Cognitive Ability and Cognitive Impairment by Ray Sahelian, M.D. Cognition Information

It's a sad fact that as we age our cognitive ability declines. The cognitive ability that declines most is memory, followed by attention and visual-spatial abilities. On the other hand, a cognitive ability that may increase is vocabulary. Considering the aging effect on cognition impairment, questions remain regarding whether cognitive impairment and learning ability can be reversed. Social cognition can certainly improve with time, up to a certain age, so can situational cognition.
     Some cognitive functions are more affected by aging than others. There are several factors that influence age related cognitive impairment. Among them, educational level, health, cognitive style, life style, personality. Successful maintenance of cognition and cognitive skill during aging is dependent on several conditions : absence of disease leading to a loss of autonomy, maintenance of cognitive and physical activities, adequate sleep, healthy diet, avoidance of smoking and excessive drinking, and active and social engaged lifestyle. Worry, anxiety or depression lead to cognitive impairment. Cognitive impairment can be reversed in some people by the appropriate use of certain nutritional supplements.

Natural Supplements that Influence Cognitive Function
There are dozens of herbs and nutrients that can benefit those with cognitive impairment, a cognitive disorder, or cognitive decline. Consider Mind Power Rx.

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Mind Power Rx is a sophisticated cognitive formula. It combines a delicate balance of brain circulation agents and neurotransmitter precursors with powerful natural brain chemicals that support healthy:

• Memory and Mood
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The herbs in Mind Power Rx include: Ashwagandha, Bacopa, Fo-Ti, Ginkgo biloba, Ginseng, Mucuna pruriens, and Reishi.  The nutrients and vitamins in Mind Power Rx include Acetyl-l-carnitine, Carnitine, Carnosine, Choline, DMAE, Inositol, Methylcobalamin, Pantothenic acid, Trimethylglycine, Tyrosine, and Vinpocetine.

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Definition of Cognition
Cognition can be defined as the ability to learn, perceive, and reason. Although certain aspects of cognition can improve with age, memory does not.

Green Tea and Cognitive Decline
Scientists have found that green tea slows brain aging, helping prevent declining memory, cognitive impairment, dementia and Alzheimer's. Drinking more than 2 cups a day of green tea reduced odds of cognitive impairment in elderly Japanese men and women by more than half.

Hypertension and Cognitive Decline
People with a history of high blood pressure are at an increased risk of developing cognitive impairment. Hypertension treatment in old hypertensive subjects may offer some benefit against dementia and cognitive decline. However, there may be risks to hypertension treatment with potent drugs, and caution is advised to use drugs that are safe and do not cause significant side effects.

Cognitive Decline associated with Age Related Macular Degeneration
Worsening of age-related macular degeneration (AMD), a degenerative eye disorder that is the leading cause of blindness in the elderly, appears to be associated with some cognitive impairment. An association is logical because AMD and cognitive impairment are both chronic neurodegenerative disorders affecting persons as they age. Furthermore, worse vision affects daily functioning and social interaction, and that the resulting predisposition to depression and social isolation could indirectly exacerbate cognitive impairment.

Cognitive impairment
It's nearly impossible to avoid cognitive impairment as we age, but, in addition to certain lifestyle changes, the use of low dose mind boosting supplements could well reverse certain aspects of mild cognitive impairment, and perhaps even moderate ore severe cognitive impairment. Many of these herbs and nutrients are found in Mind Power Rx. Cognitive disability affects not only the person suffering the condition, but family members responsible for taking care of this individual.
     Elderly women who watch daytime soap operas and talk shows are more likely to suffer from cognitive impairment than women who abstain from such fare. It's not clear if watching these TV shows leads to weaker brainpower, or vice-versa.
     Elderly diabetics with poor blood sugar control have a high prevalence of undiagnosed cognitive dysfunction, depression and functional disabilities.
     There appears to be considerable interest among healthy older adults in screening and treatment for mild cognitive impairment, a condition now generally considered to be a precursor to Alzheimer's disease. Among 149 healthy adults aged 35 and older, 98 percent said they would be willing to be tested for mild cognitive impairment if a family member suggested they had memory problems and to take a medicine or supplement if it would halve their risk of progressing from mild cognitive impairment to Alzheimer's disease. Dr. William Dale from the University of Chicago and colleagues report their survey results in the Journal of the American Geriatrics Society, September 2006.

