In a social gathering of 60-something Americans, the topic of dementia is bound to surface eventually in the conversation. After age 60, nearly everyone has experienced memory lapses that triggers at least a glimmer of anxiety about further cognitive declines.

Twenty years earlier, these same folk were more interested in talking about the activities of their children and rarely even thought about dementia. Yet recent research suggests that it’s during the midlife periodthe years between 40 and 60 that effects to delay or prevent dementia may be more fruitful.

Researchers have identified several midlife factors that are believed to increase the risk of late life dementia.

BLOOD PRESSURE: Several studies have found a connection between high systolic blood pressure during middle age and later risk of dementia. Another study reported “moderately strong evidence” that treatment of hyperextension with medication during this period reduces that risk. Failure to treat high blood pressure at an early stage is likely to lead to other cardiovascular problems that are also associated with an increased risk of dementia.

DIABETES: Large population studies have found a higher rate among older persons with diabetes. One study concluded that the rick was stronger when diabetes was diagnosed during mid-rather than late life.

CHOLESTEROL: Epidemiological studies have found a similar connection between dementia and cholesterol. Again, it’s high cholesterol in midlife that is most likely to increase the risk. Regarding the effectiveness of cholesterollowering statins in delaying or prevention cognitive decline. Studies have had mixed results.

LIFESTYLE, OTHER FACTORS: Other factors during middle age that are associated with a higher risk of dementia in later life include obesity, depression excessive alcohol use and lack of social support or social activity.

On the other side, regular exercise and the Mediterranean diet or a diet high in antioxidants are associate with a lower risk. Other lifestyle measures thought to be helpful include quality sleep, stress management and an active social life.

While the evidence for the above midlife risk factors is mostly based on populationbased studies and generally not conclusive, there is no risk and considerable benefit-involved in controlling blood pressure, cholesterol and blood sugar while exercising regularly and eating a healthy diet. If you have already passed your 60th birthday, and you haven’t done a good job of managing these risk factors, it is never too late to start taking action.

If you’re already showing early symptoms of dementia, you may not be able to prevent it, but there are two important things you can do to delay the onset: 1] exercise and 2] keep your brain active.

Physical activity keeps blood flowing to your brain. Intellectual; pursuits help build and maintain connections between brain cells. Mental activities that are beneficial include playing board games with a neighbor, doing crossword or number puzzles, playing cards, reading, writing or simple surfing the internet. Learning something new, such as another language, or how to play a musical instrument, can be particularly beneficial.

As Alzheimer’s dementia progresses, brain cells die and connections between them become lost. No medications now available can stop this damage, but they can lessen symptoms for a while by their effect on chemicals involved in carrying messages between cells.

Cholinesterase inhibitors, such as Aricept, Exelon and Razadyne, prevent the breakdown of acetylcholine; a key substance for communication between nerve cells. Namenda regulates the activity of flutamate, another messenger substance that is involved with learning and memory.

With a rapidly aging population, research into finding a cure or treatment for dementia had become a priority. To date a major breakthrough is not in sight.

If you have questions or concerns about senior issues or resources contact, Judy Rupp Senior Resource Specialist, who will link you to available services. We facilitate an Alzheimer’s Caregiver Support group that meets the second Monday every month at 1:00 pm. in our office at 445 Fairview, Suite 102, in Ponca City. The telephone number is 580- 382-9099. Our goal is to help locate resources that will enable you to remain safe, healthy and independent in your home. A direct email is Seniorresourcespc@outlook.com.

The Senior Resource Program is supported by the Clark Gerontology Fund, RSVP of Kay County, United Way of Ponca City and the Community Health Foundation of Ponca City. There is no charge for any of our services.