 middle-aged adults (mean age 53.71 ± 6.9; 303 women) from the Barcelona Brain Health Initiative cohort. Individuals with lower (LP; N = 146) and higher (HP; N = 100) PiL rates, according to the division of this variable into quintiles, were compared in terms of cognitive status, a measure reflecting brain burden (white matter lesions; WMLs), and resting-state functional connectivity, examining system segregation (SyS) parameters using 14 common brain circuits.

Results

Neuropsychological status and WMLs burden did not differ between the PiL groups. However, in the LP group, greater WMLs entailed a negative impact on executive functions. Subjects in the HP group showed lower SyS of the dorsal default-mode network (dDMN), indicating lesser segregation of this network from other brain circuits. Specifically, HP individuals had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Greater functional connectivity in some of these nodes positively correlated with cognitive performance.

Conclusion

Expanding previous findings on AD pathology and advanced age, the present results suggest that higher rates of PiL may promote resilience against brain changes already observable in middle age. Furthermore, having a purposeful life implies larger functional integration of the dDMN, which may potentially reflect greater brain reserve associated to better cognitive function.

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