Cognitive Decline in Elderly
Older persons hospitalized for acute illness commonly have recoverable cognitive dysfunction that is distinct from dementia or delirium. Cognitive dysfunction is very common in older persons with acute illness and many elderly recover from cognitive decline once their overall health improves and some of the medicines used to treat their acute illness is completed.

Taking certain types of medication to deal with heartburn and excess stomach acid increases the risk of cognitive impairment in the elderly. The drugs in question -- called histamine-2 receptor antagonists or H2As -- include popular medicines such as Zantac and Pepcid.

Acetylcholine blocking drugs and cognitive decline
Elderly people who take commonly prescribed drugs for incontinence, allergy or high blood pressure are less able to take care of themselves, function worse than others in the same age group who don't take these drugs, and walk slower. Drugs that block acetylcholine, which is important for memory, hasten cognitive decline in elderly people.

Brain Scan and Cognitive Function
Among normal, health elderly people, brain imaging can spot changes that suggest an impending decline in cognitive function. Brain scans were performed in 60 cognitively normal men and women with an average age of 69 years. The subjects were participants in the Sacramento Area Latino Study on Aging (SALSA) and most were Mexican-American. They were followed for almost 4 years, and about once a year underwent testing to assess global cognition and memory. Six of the subjects developed dementia or cognitive impairment. Examination of scans showed that areas of lower glucose metabolism in upper and side regions of the brain were strongly linked to a faster decline in mental performance. The anatomical location of the findings, the researchers conclude, "suggests detection of preclinical Alzheimer's disease pathology." Source: Annals of Neurology, February 8, 2006.


Cognitive Research - Cognitive Impairment and Natural Treatment
Better cognitive performance following a low-glycaemic-index compared with a high-glycaemic-index carbohydrate meal in adults with type 2 diabetes.
Diabetologia. 2006 Mar 1; Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, 150 College St, 3rd Floor, Toronto, ON, Canada
Transient hyperglycemia, consistent with that observed with normal meal ingestion, may be detrimental to cognitive performance in adults with type 2 diabetes. This study determined whether minimising the postprandial increase in blood glucose through the ingestion of low- rather than high-glycaemic-index (GI) carbohydrate meals differentially affected cognitive performance in the postprandial period. Conclusion: Consuming 50 g of a low-GI carbohydrate meal, relative to a high-GI carbohydrate meal, generally results in better cognitive performance in the postprandial period in adults with type 2 diabetes, particularly in those individuals who experience the greatest food-induced elevations in blood glucose levels.

Cognitive behavioral therapy
Cognitive and behavioural psychotherapies are a range of therapies based on concepts and principles derived from psychological models of human emotion and behaviour. They include a wide range of treatment approaches for emotional disorders, along a continuum from structured individual psychotherapy to self-help material.

Cognitive Therapy and Depression
Cognitive therapy is a treatment process that allows patients to correct false self-beliefs that can lead to negative mood and behavior. Since thought can precede a mood, learning to substitute healthy thoughts for negative thoughts will improve a person's mood, self-concept, behavior, and physical state. Some studies show that cognitive therapy is an effective treatment for depression and is comparable in effectiveness to antidepressants and interpersonal or psychodynamic therapy. The combination of cognitive therapy and antidepressants has been shown to effectively manage severe or chronic depression. It is quite likely that cognitive therapy in addition to natural supplements that improve mood, such as SAM-e, 5-HTP, and others may work quite well, too. Cognitive therapy also has proved beneficial in treating patients who have only a partial response to adequate antidepressant therapy. Good evidence has shown that cognitive therapy reduces relapse rates in patients with depression, and cognitive therapy may be effective in teenagers with depression.

Cognitive Science
Cognitive science is difficult to define. Since cognitive science is a relatively new discipline, and since it includes many subjects, there is some disagreement among doctors, researchers and psychologists about what the term cognitive science actually refers to. A general definition is that cognitive science is "the science of the mind." However, this is quite vague and many people interpret science of the mind in many different ways depending on what area of the mind they are focusing on.

Cognition and Cognitive questions
Q. Do animals have cognition?
     A. Animals are much more aware that we give them credit. Animals are extremely aware of their environment, and they have strong emotions, including joy, grief, loyalty, sadness, healousy, and perhaps even empathy.

Cognitive Improvement emails
Q. Does Tongkat Ali improve cognitive decline?
     A. I doubt it. There are many other herbal and nutritional option for improving cognition.