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tirsdag den 14. oktober 2008

Food for thought: Eat your way to a better brain






CHILDREN have a lot to contend with these days, not least a tendency for their pushy parents to force-feed them omega-3 oils at every opportunity. These are supposed to make children brainier, so they are being added to everything from bread, milk and pasta to baby formula and vitamin tablets. But omega-3 is just the tip of the nutritional iceberg; many nutrients have proven cognitive effects, and do so throughout a person’s life, not merely when he is a child.

Fernando Gómez-Pinilla, a fish-loving professor of neurosurgery and physiological science at the University of California, Los Angeles, believes that appropriate changes to a person’s diet can enhance his cognitive abilities, protect his brain from damage and counteract the effects of ageing. Dr Gómez-Pinilla has been studying the effects of food on the brain for years, and has now completed a review, just published in Nature Reviews Neuroscience, that has analysed more than 160 studies of food’s effect on the brain. Some foods, he concludes, are like pharmaceutical compounds; their effects are so profound that the mental health of entire countries may be linked to them.

Last year, for example, the Lancet published research showing that folic-acid supplements—sometimes taken by pregnant women—can help those between 50 and 70 years old ward off the cognitive decline that accompanies ageing. In a study lasting three years, Jane Durga, of Wageningen University in the Netherlands, and her colleagues found that people taking such supplements did better on measures of memory, information-processing speed and verbal fluency. That, plus evidence that folate deficiency is associated with clinical depression, suggests eating spinach, orange juice and Marmite, which are all rich in folic acid.

Another suggestion from Dr Gómez-Pinilla’s review is that people should eat more antioxidants. That idea is not new. Antioxidants are reckoned by many to protect against the general effects of ageing. Vitamin E, for example, which is found in vegetable oils, nuts and green leafy vegetables, has been linked (in mice) with the retention of memory into old age, and also with longer life.

Dr Gómez-Pinilla, however, gives the antioxidant story a particular twist. The brain, he observes, is peculiarly susceptible to oxidative damage. It consumes a lot of energy, and the reactions that release this energy also generate oxidising chemicals. Moreover, brain tissue contains a great deal of oxidisable material, particularly in the fatty membranes surrounding nerve cells.

That suggests, among other things, the value of a diet rich in berries. These have been shown to have strong antioxidant effects, though only a small number of their constituents have been evaluated in detail. One group that has been evaluated, the polyphenols, has been shown in rodents to reduce oxidative damage and to boost the ability to learn and retain memories. In particular, these chemicals affect changes in response to different types of stimulation in the hippocampus (a part of the brain that is crucial to the formation of long-term memories, and which is the region most affected by Alzheimer’s disease). Another polyphenol, curcumin, has also been shown to have protective effects. It reduces memory deficits in animals with brain damage. It may be no coincidence that in India, where a lot of curcumin is consumed (it is the substance that makes turmeric yellow), Alzheimer’s disease is rarer than elsewhere.
Peas of mind

Though the way antioxidants work in the brain is not well known, Dr Gómez-Pinilla says it is likely they protect the synaptic membranes. Synapses are the junctions between nerve cells, and their action is central to learning and memory. But they are also, he says, the most fragile parts of the brain. And many of the nutrients associated with brain function are known to affect transmission at the synapses.

An omega-3 fatty acid called docosahexaenoic acid (DHA), for example, provides membranes at synaptic regions with “fluidity”—the capacity to transport signals. It also provides “plasticity”—a synapse’s capacity to change. Such changes are the basis of memory. Since 30% of the fatty constituents of nerve-cell membranes are DHA molecules, keeping your DHA levels topped up is part of having a healthy brain. Indeed, according to the studies reviewed by Dr Gómez-Pinilla, the benefits of omega-3s include improved learning and memory, and resistance to depression and bipolar disorder, schizophrenia, dementia, attention-deficit disorder and dyslexia.

Omega-3s are found in oily fish such as salmon, as well as in walnuts and kiwi fruit, and there is a strong negative correlation between the extent to which a country consumes fish and its levels of clinical depression. On the Japanese island of Okinawa, for example, people have a strikingly low rate of mental disorder—and Okinawans are notable fish eaters, even by the standards of a piscivorous country like Japan. In contrast, many studies suggest that diets which are rich in trans- and saturated fatty acids, such as those containing a lot of deep-fried foods and butter, have bad effects on cognition. Rodents put on such diets show declines in cognitive performance within weeks.

In the past few years, several studies have looked at the effect of adding omega-3s to people’s diets—particularly those of children. One such, carried out in the British city of Durham, was controversial in that it was funded by a maker of children’s omega-3 supplements and did not include a control group being given a placebo. Despite the publicity this study has received, Ben Goldacre, author of a book called “Bad Science” that includes an investigation of it, says the results will not be released.

Work by other researchers, however, has suggested such supplements do improve the performance and behaviour of school-age children with specific diagnoses such as dyslexia, attention-deficit disorder and developmental co-ordination disorder. Moreover, although more work is needed to elucidate the effects of omega-3s on healthy school-age children, Dr Gómez-Pinilla says that younger children whose mothers took fish-oil supplements (which contain omega-3s) when they were pregnant and while they were breast-feeding do show better cognitive performance than their unsupplemented contemporaries.

Eating well, then, is one key to a healthy brain. But a word of warning—do not overeat. This puts oxidative stress on the brain and risks undoing all the good work those antioxidants have been up to. For those who would like a little practical guidance, The Economist has some suggestions for dinner (see menu). So why not put the Nintendo brain trainer away tonight, and eat your way to intelligence instead?

mandag den 13. oktober 2008

Motion får hjernen til at yde sit bedste.

Exercise has always been an important aspect of human life, and many understand its benefits physically. The way it releases our stress, builds our muscle tone and helps us lose excess and unwanted weight. Less often however, do we go to the gym thinking about how the exercise we are about to do will benefit our mind. Agreeing with this theory of exercise improving out cognitive capabilities is Raymond D. Fowler’s review of “ Spark: The Revolutionary New Science of Exercise and the Brain” by John J. Ratey and Eric Hagerman. He explains that the real reason we feel so good when we get our blood pumping is that it makes the brain function at its best, and in his view, this benefit of physical activity is far more significant—and captivating—than what it does for the body.

Ratey’s original approach comprises concepts drawn from various fields such as human evolution, cognitive psychology, and neuroscience. His essential concept is that “the evolutionary success of the human species is rooted in the relationship of physical activity to the learning required to find and store food.” Ratey theorizes, “The relationship between food, physical activity, and learning is hardwired into the brain's circuitry." Fowler believes Ratey’s views on the mental benefit of physical exercise, but points out the problem that Ratey’s explanation is overly simplistic for neuroscientists but may be overly complex for the typical lay reader for whom the book is intended. Using extremely scientific terms with abbreviations for various instruments could turn away the average interested reader.

Fowler does point out that there are however chapters on stress, anxiety, and depression that would be of particular interest to the psychotherapist. Ratey describes the ample evidence that physical exercise ameliorates anxiety and tension, and convincing research reveals that physical exercise is efficient in treating depression. Although I will not go into the statistics here, any positive outlook on the treatment of depression leaves me optimistic. I have personally seen the effect of depression on my friends and family, and now knowing that exercise may increase the chances of alleviating depression is reassuring.

Here are a few statistics that Fowler points out from Ratey’s article that are worth noting:

• In comparison with most women, older women with higher levels of exercise (median: walking 12 hours a week) had a 20 percent lower chance of being cognitively impaired on tests of memory and general intelligence (Weuve et al.'s, 2004 study, as cited in Ratey, p. 221).
• A number of studies show a strong correlation between fitness levels and better performance on tests that target the temporal and frontal lobes (p. 225).
• Studies suggest that older men who exercise maintain a greater blood flow to the brain than inactive men, and MRI studies suggest that improved fitness is associated with an increase in brain volume.
This article really caught my eye because of my interest in the health sciences as well as my psychology background. I fully believe the mind and physical wellbeing are correlated, and that we won’t be able to be 100% complete without one or the other.

Fowler, Raymond D. “Exercise for the brain”. PsycCRITIQUES, Vol 53 (36), 2008

http://johnhawks.net:84/node/425